10A NCAC 09 .0601 · Violation

Name of Operation: BEYOND BABIES, LLC TWO Facility ID: 54000360 Consultant: TINA JONES Operation Type: Center Case Number: Visit Date: 10/1/2025 Number Present: 29 Completed Date: 10/1/2025 Age: From 0 To 4 Total Minutes: 180 Time In: 10:00 AM Time Out: 01:00 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 with applicable requirements during an Annual Compliance visit. Today’s visit was completed with Heather Anderson, administrator. You were notified of the purpose of the visit, and you were available for consultation at the conclusion of the visit. Staff and training worksheets were received during the visit. A checklist was used to note the requirements I monitored today. This facility currently operates with a Three-Star Child Care Center License that was issued April 22, 2023, earning 2 points in Program Standards, 4 points in Education Standards, and one quality point based on the child care administrator having at least 10 years of documented child care administration work experience in a licensed program. The last fire inspection was completed June 23, 2025, and the last sanitation inspection was completed on July 28, 2025. This facility is owned by Beyond Babies, LLC Two. This corporation was researched in the North Carolina Secretary of State corporation database and found to have a Current/Active status. The contact information for the owner and facility was reviewed and contained correct information, as documented with the Division of Child Development and Early Education. Prior to today’s visit, the program’s compliance history was 80% over the current 18-month period. A copy of your compliance history report was left with you. Any violations documented today may affect your compliance history. Please be aware that a compliance history score of less than 75% may result in an Administrative Action. The infants were observed participating in tummy time, interacting with the caregiver, and completing routines. Infant sleep checks were in compliance with requirements. Children were observed participating in group activities, free play in centers, completing transitions, and completing routines such as handwashing and toileting. There were adequate staff supervising the enrolled children. The teachers supervised and interacted with the children in a positive manner. I used the Child Care Center Item Number Listing (DCD 0357) as a basic monitoring tool to assess compliance with all applicable child care requirements. A computer-generated visit summary was reviewed with you and a copy was provided to you. All documented violations were reviewed with you at the conclusion of the visit. The following violations of a child care requirements were documented. Violation Number Comment Rule 537 Baby food that had been opened was not covered, labeled with date opened, properly refrigerated and/or used within two days of opening. An uncovered container of opened baby food was being stored in the refrigerator in space 4. 15A NCAC 18A .2804(d)&(g) 807 A safe indoor and outdoor environment was not provided for the children. There is hole at the bottom of the fence causing an entrapment hazard and there is a sharp wire protruding from the area. 10A NCAC 09 .0601(a) 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. 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. Staff member, K. Moore's hire date was 8/11/2025. The TB test was completed on 8/15/2025. .0701(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical exam for one enrolled child was not received within 30 days after admission. The child's enrollment date was 3/21/2023 and the medical assessment was completed on 6/28/2024. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Two children's immunization record was not received with 30 days after admission. One child's enrollment date was 3/21/23 and the immunizations were received 8/7/2024. One child's enrollment date was 7/22/2024 and the immunizations were received 8/30/2024. 10A NCAC 09 .0302(d)(2) 1793 Infants were served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. A bottle of juice was in the refrigerator in the classroom for infants. When asked, the teacher stated that the juice was for an enrolled child in the classroom. .0902( c ) 1898 Staff did not complete the health and safety training within one year of employment. Owner, A. Hardin did not complete the health and safety trainings. This is a repeat violation from the last Annual Compliance visit. .1102(a) CONSULTATION AND TECHNICAL ASSISTANCE: The violations documented above must be corrected immediately. A signed and dated letter of compliance must be mailed to me by October 15, 2025, describing how and when the violations were corrected. This two-week time frame is established to allow you time for submitting your compliance letter and is not intended to be used as a guide for correcting violations, as they should be corrected immediately. The letter of compliance should be mailed or emailed to me, Tina Jones, PO Box 10194, Goldsboro, NC 27532. If you have any questions related to this visit or if I can be of additional assistance, I can be reached at 252-361-3434 or tina.jones@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. Please be aware that any written information submitted by you regarding correction of violations documented is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. Child care licensing requirements are 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 the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the child care laws and rules on the Division of Child Development and Early Education’s website. DCDEE WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, and completed training. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please contact the WORKS department if you have questions on what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. QRIS – PATHWAY TO THE STARS: The Division of Child Development and Early Education (DCDEE) is excited to share information about the July 2025 child care rule changes. The Child Care Commission adopted rules to support QRIS modernization. The new section, .3200, provides the standards for earning a two-though five-star-rated license. There are three pathways: program assessment, classroom and instructional quality, and accreditation and head start. To support the QRIS changes, additional rules were amended within the following sections: definitions, developmental day services, and NC Pre-Kindergarten services. Consultants will assist as you begin to review the changes, but please note some of the rule changes may not impact your facility. DCDEE has provided a summary of the changes, but for specific details regarding these changes, please ensure you are using the updated July 1, 2025 rule book, and view information in the DCDEE Moodle. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. Today we discussed the three pathways available. You stated that pathway 2, Classroom and Instructional Quality would be the best option for your program. We reviewed the requirements for this pathway and discussed a timeline to apply for a rated license. We reviewed that you will play to apply for the rated license by June 2026. RESOURCES: PROVIDER DOCUMENTS/FORMS: You should visit the website often to ensure you’re using all updated forms. All requirements must be included if you choose to use your own forms electronically or hard copy. The NC child care rules were last updated as of November 1, 2024. • The most current provider documents/ forms, checklists, resources related to child care, MOODLE trainings, and new child care requirements can be found on the Division of Child Development and Early Education website. https://ncchildcare.ncdhhs.gov • NC Child Care Health & Safety Resource Center www.healthychildcare.unc.edu. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0302 · Violation

Name of Operation: BEYOND BABIES, LLC TWO Facility ID: 54000360 Consultant: TINA JONES Operation Type: Center Case Number: Visit Date: 10/1/2025 Number Present: 29 Completed Date: 10/1/2025 Age: From 0 To 4 Total Minutes: 180 Time In: 10:00 AM Time Out: 01:00 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 with applicable requirements during an Annual Compliance visit. Today’s visit was completed with Heather Anderson, administrator. You were notified of the purpose of the visit, and you were available for consultation at the conclusion of the visit. Staff and training worksheets were received during the visit. A checklist was used to note the requirements I monitored today. This facility currently operates with a Three-Star Child Care Center License that was issued April 22, 2023, earning 2 points in Program Standards, 4 points in Education Standards, and one quality point based on the child care administrator having at least 10 years of documented child care administration work experience in a licensed program. The last fire inspection was completed June 23, 2025, and the last sanitation inspection was completed on July 28, 2025. This facility is owned by Beyond Babies, LLC Two. This corporation was researched in the North Carolina Secretary of State corporation database and found to have a Current/Active status. The contact information for the owner and facility was reviewed and contained correct information, as documented with the Division of Child Development and Early Education. Prior to today’s visit, the program’s compliance history was 80% over the current 18-month period. A copy of your compliance history report was left with you. Any violations documented today may affect your compliance history. Please be aware that a compliance history score of less than 75% may result in an Administrative Action. The infants were observed participating in tummy time, interacting with the caregiver, and completing routines. Infant sleep checks were in compliance with requirements. Children were observed participating in group activities, free play in centers, completing transitions, and completing routines such as handwashing and toileting. There were adequate staff supervising the enrolled children. The teachers supervised and interacted with the children in a positive manner. I used the Child Care Center Item Number Listing (DCD 0357) as a basic monitoring tool to assess compliance with all applicable child care requirements. A computer-generated visit summary was reviewed with you and a copy was provided to you. All documented violations were reviewed with you at the conclusion of the visit. The following violations of a child care requirements were documented. Violation Number Comment Rule 537 Baby food that had been opened was not covered, labeled with date opened, properly refrigerated and/or used within two days of opening. An uncovered container of opened baby food was being stored in the refrigerator in space 4. 15A NCAC 18A .2804(d)&(g) 807 A safe indoor and outdoor environment was not provided for the children. There is hole at the bottom of the fence causing an entrapment hazard and there is a sharp wire protruding from the area. 10A NCAC 09 .0601(a) 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. 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. Staff member, K. Moore's hire date was 8/11/2025. The TB test was completed on 8/15/2025. .0701(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical exam for one enrolled child was not received within 30 days after admission. The child's enrollment date was 3/21/2023 and the medical assessment was completed on 6/28/2024. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Two children's immunization record was not received with 30 days after admission. One child's enrollment date was 3/21/23 and the immunizations were received 8/7/2024. One child's enrollment date was 7/22/2024 and the immunizations were received 8/30/2024. 10A NCAC 09 .0302(d)(2) 1793 Infants were served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. A bottle of juice was in the refrigerator in the classroom for infants. When asked, the teacher stated that the juice was for an enrolled child in the classroom. .0902( c ) 1898 Staff did not complete the health and safety training within one year of employment. Owner, A. Hardin did not complete the health and safety trainings. This is a repeat violation from the last Annual Compliance visit. .1102(a) CONSULTATION AND TECHNICAL ASSISTANCE: The violations documented above must be corrected immediately. A signed and dated letter of compliance must be mailed to me by October 15, 2025, describing how and when the violations were corrected. This two-week time frame is established to allow you time for submitting your compliance letter and is not intended to be used as a guide for correcting violations, as they should be corrected immediately. The letter of compliance should be mailed or emailed to me, Tina Jones, PO Box 10194, Goldsboro, NC 27532. If you have any questions related to this visit or if I can be of additional assistance, I can be reached at 252-361-3434 or tina.jones@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. Please be aware that any written information submitted by you regarding correction of violations documented is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. Child care licensing requirements are 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 the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the child care laws and rules on the Division of Child Development and Early Education’s website. DCDEE WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, and completed training. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please contact the WORKS department if you have questions on what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. QRIS – PATHWAY TO THE STARS: The Division of Child Development and Early Education (DCDEE) is excited to share information about the July 2025 child care rule changes. The Child Care Commission adopted rules to support QRIS modernization. The new section, .3200, provides the standards for earning a two-though five-star-rated license. There are three pathways: program assessment, classroom and instructional quality, and accreditation and head start. To support the QRIS changes, additional rules were amended within the following sections: definitions, developmental day services, and NC Pre-Kindergarten services. Consultants will assist as you begin to review the changes, but please note some of the rule changes may not impact your facility. DCDEE has provided a summary of the changes, but for specific details regarding these changes, please ensure you are using the updated July 1, 2025 rule book, and view information in the DCDEE Moodle. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. Today we discussed the three pathways available. You stated that pathway 2, Classroom and Instructional Quality would be the best option for your program. We reviewed the requirements for this pathway and discussed a timeline to apply for a rated license. We reviewed that you will play to apply for the rated license by June 2026. RESOURCES: PROVIDER DOCUMENTS/FORMS: You should visit the website often to ensure you’re using all updated forms. All requirements must be included if you choose to use your own forms electronically or hard copy. The NC child care rules were last updated as of November 1, 2024. • The most current provider documents/ forms, checklists, resources related to child care, MOODLE trainings, and new child care requirements can be found on the Division of Child Development and Early Education website. https://ncchildcare.ncdhhs.gov • NC Child Care Health & Safety Resource Center www.healthychildcare.unc.edu. 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: BEYOND BABIES, LLC TWO Facility ID: 54000360 Consultant: TINA JONES Operation Type: Center Case Number: Visit Date: 10/1/2025 Number Present: 29 Completed Date: 10/1/2025 Age: From 0 To 4 Total Minutes: 180 Time In: 10:00 AM Time Out: 01:00 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 with applicable requirements during an Annual Compliance visit. Today’s visit was completed with Heather Anderson, administrator. You were notified of the purpose of the visit, and you were available for consultation at the conclusion of the visit. Staff and training worksheets were received during the visit. A checklist was used to note the requirements I monitored today. This facility currently operates with a Three-Star Child Care Center License that was issued April 22, 2023, earning 2 points in Program Standards, 4 points in Education Standards, and one quality point based on the child care administrator having at least 10 years of documented child care administration work experience in a licensed program. The last fire inspection was completed June 23, 2025, and the last sanitation inspection was completed on July 28, 2025. This facility is owned by Beyond Babies, LLC Two. This corporation was researched in the North Carolina Secretary of State corporation database and found to have a Current/Active status. The contact information for the owner and facility was reviewed and contained correct information, as documented with the Division of Child Development and Early Education. Prior to today’s visit, the program’s compliance history was 80% over the current 18-month period. A copy of your compliance history report was left with you. Any violations documented today may affect your compliance history. Please be aware that a compliance history score of less than 75% may result in an Administrative Action. The infants were observed participating in tummy time, interacting with the caregiver, and completing routines. Infant sleep checks were in compliance with requirements. Children were observed participating in group activities, free play in centers, completing transitions, and completing routines such as handwashing and toileting. There were adequate staff supervising the enrolled children. The teachers supervised and interacted with the children in a positive manner. I used the Child Care Center Item Number Listing (DCD 0357) as a basic monitoring tool to assess compliance with all applicable child care requirements. A computer-generated visit summary was reviewed with you and a copy was provided to you. All documented violations were reviewed with you at the conclusion of the visit. The following violations of a child care requirements were documented. Violation Number Comment Rule 537 Baby food that had been opened was not covered, labeled with date opened, properly refrigerated and/or used within two days of opening. An uncovered container of opened baby food was being stored in the refrigerator in space 4. 15A NCAC 18A .2804(d)&(g) 807 A safe indoor and outdoor environment was not provided for the children. There is hole at the bottom of the fence causing an entrapment hazard and there is a sharp wire protruding from the area. 10A NCAC 09 .0601(a) 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. 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. Staff member, K. Moore's hire date was 8/11/2025. The TB test was completed on 8/15/2025. .0701(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical exam for one enrolled child was not received within 30 days after admission. The child's enrollment date was 3/21/2023 and the medical assessment was completed on 6/28/2024. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Two children's immunization record was not received with 30 days after admission. One child's enrollment date was 3/21/23 and the immunizations were received 8/7/2024. One child's enrollment date was 7/22/2024 and the immunizations were received 8/30/2024. 10A NCAC 09 .0302(d)(2) 1793 Infants were served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. A bottle of juice was in the refrigerator in the classroom for infants. When asked, the teacher stated that the juice was for an enrolled child in the classroom. .0902( c ) 1898 Staff did not complete the health and safety training within one year of employment. Owner, A. Hardin did not complete the health and safety trainings. This is a repeat violation from the last Annual Compliance visit. .1102(a) CONSULTATION AND TECHNICAL ASSISTANCE: The violations documented above must be corrected immediately. A signed and dated letter of compliance must be mailed to me by October 15, 2025, describing how and when the violations were corrected. This two-week time frame is established to allow you time for submitting your compliance letter and is not intended to be used as a guide for correcting violations, as they should be corrected immediately. The letter of compliance should be mailed or emailed to me, Tina Jones, PO Box 10194, Goldsboro, NC 27532. If you have any questions related to this visit or if I can be of additional assistance, I can be reached at 252-361-3434 or tina.jones@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. Please be aware that any written information submitted by you regarding correction of violations documented is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. Child care licensing requirements are 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 the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the child care laws and rules on the Division of Child Development and Early Education’s website. DCDEE WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, and completed training. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please contact the WORKS department if you have questions on what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. QRIS – PATHWAY TO THE STARS: The Division of Child Development and Early Education (DCDEE) is excited to share information about the July 2025 child care rule changes. The Child Care Commission adopted rules to support QRIS modernization. The new section, .3200, provides the standards for earning a two-though five-star-rated license. There are three pathways: program assessment, classroom and instructional quality, and accreditation and head start. To support the QRIS changes, additional rules were amended within the following sections: definitions, developmental day services, and NC Pre-Kindergarten services. Consultants will assist as you begin to review the changes, but please note some of the rule changes may not impact your facility. DCDEE has provided a summary of the changes, but for specific details regarding these changes, please ensure you are using the updated July 1, 2025 rule book, and view information in the DCDEE Moodle. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. Today we discussed the three pathways available. You stated that pathway 2, Classroom and Instructional Quality would be the best option for your program. We reviewed the requirements for this pathway and discussed a timeline to apply for a rated license. We reviewed that you will play to apply for the rated license by June 2026. RESOURCES: PROVIDER DOCUMENTS/FORMS: You should visit the website often to ensure you’re using all updated forms. All requirements must be included if you choose to use your own forms electronically or hard copy. The NC child care rules were last updated as of November 1, 2024. • The most current provider documents/ forms, checklists, resources related to child care, MOODLE trainings, and new child care requirements can be found on the Division of Child Development and Early Education website. https://ncchildcare.ncdhhs.gov • NC Child Care Health & Safety Resource Center www.healthychildcare.unc.edu. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-91 · Violation

Name of Operation: BEYOND BABIES, LLC TWO Facility ID: 54000360 Consultant: TINA JONES Operation Type: Center Case Number: Visit Date: 10/1/2025 Number Present: 29 Completed Date: 10/1/2025 Age: From 0 To 4 Total Minutes: 180 Time In: 10:00 AM Time Out: 01:00 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 with applicable requirements during an Annual Compliance visit. Today’s visit was completed with Heather Anderson, administrator. You were notified of the purpose of the visit, and you were available for consultation at the conclusion of the visit. Staff and training worksheets were received during the visit. A checklist was used to note the requirements I monitored today. This facility currently operates with a Three-Star Child Care Center License that was issued April 22, 2023, earning 2 points in Program Standards, 4 points in Education Standards, and one quality point based on the child care administrator having at least 10 years of documented child care administration work experience in a licensed program. The last fire inspection was completed June 23, 2025, and the last sanitation inspection was completed on July 28, 2025. This facility is owned by Beyond Babies, LLC Two. This corporation was researched in the North Carolina Secretary of State corporation database and found to have a Current/Active status. The contact information for the owner and facility was reviewed and contained correct information, as documented with the Division of Child Development and Early Education. Prior to today’s visit, the program’s compliance history was 80% over the current 18-month period. A copy of your compliance history report was left with you. Any violations documented today may affect your compliance history. Please be aware that a compliance history score of less than 75% may result in an Administrative Action. The infants were observed participating in tummy time, interacting with the caregiver, and completing routines. Infant sleep checks were in compliance with requirements. Children were observed participating in group activities, free play in centers, completing transitions, and completing routines such as handwashing and toileting. There were adequate staff supervising the enrolled children. The teachers supervised and interacted with the children in a positive manner. I used the Child Care Center Item Number Listing (DCD 0357) as a basic monitoring tool to assess compliance with all applicable child care requirements. A computer-generated visit summary was reviewed with you and a copy was provided to you. All documented violations were reviewed with you at the conclusion of the visit. The following violations of a child care requirements were documented. Violation Number Comment Rule 537 Baby food that had been opened was not covered, labeled with date opened, properly refrigerated and/or used within two days of opening. An uncovered container of opened baby food was being stored in the refrigerator in space 4. 15A NCAC 18A .2804(d)&(g) 807 A safe indoor and outdoor environment was not provided for the children. There is hole at the bottom of the fence causing an entrapment hazard and there is a sharp wire protruding from the area. 10A NCAC 09 .0601(a) 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. 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. Staff member, K. Moore's hire date was 8/11/2025. The TB test was completed on 8/15/2025. .0701(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical exam for one enrolled child was not received within 30 days after admission. The child's enrollment date was 3/21/2023 and the medical assessment was completed on 6/28/2024. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Two children's immunization record was not received with 30 days after admission. One child's enrollment date was 3/21/23 and the immunizations were received 8/7/2024. One child's enrollment date was 7/22/2024 and the immunizations were received 8/30/2024. 10A NCAC 09 .0302(d)(2) 1793 Infants were served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. A bottle of juice was in the refrigerator in the classroom for infants. When asked, the teacher stated that the juice was for an enrolled child in the classroom. .0902( c ) 1898 Staff did not complete the health and safety training within one year of employment. Owner, A. Hardin did not complete the health and safety trainings. This is a repeat violation from the last Annual Compliance visit. .1102(a) CONSULTATION AND TECHNICAL ASSISTANCE: The violations documented above must be corrected immediately. A signed and dated letter of compliance must be mailed to me by October 15, 2025, describing how and when the violations were corrected. This two-week time frame is established to allow you time for submitting your compliance letter and is not intended to be used as a guide for correcting violations, as they should be corrected immediately. The letter of compliance should be mailed or emailed to me, Tina Jones, PO Box 10194, Goldsboro, NC 27532. If you have any questions related to this visit or if I can be of additional assistance, I can be reached at 252-361-3434 or tina.jones@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. Please be aware that any written information submitted by you regarding correction of violations documented is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. Child care licensing requirements are 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 the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the child care laws and rules on the Division of Child Development and Early Education’s website. DCDEE WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, and completed training. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please contact the WORKS department if you have questions on what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. QRIS – PATHWAY TO THE STARS: The Division of Child Development and Early Education (DCDEE) is excited to share information about the July 2025 child care rule changes. The Child Care Commission adopted rules to support QRIS modernization. The new section, .3200, provides the standards for earning a two-though five-star-rated license. There are three pathways: program assessment, classroom and instructional quality, and accreditation and head start. To support the QRIS changes, additional rules were amended within the following sections: definitions, developmental day services, and NC Pre-Kindergarten services. Consultants will assist as you begin to review the changes, but please note some of the rule changes may not impact your facility. DCDEE has provided a summary of the changes, but for specific details regarding these changes, please ensure you are using the updated July 1, 2025 rule book, and view information in the DCDEE Moodle. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. Today we discussed the three pathways available. You stated that pathway 2, Classroom and Instructional Quality would be the best option for your program. We reviewed the requirements for this pathway and discussed a timeline to apply for a rated license. We reviewed that you will play to apply for the rated license by June 2026. RESOURCES: PROVIDER DOCUMENTS/FORMS: You should visit the website often to ensure you’re using all updated forms. All requirements must be included if you choose to use your own forms electronically or hard copy. The NC child care rules were last updated as of November 1, 2024. • The most current provider documents/ forms, checklists, resources related to child care, MOODLE trainings, and new child care requirements can be found on the Division of Child Development and Early Education website. https://ncchildcare.ncdhhs.gov • NC Child Care Health & Safety Resource Center www.healthychildcare.unc.edu. 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: BEYOND BABIES, LLC TWO Facility ID: 54000360 Consultant: TINA JONES Operation Type: Center Case Number: 0725-390L Visit Date: 8/11/2025 Number Present: 33 Completed Date: 8/11/2025 Age: From 0 To 8 Total Minutes: 123 Time In: 10:00 AM Time Out: 12:03 PM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate a self-report alleging violations of child care requirements in regards to appropriate discipline and staff/child ratios. The report was reviewed with A. Hardin, owner/operator, and H. Anderson, administrator. You both were given the opportunity to discuss the allegation and ask questions. All staff members, except for one new staff member, were interviewed. An attempt to contact one staff member who is no longer employed was made; however, the former employee never returned my call. A walk-through of the facility was conducted. Thirty-three (33) children were present. The permit restrictions on the license were verified. Limited but required child care requirements were monitored. Enrollment was completed. Although video footage was not available at the facility today, video footage was obtained from Detective Warren from the Lenoir County Sheriff’s office. Once this video footage was obtained, I reviewed the footage of July 23, 2025, from 7:00am until 5:00pm. FINDINGS/OBSERVATIONS: Allegations: In the self-report, it was stated that a parent had a was concern that a child came home with a bruise and the teachers could not explain where the bruise came from. When interviewing you, A. Hardin, you stated you did not know if the bruise happened when the child was at the facility or if it happened at home. It was further stated that you watched the video footage, and you had no concerns about the footage you viewed. You stated that you did not see where the child could have bruised their leg. When asked if the teachers made you aware of a child falling, you stated that the child’s teacher told Ms. Anderson that the child fell on a wooden ramp outside. When asked if the teacher completed an accident report, you stated that you told the teacher not to complete an accident report because that fall may not have caused that bruise on the child’s leg. The teacher did not complete the accident report. When interviewing H. Anderson, it was stated that Ms. Anderson viewed the video footage and did not have any concerns about the staff. Ms. Anderson did state that there was an issue with staff/child ratios in the afternoon, close to when it was time for the children to go home. It was further stated that she knew after watching the video footage that the staff were out of compliance with staff/child ratio requirements. When asked if the teacher made her aware of a child falling on a wooden ramp outside, you stated that the teacher did make you aware and you informed the teacher that she would need to complete an accident report. It was further stated that the teacher failed to complete the accident report on July 23, 2025. It was stated the staff member returned the next day and asked about completing the accident report; however, Ms. Hardin told the staff member not to complete an accident report. Ms. Anderson made me aware of a staff member under the age of 18 had responsibility and was left in charge of two separate groups of children on July 23, 2025. When asked if the staff member did this consistently, it was stated that this normally does not happen. When interviewing a staff member, it was stated on a previous occasion, a staff member was seen popping a child’s hand. It was stated that this staff member was reprimanded for popping a child; however, no report was made to the DCDEE. When interviewing a staff member, it was stated that they witnessed another staff member, pull or drag the child that had the bruise, by the wrist, to the door leading to the playground. It was stated that the child fell and the teacher continued to pull the child by the wrist to the door. It was further stated that once the child got outside the door, the child fell again on the side of the wooden ramp. The staff member stated they felt like this was when the child received the bruise on the back of the leg. When interviewing a staff member, it was stated that the child that had a bruise was napping on the cots in a classroom. It was further stated that the cots were stacked on top of each other. When asked, the staff member stated they had to remove the child from the stack of cots multiple times. It was further stated that the child fell off the stack of cots and hit their head. It was stated that the child’s head was checked and there was no mark. When asked, the staff member stated that an accident report was not written. When interviewing a staff member, it was stated that in the video footage, it may be seen that they were restraining the same child; however, it was stated that they were holding this child for safety reasons. It was stated that the child was crying and wanting to be held by the second teacher in the class and the staff member didn’t want the child to fall or get hurt so they held the child and would not let her down for a brief period. This staff member stated there are no concerns. Three additional staff members stated that they have no concerns with any staff member or the administrative staff at the facility and they had no knowledge of what happened to the child with the bruise. Staff child ratios were in compliance during the visit. Video footage was reviewed upon returning to the office. In the video footage, it was confirmed that staff/child ratios were not in compliance throughout the day. There were ten (10) occasions when staff/child ratios were not in compliance. It was also confirmed that a child was pulled by the wrist to the door leading to the outdoor playground. There were also four (4) additional occasions when inappropriate discipline was used that included children being drug by the upper arm across the floor, a child being snatched off a wooden toy storage unit, and a child grabbed by the upper arm and made to sit down. Additionally, there were at least nine (9) occasions when a safe indoor and outdoor environment were not provided. Based on my observations, staff interviews, and video footage, the allegations are substantiated. At the conclusion of today’s visit, we reviewed that there would be violations documented for the information provided today. We reviewed that additional violations may be warranted after the viewing of the video footage. A one-page visit summary was reviewed with you, and a copy was provided to you. A computer-generated visit summary will be emailed to you. The following violations were documented: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. According to the recorded video footage, on ten (10) separate occasions, staff/child ratios were not in compliance in the classroom for infants and in the outdoor environment. At the highest, the staff/child ratio was one (1) staff to ten (10) children, ranging in age from infant to one year of age. GS 110-91(7);.0713(a-d) 491 Caregiver did not respond at the earliest opportunity to an infant or toddler’s physical and emotional needs. There were multiple occasions observed where a teacher did not respond to crying children. There was a child that walked back and forth in the classroom throughout the day raising her arms to be picked up or reaching out to staff; however, the staff did not acknowledge the child even when they were not completing other tasks. It was observed that on multiple occasions, an infant would cry; however, the teacher would not acknowledge the child, even when they were not completing other tasks. .0511(b)(1) 496 Each child under the age of 12 months was not given supervised tummy time positioned on his/her stomach while awake and alert each day. Two children under the age of 12 months were not given supervised tummy time while they were awake. .0510(e)(6) 530 Each infant was not held for bottle feeding until he/she can hold his own bottle. I observed at least one infant that was not being held while bottle feeding. The infant was placed in an infant bouncy seat while the teacher sat in a chair. The teacher held the bottle while the child sat in the seat. 10A NCAC 09 .0902(b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In the classroom for infants, the children's hands were not washed as required. Children's hand were rarely washed throughout the day. There were more than twenty-five occasions where the children's hands were not washed as required. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Throughout the day, teachers in the classroom for infants did not wash their hands as required. It was observed that teachers rarely washed hands after diaper changes and before bottle feedings. I observed at least twenty-five (25) separate occasions when hand-washing was not completed as required. 15A NCAC 18A .2803(a) 615 Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users. In the classroom for one year old children, a cot was used by a child not enrolled in the classroom. The cot was not sanitized after the child used the cot. 15A NCAC 18A .2821(a) 616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. in the classroom for infants, on numerous occasions, pacifiers were dropped on the floor and the teacher did not clean or sanitize the pacifiers before placing the pacifier back in the child's mouth. I observed both teachers picking up the pacifiers off the floor and directly putting it in the child's mouth. On one occasion, a pacifier that belonged to another child was put in another child's mouth. .2822(a)(1-4) 619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. The diapering changing surface was rarely cleaned with the required solutions. Many times, the detergent solution was applied; however, the disinfecting solution was not applied. If the disinfecting solution was applied, it was immediately wiped off, not giving the full 2 minutes of time. There were numerous times when the diapering surface was not cleaned at all in between the children's diaper changes. 15A NCAC 18A .2819(c) 807 A safe indoor and outdoor environment was not provided for the children. I observed at least six (6) occasions where the teacher left the child unattended on the changing table. The teacher would place the child on the changing table and walk to the cubby to get diapers or diaper cream. A child was observed napping on a stack of cots. The child fell off the cots, hitting their head on the floor. A teacher was observed leaving children unattended on the playground in order to get additional children out of the classroom. 10A NCAC 09 .0601(a) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. On two separate occasions, a child fell and incident reports were not completed. The child fell off a stack of cots and hit their head on the floor and the child fell on the wooden ramp leading to the outdoor infant playground. .0802 (e) 871 Center staff did not comply with the safe sleep policy. A child was observed sleeping in a bouncy seat for the duration of the visit. The only time the child left the bouncy seat was to be fed and/or for a diaper change. A teacher in the classroom for infants was observed completing sleep charts; however, the infants sleeping were not checked every 15 minutes as required. One infant was observed sleeping in a bouncy. After counting the infants, it was concluded that the infant did not have an assigned crib or an approved sleeping apparatus. 10A NCAC 09 .0606(a) 908 Discipline was not appropriate for the child's age and development. There were five separate occasions where inappropriate discipline was used due to an undesired behavior. On two separate occasions a teacher took a child by the upper arm and drug him across the floor. A teacher was observed pulling a child by the wrist until the child fell on the floor. The teacher continued to pull the child by the wrist when the child got to their feet. A teacher was observed snatching a child by the arm, off of a wooden storage unit. The child sat on the floor and cried without being comforted. A teacher was observed entering a classroom and taking a child by the upper arm and sitting him down on the floor. A teacher picked up a child and carried him with their arm under the child's chin, causing a choking hazard. .1803(b) 1016 Someone less than 18 years old had responsibility for, or was left in charge of a group of children. Information was provided that a staff member, under the age of 18, had responsibility for and was left in charge of two separate groups of children. The staff member was left in charge of the classroom for infants and the classroom for one year old children. GS 110-91(8); GS 110-106(e); 10A NCAC 09 .0703(a) CONSULTATION AND TECHNICAL ASSISTANCE: The violations documented above must be corrected immediately. A signed and dated letter of compliance must be mailed to me by August 25, 2025, describing how and when the violations were corrected. This two-week time frame is established to allow you time for submitting your compliance letter and is not intended to be used as a guide for correcting violations, as they should be corrected immediately. The letter of compliance should be mailed or emailed to me, Tina Jones, PO Box 10194, Goldsboro, NC 27532. If you have any questions related to this visit or if I can be of additional assistance, I can be reached at 252-361-3434 or tina.jones@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. Please be aware that any written information submitted by you regarding correction of violations documented is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. Childcare licensing requirements are established to ensure a safe and healthy childcare 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 the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the childcare laws and rules on the Division of Child Development and Early Education’s website. STAFF/CHILD RATIO: Standards for staff: child ratios and group sizes are a way to ensure the safety, well-being, and development of children in child care programs. We reviewed that required ratios and group sizes address the health and safety of children and help staff provide better supervision and care and provide children with more opportunities to develop social skills by allowing them to consistently interact with a smaller group of children and staff. EFFECTIVE DISCIPLINE: In the early childhood education environment, discipline refers to the process of guiding children's behavior towards positive, socially acceptable patterns, rather than simply punishing them for misbehavior. It involves teaching, nurturing, and fostering self-control and respect through positive interactions and consistent boundaries. Effective discipline aims to help children develop inner control and make thoughtful choices, rather than simply reacting to external rules. Key Aspects of Discipline in Early Childhood Education: Positive and Supportive Relationship: Discipline is most effective when built on a foundation of love, trust, and a positive relationship between the caregiver and the child. Teaching, Not Just Punishing: Instead of focusing solely on punishment, positive discipline emphasizes teaching children appropriate behaviors and helping them understand the reasons behind rules. Setting Clear Expectations: Establishing clear, simple, and age-appropriate rules and expectations helps children understand what is expected of them. Consistent Application: Consistent and predictable application of rules and consequences helps children learn what is acceptable and unacceptable behavior. Focus on Behavior, Not the Child: When addressing misbehavior, it's crucial to focus on the specific action and help the child understand how to correct it, rather than labeling the child as "bad". Promoting Self-Control: Discipline should aim to help children develop self-control and self-discipline, allowing them to make responsible choices independently. Age-Appropriate Strategies: Discipline strategies should be tailored to the child's age and developmental stage. Positive Reinforcement: Recognizing and praising desired behaviors can be a powerful tool for encouraging positive actions. Guidance and Redirection: Guiding children towards acceptable behaviors through redirection and offering alternative activities can be an effective approach. Natural and Logical Consequences: When appropriate, allowing children to experience the natural or logical consequences of their actions can help them learn from their mistakes. Time-Outs (when appropriate): Time-outs can be a useful tool for giving children a chance to calm down and reflect on their behavior, but they should be used sparingly and appropriately for the child's age . Understanding the Root Cause: It's important to try to understand the reasons behind a child's misbehavior, as this can help address the underlying issues and prevent future occurrences. ADMINISTRATIVE ACTION: Due to a substantiated complaint, we discussed that an Administrative Action may be warranted. We discussed that I would contact you to discuss this further. We discussed that additional unannounced visits will be made. RESOURCES: I encourage you to contact your local Partnership for Children of Lenoir and Green County to inquire about training on effective discipline and positive interactions. You may contact: Stephanie Sullivan-ssullivan@lgpfc.org or Taylor Bowen - tbowen@lgpfc.org PROVIDER DOCUMENTS/FORMS: You should visit the website often to ensure you’re using all updated forms. All requirements must be included if you choose to use your own forms electronically or hard copy. The NC child care rules were last updated as of November 1, 2024. • The most current provider documents/ forms, checklists, resources related to child care, MOODLE trainings, and new child care requirements can be found on the Division of Child Development and Early Education website. https://ncchildcare.ncdhhs.gov • NC Child Care Health & Safety Resource Center www.healthychildcare.unc.edu. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0902 · Violation

Name of Operation: BEYOND BABIES, LLC TWO Facility ID: 54000360 Consultant: TINA JONES Operation Type: Center Case Number: 0725-390L Visit Date: 8/11/2025 Number Present: 33 Completed Date: 8/11/2025 Age: From 0 To 8 Total Minutes: 123 Time In: 10:00 AM Time Out: 12:03 PM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate a self-report alleging violations of child care requirements in regards to appropriate discipline and staff/child ratios. The report was reviewed with A. Hardin, owner/operator, and H. Anderson, administrator. You both were given the opportunity to discuss the allegation and ask questions. All staff members, except for one new staff member, were interviewed. An attempt to contact one staff member who is no longer employed was made; however, the former employee never returned my call. A walk-through of the facility was conducted. Thirty-three (33) children were present. The permit restrictions on the license were verified. Limited but required child care requirements were monitored. Enrollment was completed. Although video footage was not available at the facility today, video footage was obtained from Detective Warren from the Lenoir County Sheriff’s office. Once this video footage was obtained, I reviewed the footage of July 23, 2025, from 7:00am until 5:00pm. FINDINGS/OBSERVATIONS: Allegations: In the self-report, it was stated that a parent had a was concern that a child came home with a bruise and the teachers could not explain where the bruise came from. When interviewing you, A. Hardin, you stated you did not know if the bruise happened when the child was at the facility or if it happened at home. It was further stated that you watched the video footage, and you had no concerns about the footage you viewed. You stated that you did not see where the child could have bruised their leg. When asked if the teachers made you aware of a child falling, you stated that the child’s teacher told Ms. Anderson that the child fell on a wooden ramp outside. When asked if the teacher completed an accident report, you stated that you told the teacher not to complete an accident report because that fall may not have caused that bruise on the child’s leg. The teacher did not complete the accident report. When interviewing H. Anderson, it was stated that Ms. Anderson viewed the video footage and did not have any concerns about the staff. Ms. Anderson did state that there was an issue with staff/child ratios in the afternoon, close to when it was time for the children to go home. It was further stated that she knew after watching the video footage that the staff were out of compliance with staff/child ratio requirements. When asked if the teacher made her aware of a child falling on a wooden ramp outside, you stated that the teacher did make you aware and you informed the teacher that she would need to complete an accident report. It was further stated that the teacher failed to complete the accident report on July 23, 2025. It was stated the staff member returned the next day and asked about completing the accident report; however, Ms. Hardin told the staff member not to complete an accident report. Ms. Anderson made me aware of a staff member under the age of 18 had responsibility and was left in charge of two separate groups of children on July 23, 2025. When asked if the staff member did this consistently, it was stated that this normally does not happen. When interviewing a staff member, it was stated on a previous occasion, a staff member was seen popping a child’s hand. It was stated that this staff member was reprimanded for popping a child; however, no report was made to the DCDEE. When interviewing a staff member, it was stated that they witnessed another staff member, pull or drag the child that had the bruise, by the wrist, to the door leading to the playground. It was stated that the child fell and the teacher continued to pull the child by the wrist to the door. It was further stated that once the child got outside the door, the child fell again on the side of the wooden ramp. The staff member stated they felt like this was when the child received the bruise on the back of the leg. When interviewing a staff member, it was stated that the child that had a bruise was napping on the cots in a classroom. It was further stated that the cots were stacked on top of each other. When asked, the staff member stated they had to remove the child from the stack of cots multiple times. It was further stated that the child fell off the stack of cots and hit their head. It was stated that the child’s head was checked and there was no mark. When asked, the staff member stated that an accident report was not written. When interviewing a staff member, it was stated that in the video footage, it may be seen that they were restraining the same child; however, it was stated that they were holding this child for safety reasons. It was stated that the child was crying and wanting to be held by the second teacher in the class and the staff member didn’t want the child to fall or get hurt so they held the child and would not let her down for a brief period. This staff member stated there are no concerns. Three additional staff members stated that they have no concerns with any staff member or the administrative staff at the facility and they had no knowledge of what happened to the child with the bruise. Staff child ratios were in compliance during the visit. Video footage was reviewed upon returning to the office. In the video footage, it was confirmed that staff/child ratios were not in compliance throughout the day. There were ten (10) occasions when staff/child ratios were not in compliance. It was also confirmed that a child was pulled by the wrist to the door leading to the outdoor playground. There were also four (4) additional occasions when inappropriate discipline was used that included children being drug by the upper arm across the floor, a child being snatched off a wooden toy storage unit, and a child grabbed by the upper arm and made to sit down. Additionally, there were at least nine (9) occasions when a safe indoor and outdoor environment were not provided. Based on my observations, staff interviews, and video footage, the allegations are substantiated. At the conclusion of today’s visit, we reviewed that there would be violations documented for the information provided today. We reviewed that additional violations may be warranted after the viewing of the video footage. A one-page visit summary was reviewed with you, and a copy was provided to you. A computer-generated visit summary will be emailed to you. The following violations were documented: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. According to the recorded video footage, on ten (10) separate occasions, staff/child ratios were not in compliance in the classroom for infants and in the outdoor environment. At the highest, the staff/child ratio was one (1) staff to ten (10) children, ranging in age from infant to one year of age. GS 110-91(7);.0713(a-d) 491 Caregiver did not respond at the earliest opportunity to an infant or toddler’s physical and emotional needs. There were multiple occasions observed where a teacher did not respond to crying children. There was a child that walked back and forth in the classroom throughout the day raising her arms to be picked up or reaching out to staff; however, the staff did not acknowledge the child even when they were not completing other tasks. It was observed that on multiple occasions, an infant would cry; however, the teacher would not acknowledge the child, even when they were not completing other tasks. .0511(b)(1) 496 Each child under the age of 12 months was not given supervised tummy time positioned on his/her stomach while awake and alert each day. Two children under the age of 12 months were not given supervised tummy time while they were awake. .0510(e)(6) 530 Each infant was not held for bottle feeding until he/she can hold his own bottle. I observed at least one infant that was not being held while bottle feeding. The infant was placed in an infant bouncy seat while the teacher sat in a chair. The teacher held the bottle while the child sat in the seat. 10A NCAC 09 .0902(b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In the classroom for infants, the children's hands were not washed as required. Children's hand were rarely washed throughout the day. There were more than twenty-five occasions where the children's hands were not washed as required. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Throughout the day, teachers in the classroom for infants did not wash their hands as required. It was observed that teachers rarely washed hands after diaper changes and before bottle feedings. I observed at least twenty-five (25) separate occasions when hand-washing was not completed as required. 15A NCAC 18A .2803(a) 615 Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users. In the classroom for one year old children, a cot was used by a child not enrolled in the classroom. The cot was not sanitized after the child used the cot. 15A NCAC 18A .2821(a) 616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. in the classroom for infants, on numerous occasions, pacifiers were dropped on the floor and the teacher did not clean or sanitize the pacifiers before placing the pacifier back in the child's mouth. I observed both teachers picking up the pacifiers off the floor and directly putting it in the child's mouth. On one occasion, a pacifier that belonged to another child was put in another child's mouth. .2822(a)(1-4) 619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. The diapering changing surface was rarely cleaned with the required solutions. Many times, the detergent solution was applied; however, the disinfecting solution was not applied. If the disinfecting solution was applied, it was immediately wiped off, not giving the full 2 minutes of time. There were numerous times when the diapering surface was not cleaned at all in between the children's diaper changes. 15A NCAC 18A .2819(c) 807 A safe indoor and outdoor environment was not provided for the children. I observed at least six (6) occasions where the teacher left the child unattended on the changing table. The teacher would place the child on the changing table and walk to the cubby to get diapers or diaper cream. A child was observed napping on a stack of cots. The child fell off the cots, hitting their head on the floor. A teacher was observed leaving children unattended on the playground in order to get additional children out of the classroom. 10A NCAC 09 .0601(a) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. On two separate occasions, a child fell and incident reports were not completed. The child fell off a stack of cots and hit their head on the floor and the child fell on the wooden ramp leading to the outdoor infant playground. .0802 (e) 871 Center staff did not comply with the safe sleep policy. A child was observed sleeping in a bouncy seat for the duration of the visit. The only time the child left the bouncy seat was to be fed and/or for a diaper change. A teacher in the classroom for infants was observed completing sleep charts; however, the infants sleeping were not checked every 15 minutes as required. One infant was observed sleeping in a bouncy. After counting the infants, it was concluded that the infant did not have an assigned crib or an approved sleeping apparatus. 10A NCAC 09 .0606(a) 908 Discipline was not appropriate for the child's age and development. There were five separate occasions where inappropriate discipline was used due to an undesired behavior. On two separate occasions a teacher took a child by the upper arm and drug him across the floor. A teacher was observed pulling a child by the wrist until the child fell on the floor. The teacher continued to pull the child by the wrist when the child got to their feet. A teacher was observed snatching a child by the arm, off of a wooden storage unit. The child sat on the floor and cried without being comforted. A teacher was observed entering a classroom and taking a child by the upper arm and sitting him down on the floor. A teacher picked up a child and carried him with their arm under the child's chin, causing a choking hazard. .1803(b) 1016 Someone less than 18 years old had responsibility for, or was left in charge of a group of children. Information was provided that a staff member, under the age of 18, had responsibility for and was left in charge of two separate groups of children. The staff member was left in charge of the classroom for infants and the classroom for one year old children. GS 110-91(8); GS 110-106(e); 10A NCAC 09 .0703(a) CONSULTATION AND TECHNICAL ASSISTANCE: The violations documented above must be corrected immediately. A signed and dated letter of compliance must be mailed to me by August 25, 2025, describing how and when the violations were corrected. This two-week time frame is established to allow you time for submitting your compliance letter and is not intended to be used as a guide for correcting violations, as they should be corrected immediately. The letter of compliance should be mailed or emailed to me, Tina Jones, PO Box 10194, Goldsboro, NC 27532. If you have any questions related to this visit or if I can be of additional assistance, I can be reached at 252-361-3434 or tina.jones@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. Please be aware that any written information submitted by you regarding correction of violations documented is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. Childcare licensing requirements are established to ensure a safe and healthy childcare 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 the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the childcare laws and rules on the Division of Child Development and Early Education’s website. STAFF/CHILD RATIO: Standards for staff: child ratios and group sizes are a way to ensure the safety, well-being, and development of children in child care programs. We reviewed that required ratios and group sizes address the health and safety of children and help staff provide better supervision and care and provide children with more opportunities to develop social skills by allowing them to consistently interact with a smaller group of children and staff. EFFECTIVE DISCIPLINE: In the early childhood education environment, discipline refers to the process of guiding children's behavior towards positive, socially acceptable patterns, rather than simply punishing them for misbehavior. It involves teaching, nurturing, and fostering self-control and respect through positive interactions and consistent boundaries. Effective discipline aims to help children develop inner control and make thoughtful choices, rather than simply reacting to external rules. Key Aspects of Discipline in Early Childhood Education: Positive and Supportive Relationship: Discipline is most effective when built on a foundation of love, trust, and a positive relationship between the caregiver and the child. Teaching, Not Just Punishing: Instead of focusing solely on punishment, positive discipline emphasizes teaching children appropriate behaviors and helping them understand the reasons behind rules. Setting Clear Expectations: Establishing clear, simple, and age-appropriate rules and expectations helps children understand what is expected of them. Consistent Application: Consistent and predictable application of rules and consequences helps children learn what is acceptable and unacceptable behavior. Focus on Behavior, Not the Child: When addressing misbehavior, it's crucial to focus on the specific action and help the child understand how to correct it, rather than labeling the child as "bad". Promoting Self-Control: Discipline should aim to help children develop self-control and self-discipline, allowing them to make responsible choices independently. Age-Appropriate Strategies: Discipline strategies should be tailored to the child's age and developmental stage. Positive Reinforcement: Recognizing and praising desired behaviors can be a powerful tool for encouraging positive actions. Guidance and Redirection: Guiding children towards acceptable behaviors through redirection and offering alternative activities can be an effective approach. Natural and Logical Consequences: When appropriate, allowing children to experience the natural or logical consequences of their actions can help them learn from their mistakes. Time-Outs (when appropriate): Time-outs can be a useful tool for giving children a chance to calm down and reflect on their behavior, but they should be used sparingly and appropriately for the child's age . Understanding the Root Cause: It's important to try to understand the reasons behind a child's misbehavior, as this can help address the underlying issues and prevent future occurrences. ADMINISTRATIVE ACTION: Due to a substantiated complaint, we discussed that an Administrative Action may be warranted. We discussed that I would contact you to discuss this further. We discussed that additional unannounced visits will be made. RESOURCES: I encourage you to contact your local Partnership for Children of Lenoir and Green County to inquire about training on effective discipline and positive interactions. You may contact: Stephanie Sullivan-ssullivan@lgpfc.org or Taylor Bowen - tbowen@lgpfc.org PROVIDER DOCUMENTS/FORMS: You should visit the website often to ensure you’re using all updated forms. All requirements must be included if you choose to use your own forms electronically or hard copy. The NC child care rules were last updated as of November 1, 2024. • The most current provider documents/ forms, checklists, resources related to child care, MOODLE trainings, and new child care requirements can be found on the Division of Child Development and Early Education website. https://ncchildcare.ncdhhs.gov • NC Child Care Health & Safety Resource Center www.healthychildcare.unc.edu. 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 .0606 · Violation

Name of Operation: BEYOND BABIES, LLC TWO Facility ID: 54000360 Consultant: TINA JONES Operation Type: Center Case Number: 0725-390L Visit Date: 8/11/2025 Number Present: 33 Completed Date: 8/11/2025 Age: From 0 To 8 Total Minutes: 123 Time In: 10:00 AM Time Out: 12:03 PM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate a self-report alleging violations of child care requirements in regards to appropriate discipline and staff/child ratios. The report was reviewed with A. Hardin, owner/operator, and H. Anderson, administrator. You both were given the opportunity to discuss the allegation and ask questions. All staff members, except for one new staff member, were interviewed. An attempt to contact one staff member who is no longer employed was made; however, the former employee never returned my call. A walk-through of the facility was conducted. Thirty-three (33) children were present. The permit restrictions on the license were verified. Limited but required child care requirements were monitored. Enrollment was completed. Although video footage was not available at the facility today, video footage was obtained from Detective Warren from the Lenoir County Sheriff’s office. Once this video footage was obtained, I reviewed the footage of July 23, 2025, from 7:00am until 5:00pm. FINDINGS/OBSERVATIONS: Allegations: In the self-report, it was stated that a parent had a was concern that a child came home with a bruise and the teachers could not explain where the bruise came from. When interviewing you, A. Hardin, you stated you did not know if the bruise happened when the child was at the facility or if it happened at home. It was further stated that you watched the video footage, and you had no concerns about the footage you viewed. You stated that you did not see where the child could have bruised their leg. When asked if the teachers made you aware of a child falling, you stated that the child’s teacher told Ms. Anderson that the child fell on a wooden ramp outside. When asked if the teacher completed an accident report, you stated that you told the teacher not to complete an accident report because that fall may not have caused that bruise on the child’s leg. The teacher did not complete the accident report. When interviewing H. Anderson, it was stated that Ms. Anderson viewed the video footage and did not have any concerns about the staff. Ms. Anderson did state that there was an issue with staff/child ratios in the afternoon, close to when it was time for the children to go home. It was further stated that she knew after watching the video footage that the staff were out of compliance with staff/child ratio requirements. When asked if the teacher made her aware of a child falling on a wooden ramp outside, you stated that the teacher did make you aware and you informed the teacher that she would need to complete an accident report. It was further stated that the teacher failed to complete the accident report on July 23, 2025. It was stated the staff member returned the next day and asked about completing the accident report; however, Ms. Hardin told the staff member not to complete an accident report. Ms. Anderson made me aware of a staff member under the age of 18 had responsibility and was left in charge of two separate groups of children on July 23, 2025. When asked if the staff member did this consistently, it was stated that this normally does not happen. When interviewing a staff member, it was stated on a previous occasion, a staff member was seen popping a child’s hand. It was stated that this staff member was reprimanded for popping a child; however, no report was made to the DCDEE. When interviewing a staff member, it was stated that they witnessed another staff member, pull or drag the child that had the bruise, by the wrist, to the door leading to the playground. It was stated that the child fell and the teacher continued to pull the child by the wrist to the door. It was further stated that once the child got outside the door, the child fell again on the side of the wooden ramp. The staff member stated they felt like this was when the child received the bruise on the back of the leg. When interviewing a staff member, it was stated that the child that had a bruise was napping on the cots in a classroom. It was further stated that the cots were stacked on top of each other. When asked, the staff member stated they had to remove the child from the stack of cots multiple times. It was further stated that the child fell off the stack of cots and hit their head. It was stated that the child’s head was checked and there was no mark. When asked, the staff member stated that an accident report was not written. When interviewing a staff member, it was stated that in the video footage, it may be seen that they were restraining the same child; however, it was stated that they were holding this child for safety reasons. It was stated that the child was crying and wanting to be held by the second teacher in the class and the staff member didn’t want the child to fall or get hurt so they held the child and would not let her down for a brief period. This staff member stated there are no concerns. Three additional staff members stated that they have no concerns with any staff member or the administrative staff at the facility and they had no knowledge of what happened to the child with the bruise. Staff child ratios were in compliance during the visit. Video footage was reviewed upon returning to the office. In the video footage, it was confirmed that staff/child ratios were not in compliance throughout the day. There were ten (10) occasions when staff/child ratios were not in compliance. It was also confirmed that a child was pulled by the wrist to the door leading to the outdoor playground. There were also four (4) additional occasions when inappropriate discipline was used that included children being drug by the upper arm across the floor, a child being snatched off a wooden toy storage unit, and a child grabbed by the upper arm and made to sit down. Additionally, there were at least nine (9) occasions when a safe indoor and outdoor environment were not provided. Based on my observations, staff interviews, and video footage, the allegations are substantiated. At the conclusion of today’s visit, we reviewed that there would be violations documented for the information provided today. We reviewed that additional violations may be warranted after the viewing of the video footage. A one-page visit summary was reviewed with you, and a copy was provided to you. A computer-generated visit summary will be emailed to you. The following violations were documented: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. According to the recorded video footage, on ten (10) separate occasions, staff/child ratios were not in compliance in the classroom for infants and in the outdoor environment. At the highest, the staff/child ratio was one (1) staff to ten (10) children, ranging in age from infant to one year of age. GS 110-91(7);.0713(a-d) 491 Caregiver did not respond at the earliest opportunity to an infant or toddler’s physical and emotional needs. There were multiple occasions observed where a teacher did not respond to crying children. There was a child that walked back and forth in the classroom throughout the day raising her arms to be picked up or reaching out to staff; however, the staff did not acknowledge the child even when they were not completing other tasks. It was observed that on multiple occasions, an infant would cry; however, the teacher would not acknowledge the child, even when they were not completing other tasks. .0511(b)(1) 496 Each child under the age of 12 months was not given supervised tummy time positioned on his/her stomach while awake and alert each day. Two children under the age of 12 months were not given supervised tummy time while they were awake. .0510(e)(6) 530 Each infant was not held for bottle feeding until he/she can hold his own bottle. I observed at least one infant that was not being held while bottle feeding. The infant was placed in an infant bouncy seat while the teacher sat in a chair. The teacher held the bottle while the child sat in the seat. 10A NCAC 09 .0902(b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In the classroom for infants, the children's hands were not washed as required. Children's hand were rarely washed throughout the day. There were more than twenty-five occasions where the children's hands were not washed as required. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Throughout the day, teachers in the classroom for infants did not wash their hands as required. It was observed that teachers rarely washed hands after diaper changes and before bottle feedings. I observed at least twenty-five (25) separate occasions when hand-washing was not completed as required. 15A NCAC 18A .2803(a) 615 Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users. In the classroom for one year old children, a cot was used by a child not enrolled in the classroom. The cot was not sanitized after the child used the cot. 15A NCAC 18A .2821(a) 616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. in the classroom for infants, on numerous occasions, pacifiers were dropped on the floor and the teacher did not clean or sanitize the pacifiers before placing the pacifier back in the child's mouth. I observed both teachers picking up the pacifiers off the floor and directly putting it in the child's mouth. On one occasion, a pacifier that belonged to another child was put in another child's mouth. .2822(a)(1-4) 619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. The diapering changing surface was rarely cleaned with the required solutions. Many times, the detergent solution was applied; however, the disinfecting solution was not applied. If the disinfecting solution was applied, it was immediately wiped off, not giving the full 2 minutes of time. There were numerous times when the diapering surface was not cleaned at all in between the children's diaper changes. 15A NCAC 18A .2819(c) 807 A safe indoor and outdoor environment was not provided for the children. I observed at least six (6) occasions where the teacher left the child unattended on the changing table. The teacher would place the child on the changing table and walk to the cubby to get diapers or diaper cream. A child was observed napping on a stack of cots. The child fell off the cots, hitting their head on the floor. A teacher was observed leaving children unattended on the playground in order to get additional children out of the classroom. 10A NCAC 09 .0601(a) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. On two separate occasions, a child fell and incident reports were not completed. The child fell off a stack of cots and hit their head on the floor and the child fell on the wooden ramp leading to the outdoor infant playground. .0802 (e) 871 Center staff did not comply with the safe sleep policy. A child was observed sleeping in a bouncy seat for the duration of the visit. The only time the child left the bouncy seat was to be fed and/or for a diaper change. A teacher in the classroom for infants was observed completing sleep charts; however, the infants sleeping were not checked every 15 minutes as required. One infant was observed sleeping in a bouncy. After counting the infants, it was concluded that the infant did not have an assigned crib or an approved sleeping apparatus. 10A NCAC 09 .0606(a) 908 Discipline was not appropriate for the child's age and development. There were five separate occasions where inappropriate discipline was used due to an undesired behavior. On two separate occasions a teacher took a child by the upper arm and drug him across the floor. A teacher was observed pulling a child by the wrist until the child fell on the floor. The teacher continued to pull the child by the wrist when the child got to their feet. A teacher was observed snatching a child by the arm, off of a wooden storage unit. The child sat on the floor and cried without being comforted. A teacher was observed entering a classroom and taking a child by the upper arm and sitting him down on the floor. A teacher picked up a child and carried him with their arm under the child's chin, causing a choking hazard. .1803(b) 1016 Someone less than 18 years old had responsibility for, or was left in charge of a group of children. Information was provided that a staff member, under the age of 18, had responsibility for and was left in charge of two separate groups of children. The staff member was left in charge of the classroom for infants and the classroom for one year old children. GS 110-91(8); GS 110-106(e); 10A NCAC 09 .0703(a) CONSULTATION AND TECHNICAL ASSISTANCE: The violations documented above must be corrected immediately. A signed and dated letter of compliance must be mailed to me by August 25, 2025, describing how and when the violations were corrected. This two-week time frame is established to allow you time for submitting your compliance letter and is not intended to be used as a guide for correcting violations, as they should be corrected immediately. The letter of compliance should be mailed or emailed to me, Tina Jones, PO Box 10194, Goldsboro, NC 27532. If you have any questions related to this visit or if I can be of additional assistance, I can be reached at 252-361-3434 or tina.jones@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. Please be aware that any written information submitted by you regarding correction of violations documented is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. Childcare licensing requirements are established to ensure a safe and healthy childcare 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 the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the childcare laws and rules on the Division of Child Development and Early Education’s website. STAFF/CHILD RATIO: Standards for staff: child ratios and group sizes are a way to ensure the safety, well-being, and development of children in child care programs. We reviewed that required ratios and group sizes address the health and safety of children and help staff provide better supervision and care and provide children with more opportunities to develop social skills by allowing them to consistently interact with a smaller group of children and staff. EFFECTIVE DISCIPLINE: In the early childhood education environment, discipline refers to the process of guiding children's behavior towards positive, socially acceptable patterns, rather than simply punishing them for misbehavior. It involves teaching, nurturing, and fostering self-control and respect through positive interactions and consistent boundaries. Effective discipline aims to help children develop inner control and make thoughtful choices, rather than simply reacting to external rules. Key Aspects of Discipline in Early Childhood Education: Positive and Supportive Relationship: Discipline is most effective when built on a foundation of love, trust, and a positive relationship between the caregiver and the child. Teaching, Not Just Punishing: Instead of focusing solely on punishment, positive discipline emphasizes teaching children appropriate behaviors and helping them understand the reasons behind rules. Setting Clear Expectations: Establishing clear, simple, and age-appropriate rules and expectations helps children understand what is expected of them. Consistent Application: Consistent and predictable application of rules and consequences helps children learn what is acceptable and unacceptable behavior. Focus on Behavior, Not the Child: When addressing misbehavior, it's crucial to focus on the specific action and help the child understand how to correct it, rather than labeling the child as "bad". Promoting Self-Control: Discipline should aim to help children develop self-control and self-discipline, allowing them to make responsible choices independently. Age-Appropriate Strategies: Discipline strategies should be tailored to the child's age and developmental stage. Positive Reinforcement: Recognizing and praising desired behaviors can be a powerful tool for encouraging positive actions. Guidance and Redirection: Guiding children towards acceptable behaviors through redirection and offering alternative activities can be an effective approach. Natural and Logical Consequences: When appropriate, allowing children to experience the natural or logical consequences of their actions can help them learn from their mistakes. Time-Outs (when appropriate): Time-outs can be a useful tool for giving children a chance to calm down and reflect on their behavior, but they should be used sparingly and appropriately for the child's age . Understanding the Root Cause: It's important to try to understand the reasons behind a child's misbehavior, as this can help address the underlying issues and prevent future occurrences. ADMINISTRATIVE ACTION: Due to a substantiated complaint, we discussed that an Administrative Action may be warranted. We discussed that I would contact you to discuss this further. We discussed that additional unannounced visits will be made. RESOURCES: I encourage you to contact your local Partnership for Children of Lenoir and Green County to inquire about training on effective discipline and positive interactions. You may contact: Stephanie Sullivan-ssullivan@lgpfc.org or Taylor Bowen - tbowen@lgpfc.org PROVIDER DOCUMENTS/FORMS: You should visit the website often to ensure you’re using all updated forms. All requirements must be included if you choose to use your own forms electronically or hard copy. The NC child care rules were last updated as of November 1, 2024. • The most current provider documents/ forms, checklists, resources related to child care, MOODLE trainings, and new child care requirements can be found on the Division of Child Development and Early Education website. https://ncchildcare.ncdhhs.gov • NC Child Care Health & Safety Resource Center www.healthychildcare.unc.edu. 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 .0703 · Violation

Name of Operation: BEYOND BABIES, LLC TWO Facility ID: 54000360 Consultant: TINA JONES Operation Type: Center Case Number: 0725-390L Visit Date: 8/11/2025 Number Present: 33 Completed Date: 8/11/2025 Age: From 0 To 8 Total Minutes: 123 Time In: 10:00 AM Time Out: 12:03 PM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate a self-report alleging violations of child care requirements in regards to appropriate discipline and staff/child ratios. The report was reviewed with A. Hardin, owner/operator, and H. Anderson, administrator. You both were given the opportunity to discuss the allegation and ask questions. All staff members, except for one new staff member, were interviewed. An attempt to contact one staff member who is no longer employed was made; however, the former employee never returned my call. A walk-through of the facility was conducted. Thirty-three (33) children were present. The permit restrictions on the license were verified. Limited but required child care requirements were monitored. Enrollment was completed. Although video footage was not available at the facility today, video footage was obtained from Detective Warren from the Lenoir County Sheriff’s office. Once this video footage was obtained, I reviewed the footage of July 23, 2025, from 7:00am until 5:00pm. FINDINGS/OBSERVATIONS: Allegations: In the self-report, it was stated that a parent had a was concern that a child came home with a bruise and the teachers could not explain where the bruise came from. When interviewing you, A. Hardin, you stated you did not know if the bruise happened when the child was at the facility or if it happened at home. It was further stated that you watched the video footage, and you had no concerns about the footage you viewed. You stated that you did not see where the child could have bruised their leg. When asked if the teachers made you aware of a child falling, you stated that the child’s teacher told Ms. Anderson that the child fell on a wooden ramp outside. When asked if the teacher completed an accident report, you stated that you told the teacher not to complete an accident report because that fall may not have caused that bruise on the child’s leg. The teacher did not complete the accident report. When interviewing H. Anderson, it was stated that Ms. Anderson viewed the video footage and did not have any concerns about the staff. Ms. Anderson did state that there was an issue with staff/child ratios in the afternoon, close to when it was time for the children to go home. It was further stated that she knew after watching the video footage that the staff were out of compliance with staff/child ratio requirements. When asked if the teacher made her aware of a child falling on a wooden ramp outside, you stated that the teacher did make you aware and you informed the teacher that she would need to complete an accident report. It was further stated that the teacher failed to complete the accident report on July 23, 2025. It was stated the staff member returned the next day and asked about completing the accident report; however, Ms. Hardin told the staff member not to complete an accident report. Ms. Anderson made me aware of a staff member under the age of 18 had responsibility and was left in charge of two separate groups of children on July 23, 2025. When asked if the staff member did this consistently, it was stated that this normally does not happen. When interviewing a staff member, it was stated on a previous occasion, a staff member was seen popping a child’s hand. It was stated that this staff member was reprimanded for popping a child; however, no report was made to the DCDEE. When interviewing a staff member, it was stated that they witnessed another staff member, pull or drag the child that had the bruise, by the wrist, to the door leading to the playground. It was stated that the child fell and the teacher continued to pull the child by the wrist to the door. It was further stated that once the child got outside the door, the child fell again on the side of the wooden ramp. The staff member stated they felt like this was when the child received the bruise on the back of the leg. When interviewing a staff member, it was stated that the child that had a bruise was napping on the cots in a classroom. It was further stated that the cots were stacked on top of each other. When asked, the staff member stated they had to remove the child from the stack of cots multiple times. It was further stated that the child fell off the stack of cots and hit their head. It was stated that the child’s head was checked and there was no mark. When asked, the staff member stated that an accident report was not written. When interviewing a staff member, it was stated that in the video footage, it may be seen that they were restraining the same child; however, it was stated that they were holding this child for safety reasons. It was stated that the child was crying and wanting to be held by the second teacher in the class and the staff member didn’t want the child to fall or get hurt so they held the child and would not let her down for a brief period. This staff member stated there are no concerns. Three additional staff members stated that they have no concerns with any staff member or the administrative staff at the facility and they had no knowledge of what happened to the child with the bruise. Staff child ratios were in compliance during the visit. Video footage was reviewed upon returning to the office. In the video footage, it was confirmed that staff/child ratios were not in compliance throughout the day. There were ten (10) occasions when staff/child ratios were not in compliance. It was also confirmed that a child was pulled by the wrist to the door leading to the outdoor playground. There were also four (4) additional occasions when inappropriate discipline was used that included children being drug by the upper arm across the floor, a child being snatched off a wooden toy storage unit, and a child grabbed by the upper arm and made to sit down. Additionally, there were at least nine (9) occasions when a safe indoor and outdoor environment were not provided. Based on my observations, staff interviews, and video footage, the allegations are substantiated. At the conclusion of today’s visit, we reviewed that there would be violations documented for the information provided today. We reviewed that additional violations may be warranted after the viewing of the video footage. A one-page visit summary was reviewed with you, and a copy was provided to you. A computer-generated visit summary will be emailed to you. The following violations were documented: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. According to the recorded video footage, on ten (10) separate occasions, staff/child ratios were not in compliance in the classroom for infants and in the outdoor environment. At the highest, the staff/child ratio was one (1) staff to ten (10) children, ranging in age from infant to one year of age. GS 110-91(7);.0713(a-d) 491 Caregiver did not respond at the earliest opportunity to an infant or toddler’s physical and emotional needs. There were multiple occasions observed where a teacher did not respond to crying children. There was a child that walked back and forth in the classroom throughout the day raising her arms to be picked up or reaching out to staff; however, the staff did not acknowledge the child even when they were not completing other tasks. It was observed that on multiple occasions, an infant would cry; however, the teacher would not acknowledge the child, even when they were not completing other tasks. .0511(b)(1) 496 Each child under the age of 12 months was not given supervised tummy time positioned on his/her stomach while awake and alert each day. Two children under the age of 12 months were not given supervised tummy time while they were awake. .0510(e)(6) 530 Each infant was not held for bottle feeding until he/she can hold his own bottle. I observed at least one infant that was not being held while bottle feeding. The infant was placed in an infant bouncy seat while the teacher sat in a chair. The teacher held the bottle while the child sat in the seat. 10A NCAC 09 .0902(b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In the classroom for infants, the children's hands were not washed as required. Children's hand were rarely washed throughout the day. There were more than twenty-five occasions where the children's hands were not washed as required. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Throughout the day, teachers in the classroom for infants did not wash their hands as required. It was observed that teachers rarely washed hands after diaper changes and before bottle feedings. I observed at least twenty-five (25) separate occasions when hand-washing was not completed as required. 15A NCAC 18A .2803(a) 615 Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users. In the classroom for one year old children, a cot was used by a child not enrolled in the classroom. The cot was not sanitized after the child used the cot. 15A NCAC 18A .2821(a) 616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. in the classroom for infants, on numerous occasions, pacifiers were dropped on the floor and the teacher did not clean or sanitize the pacifiers before placing the pacifier back in the child's mouth. I observed both teachers picking up the pacifiers off the floor and directly putting it in the child's mouth. On one occasion, a pacifier that belonged to another child was put in another child's mouth. .2822(a)(1-4) 619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. The diapering changing surface was rarely cleaned with the required solutions. Many times, the detergent solution was applied; however, the disinfecting solution was not applied. If the disinfecting solution was applied, it was immediately wiped off, not giving the full 2 minutes of time. There were numerous times when the diapering surface was not cleaned at all in between the children's diaper changes. 15A NCAC 18A .2819(c) 807 A safe indoor and outdoor environment was not provided for the children. I observed at least six (6) occasions where the teacher left the child unattended on the changing table. The teacher would place the child on the changing table and walk to the cubby to get diapers or diaper cream. A child was observed napping on a stack of cots. The child fell off the cots, hitting their head on the floor. A teacher was observed leaving children unattended on the playground in order to get additional children out of the classroom. 10A NCAC 09 .0601(a) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. On two separate occasions, a child fell and incident reports were not completed. The child fell off a stack of cots and hit their head on the floor and the child fell on the wooden ramp leading to the outdoor infant playground. .0802 (e) 871 Center staff did not comply with the safe sleep policy. A child was observed sleeping in a bouncy seat for the duration of the visit. The only time the child left the bouncy seat was to be fed and/or for a diaper change. A teacher in the classroom for infants was observed completing sleep charts; however, the infants sleeping were not checked every 15 minutes as required. One infant was observed sleeping in a bouncy. After counting the infants, it was concluded that the infant did not have an assigned crib or an approved sleeping apparatus. 10A NCAC 09 .0606(a) 908 Discipline was not appropriate for the child's age and development. There were five separate occasions where inappropriate discipline was used due to an undesired behavior. On two separate occasions a teacher took a child by the upper arm and drug him across the floor. A teacher was observed pulling a child by the wrist until the child fell on the floor. The teacher continued to pull the child by the wrist when the child got to their feet. A teacher was observed snatching a child by the arm, off of a wooden storage unit. The child sat on the floor and cried without being comforted. A teacher was observed entering a classroom and taking a child by the upper arm and sitting him down on the floor. A teacher picked up a child and carried him with their arm under the child's chin, causing a choking hazard. .1803(b) 1016 Someone less than 18 years old had responsibility for, or was left in charge of a group of children. Information was provided that a staff member, under the age of 18, had responsibility for and was left in charge of two separate groups of children. The staff member was left in charge of the classroom for infants and the classroom for one year old children. GS 110-91(8); GS 110-106(e); 10A NCAC 09 .0703(a) CONSULTATION AND TECHNICAL ASSISTANCE: The violations documented above must be corrected immediately. A signed and dated letter of compliance must be mailed to me by August 25, 2025, describing how and when the violations were corrected. This two-week time frame is established to allow you time for submitting your compliance letter and is not intended to be used as a guide for correcting violations, as they should be corrected immediately. The letter of compliance should be mailed or emailed to me, Tina Jones, PO Box 10194, Goldsboro, NC 27532. If you have any questions related to this visit or if I can be of additional assistance, I can be reached at 252-361-3434 or tina.jones@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. Please be aware that any written information submitted by you regarding correction of violations documented is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. Childcare licensing requirements are established to ensure a safe and healthy childcare 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 the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the childcare laws and rules on the Division of Child Development and Early Education’s website. STAFF/CHILD RATIO: Standards for staff: child ratios and group sizes are a way to ensure the safety, well-being, and development of children in child care programs. We reviewed that required ratios and group sizes address the health and safety of children and help staff provide better supervision and care and provide children with more opportunities to develop social skills by allowing them to consistently interact with a smaller group of children and staff. EFFECTIVE DISCIPLINE: In the early childhood education environment, discipline refers to the process of guiding children's behavior towards positive, socially acceptable patterns, rather than simply punishing them for misbehavior. It involves teaching, nurturing, and fostering self-control and respect through positive interactions and consistent boundaries. Effective discipline aims to help children develop inner control and make thoughtful choices, rather than simply reacting to external rules. Key Aspects of Discipline in Early Childhood Education: Positive and Supportive Relationship: Discipline is most effective when built on a foundation of love, trust, and a positive relationship between the caregiver and the child. Teaching, Not Just Punishing: Instead of focusing solely on punishment, positive discipline emphasizes teaching children appropriate behaviors and helping them understand the reasons behind rules. Setting Clear Expectations: Establishing clear, simple, and age-appropriate rules and expectations helps children understand what is expected of them. Consistent Application: Consistent and predictable application of rules and consequences helps children learn what is acceptable and unacceptable behavior. Focus on Behavior, Not the Child: When addressing misbehavior, it's crucial to focus on the specific action and help the child understand how to correct it, rather than labeling the child as "bad". Promoting Self-Control: Discipline should aim to help children develop self-control and self-discipline, allowing them to make responsible choices independently. Age-Appropriate Strategies: Discipline strategies should be tailored to the child's age and developmental stage. Positive Reinforcement: Recognizing and praising desired behaviors can be a powerful tool for encouraging positive actions. Guidance and Redirection: Guiding children towards acceptable behaviors through redirection and offering alternative activities can be an effective approach. Natural and Logical Consequences: When appropriate, allowing children to experience the natural or logical consequences of their actions can help them learn from their mistakes. Time-Outs (when appropriate): Time-outs can be a useful tool for giving children a chance to calm down and reflect on their behavior, but they should be used sparingly and appropriately for the child's age . Understanding the Root Cause: It's important to try to understand the reasons behind a child's misbehavior, as this can help address the underlying issues and prevent future occurrences. ADMINISTRATIVE ACTION: Due to a substantiated complaint, we discussed that an Administrative Action may be warranted. We discussed that I would contact you to discuss this further. We discussed that additional unannounced visits will be made. RESOURCES: I encourage you to contact your local Partnership for Children of Lenoir and Green County to inquire about training on effective discipline and positive interactions. You may contact: Stephanie Sullivan-ssullivan@lgpfc.org or Taylor Bowen - tbowen@lgpfc.org PROVIDER DOCUMENTS/FORMS: You should visit the website often to ensure you’re using all updated forms. All requirements must be included if you choose to use your own forms electronically or hard copy. The NC child care rules were last updated as of November 1, 2024. • The most current provider documents/ forms, checklists, resources related to child care, MOODLE trainings, and new child care requirements can be found on the Division of Child Development and Early Education website. https://ncchildcare.ncdhhs.gov • NC Child Care Health & Safety Resource Center www.healthychildcare.unc.edu. 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 110-106 · Violation

Name of Operation: BEYOND BABIES, LLC TWO Facility ID: 54000360 Consultant: TINA JONES Operation Type: Center Case Number: 0725-390L Visit Date: 8/11/2025 Number Present: 33 Completed Date: 8/11/2025 Age: From 0 To 8 Total Minutes: 123 Time In: 10:00 AM Time Out: 12:03 PM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate a self-report alleging violations of child care requirements in regards to appropriate discipline and staff/child ratios. The report was reviewed with A. Hardin, owner/operator, and H. Anderson, administrator. You both were given the opportunity to discuss the allegation and ask questions. All staff members, except for one new staff member, were interviewed. An attempt to contact one staff member who is no longer employed was made; however, the former employee never returned my call. A walk-through of the facility was conducted. Thirty-three (33) children were present. The permit restrictions on the license were verified. Limited but required child care requirements were monitored. Enrollment was completed. Although video footage was not available at the facility today, video footage was obtained from Detective Warren from the Lenoir County Sheriff’s office. Once this video footage was obtained, I reviewed the footage of July 23, 2025, from 7:00am until 5:00pm. FINDINGS/OBSERVATIONS: Allegations: In the self-report, it was stated that a parent had a was concern that a child came home with a bruise and the teachers could not explain where the bruise came from. When interviewing you, A. Hardin, you stated you did not know if the bruise happened when the child was at the facility or if it happened at home. It was further stated that you watched the video footage, and you had no concerns about the footage you viewed. You stated that you did not see where the child could have bruised their leg. When asked if the teachers made you aware of a child falling, you stated that the child’s teacher told Ms. Anderson that the child fell on a wooden ramp outside. When asked if the teacher completed an accident report, you stated that you told the teacher not to complete an accident report because that fall may not have caused that bruise on the child’s leg. The teacher did not complete the accident report. When interviewing H. Anderson, it was stated that Ms. Anderson viewed the video footage and did not have any concerns about the staff. Ms. Anderson did state that there was an issue with staff/child ratios in the afternoon, close to when it was time for the children to go home. It was further stated that she knew after watching the video footage that the staff were out of compliance with staff/child ratio requirements. When asked if the teacher made her aware of a child falling on a wooden ramp outside, you stated that the teacher did make you aware and you informed the teacher that she would need to complete an accident report. It was further stated that the teacher failed to complete the accident report on July 23, 2025. It was stated the staff member returned the next day and asked about completing the accident report; however, Ms. Hardin told the staff member not to complete an accident report. Ms. Anderson made me aware of a staff member under the age of 18 had responsibility and was left in charge of two separate groups of children on July 23, 2025. When asked if the staff member did this consistently, it was stated that this normally does not happen. When interviewing a staff member, it was stated on a previous occasion, a staff member was seen popping a child’s hand. It was stated that this staff member was reprimanded for popping a child; however, no report was made to the DCDEE. When interviewing a staff member, it was stated that they witnessed another staff member, pull or drag the child that had the bruise, by the wrist, to the door leading to the playground. It was stated that the child fell and the teacher continued to pull the child by the wrist to the door. It was further stated that once the child got outside the door, the child fell again on the side of the wooden ramp. The staff member stated they felt like this was when the child received the bruise on the back of the leg. When interviewing a staff member, it was stated that the child that had a bruise was napping on the cots in a classroom. It was further stated that the cots were stacked on top of each other. When asked, the staff member stated they had to remove the child from the stack of cots multiple times. It was further stated that the child fell off the stack of cots and hit their head. It was stated that the child’s head was checked and there was no mark. When asked, the staff member stated that an accident report was not written. When interviewing a staff member, it was stated that in the video footage, it may be seen that they were restraining the same child; however, it was stated that they were holding this child for safety reasons. It was stated that the child was crying and wanting to be held by the second teacher in the class and the staff member didn’t want the child to fall or get hurt so they held the child and would not let her down for a brief period. This staff member stated there are no concerns. Three additional staff members stated that they have no concerns with any staff member or the administrative staff at the facility and they had no knowledge of what happened to the child with the bruise. Staff child ratios were in compliance during the visit. Video footage was reviewed upon returning to the office. In the video footage, it was confirmed that staff/child ratios were not in compliance throughout the day. There were ten (10) occasions when staff/child ratios were not in compliance. It was also confirmed that a child was pulled by the wrist to the door leading to the outdoor playground. There were also four (4) additional occasions when inappropriate discipline was used that included children being drug by the upper arm across the floor, a child being snatched off a wooden toy storage unit, and a child grabbed by the upper arm and made to sit down. Additionally, there were at least nine (9) occasions when a safe indoor and outdoor environment were not provided. Based on my observations, staff interviews, and video footage, the allegations are substantiated. At the conclusion of today’s visit, we reviewed that there would be violations documented for the information provided today. We reviewed that additional violations may be warranted after the viewing of the video footage. A one-page visit summary was reviewed with you, and a copy was provided to you. A computer-generated visit summary will be emailed to you. The following violations were documented: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. According to the recorded video footage, on ten (10) separate occasions, staff/child ratios were not in compliance in the classroom for infants and in the outdoor environment. At the highest, the staff/child ratio was one (1) staff to ten (10) children, ranging in age from infant to one year of age. GS 110-91(7);.0713(a-d) 491 Caregiver did not respond at the earliest opportunity to an infant or toddler’s physical and emotional needs. There were multiple occasions observed where a teacher did not respond to crying children. There was a child that walked back and forth in the classroom throughout the day raising her arms to be picked up or reaching out to staff; however, the staff did not acknowledge the child even when they were not completing other tasks. It was observed that on multiple occasions, an infant would cry; however, the teacher would not acknowledge the child, even when they were not completing other tasks. .0511(b)(1) 496 Each child under the age of 12 months was not given supervised tummy time positioned on his/her stomach while awake and alert each day. Two children under the age of 12 months were not given supervised tummy time while they were awake. .0510(e)(6) 530 Each infant was not held for bottle feeding until he/she can hold his own bottle. I observed at least one infant that was not being held while bottle feeding. The infant was placed in an infant bouncy seat while the teacher sat in a chair. The teacher held the bottle while the child sat in the seat. 10A NCAC 09 .0902(b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In the classroom for infants, the children's hands were not washed as required. Children's hand were rarely washed throughout the day. There were more than twenty-five occasions where the children's hands were not washed as required. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Throughout the day, teachers in the classroom for infants did not wash their hands as required. It was observed that teachers rarely washed hands after diaper changes and before bottle feedings. I observed at least twenty-five (25) separate occasions when hand-washing was not completed as required. 15A NCAC 18A .2803(a) 615 Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users. In the classroom for one year old children, a cot was used by a child not enrolled in the classroom. The cot was not sanitized after the child used the cot. 15A NCAC 18A .2821(a) 616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. in the classroom for infants, on numerous occasions, pacifiers were dropped on the floor and the teacher did not clean or sanitize the pacifiers before placing the pacifier back in the child's mouth. I observed both teachers picking up the pacifiers off the floor and directly putting it in the child's mouth. On one occasion, a pacifier that belonged to another child was put in another child's mouth. .2822(a)(1-4) 619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. The diapering changing surface was rarely cleaned with the required solutions. Many times, the detergent solution was applied; however, the disinfecting solution was not applied. If the disinfecting solution was applied, it was immediately wiped off, not giving the full 2 minutes of time. There were numerous times when the diapering surface was not cleaned at all in between the children's diaper changes. 15A NCAC 18A .2819(c) 807 A safe indoor and outdoor environment was not provided for the children. I observed at least six (6) occasions where the teacher left the child unattended on the changing table. The teacher would place the child on the changing table and walk to the cubby to get diapers or diaper cream. A child was observed napping on a stack of cots. The child fell off the cots, hitting their head on the floor. A teacher was observed leaving children unattended on the playground in order to get additional children out of the classroom. 10A NCAC 09 .0601(a) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. On two separate occasions, a child fell and incident reports were not completed. The child fell off a stack of cots and hit their head on the floor and the child fell on the wooden ramp leading to the outdoor infant playground. .0802 (e) 871 Center staff did not comply with the safe sleep policy. A child was observed sleeping in a bouncy seat for the duration of the visit. The only time the child left the bouncy seat was to be fed and/or for a diaper change. A teacher in the classroom for infants was observed completing sleep charts; however, the infants sleeping were not checked every 15 minutes as required. One infant was observed sleeping in a bouncy. After counting the infants, it was concluded that the infant did not have an assigned crib or an approved sleeping apparatus. 10A NCAC 09 .0606(a) 908 Discipline was not appropriate for the child's age and development. There were five separate occasions where inappropriate discipline was used due to an undesired behavior. On two separate occasions a teacher took a child by the upper arm and drug him across the floor. A teacher was observed pulling a child by the wrist until the child fell on the floor. The teacher continued to pull the child by the wrist when the child got to their feet. A teacher was observed snatching a child by the arm, off of a wooden storage unit. The child sat on the floor and cried without being comforted. A teacher was observed entering a classroom and taking a child by the upper arm and sitting him down on the floor. A teacher picked up a child and carried him with their arm under the child's chin, causing a choking hazard. .1803(b) 1016 Someone less than 18 years old had responsibility for, or was left in charge of a group of children. Information was provided that a staff member, under the age of 18, had responsibility for and was left in charge of two separate groups of children. The staff member was left in charge of the classroom for infants and the classroom for one year old children. GS 110-91(8); GS 110-106(e); 10A NCAC 09 .0703(a) CONSULTATION AND TECHNICAL ASSISTANCE: The violations documented above must be corrected immediately. A signed and dated letter of compliance must be mailed to me by August 25, 2025, describing how and when the violations were corrected. This two-week time frame is established to allow you time for submitting your compliance letter and is not intended to be used as a guide for correcting violations, as they should be corrected immediately. The letter of compliance should be mailed or emailed to me, Tina Jones, PO Box 10194, Goldsboro, NC 27532. If you have any questions related to this visit or if I can be of additional assistance, I can be reached at 252-361-3434 or tina.jones@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. Please be aware that any written information submitted by you regarding correction of violations documented is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. Childcare licensing requirements are established to ensure a safe and healthy childcare 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 the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the childcare laws and rules on the Division of Child Development and Early Education’s website. STAFF/CHILD RATIO: Standards for staff: child ratios and group sizes are a way to ensure the safety, well-being, and development of children in child care programs. We reviewed that required ratios and group sizes address the health and safety of children and help staff provide better supervision and care and provide children with more opportunities to develop social skills by allowing them to consistently interact with a smaller group of children and staff. EFFECTIVE DISCIPLINE: In the early childhood education environment, discipline refers to the process of guiding children's behavior towards positive, socially acceptable patterns, rather than simply punishing them for misbehavior. It involves teaching, nurturing, and fostering self-control and respect through positive interactions and consistent boundaries. Effective discipline aims to help children develop inner control and make thoughtful choices, rather than simply reacting to external rules. Key Aspects of Discipline in Early Childhood Education: Positive and Supportive Relationship: Discipline is most effective when built on a foundation of love, trust, and a positive relationship between the caregiver and the child. Teaching, Not Just Punishing: Instead of focusing solely on punishment, positive discipline emphasizes teaching children appropriate behaviors and helping them understand the reasons behind rules. Setting Clear Expectations: Establishing clear, simple, and age-appropriate rules and expectations helps children understand what is expected of them. Consistent Application: Consistent and predictable application of rules and consequences helps children learn what is acceptable and unacceptable behavior. Focus on Behavior, Not the Child: When addressing misbehavior, it's crucial to focus on the specific action and help the child understand how to correct it, rather than labeling the child as "bad". Promoting Self-Control: Discipline should aim to help children develop self-control and self-discipline, allowing them to make responsible choices independently. Age-Appropriate Strategies: Discipline strategies should be tailored to the child's age and developmental stage. Positive Reinforcement: Recognizing and praising desired behaviors can be a powerful tool for encouraging positive actions. Guidance and Redirection: Guiding children towards acceptable behaviors through redirection and offering alternative activities can be an effective approach. Natural and Logical Consequences: When appropriate, allowing children to experience the natural or logical consequences of their actions can help them learn from their mistakes. Time-Outs (when appropriate): Time-outs can be a useful tool for giving children a chance to calm down and reflect on their behavior, but they should be used sparingly and appropriately for the child's age . Understanding the Root Cause: It's important to try to understand the reasons behind a child's misbehavior, as this can help address the underlying issues and prevent future occurrences. ADMINISTRATIVE ACTION: Due to a substantiated complaint, we discussed that an Administrative Action may be warranted. We discussed that I would contact you to discuss this further. We discussed that additional unannounced visits will be made. RESOURCES: I encourage you to contact your local Partnership for Children of Lenoir and Green County to inquire about training on effective discipline and positive interactions. You may contact: Stephanie Sullivan-ssullivan@lgpfc.org or Taylor Bowen - tbowen@lgpfc.org PROVIDER DOCUMENTS/FORMS: You should visit the website often to ensure you’re using all updated forms. All requirements must be included if you choose to use your own forms electronically or hard copy. The NC child care rules were last updated as of November 1, 2024. • The most current provider documents/ forms, checklists, resources related to child care, MOODLE trainings, and new child care requirements can be found on the Division of Child Development and Early Education website. https://ncchildcare.ncdhhs.gov • NC Child Care Health & Safety Resource Center www.healthychildcare.unc.edu. 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: BEYOND BABIES, LLC TWO Facility ID: 54000360 Consultant: TINA JONES Operation Type: Center Case Number: 0725-390L Visit Date: 8/11/2025 Number Present: 33 Completed Date: 8/11/2025 Age: From 0 To 8 Total Minutes: 123 Time In: 10:00 AM Time Out: 12:03 PM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate a self-report alleging violations of child care requirements in regards to appropriate discipline and staff/child ratios. The report was reviewed with A. Hardin, owner/operator, and H. Anderson, administrator. You both were given the opportunity to discuss the allegation and ask questions. All staff members, except for one new staff member, were interviewed. An attempt to contact one staff member who is no longer employed was made; however, the former employee never returned my call. A walk-through of the facility was conducted. Thirty-three (33) children were present. The permit restrictions on the license were verified. Limited but required child care requirements were monitored. Enrollment was completed. Although video footage was not available at the facility today, video footage was obtained from Detective Warren from the Lenoir County Sheriff’s office. Once this video footage was obtained, I reviewed the footage of July 23, 2025, from 7:00am until 5:00pm. FINDINGS/OBSERVATIONS: Allegations: In the self-report, it was stated that a parent had a was concern that a child came home with a bruise and the teachers could not explain where the bruise came from. When interviewing you, A. Hardin, you stated you did not know if the bruise happened when the child was at the facility or if it happened at home. It was further stated that you watched the video footage, and you had no concerns about the footage you viewed. You stated that you did not see where the child could have bruised their leg. When asked if the teachers made you aware of a child falling, you stated that the child’s teacher told Ms. Anderson that the child fell on a wooden ramp outside. When asked if the teacher completed an accident report, you stated that you told the teacher not to complete an accident report because that fall may not have caused that bruise on the child’s leg. The teacher did not complete the accident report. When interviewing H. Anderson, it was stated that Ms. Anderson viewed the video footage and did not have any concerns about the staff. Ms. Anderson did state that there was an issue with staff/child ratios in the afternoon, close to when it was time for the children to go home. It was further stated that she knew after watching the video footage that the staff were out of compliance with staff/child ratio requirements. When asked if the teacher made her aware of a child falling on a wooden ramp outside, you stated that the teacher did make you aware and you informed the teacher that she would need to complete an accident report. It was further stated that the teacher failed to complete the accident report on July 23, 2025. It was stated the staff member returned the next day and asked about completing the accident report; however, Ms. Hardin told the staff member not to complete an accident report. Ms. Anderson made me aware of a staff member under the age of 18 had responsibility and was left in charge of two separate groups of children on July 23, 2025. When asked if the staff member did this consistently, it was stated that this normally does not happen. When interviewing a staff member, it was stated on a previous occasion, a staff member was seen popping a child’s hand. It was stated that this staff member was reprimanded for popping a child; however, no report was made to the DCDEE. When interviewing a staff member, it was stated that they witnessed another staff member, pull or drag the child that had the bruise, by the wrist, to the door leading to the playground. It was stated that the child fell and the teacher continued to pull the child by the wrist to the door. It was further stated that once the child got outside the door, the child fell again on the side of the wooden ramp. The staff member stated they felt like this was when the child received the bruise on the back of the leg. When interviewing a staff member, it was stated that the child that had a bruise was napping on the cots in a classroom. It was further stated that the cots were stacked on top of each other. When asked, the staff member stated they had to remove the child from the stack of cots multiple times. It was further stated that the child fell off the stack of cots and hit their head. It was stated that the child’s head was checked and there was no mark. When asked, the staff member stated that an accident report was not written. When interviewing a staff member, it was stated that in the video footage, it may be seen that they were restraining the same child; however, it was stated that they were holding this child for safety reasons. It was stated that the child was crying and wanting to be held by the second teacher in the class and the staff member didn’t want the child to fall or get hurt so they held the child and would not let her down for a brief period. This staff member stated there are no concerns. Three additional staff members stated that they have no concerns with any staff member or the administrative staff at the facility and they had no knowledge of what happened to the child with the bruise. Staff child ratios were in compliance during the visit. Video footage was reviewed upon returning to the office. In the video footage, it was confirmed that staff/child ratios were not in compliance throughout the day. There were ten (10) occasions when staff/child ratios were not in compliance. It was also confirmed that a child was pulled by the wrist to the door leading to the outdoor playground. There were also four (4) additional occasions when inappropriate discipline was used that included children being drug by the upper arm across the floor, a child being snatched off a wooden toy storage unit, and a child grabbed by the upper arm and made to sit down. Additionally, there were at least nine (9) occasions when a safe indoor and outdoor environment were not provided. Based on my observations, staff interviews, and video footage, the allegations are substantiated. At the conclusion of today’s visit, we reviewed that there would be violations documented for the information provided today. We reviewed that additional violations may be warranted after the viewing of the video footage. A one-page visit summary was reviewed with you, and a copy was provided to you. A computer-generated visit summary will be emailed to you. The following violations were documented: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. According to the recorded video footage, on ten (10) separate occasions, staff/child ratios were not in compliance in the classroom for infants and in the outdoor environment. At the highest, the staff/child ratio was one (1) staff to ten (10) children, ranging in age from infant to one year of age. GS 110-91(7);.0713(a-d) 491 Caregiver did not respond at the earliest opportunity to an infant or toddler’s physical and emotional needs. There were multiple occasions observed where a teacher did not respond to crying children. There was a child that walked back and forth in the classroom throughout the day raising her arms to be picked up or reaching out to staff; however, the staff did not acknowledge the child even when they were not completing other tasks. It was observed that on multiple occasions, an infant would cry; however, the teacher would not acknowledge the child, even when they were not completing other tasks. .0511(b)(1) 496 Each child under the age of 12 months was not given supervised tummy time positioned on his/her stomach while awake and alert each day. Two children under the age of 12 months were not given supervised tummy time while they were awake. .0510(e)(6) 530 Each infant was not held for bottle feeding until he/she can hold his own bottle. I observed at least one infant that was not being held while bottle feeding. The infant was placed in an infant bouncy seat while the teacher sat in a chair. The teacher held the bottle while the child sat in the seat. 10A NCAC 09 .0902(b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In the classroom for infants, the children's hands were not washed as required. Children's hand were rarely washed throughout the day. There were more than twenty-five occasions where the children's hands were not washed as required. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Throughout the day, teachers in the classroom for infants did not wash their hands as required. It was observed that teachers rarely washed hands after diaper changes and before bottle feedings. I observed at least twenty-five (25) separate occasions when hand-washing was not completed as required. 15A NCAC 18A .2803(a) 615 Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users. In the classroom for one year old children, a cot was used by a child not enrolled in the classroom. The cot was not sanitized after the child used the cot. 15A NCAC 18A .2821(a) 616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. in the classroom for infants, on numerous occasions, pacifiers were dropped on the floor and the teacher did not clean or sanitize the pacifiers before placing the pacifier back in the child's mouth. I observed both teachers picking up the pacifiers off the floor and directly putting it in the child's mouth. On one occasion, a pacifier that belonged to another child was put in another child's mouth. .2822(a)(1-4) 619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. The diapering changing surface was rarely cleaned with the required solutions. Many times, the detergent solution was applied; however, the disinfecting solution was not applied. If the disinfecting solution was applied, it was immediately wiped off, not giving the full 2 minutes of time. There were numerous times when the diapering surface was not cleaned at all in between the children's diaper changes. 15A NCAC 18A .2819(c) 807 A safe indoor and outdoor environment was not provided for the children. I observed at least six (6) occasions where the teacher left the child unattended on the changing table. The teacher would place the child on the changing table and walk to the cubby to get diapers or diaper cream. A child was observed napping on a stack of cots. The child fell off the cots, hitting their head on the floor. A teacher was observed leaving children unattended on the playground in order to get additional children out of the classroom. 10A NCAC 09 .0601(a) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. On two separate occasions, a child fell and incident reports were not completed. The child fell off a stack of cots and hit their head on the floor and the child fell on the wooden ramp leading to the outdoor infant playground. .0802 (e) 871 Center staff did not comply with the safe sleep policy. A child was observed sleeping in a bouncy seat for the duration of the visit. The only time the child left the bouncy seat was to be fed and/or for a diaper change. A teacher in the classroom for infants was observed completing sleep charts; however, the infants sleeping were not checked every 15 minutes as required. One infant was observed sleeping in a bouncy. After counting the infants, it was concluded that the infant did not have an assigned crib or an approved sleeping apparatus. 10A NCAC 09 .0606(a) 908 Discipline was not appropriate for the child's age and development. There were five separate occasions where inappropriate discipline was used due to an undesired behavior. On two separate occasions a teacher took a child by the upper arm and drug him across the floor. A teacher was observed pulling a child by the wrist until the child fell on the floor. The teacher continued to pull the child by the wrist when the child got to their feet. A teacher was observed snatching a child by the arm, off of a wooden storage unit. The child sat on the floor and cried without being comforted. A teacher was observed entering a classroom and taking a child by the upper arm and sitting him down on the floor. A teacher picked up a child and carried him with their arm under the child's chin, causing a choking hazard. .1803(b) 1016 Someone less than 18 years old had responsibility for, or was left in charge of a group of children. Information was provided that a staff member, under the age of 18, had responsibility for and was left in charge of two separate groups of children. The staff member was left in charge of the classroom for infants and the classroom for one year old children. GS 110-91(8); GS 110-106(e); 10A NCAC 09 .0703(a) CONSULTATION AND TECHNICAL ASSISTANCE: The violations documented above must be corrected immediately. A signed and dated letter of compliance must be mailed to me by August 25, 2025, describing how and when the violations were corrected. This two-week time frame is established to allow you time for submitting your compliance letter and is not intended to be used as a guide for correcting violations, as they should be corrected immediately. The letter of compliance should be mailed or emailed to me, Tina Jones, PO Box 10194, Goldsboro, NC 27532. If you have any questions related to this visit or if I can be of additional assistance, I can be reached at 252-361-3434 or tina.jones@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. Please be aware that any written information submitted by you regarding correction of violations documented is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. Childcare licensing requirements are established to ensure a safe and healthy childcare 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 the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the childcare laws and rules on the Division of Child Development and Early Education’s website. STAFF/CHILD RATIO: Standards for staff: child ratios and group sizes are a way to ensure the safety, well-being, and development of children in child care programs. We reviewed that required ratios and group sizes address the health and safety of children and help staff provide better supervision and care and provide children with more opportunities to develop social skills by allowing them to consistently interact with a smaller group of children and staff. EFFECTIVE DISCIPLINE: In the early childhood education environment, discipline refers to the process of guiding children's behavior towards positive, socially acceptable patterns, rather than simply punishing them for misbehavior. It involves teaching, nurturing, and fostering self-control and respect through positive interactions and consistent boundaries. Effective discipline aims to help children develop inner control and make thoughtful choices, rather than simply reacting to external rules. Key Aspects of Discipline in Early Childhood Education: Positive and Supportive Relationship: Discipline is most effective when built on a foundation of love, trust, and a positive relationship between the caregiver and the child. Teaching, Not Just Punishing: Instead of focusing solely on punishment, positive discipline emphasizes teaching children appropriate behaviors and helping them understand the reasons behind rules. Setting Clear Expectations: Establishing clear, simple, and age-appropriate rules and expectations helps children understand what is expected of them. Consistent Application: Consistent and predictable application of rules and consequences helps children learn what is acceptable and unacceptable behavior. Focus on Behavior, Not the Child: When addressing misbehavior, it's crucial to focus on the specific action and help the child understand how to correct it, rather than labeling the child as "bad". Promoting Self-Control: Discipline should aim to help children develop self-control and self-discipline, allowing them to make responsible choices independently. Age-Appropriate Strategies: Discipline strategies should be tailored to the child's age and developmental stage. Positive Reinforcement: Recognizing and praising desired behaviors can be a powerful tool for encouraging positive actions. Guidance and Redirection: Guiding children towards acceptable behaviors through redirection and offering alternative activities can be an effective approach. Natural and Logical Consequences: When appropriate, allowing children to experience the natural or logical consequences of their actions can help them learn from their mistakes. Time-Outs (when appropriate): Time-outs can be a useful tool for giving children a chance to calm down and reflect on their behavior, but they should be used sparingly and appropriately for the child's age . Understanding the Root Cause: It's important to try to understand the reasons behind a child's misbehavior, as this can help address the underlying issues and prevent future occurrences. ADMINISTRATIVE ACTION: Due to a substantiated complaint, we discussed that an Administrative Action may be warranted. We discussed that I would contact you to discuss this further. We discussed that additional unannounced visits will be made. RESOURCES: I encourage you to contact your local Partnership for Children of Lenoir and Green County to inquire about training on effective discipline and positive interactions. You may contact: Stephanie Sullivan-ssullivan@lgpfc.org or Taylor Bowen - tbowen@lgpfc.org PROVIDER DOCUMENTS/FORMS: You should visit the website often to ensure you’re using all updated forms. All requirements must be included if you choose to use your own forms electronically or hard copy. The NC child care rules were last updated as of November 1, 2024. • The most current provider documents/ forms, checklists, resources related to child care, MOODLE trainings, and new child care requirements can be found on the Division of Child Development and Early Education website. https://ncchildcare.ncdhhs.gov • NC Child Care Health & Safety Resource Center www.healthychildcare.unc.edu. 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: BEYOND BABIES, LLC TWO Facility ID: 54000360 Consultant: TINA JONES Operation Type: Center Case Number: Visit Date: 10/15/2024 Number Present: 26 Completed Date: 10/15/2024 Age: From 0 To 4 Total Minutes: 240 Time In: 09:00 AM Time Out: 01:00 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 with applicable requirements during an Annual Compliance visit. Today’s visit was completed with Heather Anderson, administrator. You were notified of the purpose of the visit, and you were available for consultation at the conclusion of the visit. Staff and training worksheets were received prior to the visit. A checklist was used to note the requirements I monitored today. This facility currently operates with a Three-Star Child Care Center License that was issued April 22, 2023, earning 2 points in Program Standards, 4 points in Education Standards, and one quality point based on the child care administrator having at least 10 years of documented child care administration work experience in a licensed program. The last fire inspection was completed June 21, 2024, and the last sanitation inspection was completed on February 7, 2024. This facility is owned by Beyond Babies, LLC Two. This corporation was researched in the North Carolina Secretary of State corporation database and found to have a Current/Active status. The contact information for the owner and facility was reviewed and contained correct information, as documented with the Division of Child Development and Early Education. Prior to today’s visit, the program’s compliance history was 78% over the current 18-month period. A copy of your compliance history report was left with you. Any violations documented today may affect your compliance history. Please be aware that a compliance history score of less than 75% may result in an Administrative Action. The infants were observed participating in tummy time, interacting with the caregiver, and completing routines. Infant sleep checks were in compliance with requirements. Children were observed participating in group activities, free play in centers, completing transitions, and completing routines such as handwashing and toileting. There were adequate staff supervising the enrolled children. The teachers supervised and interacted with the children in a positive manner. I used the Child Care Center Item Number Listing (DCD 0357) as a basic monitoring tool to assess compliance with all applicable child care requirements. A computer-generated visit summary was reviewed with you and a copy was provided to you. All documented violations were reviewed with you at the conclusion of the visit. The following violations of a child care requirements were documented. Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A cabinet, located in the lunchroom area, had aerosol cans and hazardous cleaning products. the cabinet was not locked. .2820(b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The Emergency Medical Care plan was not reviewed with all staff annually. 10A NCAC 09 .0802(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. Owner, A. Hardin's First Aid training expired 8/2023 and was renewed 10/2024. .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. Owner, A. Hardin's CPR training expired 8/2023 and was renewed 10/2024. .1102(d) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR was not reviewed with all staff when information changed. .0607(e) 1898 Staff did not complete the health and safety training within one year of employment. Staff member, D. Pellestri and onwer, A. Hardin, has not completed the required Health and Safety trainings as required. .1102(a) CONSULTATION AND TECHNICAL ASSISTANCE: Violations documented above must be corrected immediately. A signed and dated letter of compliance must be mailed or emailed to me by October 29, 2024, describing how and when the violations were corrected and how compliance will be maintained in the future. This two-week time frame is established to allow you time for submitting your compliance letter and is not intended to be used as a guide for correcting violations, as they should be corrected immediately. The letter of compliance should be mailed or emailed to me, Tina Jones, PO Box 10194, Goldsboro, NC 27532. The compliance letter must be submitted from the email address on file for your program. If you have any questions related to this visit or if I can be of additional assistance, I can be reached at 252-361-3434 or tina.jones@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. Child care licensing requirements are 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 the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the child care laws and rules on the Division of Child Development and Early Education’s website. COMPLIANCE VERIFICATION: On November 6, 2023, a compliance verification letter was received from A. Hardin, owner. In the letter, violation #1898 was documented as being corrected; however, while monitoring staff files during today’s visit, it was determined that the violation was not corrected as documented in the compliance letter. Today, the violation will be cited again for the staff member D. Pellestri not completing the Health and Safety trainings as required. As a reminder, please be aware that any written information submitted by you regarding correction of violations documented is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. AGE-APPROPRIATE ACTIVITIES: While completing a walk-through of the outdoor environment, I observed a new geometrical play structure. When asked, the instructions and age requirement was printed and made available. The age restriction on the play structure was for children ages 3-8 years of age. During today’s visit, children two years of age were observed on the playground with children ages 3 and 4 years of age. Please be aware that moving forward, a violation will be documented if children under the age of 3 are observed playing on the structure. We reviewed the best way to avoid a violation of this requirement is to have the children two years of age on the playground designated for children ages one to two years of age. You stated that you normally have the two-year-old children on their designated playground, however, when you are short-staffed, you may have to move children to stay in ratio. RESOURCES: QRIS MODERNIZATION: PATHWAYS TO THE STARS: North Carolina led the nation in 1999 when it launched its Quality Rating and Improvement System (QRIS), a star rating system for early childhood education facilities. QRIS is a systemic approach to assess, improve, and communicate the level of quality. It encourages early care and learning programs to engage in continuous quality improvement, and families may use the star rating to make informed decisions when choosing a child care facility. Listening to and communicating with early childhood professionals, families, communities and businesses is a critical component to ensure a successful QRIS modernization. The Commission began the modernization process by seeking public comment, and the Commission invites and welcomes public comment as we move towards finalizing rules. Some QRIS Modernization changes are still in draft form. To learn more about the Commission’s QRIS work, please note these upcoming opportunities for participation: • December 9, 2024 – Quarterly Commission meeting, with a public comment period for any topic. The Commission may decide to publish proposed QRIS rules, with publication occurring in January 2025. • Public Comment Period for QRIS Rules – After publication in the new year, DCDEE will announce a 60-day public comment period regarding QRIS Modernization, including a public hearing and the opportunity to submit written comments. Email your feedback to DCDEE_QRIS@dhhs.nc.gov at any time. ABCMS: CRIMINAL BACKGROUND CHECK SYSTEM INFORMATION: 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. PROVIDER DOCUMENTS/FORMS: You should visit the website often to ensure you’re using all updated forms. All requirements must be included if you choose to use your own forms electronically or hard copy. Child care rules updated effective January 2024. The most current provider documents/ forms, checklists, resources related to child care, MOODLE trainings, and new child care requirements can be found on the Division of Child Development and Early Education website. https://ncchildcare.ncdhhs.gov/. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: BEYOND BABIES, LLC TWO Facility ID: 54000360 Consultant: TINA JONES Operation Type: Center Case Number: Visit Date: 6/25/2024 Number Present: 29 Completed Date: 6/25/2024 Age: From 0 To 5 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM 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 this program for applicable requirements for a Routine Unannounced visit. Today’s visit was completed with Owner/operator Anne Hardin. You were notified of the purpose of the visit. This facility currently operates with a Three-Star Child Care Center License that was issued April 22, 2023, earning 2 points in Program Standards, 4 points in Education Standards, and one quality point based on the child care administrator having at least 10 years of documented child care administration work experience in a licensed program. The last fire inspection was completed June 21, 2024, and the last sanitation inspection was completed on February 7, 2024. We reviewed that fire inspections must be completed prior the expiration of the previous inspection. The previous inspection was dated June 6, 2023. Two staff members have been hired since the Annual Compliance visit completed on October 24, 2023. Those staff personnel files were monitored today. Prior to today’s visit, the program’s compliance history was 93% over the current 18-month period. A copy of your compliance history report was left with you. Any violations documented today may affect your compliance history. Please be aware that a compliance history score of less than 75% may result in an Administrative Action. I used the Child Care Center Item Number Listing (DCD 0357) as basic monitoring tools to assess compliance with all applicable child care requirements. Children were observed participating in indoor and outdoor free play, teacher directed activities, and completing transitions. The teachers in each classroom supervised the children and interacted in a positive manner. The computer-generated visit summary, along with all violations, was reviewed with you and a copy was provided to you at the conclusion of the visit. The following violations were documented: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection was completed prior to the expiration date of the previous inspection. The previous fire inspection was completed on 6/6/2023. The new fire inspection was completed on 6/21/2024. 10A NCAC 09 .0304(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. New staff member A. White did not receive at least 16 hours of orientation within the first 6 weeks of employment. .1101(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. Staff member, A. White's first day of employment was 1/8/2024. First Aid training was required to be taken within 90 days. The required training has not been completed. .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. A. White's first day of employment was 1/8/2024. CPR training was required to be taken within 90 days. The required training has not been completed. .1102(d) CONSULTATION AND TECHNICAL ASSISTANCE : Violations documented above must be corrected immediately. A signed and dated letter of compliance must be mailed or emailed to me by July 9, 2024, describing how and when the violations were corrected and how compliance will be maintained in the future. This two-week time frame is established to allow you time for submitting your compliance letter and is not intended to be used as a guide for correcting violations, as they should be corrected immediately. The letter of compliance should be mailed or emailed to me, Tina Jones, PO Box 10194, Goldsboro, NC 27532. The compliance letter must be submitted from the email address on file for your program. If you have any questions related to this visit or if I can be of additional assistance, I can be reached at 252-361-3434 or tina.jones@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. Please be aware that any written information submitted by your regarding correction of violations documented is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. Child care licensing requirements are 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 the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the child care laws and rules on the Division of Child Development and Early Education’s website. LEAD IN WATER, PAINT/ASBESTOS: The Clean Water for Carolina Kids program is expanding to the Clean Classrooms for Carolina Kids program. This is a legislatively mandated effort to address lead and asbestos hazards in North Carolina public schools, licensed child care centers, and licensed family child care homes. Participation allows facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. Rules 10A NCAC 41C .1001 through .1007 require all programs to be free of lead and asbestos hazards. RTI is coordinating all the lead in water, paint and asbestos testing and remediation. There are webinars that child care providers can watch to get instructions. Go to https://www.cleanwaterforuskids.org/en/carolina/ for more information. Currently operating child care facilities are required to test for lead in paint and asbestos once unless the consultant notes a concern during a visit and refers the program to environmental health. All existing licensed programs should have completed the application summary for their program regarding lead paint and asbestos by May 1, 2024. Your program has started the enrollment process. Please update me with any results you may receive. Rule 15A NCAC 18A .2816 requires currently operating child care centers to test water initially and every three years. You have completed your lead in water test and received your result on July 19, 2022. RESOURCES: PROVIDER DOCUMENTS/FORMS: You should visit the website often to ensure you’re using all updated forms. All requirements must be included if you choose to use your own forms electronically or hard copy. Child care rules updated effective January 2024. The most current provider documents/ forms, checklists, resources related to child care, MOODLE trainings, and new child care requirements can be found on the Division of Child Development and Early Education website. https://ncchildcare.ncdhhs.gov/. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-91 · Violation

Name of Operation: BEYOND BABIES, LLC TWO Facility ID: 54000360 Consultant: KATISHA FARMER Operation Type: Center Case Number: 0624-064A Visit Date: 6/12/2024 Number Present: 25 Completed Date: 6/12/2024 Age: From 0 To 5 Total Minutes: 60 Time In: 11:30 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Anne Hardin, Owner accompanied me during the visit, I discussed the allegations with Ms. Hardin and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. No violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A staff member hit a one year old child on the head with a toy, because the child had hit another child on the head. G.S. 110-91(10) You may contact me Katisha Farmer, Investigations Consultant, 252 373-8547, email Katisha.farmer@dhhs.nc.gov or Supervisor, Corrie Davenport at corrie.davenport@dhhs.nc.gov Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-91 · Violation

Name of Operation: BEYOND BABIES, LLC TWO Facility ID: 54000360 Consultant: TINA JONES Operation Type: Center Case Number: Visit Date: 11/2/2023 Number Present: 23 Completed Date: 11/2/2023 Age: From 0 To 4 Total Minutes: 120 Time In: 09:00 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of my unannounced follow-up visit today was to monitor this center for compliance with applicable child care requirements and verify compliance with the staff/child ratio violation documented during the Annual Compliance visit conducted on October 24, 2023. A. Hardin, owner/operator and Administrator, H. Anderson were both present and assisted with the visit. Twenty – three (23) children were observed in care today ranging from ages infant to four (4) years of age. Children were observed interacting with caregivers, completing toileting and hand washing routines, playing with age-appropriate materials in various activity areas, and participating in outdoor activities. Limited, but required, monitoring of the child care requirements was completed today. The following child care requirements were monitored today. Supervision, staff/child ratios, adequate approved space, and permit restrictions. Enrollment was completed. The computer-generated visit summary was reviewed with you at the conclusion of the visit and a copy was provided to you. Any violations observed today were discussed with you and documented on the visit summary reviewed at the end of this visit. The following violation of the child care requirements were observed today. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A teacher was observed lifting a child up by the upper arm. This same teacher was observed saying "Do you hear me?", "Get off that door", "Cut it out", and "Hush" to children ages three to four years of age. This staff member was observed standing over children and pointing at them while speaking harshly to them. G.S. 110-91(10) CONSULTATION AND TECHNICAL ASSISTANCE: Violations documented above must be corrected immediately. A signed and dated letter of compliance must be mailed or emailed to me by November 16, 2023, describing how and when the violations were corrected and how compliance will be maintained in the future. This two-week time frame is established to allow you time for submitting your compliance letter and is not intended to be used as a guide for correcting violations, as they should be corrected immediately. The letter of compliance should be mailed or emailed to me, Tina Jones, PO Box 10194, Goldsboro, NC 27532. The compliance letter must be submitted from the email address on file for your program. If you have any questions related to this visit or if I can be of additional assistance, I can be reached at 252-361-3434 or tina.jones@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. Please be aware that any written information submitted by your regarding correction of violations documented is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. Child care licensing requirements are 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 the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the child care laws and rules on the Division of Child Development and Early Education’s website. STAFF/CHILD RATIO AND CAPACITY REQUIREMENTS: During today’s visit your program was maintaining compliance with staff/child ratio requirements and capacity. The program was fully staffed today with five permanent caregivers and one floater. To maintain compliance with staff/child, you stated that you moved the one-year-old child from the classroom for two- and three-year-old children. This will ensure that the ratio for the youngest child is maintained. We discussed that the ratio of the youngest child in each classroom must be maintained. You stated you were aware of this requirement. NURTURING CARE OF CHILDREN: While completing a walk-through of the facility, I observed one staff member lift a child by the upper arm. I discussed with the staff member that if she needs to pick a child up, she must place her hands under that child’s arms to lift them to avoid any type of injury. This same staff member was observed saying “Do you hear me?”, “Get off that door”, “Hush”, and “Cut it out”. I spoke with you and Ms. Anderson and reviewed that this staff was not attending to children in a nurturing or appropriate manner. I reviewed with you and Ms. Anderson that this staff member was observed standing over the children and pointing at them. We reviewed that this behavior may be intimidating to children. I encourage you to contact the Lenoir/Greene Partnership for Children to enroll this staff member in Nurturing Care of Children and Appropriate Interactions with Children. For technical assistance, you may contact Stephanie Sullivan or Taylor Bowen at: Partnership for Children of Lenoir & Greene Counties ssullivan@lgpfc.org tbowen@lgpfc.org. Due to the nature of this violation, a follow-up visit will be completed. COMPLIANCE LETTER FOR ANNUAL COMPLIANCE VISIT: Please be reminded, your compliance letter for the Annual Compliance visit that took place on October 24, 2023, describing how the violations were corrected, is due on or before November 7, 2023. You may email the compliance letter to avoid mailing delays. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0601 · Violation

Name of Operation: BEYOND BABIES, LLC TWO Facility ID: 54000360 Consultant: TINA JONES Operation Type: Center Case Number: Visit Date: 10/24/2023 Number Present: 21 Completed Date: 10/24/2023 Age: From 0 To 4 Total Minutes: 300 Time In: 09:00 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my announced visit today was to monitor applicable NC Child Care requirements for an Annual Compliance visit. This facility currently operates with a Three-Star Child Care Center License that was issued April 22, 2023, earning 2 points in Program Standards, 4 points in Education Standards, and one quality point based on the child care administrator having at least 10 years of documented child care administration work experience in a licensed program. The last temporary time period visit completed was March 22, 2023. The last fire inspection was completed June 6, 2023. The last sanitation visit was completed prior to the expiration date of October 7, 2023; however, after speaking with the Environmental Health Specialist, it was concluded that the inspection form was not provided for the facility. Once this has been provided, please email me a copy so I can enter the inspection information in the Regulatory system. Today’s visit was conducted with A. Hardin, owner. . You were present and available for consultation. Staff/training worksheets were received prior to today’s visit. This facility is owned by Beyond Babies, LLC Two. This corporation was researched in the North Carolina Secretary of State corporation database and found to have a Current/Active status. The contact information for the owner and facility was reviewed and contained correct information, as documented with the Division of Child Development and Early Education. Prior to today’s visit, the program’s compliance history was 93% over the current 18-month period. A copy of your compliance history report was left with you. Any violations documented today may affect your compliance history. Please be aware that a compliance history score of less than 75% may result in an Administrative Action. I monitored your classrooms and indoor environment, required center records and forms, including staff and children's files, and I monitored your outdoor playground. I used the Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Center Item Number Listing (DCD 0357) as basic monitoring tools to assess compliance with all applicable child care requirements. Children were observed participating in indoor and outdoor free play, teacher directed activities, completing transitions, and eating breakfast. Breakfast consisted of French toast sticks, apples, and milk. The teachers in each classroom supervised the children and interacted in a positive manner. The violation documented was reviewed with you and a computer- generated Visit Summary was left with you. The following violations were documented: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. There was a large hole at the bottom of the fence, causing an entrapment hazard or an animal could access the playground. Low cabinets in the classroom for infants do not close all the way, causing a pinching hazard if the infant pushed on the cabinet door. Staff's handbags were not maintained five feet from the floor or in locked storage. A staff member's hand lotion was not maintained five feet from the floor. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fence that enclosed the outdoor play area measured less than the required 4 feet in several locations. In 3 areas, the fence measure 3 and 1/2 feet. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A container of white out correction liquid was not maintained in locked storage. .2820(b) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. The required visual sleep checks were not completed on the enrolled infants for the dates of 10/23/2023 and the date of 10/24/2023. .0606(g) 1043 All staff records, except financial records, were not made available for review. All records were not made available for the owner/operator. Staff orientation records were not available for 3 staff members. The Health Questionnaire and Emergency Information documentation was not available for 2 staff members. The Emergency Medical Care Plan and the EPR plan review was not available for all staff members. G.S. 110-91( 9) 1327 Accurate records were not maintained for all children. The required signed and dated statement by parent acknowledging the receipt of the Summary of the Law was not available. A medical was not available for one enrolled child. G.S. 110-91(9) 1756 Enhanced staff/child ratios and group sizes were not met. In space 2, a one year old child was enrolled with eight two year old children with one teaching staff. The ratio should have been maintained for the youngest age, one staff to six children. 10A NCAC 09 .2818 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. One staff member did not model appropriate eating behaviors by consuming coffee in the presence of children. .0901(i) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space 2, diaper cream had an expiration date of 8/2023. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1898 Staff did not complete the health and safety training within one year of employment. Health and Safety trainings were not completed for one staff member hired on August 23, 2022. .1102(a) CONSULTATION AND RULES REVIEW: Violations documented above must be corrected immediately. A signed and dated letter of compliance must be mailed or emailed to me by November 7, 2023, describing how and when the violations were corrected and how compliance will be maintained in the future. This two-week time frame is established to allow you time for submitting your compliance letter and is not intended to be used as a guide for correcting violations, as they should be corrected immediately. The letter of compliance should be mailed or emailed to me, Tina Jones, PO Box 10194, Goldsboro, NC 27532. The compliance letter must be submitted from the email address on file for your program. If you have any questions related to this visit or if I can be of additional assistance, I can be reached at 252-361-3434 or tina.jones@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. Please be aware that any written information submitted by your regarding correction of violations documented is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. Child care licensing requirements are 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 the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the child care laws and rules on the Division of Child Development and Early Education’s website. STAFF FILES: You were encouraged to use the staff file checklist located on the Division’s website to ensure all requirements are in compliance with the required timeframes. The following items were not available for documented: -The owner did not have a file at the facility. -Orientation was not documented for 3 staff members -The EPR review date and the emergency medical care plan review dates were not available for all staff. -Health questionnaires and emergency information was not available for 2 staff members. CHILDREN FILES: You were encouraged to use the children’s file checklist located on the Division’s website to ensure all requirements are in compliance with the required timeframes. The following items were not available for documented: -a medical was not available for 1 child. -the documentation of the receipt of the summary of the law was not available for 3 children. FENCE REQUIREMENT: Ensure the fence enclosing the outdoor play area is maintained at the 4-foot requirement. We discussed that the mulch can be raked away giving you additional space that would help in meeting that 4-foot requirement. STORAGE OF HAZARDOUS ITEMS/SAFE INDOOR ENVIRONMENT: Ensure all hazardous items are kept in locked storage. If not properly stored or used, these products could cause minor to serious and even life-threatening health problems to children. We discussed that cleaning products, aerosol cans, or any other items that has Keep Out of the Reach of Children with additional warnings, must be kept in locked storage when children are in care. You corrected this violation by removing the whiteout and placing the staff’s hand lotion five feet from the floor. HEALTH AND SAFETY TRAININGS: Health and safety trainings are required to be completed within 1 year of the staff member’s hire date. One staff member has not completed the required trainings. The staff member’s hire date was August 23, 2022. Ensure all staff member complete the required trainings within the required timeframe. VISUAL SAFE SLEEP CHECKS/SAFE SLEEP POLICY: When an infant is present, ensure visual safe sleep checks are conducted and documented by the person caring for infants. Maintain this documentation on file for at least 30 reporting days. The goal of creating a safe sleep environment for infants is to reduce the risk of Sudden Infant Death Syndrome and other sleep-related deaths such as accidental suffocation and strangulation in bed. It is recommended that you periodically review the safe sleep check to ensure staff are visually checking on sleeping infants and documenting the information on the sleep check log. STAFF/CHILD RATIOS: Child care administrators hold the responsibility of ensuring that staff always comply with staff-child ratio requirements. Staff-to-child ratios are important for safety reasons. Caregivers provide oversight and accountability for the safety of children in your program. The risks for children increase when required ratios are not maintained. Maintaining staff-to-child ratios ensures that child care providers can effectively supervise the entire group while engaging children in daily activities and routines. Conducting regular ratio audits and monitoring classrooms can assist you in your efforts with maintaining staff/child ratios. Based on your program meeting enhanced ratios, your ration in space 2 must be 1 staff to 9 children; however, you had a 1-year-old child enrolled in this space; therefore, changing the staff / child ratio to 1 staff to 6 children. You moved the child to a different classroom in order to come into compliance with staff/child ratios during the visit. A follow-up visit will take place to ensure compliance is maintained with the staff/child ratio requirement. NO-COST CDA COURSEWORK: Webinar: No-cost CDA Coursework for NC Early Education Professionals: DCDEE recently announced the opportunity for early care and learning teaching assistants and new teachers to get access to Child Development Associate® (CDA) coursework at NO COST. To learn more, plan to attend this webinar to hear from the DCDEE, Teaching Strategies and T.E.AC.H. Mark Your Calendar: Oct 3, 2023 1:00 PM Eastern Time Please click the link below to join the webinar: https://teachingstrategies.zoom.us/j/96753731387?pwd=VE5aQ1g0bnR6aUZYTGNBbzdWbTJxdz09 Webinar ID: 967 5373 1387 Passcode: 268674 GETTING HELP WITH CHALLENGING BEHAVIORS: Assistance can be requested for help with handling challenging behaviors. The Healthy Social Behaviors in Child Care Centers Project (HSB) provides ideas to create a learning environment that can assist in preventing challenging behaviors. They provide free technical assistance, professional development, and they offer a variety of additional resources. For additional information on the Healthy Social Behaviors Project or to view a current listing of scheduled trainings, browse the NC Child Care Resource & Referral Council website. For information about Pyramid Model CEU-level trainings, contact the HSB Education Specialist, Liz Tuttle at etuttle@childcareresourcesinc.org. To obtain a Request for TA Services, contact your local Behavior Specialist or email the Statewide Project Manager, Smokie Brawley, at sbrawley@childcareresourcesinc.org. You and staff can also contact the challenging behavior helpline at 1-888- 600-1685 option 2. You can speak to a Behavior Support Advisor or submit questions about specific behaviors in your program. You will also be able to post questions in the “Talk to the Expert” group in the online network. SUMMER HEAT SAFETY: Since 1998, more than 900 children have died from vehicular heatstroke - an average of 38 per year - and 53% of incidents involve a parent or caregiver forgetting the child was in the vehicle. Parents and caregivers can act immediately to end these preventable deaths. Additional information regarding summer heat safety is provided on the link below. Please share information with staff. https://www.nsc.org/road/safety-topics/child-passenger-safety/kids-in-hot-cars TECHNICAL ASSITANCE: For additional technical assistance, you may contact Stephanie Sullivan or Taylor Bowen at: Partnership for Children of Lenoir & Greene Counties ssullivan@lgpfc.org tbowen@lgpfc.org. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. You can also complete training modules located in MOODLE platform. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .2818 · Violation

Name of Operation: BEYOND BABIES, LLC TWO Facility ID: 54000360 Consultant: TINA JONES Operation Type: Center Case Number: Visit Date: 10/24/2023 Number Present: 21 Completed Date: 10/24/2023 Age: From 0 To 4 Total Minutes: 300 Time In: 09:00 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my announced visit today was to monitor applicable NC Child Care requirements for an Annual Compliance visit. This facility currently operates with a Three-Star Child Care Center License that was issued April 22, 2023, earning 2 points in Program Standards, 4 points in Education Standards, and one quality point based on the child care administrator having at least 10 years of documented child care administration work experience in a licensed program. The last temporary time period visit completed was March 22, 2023. The last fire inspection was completed June 6, 2023. The last sanitation visit was completed prior to the expiration date of October 7, 2023; however, after speaking with the Environmental Health Specialist, it was concluded that the inspection form was not provided for the facility. Once this has been provided, please email me a copy so I can enter the inspection information in the Regulatory system. Today’s visit was conducted with A. Hardin, owner. . You were present and available for consultation. Staff/training worksheets were received prior to today’s visit. This facility is owned by Beyond Babies, LLC Two. This corporation was researched in the North Carolina Secretary of State corporation database and found to have a Current/Active status. The contact information for the owner and facility was reviewed and contained correct information, as documented with the Division of Child Development and Early Education. Prior to today’s visit, the program’s compliance history was 93% over the current 18-month period. A copy of your compliance history report was left with you. Any violations documented today may affect your compliance history. Please be aware that a compliance history score of less than 75% may result in an Administrative Action. I monitored your classrooms and indoor environment, required center records and forms, including staff and children's files, and I monitored your outdoor playground. I used the Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Center Item Number Listing (DCD 0357) as basic monitoring tools to assess compliance with all applicable child care requirements. Children were observed participating in indoor and outdoor free play, teacher directed activities, completing transitions, and eating breakfast. Breakfast consisted of French toast sticks, apples, and milk. The teachers in each classroom supervised the children and interacted in a positive manner. The violation documented was reviewed with you and a computer- generated Visit Summary was left with you. The following violations were documented: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. There was a large hole at the bottom of the fence, causing an entrapment hazard or an animal could access the playground. Low cabinets in the classroom for infants do not close all the way, causing a pinching hazard if the infant pushed on the cabinet door. Staff's handbags were not maintained five feet from the floor or in locked storage. A staff member's hand lotion was not maintained five feet from the floor. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fence that enclosed the outdoor play area measured less than the required 4 feet in several locations. In 3 areas, the fence measure 3 and 1/2 feet. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A container of white out correction liquid was not maintained in locked storage. .2820(b) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. The required visual sleep checks were not completed on the enrolled infants for the dates of 10/23/2023 and the date of 10/24/2023. .0606(g) 1043 All staff records, except financial records, were not made available for review. All records were not made available for the owner/operator. Staff orientation records were not available for 3 staff members. The Health Questionnaire and Emergency Information documentation was not available for 2 staff members. The Emergency Medical Care Plan and the EPR plan review was not available for all staff members. G.S. 110-91( 9) 1327 Accurate records were not maintained for all children. The required signed and dated statement by parent acknowledging the receipt of the Summary of the Law was not available. A medical was not available for one enrolled child. G.S. 110-91(9) 1756 Enhanced staff/child ratios and group sizes were not met. In space 2, a one year old child was enrolled with eight two year old children with one teaching staff. The ratio should have been maintained for the youngest age, one staff to six children. 10A NCAC 09 .2818 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. One staff member did not model appropriate eating behaviors by consuming coffee in the presence of children. .0901(i) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space 2, diaper cream had an expiration date of 8/2023. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1898 Staff did not complete the health and safety training within one year of employment. Health and Safety trainings were not completed for one staff member hired on August 23, 2022. .1102(a) CONSULTATION AND RULES REVIEW: Violations documented above must be corrected immediately. A signed and dated letter of compliance must be mailed or emailed to me by November 7, 2023, describing how and when the violations were corrected and how compliance will be maintained in the future. This two-week time frame is established to allow you time for submitting your compliance letter and is not intended to be used as a guide for correcting violations, as they should be corrected immediately. The letter of compliance should be mailed or emailed to me, Tina Jones, PO Box 10194, Goldsboro, NC 27532. The compliance letter must be submitted from the email address on file for your program. If you have any questions related to this visit or if I can be of additional assistance, I can be reached at 252-361-3434 or tina.jones@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. Please be aware that any written information submitted by your regarding correction of violations documented is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. Child care licensing requirements are 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 the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the child care laws and rules on the Division of Child Development and Early Education’s website. STAFF FILES: You were encouraged to use the staff file checklist located on the Division’s website to ensure all requirements are in compliance with the required timeframes. The following items were not available for documented: -The owner did not have a file at the facility. -Orientation was not documented for 3 staff members -The EPR review date and the emergency medical care plan review dates were not available for all staff. -Health questionnaires and emergency information was not available for 2 staff members. CHILDREN FILES: You were encouraged to use the children’s file checklist located on the Division’s website to ensure all requirements are in compliance with the required timeframes. The following items were not available for documented: -a medical was not available for 1 child. -the documentation of the receipt of the summary of the law was not available for 3 children. FENCE REQUIREMENT: Ensure the fence enclosing the outdoor play area is maintained at the 4-foot requirement. We discussed that the mulch can be raked away giving you additional space that would help in meeting that 4-foot requirement. STORAGE OF HAZARDOUS ITEMS/SAFE INDOOR ENVIRONMENT: Ensure all hazardous items are kept in locked storage. If not properly stored or used, these products could cause minor to serious and even life-threatening health problems to children. We discussed that cleaning products, aerosol cans, or any other items that has Keep Out of the Reach of Children with additional warnings, must be kept in locked storage when children are in care. You corrected this violation by removing the whiteout and placing the staff’s hand lotion five feet from the floor. HEALTH AND SAFETY TRAININGS: Health and safety trainings are required to be completed within 1 year of the staff member’s hire date. One staff member has not completed the required trainings. The staff member’s hire date was August 23, 2022. Ensure all staff member complete the required trainings within the required timeframe. VISUAL SAFE SLEEP CHECKS/SAFE SLEEP POLICY: When an infant is present, ensure visual safe sleep checks are conducted and documented by the person caring for infants. Maintain this documentation on file for at least 30 reporting days. The goal of creating a safe sleep environment for infants is to reduce the risk of Sudden Infant Death Syndrome and other sleep-related deaths such as accidental suffocation and strangulation in bed. It is recommended that you periodically review the safe sleep check to ensure staff are visually checking on sleeping infants and documenting the information on the sleep check log. STAFF/CHILD RATIOS: Child care administrators hold the responsibility of ensuring that staff always comply with staff-child ratio requirements. Staff-to-child ratios are important for safety reasons. Caregivers provide oversight and accountability for the safety of children in your program. The risks for children increase when required ratios are not maintained. Maintaining staff-to-child ratios ensures that child care providers can effectively supervise the entire group while engaging children in daily activities and routines. Conducting regular ratio audits and monitoring classrooms can assist you in your efforts with maintaining staff/child ratios. Based on your program meeting enhanced ratios, your ration in space 2 must be 1 staff to 9 children; however, you had a 1-year-old child enrolled in this space; therefore, changing the staff / child ratio to 1 staff to 6 children. You moved the child to a different classroom in order to come into compliance with staff/child ratios during the visit. A follow-up visit will take place to ensure compliance is maintained with the staff/child ratio requirement. NO-COST CDA COURSEWORK: Webinar: No-cost CDA Coursework for NC Early Education Professionals: DCDEE recently announced the opportunity for early care and learning teaching assistants and new teachers to get access to Child Development Associate® (CDA) coursework at NO COST. To learn more, plan to attend this webinar to hear from the DCDEE, Teaching Strategies and T.E.AC.H. Mark Your Calendar: Oct 3, 2023 1:00 PM Eastern Time Please click the link below to join the webinar: https://teachingstrategies.zoom.us/j/96753731387?pwd=VE5aQ1g0bnR6aUZYTGNBbzdWbTJxdz09 Webinar ID: 967 5373 1387 Passcode: 268674 GETTING HELP WITH CHALLENGING BEHAVIORS: Assistance can be requested for help with handling challenging behaviors. The Healthy Social Behaviors in Child Care Centers Project (HSB) provides ideas to create a learning environment that can assist in preventing challenging behaviors. They provide free technical assistance, professional development, and they offer a variety of additional resources. For additional information on the Healthy Social Behaviors Project or to view a current listing of scheduled trainings, browse the NC Child Care Resource & Referral Council website. For information about Pyramid Model CEU-level trainings, contact the HSB Education Specialist, Liz Tuttle at etuttle@childcareresourcesinc.org. To obtain a Request for TA Services, contact your local Behavior Specialist or email the Statewide Project Manager, Smokie Brawley, at sbrawley@childcareresourcesinc.org. You and staff can also contact the challenging behavior helpline at 1-888- 600-1685 option 2. You can speak to a Behavior Support Advisor or submit questions about specific behaviors in your program. You will also be able to post questions in the “Talk to the Expert” group in the online network. SUMMER HEAT SAFETY: Since 1998, more than 900 children have died from vehicular heatstroke - an average of 38 per year - and 53% of incidents involve a parent or caregiver forgetting the child was in the vehicle. Parents and caregivers can act immediately to end these preventable deaths. Additional information regarding summer heat safety is provided on the link below. Please share information with staff. https://www.nsc.org/road/safety-topics/child-passenger-safety/kids-in-hot-cars TECHNICAL ASSITANCE: For additional technical assistance, you may contact Stephanie Sullivan or Taylor Bowen at: Partnership for Children of Lenoir & Greene Counties ssullivan@lgpfc.org tbowen@lgpfc.org. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. You can also complete training modules located in MOODLE platform. 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: BEYOND BABIES, LLC TWO Facility ID: 54000360 Consultant: TINA JONES Operation Type: Center Case Number: Visit Date: 10/24/2023 Number Present: 21 Completed Date: 10/24/2023 Age: From 0 To 4 Total Minutes: 300 Time In: 09:00 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my announced visit today was to monitor applicable NC Child Care requirements for an Annual Compliance visit. This facility currently operates with a Three-Star Child Care Center License that was issued April 22, 2023, earning 2 points in Program Standards, 4 points in Education Standards, and one quality point based on the child care administrator having at least 10 years of documented child care administration work experience in a licensed program. The last temporary time period visit completed was March 22, 2023. The last fire inspection was completed June 6, 2023. The last sanitation visit was completed prior to the expiration date of October 7, 2023; however, after speaking with the Environmental Health Specialist, it was concluded that the inspection form was not provided for the facility. Once this has been provided, please email me a copy so I can enter the inspection information in the Regulatory system. Today’s visit was conducted with A. Hardin, owner. . You were present and available for consultation. Staff/training worksheets were received prior to today’s visit. This facility is owned by Beyond Babies, LLC Two. This corporation was researched in the North Carolina Secretary of State corporation database and found to have a Current/Active status. The contact information for the owner and facility was reviewed and contained correct information, as documented with the Division of Child Development and Early Education. Prior to today’s visit, the program’s compliance history was 93% over the current 18-month period. A copy of your compliance history report was left with you. Any violations documented today may affect your compliance history. Please be aware that a compliance history score of less than 75% may result in an Administrative Action. I monitored your classrooms and indoor environment, required center records and forms, including staff and children's files, and I monitored your outdoor playground. I used the Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Center Item Number Listing (DCD 0357) as basic monitoring tools to assess compliance with all applicable child care requirements. Children were observed participating in indoor and outdoor free play, teacher directed activities, completing transitions, and eating breakfast. Breakfast consisted of French toast sticks, apples, and milk. The teachers in each classroom supervised the children and interacted in a positive manner. The violation documented was reviewed with you and a computer- generated Visit Summary was left with you. The following violations were documented: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. There was a large hole at the bottom of the fence, causing an entrapment hazard or an animal could access the playground. Low cabinets in the classroom for infants do not close all the way, causing a pinching hazard if the infant pushed on the cabinet door. Staff's handbags were not maintained five feet from the floor or in locked storage. A staff member's hand lotion was not maintained five feet from the floor. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fence that enclosed the outdoor play area measured less than the required 4 feet in several locations. In 3 areas, the fence measure 3 and 1/2 feet. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A container of white out correction liquid was not maintained in locked storage. .2820(b) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. The required visual sleep checks were not completed on the enrolled infants for the dates of 10/23/2023 and the date of 10/24/2023. .0606(g) 1043 All staff records, except financial records, were not made available for review. All records were not made available for the owner/operator. Staff orientation records were not available for 3 staff members. The Health Questionnaire and Emergency Information documentation was not available for 2 staff members. The Emergency Medical Care Plan and the EPR plan review was not available for all staff members. G.S. 110-91( 9) 1327 Accurate records were not maintained for all children. The required signed and dated statement by parent acknowledging the receipt of the Summary of the Law was not available. A medical was not available for one enrolled child. G.S. 110-91(9) 1756 Enhanced staff/child ratios and group sizes were not met. In space 2, a one year old child was enrolled with eight two year old children with one teaching staff. The ratio should have been maintained for the youngest age, one staff to six children. 10A NCAC 09 .2818 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. One staff member did not model appropriate eating behaviors by consuming coffee in the presence of children. .0901(i) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space 2, diaper cream had an expiration date of 8/2023. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1898 Staff did not complete the health and safety training within one year of employment. Health and Safety trainings were not completed for one staff member hired on August 23, 2022. .1102(a) CONSULTATION AND RULES REVIEW: Violations documented above must be corrected immediately. A signed and dated letter of compliance must be mailed or emailed to me by November 7, 2023, describing how and when the violations were corrected and how compliance will be maintained in the future. This two-week time frame is established to allow you time for submitting your compliance letter and is not intended to be used as a guide for correcting violations, as they should be corrected immediately. The letter of compliance should be mailed or emailed to me, Tina Jones, PO Box 10194, Goldsboro, NC 27532. The compliance letter must be submitted from the email address on file for your program. If you have any questions related to this visit or if I can be of additional assistance, I can be reached at 252-361-3434 or tina.jones@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. Please be aware that any written information submitted by your regarding correction of violations documented is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. Child care licensing requirements are 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 the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the child care laws and rules on the Division of Child Development and Early Education’s website. STAFF FILES: You were encouraged to use the staff file checklist located on the Division’s website to ensure all requirements are in compliance with the required timeframes. The following items were not available for documented: -The owner did not have a file at the facility. -Orientation was not documented for 3 staff members -The EPR review date and the emergency medical care plan review dates were not available for all staff. -Health questionnaires and emergency information was not available for 2 staff members. CHILDREN FILES: You were encouraged to use the children’s file checklist located on the Division’s website to ensure all requirements are in compliance with the required timeframes. The following items were not available for documented: -a medical was not available for 1 child. -the documentation of the receipt of the summary of the law was not available for 3 children. FENCE REQUIREMENT: Ensure the fence enclosing the outdoor play area is maintained at the 4-foot requirement. We discussed that the mulch can be raked away giving you additional space that would help in meeting that 4-foot requirement. STORAGE OF HAZARDOUS ITEMS/SAFE INDOOR ENVIRONMENT: Ensure all hazardous items are kept in locked storage. If not properly stored or used, these products could cause minor to serious and even life-threatening health problems to children. We discussed that cleaning products, aerosol cans, or any other items that has Keep Out of the Reach of Children with additional warnings, must be kept in locked storage when children are in care. You corrected this violation by removing the whiteout and placing the staff’s hand lotion five feet from the floor. HEALTH AND SAFETY TRAININGS: Health and safety trainings are required to be completed within 1 year of the staff member’s hire date. One staff member has not completed the required trainings. The staff member’s hire date was August 23, 2022. Ensure all staff member complete the required trainings within the required timeframe. VISUAL SAFE SLEEP CHECKS/SAFE SLEEP POLICY: When an infant is present, ensure visual safe sleep checks are conducted and documented by the person caring for infants. Maintain this documentation on file for at least 30 reporting days. The goal of creating a safe sleep environment for infants is to reduce the risk of Sudden Infant Death Syndrome and other sleep-related deaths such as accidental suffocation and strangulation in bed. It is recommended that you periodically review the safe sleep check to ensure staff are visually checking on sleeping infants and documenting the information on the sleep check log. STAFF/CHILD RATIOS: Child care administrators hold the responsibility of ensuring that staff always comply with staff-child ratio requirements. Staff-to-child ratios are important for safety reasons. Caregivers provide oversight and accountability for the safety of children in your program. The risks for children increase when required ratios are not maintained. Maintaining staff-to-child ratios ensures that child care providers can effectively supervise the entire group while engaging children in daily activities and routines. Conducting regular ratio audits and monitoring classrooms can assist you in your efforts with maintaining staff/child ratios. Based on your program meeting enhanced ratios, your ration in space 2 must be 1 staff to 9 children; however, you had a 1-year-old child enrolled in this space; therefore, changing the staff / child ratio to 1 staff to 6 children. You moved the child to a different classroom in order to come into compliance with staff/child ratios during the visit. A follow-up visit will take place to ensure compliance is maintained with the staff/child ratio requirement. NO-COST CDA COURSEWORK: Webinar: No-cost CDA Coursework for NC Early Education Professionals: DCDEE recently announced the opportunity for early care and learning teaching assistants and new teachers to get access to Child Development Associate® (CDA) coursework at NO COST. To learn more, plan to attend this webinar to hear from the DCDEE, Teaching Strategies and T.E.AC.H. Mark Your Calendar: Oct 3, 2023 1:00 PM Eastern Time Please click the link below to join the webinar: https://teachingstrategies.zoom.us/j/96753731387?pwd=VE5aQ1g0bnR6aUZYTGNBbzdWbTJxdz09 Webinar ID: 967 5373 1387 Passcode: 268674 GETTING HELP WITH CHALLENGING BEHAVIORS: Assistance can be requested for help with handling challenging behaviors. The Healthy Social Behaviors in Child Care Centers Project (HSB) provides ideas to create a learning environment that can assist in preventing challenging behaviors. They provide free technical assistance, professional development, and they offer a variety of additional resources. For additional information on the Healthy Social Behaviors Project or to view a current listing of scheduled trainings, browse the NC Child Care Resource & Referral Council website. For information about Pyramid Model CEU-level trainings, contact the HSB Education Specialist, Liz Tuttle at etuttle@childcareresourcesinc.org. To obtain a Request for TA Services, contact your local Behavior Specialist or email the Statewide Project Manager, Smokie Brawley, at sbrawley@childcareresourcesinc.org. You and staff can also contact the challenging behavior helpline at 1-888- 600-1685 option 2. You can speak to a Behavior Support Advisor or submit questions about specific behaviors in your program. You will also be able to post questions in the “Talk to the Expert” group in the online network. SUMMER HEAT SAFETY: Since 1998, more than 900 children have died from vehicular heatstroke - an average of 38 per year - and 53% of incidents involve a parent or caregiver forgetting the child was in the vehicle. Parents and caregivers can act immediately to end these preventable deaths. Additional information regarding summer heat safety is provided on the link below. Please share information with staff. https://www.nsc.org/road/safety-topics/child-passenger-safety/kids-in-hot-cars TECHNICAL ASSITANCE: For additional technical assistance, you may contact Stephanie Sullivan or Taylor Bowen at: Partnership for Children of Lenoir & Greene Counties ssullivan@lgpfc.org tbowen@lgpfc.org. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. You can also complete training modules located in MOODLE platform. 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: BEYOND BABIES, LLC TWO Facility ID: 54000360 Consultant: TINA JONES Operation Type: Center Case Number: Visit Date: 10/24/2023 Number Present: 21 Completed Date: 10/24/2023 Age: From 0 To 4 Total Minutes: 300 Time In: 09:00 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my announced visit today was to monitor applicable NC Child Care requirements for an Annual Compliance visit. This facility currently operates with a Three-Star Child Care Center License that was issued April 22, 2023, earning 2 points in Program Standards, 4 points in Education Standards, and one quality point based on the child care administrator having at least 10 years of documented child care administration work experience in a licensed program. The last temporary time period visit completed was March 22, 2023. The last fire inspection was completed June 6, 2023. The last sanitation visit was completed prior to the expiration date of October 7, 2023; however, after speaking with the Environmental Health Specialist, it was concluded that the inspection form was not provided for the facility. Once this has been provided, please email me a copy so I can enter the inspection information in the Regulatory system. Today’s visit was conducted with A. Hardin, owner. . You were present and available for consultation. Staff/training worksheets were received prior to today’s visit. This facility is owned by Beyond Babies, LLC Two. This corporation was researched in the North Carolina Secretary of State corporation database and found to have a Current/Active status. The contact information for the owner and facility was reviewed and contained correct information, as documented with the Division of Child Development and Early Education. Prior to today’s visit, the program’s compliance history was 93% over the current 18-month period. A copy of your compliance history report was left with you. Any violations documented today may affect your compliance history. Please be aware that a compliance history score of less than 75% may result in an Administrative Action. I monitored your classrooms and indoor environment, required center records and forms, including staff and children's files, and I monitored your outdoor playground. I used the Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Center Item Number Listing (DCD 0357) as basic monitoring tools to assess compliance with all applicable child care requirements. Children were observed participating in indoor and outdoor free play, teacher directed activities, completing transitions, and eating breakfast. Breakfast consisted of French toast sticks, apples, and milk. The teachers in each classroom supervised the children and interacted in a positive manner. The violation documented was reviewed with you and a computer- generated Visit Summary was left with you. The following violations were documented: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. There was a large hole at the bottom of the fence, causing an entrapment hazard or an animal could access the playground. Low cabinets in the classroom for infants do not close all the way, causing a pinching hazard if the infant pushed on the cabinet door. Staff's handbags were not maintained five feet from the floor or in locked storage. A staff member's hand lotion was not maintained five feet from the floor. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fence that enclosed the outdoor play area measured less than the required 4 feet in several locations. In 3 areas, the fence measure 3 and 1/2 feet. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A container of white out correction liquid was not maintained in locked storage. .2820(b) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. The required visual sleep checks were not completed on the enrolled infants for the dates of 10/23/2023 and the date of 10/24/2023. .0606(g) 1043 All staff records, except financial records, were not made available for review. All records were not made available for the owner/operator. Staff orientation records were not available for 3 staff members. The Health Questionnaire and Emergency Information documentation was not available for 2 staff members. The Emergency Medical Care Plan and the EPR plan review was not available for all staff members. G.S. 110-91( 9) 1327 Accurate records were not maintained for all children. The required signed and dated statement by parent acknowledging the receipt of the Summary of the Law was not available. A medical was not available for one enrolled child. G.S. 110-91(9) 1756 Enhanced staff/child ratios and group sizes were not met. In space 2, a one year old child was enrolled with eight two year old children with one teaching staff. The ratio should have been maintained for the youngest age, one staff to six children. 10A NCAC 09 .2818 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. One staff member did not model appropriate eating behaviors by consuming coffee in the presence of children. .0901(i) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space 2, diaper cream had an expiration date of 8/2023. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1898 Staff did not complete the health and safety training within one year of employment. Health and Safety trainings were not completed for one staff member hired on August 23, 2022. .1102(a) CONSULTATION AND RULES REVIEW: Violations documented above must be corrected immediately. A signed and dated letter of compliance must be mailed or emailed to me by November 7, 2023, describing how and when the violations were corrected and how compliance will be maintained in the future. This two-week time frame is established to allow you time for submitting your compliance letter and is not intended to be used as a guide for correcting violations, as they should be corrected immediately. The letter of compliance should be mailed or emailed to me, Tina Jones, PO Box 10194, Goldsboro, NC 27532. The compliance letter must be submitted from the email address on file for your program. If you have any questions related to this visit or if I can be of additional assistance, I can be reached at 252-361-3434 or tina.jones@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. Please be aware that any written information submitted by your regarding correction of violations documented is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. Child care licensing requirements are 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 the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the child care laws and rules on the Division of Child Development and Early Education’s website. STAFF FILES: You were encouraged to use the staff file checklist located on the Division’s website to ensure all requirements are in compliance with the required timeframes. The following items were not available for documented: -The owner did not have a file at the facility. -Orientation was not documented for 3 staff members -The EPR review date and the emergency medical care plan review dates were not available for all staff. -Health questionnaires and emergency information was not available for 2 staff members. CHILDREN FILES: You were encouraged to use the children’s file checklist located on the Division’s website to ensure all requirements are in compliance with the required timeframes. The following items were not available for documented: -a medical was not available for 1 child. -the documentation of the receipt of the summary of the law was not available for 3 children. FENCE REQUIREMENT: Ensure the fence enclosing the outdoor play area is maintained at the 4-foot requirement. We discussed that the mulch can be raked away giving you additional space that would help in meeting that 4-foot requirement. STORAGE OF HAZARDOUS ITEMS/SAFE INDOOR ENVIRONMENT: Ensure all hazardous items are kept in locked storage. If not properly stored or used, these products could cause minor to serious and even life-threatening health problems to children. We discussed that cleaning products, aerosol cans, or any other items that has Keep Out of the Reach of Children with additional warnings, must be kept in locked storage when children are in care. You corrected this violation by removing the whiteout and placing the staff’s hand lotion five feet from the floor. HEALTH AND SAFETY TRAININGS: Health and safety trainings are required to be completed within 1 year of the staff member’s hire date. One staff member has not completed the required trainings. The staff member’s hire date was August 23, 2022. Ensure all staff member complete the required trainings within the required timeframe. VISUAL SAFE SLEEP CHECKS/SAFE SLEEP POLICY: When an infant is present, ensure visual safe sleep checks are conducted and documented by the person caring for infants. Maintain this documentation on file for at least 30 reporting days. The goal of creating a safe sleep environment for infants is to reduce the risk of Sudden Infant Death Syndrome and other sleep-related deaths such as accidental suffocation and strangulation in bed. It is recommended that you periodically review the safe sleep check to ensure staff are visually checking on sleeping infants and documenting the information on the sleep check log. STAFF/CHILD RATIOS: Child care administrators hold the responsibility of ensuring that staff always comply with staff-child ratio requirements. Staff-to-child ratios are important for safety reasons. Caregivers provide oversight and accountability for the safety of children in your program. The risks for children increase when required ratios are not maintained. Maintaining staff-to-child ratios ensures that child care providers can effectively supervise the entire group while engaging children in daily activities and routines. Conducting regular ratio audits and monitoring classrooms can assist you in your efforts with maintaining staff/child ratios. Based on your program meeting enhanced ratios, your ration in space 2 must be 1 staff to 9 children; however, you had a 1-year-old child enrolled in this space; therefore, changing the staff / child ratio to 1 staff to 6 children. You moved the child to a different classroom in order to come into compliance with staff/child ratios during the visit. A follow-up visit will take place to ensure compliance is maintained with the staff/child ratio requirement. NO-COST CDA COURSEWORK: Webinar: No-cost CDA Coursework for NC Early Education Professionals: DCDEE recently announced the opportunity for early care and learning teaching assistants and new teachers to get access to Child Development Associate® (CDA) coursework at NO COST. To learn more, plan to attend this webinar to hear from the DCDEE, Teaching Strategies and T.E.AC.H. Mark Your Calendar: Oct 3, 2023 1:00 PM Eastern Time Please click the link below to join the webinar: https://teachingstrategies.zoom.us/j/96753731387?pwd=VE5aQ1g0bnR6aUZYTGNBbzdWbTJxdz09 Webinar ID: 967 5373 1387 Passcode: 268674 GETTING HELP WITH CHALLENGING BEHAVIORS: Assistance can be requested for help with handling challenging behaviors. The Healthy Social Behaviors in Child Care Centers Project (HSB) provides ideas to create a learning environment that can assist in preventing challenging behaviors. They provide free technical assistance, professional development, and they offer a variety of additional resources. For additional information on the Healthy Social Behaviors Project or to view a current listing of scheduled trainings, browse the NC Child Care Resource & Referral Council website. For information about Pyramid Model CEU-level trainings, contact the HSB Education Specialist, Liz Tuttle at etuttle@childcareresourcesinc.org. To obtain a Request for TA Services, contact your local Behavior Specialist or email the Statewide Project Manager, Smokie Brawley, at sbrawley@childcareresourcesinc.org. You and staff can also contact the challenging behavior helpline at 1-888- 600-1685 option 2. You can speak to a Behavior Support Advisor or submit questions about specific behaviors in your program. You will also be able to post questions in the “Talk to the Expert” group in the online network. SUMMER HEAT SAFETY: Since 1998, more than 900 children have died from vehicular heatstroke - an average of 38 per year - and 53% of incidents involve a parent or caregiver forgetting the child was in the vehicle. Parents and caregivers can act immediately to end these preventable deaths. Additional information regarding summer heat safety is provided on the link below. Please share information with staff. https://www.nsc.org/road/safety-topics/child-passenger-safety/kids-in-hot-cars TECHNICAL ASSITANCE: For additional technical assistance, you may contact Stephanie Sullivan or Taylor Bowen at: Partnership for Children of Lenoir & Greene Counties ssullivan@lgpfc.org tbowen@lgpfc.org. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. You can also complete training modules located in MOODLE platform. 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