10A NCAC 09 .0601 · Violation

Name of Operation: TINY HANDS CHILD CARE OF DOBSON Facility ID: 86000411 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 11/13/2025 Number Present: 48 Completed Date: 11/13/2025 Age: From 0 To 12 Total Minutes: 210 Time In: 09:30 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted with Kimberly Johnson, Administrator. Your program currently operates with Three Star license issued. Restrictions include 1st Shift and meet enhanced space. The license was observed, and the restrictions were found in compliance. The Secretary of State website was reviewed on 11/7/25 and Tiny Hands Child Care, LLC is listed as current and active. The program’s compliance history was 84% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children having free choice center play, outdoor gross motor, and infant were having individual needs met. I observed materials and activities that were available to the children in the classrooms. Your facility uses Creative Curriculum. The last annual compliance visit was conducted on 12/4/24. A sanitation inspection was completed on 7/14/25 with a Superior classification and twelve (12) demerits. The last fire inspection was conducted on 5/14/25 and a copy of the inspection was received on the visit today. Program records and required postings were monitored. A fire drill was conducted on 10/30/25 at 9:30 am with sixty (60) seconds to evacuate twenty-one (21) children and seven (7) adults by K. Johnson, Director. An emergency lockdown drill was documented on 9/22/25 at 1:45 pm with 60 seconds to lockdown. An outdoor inspection was documented on 10/2/25 at 10:00 am. No new staff was reported today. One (1) staff file and five (5) children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Hazardous items were stored in locked closets. No medications were observed nor reported. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. There was a broken plastic piece on the climber back right side at the fence, the gate opening at the latch is 4.5 in. vs. 3.5 in., the fence at the back left is bent and has rust and is cracked with sharp edges, the metal at the steps to the large equipment is cracked and is rusty, in the infant room there is a wooden abacus with a red broken piece that is sharp to the touch, there is an adult chair in the infant room that is cracked and in poor repair. 10A NCAC 09 .0601(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Thursday, November 27, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to: karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action being taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action being taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: • Fence at the bottom left of the playground is rusty and cracked open where it has been bent. See childcare rule 10A NCAC 09 .0601(a) for all items below which is safe indoor and outdoor environment. • The gate at the entrance to the playground latches but is 4.5 inches apart from pole to pole at the latch vs. 3.5 inches. • There is broken plastic on the climbing structure at the back right side of the playground near the fence. • The metal steps going up the large play equipment structure have rust and are sharp to the touch. They need to be re-coated to prevent a scrap or injury to the children. • A wooden beaded abacus in the infant room has a red, broken sharp edge that could harm the infants/toddlers. • An adult chair in the infant room is cracked causing a pinching hazard and not in good repair. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Be sure that you have completed adding all your staff into the ABCMS portal. • The QRIS is being implemented. Go to DCDEE website and clink on “What’s New?” then click on QRIS Modernization to learn more about QRIS. You may click on each link to learn more about each pathway. • You confirmed with me today that your email address is: • Go to the DCDEE homepage and sign up for Raise NC Newsletter to get the most recent updates. • Between now and March of 2026, you will decide which Pathway is best for you and develop a timeline for applying. Today you stated that you would like to schedule a separate time to discuss the QRIS Pathways. • The Application for Assessment for a Rated License is now live on DCDEE’s website under Provider Documenters. You are welcome to view this form and see all the required forms for each pathway. You can access the applications below for a Center. Once the application opens, you can click on the specific forms under each pathway to see the forms you will be using for the new QRIS process. Application For Assessment for a Rated License for Centers: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/A/Application%20For%20Assessment%20for%20a%20Rated%20License%20Centers.pdf?ver=kKj2NnHArX8fTosQvlCHpw%3d%3d • You do not need to submit this application to me currently unless you plan to apply for a rated license immediately. I wanted you to have access to the application so that you can view the various forms that will be applicable to each pathway. • Today we discussed that toys and materials are to out for children’s use and accessible to the children. • Your EPR plan was reviewed with staff and no updates were needed, however, your first page of the EPR plan was dated 12/19/23. Please print the first page of the EPR plan annually and put in your notebook showing you have gone into the portal to review the plan. • Organization of staff files can be improved. There should be a separate file folder or separate location for storing the medical information on the staff. • Today we discussed that each year a new child’s application form will be sent home for parents to complete and send back. This ensures the application is updated annually. • On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at 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 .0601 · Violation

Name of Operation: TINY HANDS CHILD CARE OF DOBSON Facility ID: 86000411 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 11/13/2025 Number Present: 48 Completed Date: 11/13/2025 Age: From 0 To 12 Total Minutes: 210 Time In: 09:30 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted with Kimberly Johnson, Administrator. Your program currently operates with Three Star license issued. Restrictions include 1st Shift and meet enhanced space. The license was observed, and the restrictions were found in compliance. The Secretary of State website was reviewed on 11/7/25 and Tiny Hands Child Care, LLC is listed as current and active. The program’s compliance history was 84% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children having free choice center play, outdoor gross motor, and infant were having individual needs met. I observed materials and activities that were available to the children in the classrooms. Your facility uses Creative Curriculum. The last annual compliance visit was conducted on 12/4/24. A sanitation inspection was completed on 7/14/25 with a Superior classification and twelve (12) demerits. The last fire inspection was conducted on 5/14/25 and a copy of the inspection was received on the visit today. Program records and required postings were monitored. A fire drill was conducted on 10/30/25 at 9:30 am with sixty (60) seconds to evacuate twenty-one (21) children and seven (7) adults by K. Johnson, Director. An emergency lockdown drill was documented on 9/22/25 at 1:45 pm with 60 seconds to lockdown. An outdoor inspection was documented on 10/2/25 at 10:00 am. No new staff was reported today. One (1) staff file and five (5) children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Hazardous items were stored in locked closets. No medications were observed nor reported. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. There was a broken plastic piece on the climber back right side at the fence, the gate opening at the latch is 4.5 in. vs. 3.5 in., the fence at the back left is bent and has rust and is cracked with sharp edges, the metal at the steps to the large equipment is cracked and is rusty, in the infant room there is a wooden abacus with a red broken piece that is sharp to the touch, there is an adult chair in the infant room that is cracked and in poor repair. 10A NCAC 09 .0601(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Thursday, November 27, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to: karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action being taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action being taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: • Fence at the bottom left of the playground is rusty and cracked open where it has been bent. See childcare rule 10A NCAC 09 .0601(a) for all items below which is safe indoor and outdoor environment. • The gate at the entrance to the playground latches but is 4.5 inches apart from pole to pole at the latch vs. 3.5 inches. • There is broken plastic on the climbing structure at the back right side of the playground near the fence. • The metal steps going up the large play equipment structure have rust and are sharp to the touch. They need to be re-coated to prevent a scrap or injury to the children. • A wooden beaded abacus in the infant room has a red, broken sharp edge that could harm the infants/toddlers. • An adult chair in the infant room is cracked causing a pinching hazard and not in good repair. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Be sure that you have completed adding all your staff into the ABCMS portal. • The QRIS is being implemented. Go to DCDEE website and clink on “What’s New?” then click on QRIS Modernization to learn more about QRIS. You may click on each link to learn more about each pathway. • You confirmed with me today that your email address is: • Go to the DCDEE homepage and sign up for Raise NC Newsletter to get the most recent updates. • Between now and March of 2026, you will decide which Pathway is best for you and develop a timeline for applying. Today you stated that you would like to schedule a separate time to discuss the QRIS Pathways. • The Application for Assessment for a Rated License is now live on DCDEE’s website under Provider Documenters. You are welcome to view this form and see all the required forms for each pathway. You can access the applications below for a Center. Once the application opens, you can click on the specific forms under each pathway to see the forms you will be using for the new QRIS process. Application For Assessment for a Rated License for Centers: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/A/Application%20For%20Assessment%20for%20a%20Rated%20License%20Centers.pdf?ver=kKj2NnHArX8fTosQvlCHpw%3d%3d • You do not need to submit this application to me currently unless you plan to apply for a rated license immediately. I wanted you to have access to the application so that you can view the various forms that will be applicable to each pathway. • Today we discussed that toys and materials are to out for children’s use and accessible to the children. • Your EPR plan was reviewed with staff and no updates were needed, however, your first page of the EPR plan was dated 12/19/23. Please print the first page of the EPR plan annually and put in your notebook showing you have gone into the portal to review the plan. • Organization of staff files can be improved. There should be a separate file folder or separate location for storing the medical information on the staff. • Today we discussed that each year a new child’s application form will be sent home for parents to complete and send back. This ensures the application is updated annually. • On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at 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

NC GS 110-90 · Violation

Name of Operation: TINY HANDS CHILD CARE OF DOBSON Facility ID: 86000411 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 11/13/2025 Number Present: 48 Completed Date: 11/13/2025 Age: From 0 To 12 Total Minutes: 210 Time In: 09:30 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted with Kimberly Johnson, Administrator. Your program currently operates with Three Star license issued. Restrictions include 1st Shift and meet enhanced space. The license was observed, and the restrictions were found in compliance. The Secretary of State website was reviewed on 11/7/25 and Tiny Hands Child Care, LLC is listed as current and active. The program’s compliance history was 84% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children having free choice center play, outdoor gross motor, and infant were having individual needs met. I observed materials and activities that were available to the children in the classrooms. Your facility uses Creative Curriculum. The last annual compliance visit was conducted on 12/4/24. A sanitation inspection was completed on 7/14/25 with a Superior classification and twelve (12) demerits. The last fire inspection was conducted on 5/14/25 and a copy of the inspection was received on the visit today. Program records and required postings were monitored. A fire drill was conducted on 10/30/25 at 9:30 am with sixty (60) seconds to evacuate twenty-one (21) children and seven (7) adults by K. Johnson, Director. An emergency lockdown drill was documented on 9/22/25 at 1:45 pm with 60 seconds to lockdown. An outdoor inspection was documented on 10/2/25 at 10:00 am. No new staff was reported today. One (1) staff file and five (5) children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Hazardous items were stored in locked closets. No medications were observed nor reported. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. There was a broken plastic piece on the climber back right side at the fence, the gate opening at the latch is 4.5 in. vs. 3.5 in., the fence at the back left is bent and has rust and is cracked with sharp edges, the metal at the steps to the large equipment is cracked and is rusty, in the infant room there is a wooden abacus with a red broken piece that is sharp to the touch, there is an adult chair in the infant room that is cracked and in poor repair. 10A NCAC 09 .0601(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Thursday, November 27, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to: karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action being taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action being taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: • Fence at the bottom left of the playground is rusty and cracked open where it has been bent. See childcare rule 10A NCAC 09 .0601(a) for all items below which is safe indoor and outdoor environment. • The gate at the entrance to the playground latches but is 4.5 inches apart from pole to pole at the latch vs. 3.5 inches. • There is broken plastic on the climbing structure at the back right side of the playground near the fence. • The metal steps going up the large play equipment structure have rust and are sharp to the touch. They need to be re-coated to prevent a scrap or injury to the children. • A wooden beaded abacus in the infant room has a red, broken sharp edge that could harm the infants/toddlers. • An adult chair in the infant room is cracked causing a pinching hazard and not in good repair. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Be sure that you have completed adding all your staff into the ABCMS portal. • The QRIS is being implemented. Go to DCDEE website and clink on “What’s New?” then click on QRIS Modernization to learn more about QRIS. You may click on each link to learn more about each pathway. • You confirmed with me today that your email address is: • Go to the DCDEE homepage and sign up for Raise NC Newsletter to get the most recent updates. • Between now and March of 2026, you will decide which Pathway is best for you and develop a timeline for applying. Today you stated that you would like to schedule a separate time to discuss the QRIS Pathways. • The Application for Assessment for a Rated License is now live on DCDEE’s website under Provider Documenters. You are welcome to view this form and see all the required forms for each pathway. You can access the applications below for a Center. Once the application opens, you can click on the specific forms under each pathway to see the forms you will be using for the new QRIS process. Application For Assessment for a Rated License for Centers: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/A/Application%20For%20Assessment%20for%20a%20Rated%20License%20Centers.pdf?ver=kKj2NnHArX8fTosQvlCHpw%3d%3d • You do not need to submit this application to me currently unless you plan to apply for a rated license immediately. I wanted you to have access to the application so that you can view the various forms that will be applicable to each pathway. • Today we discussed that toys and materials are to out for children’s use and accessible to the children. • Your EPR plan was reviewed with staff and no updates were needed, however, your first page of the EPR plan was dated 12/19/23. Please print the first page of the EPR plan annually and put in your notebook showing you have gone into the portal to review the plan. • Organization of staff files can be improved. There should be a separate file folder or separate location for storing the medical information on the staff. • Today we discussed that each year a new child’s application form will be sent home for parents to complete and send back. This ensures the application is updated annually. • On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at 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

10A NCAC 09 .0601 · Violation

Name of Operation: TINY HANDS CHILD CARE OF DOBSON Facility ID: 86000411 Consultant: TURKESSHA CASTERLOW Operation Type: Center Case Number: Visit Date: 12/4/2024 Number Present: 26 Completed Date: 12/4/2024 Age: From 0 To 4 Total Minutes: 178 Time In: 09:47 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Turkessha Casterlow and Sally Allen, Childcare Consultants with Kimberly Johnson, Administrator Your program currently operates with a Three Star license issued. Restrictions include 1st Shift and meets enhanced space. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 11/27/2024, and Tiny Hands Child Care Center, LLC was listed as current and active. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children in free play, outside play, lunch, and participating in teacher directed activities. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on 12/13/2023. A sanitation inspection was completed on 10/29/2024, with a Superior classification. The last fire inspection was conducted on 7/3/2024. Program records and required postings were monitored. A fire drill was conducted on 11/27/2024. A lockdown drill was documented on 9/11/2024. An outdoor inspection was documented on 11/25/2024 Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Hazardous items were stored in locked cabinets. No medications were observed nor reported. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. In Space 1 blocks were not made available to the infants. .0510 (e ) (1)(A-G) 542 The written feeding plan was not modified as the child's needs changed. In Space 1 three children did not have updated feeding schedules to reflect that table food is offered. 10 NCAC 09 .0902(a) 721 All equipment and furnishings were not in good repair. There were three cracked plastic flower decorations on the fence. There was rust on the play excavator and the tic tac toe equipment. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. There are leaves on the back of the playground measuring six inches deep in the outdoor area. On the play area for children under 2 years of age by the piece of stationary equipment there are small rocks that present a choking hazard. The sand surfacing was less than the required 12 inches. It measured between five to six inches in high traffic areas. 10A NCAC 09 .0601(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 2 there were Matchbox cars available to children two years of age. .0604(q) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Four children's emergency and medical information was not updated annually. .0802(c) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before December 18, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to turkessha.casterlow@dhhs.nc.gov. If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • Blocks are missing in Space 3. All seven areas must be available for the children during the day. To ensure this happens enough toys should be available for use each day. Teachers should sanitize mouthed toys daily. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Activity plans should focus on the learning domains. Teacher directed activities are to be planned daily. Free choice should be available and reflected in your schedule. • 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. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Turkessha Casterlow, Child Care Consultant ( 336)-268-0089 turkessha.casterlow@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at 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: TINY HANDS CHILD CARE OF DOBSON Facility ID: 86000411 Consultant: TURKESSHA CASTERLOW Operation Type: Center Case Number: Visit Date: 12/4/2024 Number Present: 26 Completed Date: 12/4/2024 Age: From 0 To 4 Total Minutes: 178 Time In: 09:47 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Turkessha Casterlow and Sally Allen, Childcare Consultants with Kimberly Johnson, Administrator Your program currently operates with a Three Star license issued. Restrictions include 1st Shift and meets enhanced space. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 11/27/2024, and Tiny Hands Child Care Center, LLC was listed as current and active. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children in free play, outside play, lunch, and participating in teacher directed activities. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on 12/13/2023. A sanitation inspection was completed on 10/29/2024, with a Superior classification. The last fire inspection was conducted on 7/3/2024. Program records and required postings were monitored. A fire drill was conducted on 11/27/2024. A lockdown drill was documented on 9/11/2024. An outdoor inspection was documented on 11/25/2024 Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Hazardous items were stored in locked cabinets. No medications were observed nor reported. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. In Space 1 blocks were not made available to the infants. .0510 (e ) (1)(A-G) 542 The written feeding plan was not modified as the child's needs changed. In Space 1 three children did not have updated feeding schedules to reflect that table food is offered. 10 NCAC 09 .0902(a) 721 All equipment and furnishings were not in good repair. There were three cracked plastic flower decorations on the fence. There was rust on the play excavator and the tic tac toe equipment. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. There are leaves on the back of the playground measuring six inches deep in the outdoor area. On the play area for children under 2 years of age by the piece of stationary equipment there are small rocks that present a choking hazard. The sand surfacing was less than the required 12 inches. It measured between five to six inches in high traffic areas. 10A NCAC 09 .0601(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 2 there were Matchbox cars available to children two years of age. .0604(q) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Four children's emergency and medical information was not updated annually. .0802(c) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before December 18, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to turkessha.casterlow@dhhs.nc.gov. If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • Blocks are missing in Space 3. All seven areas must be available for the children during the day. To ensure this happens enough toys should be available for use each day. Teachers should sanitize mouthed toys daily. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Activity plans should focus on the learning domains. Teacher directed activities are to be planned daily. Free choice should be available and reflected in your schedule. • 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. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Turkessha Casterlow, Child Care Consultant ( 336)-268-0089 turkessha.casterlow@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at 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

NC GS 110-90 · Violation

Name of Operation: TINY HANDS CHILD CARE OF DOBSON Facility ID: 86000411 Consultant: TURKESSHA CASTERLOW Operation Type: Center Case Number: Visit Date: 12/4/2024 Number Present: 26 Completed Date: 12/4/2024 Age: From 0 To 4 Total Minutes: 178 Time In: 09:47 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Turkessha Casterlow and Sally Allen, Childcare Consultants with Kimberly Johnson, Administrator Your program currently operates with a Three Star license issued. Restrictions include 1st Shift and meets enhanced space. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 11/27/2024, and Tiny Hands Child Care Center, LLC was listed as current and active. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children in free play, outside play, lunch, and participating in teacher directed activities. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on 12/13/2023. A sanitation inspection was completed on 10/29/2024, with a Superior classification. The last fire inspection was conducted on 7/3/2024. Program records and required postings were monitored. A fire drill was conducted on 11/27/2024. A lockdown drill was documented on 9/11/2024. An outdoor inspection was documented on 11/25/2024 Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Hazardous items were stored in locked cabinets. No medications were observed nor reported. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. In Space 1 blocks were not made available to the infants. .0510 (e ) (1)(A-G) 542 The written feeding plan was not modified as the child's needs changed. In Space 1 three children did not have updated feeding schedules to reflect that table food is offered. 10 NCAC 09 .0902(a) 721 All equipment and furnishings were not in good repair. There were three cracked plastic flower decorations on the fence. There was rust on the play excavator and the tic tac toe equipment. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. There are leaves on the back of the playground measuring six inches deep in the outdoor area. On the play area for children under 2 years of age by the piece of stationary equipment there are small rocks that present a choking hazard. The sand surfacing was less than the required 12 inches. It measured between five to six inches in high traffic areas. 10A NCAC 09 .0601(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 2 there were Matchbox cars available to children two years of age. .0604(q) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Four children's emergency and medical information was not updated annually. .0802(c) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before December 18, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to turkessha.casterlow@dhhs.nc.gov. If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • Blocks are missing in Space 3. All seven areas must be available for the children during the day. To ensure this happens enough toys should be available for use each day. Teachers should sanitize mouthed toys daily. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Activity plans should focus on the learning domains. Teacher directed activities are to be planned daily. Free choice should be available and reflected in your schedule. • 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. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Turkessha Casterlow, Child Care Consultant ( 336)-268-0089 turkessha.casterlow@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at 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

NC GS 110-90 · Violation

Name of Operation: TINY HANDS CHILD CARE OF DOBSON Facility ID: 86000411 Consultant: AUDREY DAVIS Operation Type: Center Case Number: Visit Date: 7/17/2024 Number Present: 36 Completed Date: 7/17/2024 Age: From 0 To 12 Total Minutes: 199 Time In: 11:11 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. Kimberly Johnson, director assisted me with the visit. Your program currently operates with a three-star license effective December 21, 2020. Restrictions include first shift child care and enhanced space. The NC Secretary of State website was reviewed on 6/21/23 and Tiny Hands Child Care Center, LLC. was listed as current and active. The program’s compliance history was 96% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children having indoor play, lunch, and rest. Lunch included hot dog on bun, baked beans, apple sauce, and milk. No new staff were reported at this program. Limited monitoring of continuing staff files was conducted for the purpose of reviewing Criminal Background Checks and training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, and Special Training including Health and Safety Training. No medications were observed nor reported. Storage of hazardous items was monitored today and are stored in a locked cabinet in the kitchen which is also locked. A fire drill was recorded 6/14/24 and a shelter in place emergency drill for the facility was documented on 6/12/24. The monthly playground inspection form was last completed on…. The most recent fire inspection was conducted 10/13/22 and a copy provided to Ms. McKeown during the annual compliance visit on December 20, 2022. I observed a sanitation inspection was last conducted 6/33/24 earning a Superior classification. The program does not provide any transportation. The following violations were observed today and documented as follows: Violation Number Comment Rule 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. CH, employed 11/27/23 does not have documention of current First Aid training on file. .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. CH, employed 11/27/23 does not have documention of current CPR training on file. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. AB received 8 of the 10 required hours of on-going training. .1103(a) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A.B. took the maltreatment training on 6/13/19 and did not renew it by 6/13/19. C.H. was employed 11/27/23 and had not takken the recognizing maltreatment training. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. A.B. employed 4/3/23 has not completed the health and safety administration of medication training. .1102(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before July 31, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • accurate, detailed description of how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not yet been made, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Please email your letter to Audrey.Davis@dhhs.nc.gov Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit Consultation - • Please send me your updated staff and training worksheet by November 13, 2024 in preparation for your December annual compliance visit. Make sure each staff member’s file is well organized and includes proof of NC Credential (if applicable) in their file. Each staff should have a completed health and safety training log and an on-going training log with training certificates attached. At the completion of the visit, this visit summary was reviewed with you and emailed to you at kjohnson90481@yahoo.com If you have any questions about the visit, please contact me or my supervisor using the information below. Audrey Davis, Child Care Consultant (336)317-6514 Audrey.Davis@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at 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.

GS 110-91 · Violation

Name of Operation: TINY HANDS CHILD CARE OF DOBSON Facility ID: 86000411 Consultant: AUDREY DAVIS Operation Type: Center Case Number: Visit Date: 12/13/2023 Number Present: 30 Completed Date: 12/13/2023 Age: From 0 To 4 Total Minutes: 170 Time In: 10:00 AM Time Out: 12:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Audrey Davis, childcare consultant with Kimberly Johnson, center director. Your program currently operates with a three-star license. Restrictions include daytime care only; and meets enhanced space. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed today and Tiny Hands Child Care, LLC was listed as current and active. The program’s compliance history was 81% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. The last annual compliance visit was conducted on 12/20/22. A sanitation inspection was completed 12/11/23 with a Superior classification. The last fire inspection was conducted 10/4/23. You provided me with a copy of the fire inspection report prior to today’s visit. Program records and required postings were monitored. A fire drill was conducted on 11/20/23 and a lockdown emergency drill was documented on 9/7/23. An outdoor inspection was last documented on 11/22/23. Staff files and children’s records were monitored per DCDEE procedures and were well organized. Storage of hazardous items was monitored today and are maintained in a locked kitchen cabinet and in a locked closet in the bathroom used by preschool and school age children. No medication was observed or reported. You do not transport children for any reason. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. The teacher for infants reported it has been about two weeks since infants had the opportunity to be outdoors during time spent in child care. GS 110-91(2);.0508(c) 487 For children under three years of age, materials were not made available to children on a daily basis. Dolls and blocks were not in the classroom for infants. They were later located and placed in the classroom. .0510(e)(2) 1821 The EPR Plan did not include the date of the last revision of the plan. The EPR plan was last revised 11/8/17 and not annually as required. .0607(d)(8) Child Care programs are expected to be in compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five (75) percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 12/27/23. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation item number(s) •an accurate and detailed description of how and when you corrected each violation. Please email your letter to Audrey.Davis@dhhs.nc.gov If you state in your letter that corrections or changes have been made when they have not yet been made, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter by the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: Activities for children under two: staff stated that toys are rotated in the infant room to give children more variety. Be sure to not remove whole groups of toys at the same time such as all the blocks or all the dolls in a classroom. Outdoors daily: On days when it is too cold to be outside during the scheduled play time, children should still have the opportunity to go out for a short walk if weather conditions permit. Update EPR plan: I suggested calling the Smart Start Partnership to ask if Joan or anyone can assist you with your EPR template to update. Be sure to reach back out to me if you cannot get assistance. Other topics of discussion: WORKS status letter – please have each staff update their WORKS account and print their status letter to place on file. We also recommend new staff provide you with a copy of their status letter to have on file. At the completion of today’s visit, this visit summary was reviewed with Kimberly Johnson from my computer screen and emailed to you. If you have any questions about this visit, please contact me or my supervisor using the information below. Audrey Davis, Child Care Consultant P.O. Box 17273 Winston-Salem, NC 27116 (336)317-6514 Audrey.Davis@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ Thank you for your time and assistance. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: TINY HANDS CHILD CARE OF DOBSON Facility ID: 86000411 Consultant: AUDREY DAVIS Operation Type: Center Case Number: Visit Date: 12/13/2023 Number Present: 30 Completed Date: 12/13/2023 Age: From 0 To 4 Total Minutes: 170 Time In: 10:00 AM Time Out: 12:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Audrey Davis, childcare consultant with Kimberly Johnson, center director. Your program currently operates with a three-star license. Restrictions include daytime care only; and meets enhanced space. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed today and Tiny Hands Child Care, LLC was listed as current and active. The program’s compliance history was 81% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. The last annual compliance visit was conducted on 12/20/22. A sanitation inspection was completed 12/11/23 with a Superior classification. The last fire inspection was conducted 10/4/23. You provided me with a copy of the fire inspection report prior to today’s visit. Program records and required postings were monitored. A fire drill was conducted on 11/20/23 and a lockdown emergency drill was documented on 9/7/23. An outdoor inspection was last documented on 11/22/23. Staff files and children’s records were monitored per DCDEE procedures and were well organized. Storage of hazardous items was monitored today and are maintained in a locked kitchen cabinet and in a locked closet in the bathroom used by preschool and school age children. No medication was observed or reported. You do not transport children for any reason. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. The teacher for infants reported it has been about two weeks since infants had the opportunity to be outdoors during time spent in child care. GS 110-91(2);.0508(c) 487 For children under three years of age, materials were not made available to children on a daily basis. Dolls and blocks were not in the classroom for infants. They were later located and placed in the classroom. .0510(e)(2) 1821 The EPR Plan did not include the date of the last revision of the plan. The EPR plan was last revised 11/8/17 and not annually as required. .0607(d)(8) Child Care programs are expected to be in compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five (75) percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 12/27/23. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation item number(s) •an accurate and detailed description of how and when you corrected each violation. Please email your letter to Audrey.Davis@dhhs.nc.gov If you state in your letter that corrections or changes have been made when they have not yet been made, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter by the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: Activities for children under two: staff stated that toys are rotated in the infant room to give children more variety. Be sure to not remove whole groups of toys at the same time such as all the blocks or all the dolls in a classroom. Outdoors daily: On days when it is too cold to be outside during the scheduled play time, children should still have the opportunity to go out for a short walk if weather conditions permit. Update EPR plan: I suggested calling the Smart Start Partnership to ask if Joan or anyone can assist you with your EPR template to update. Be sure to reach back out to me if you cannot get assistance. Other topics of discussion: WORKS status letter – please have each staff update their WORKS account and print their status letter to place on file. We also recommend new staff provide you with a copy of their status letter to have on file. At the completion of today’s visit, this visit summary was reviewed with Kimberly Johnson from my computer screen and emailed to you. If you have any questions about this visit, please contact me or my supervisor using the information below. Audrey Davis, Child Care Consultant P.O. Box 17273 Winston-Salem, NC 27116 (336)317-6514 Audrey.Davis@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ Thank you for your time and assistance. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times