Care Bear Home Day Care

NC GS 110-90 · Violation

Name of Operation: CARE BEAR HOME DAY CARE Facility ID: 32000179 Consultant: KIA REID Operation Type: Family CC Home Case Number: Visit Date: 4/15/2026 Number Present: 2 Completed Date: 4/15/2026 Age: From 1 To 5 Total Minutes: 90 Time In: 09:30 AM Time Out: 10:30 AM Time In: 12:00 PM Time Out: 12:30 PM List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance during your routine unannounced visit. You, Deloris Guy, Owner/Provider, assisted with the visit. Your program operates with a three-star license re-issued on February 24, 2023, earning three (3) points in Staff Education, three (3) points in Program Standards and one (1) Quality Point. There are no infants enrolled at this time. The provider’s daughter was present during the visit. The license was posted, and the restrictions were in compliance. A walk-through of the fcch was completed today, monitoring all areas used by the children indoors and outdoors. Two preschool children were observed in free play activities. *The last annual compliance visit was conducted on October 1, 2025. *The last outdoor inspection was completed on March 6, 2026. *The last fire drill and shelter-in-place drill were both completed on March 11, 2026. Two violations were observed today and must be corrected immediately. The violations are as follows: Violation Number Comment Rule 305 Home was not equipped with either an electrically operated smoke detector with a battery back-up; or both an electrically operated detector and a battery operated detector located next to each other. The electrically operated smoke detector was not operating during the visit. NCAC 513.1; .1707(3) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. A plastic bag storing clothes was in a child's cubby accessible to the child under the age of three. .1719(a)(18) COMPLIANCE HISTORY You 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. The program’s compliance history was 92% prior to today's visit. The violations documented must be corrected immediately. On or before April 29, 2026. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how the violations were corrected. Email the letter to: Kia.Reid@dhhs.nc.gov and include the following information. -Name, position -Facility name -Facility ID number -Your signature OPERATOR RECORDS Your file was monitored for criminal background qualifying letters, current CPR/First Aid, and other specialized training. On your next annual compliance visit, on-going training hours will be monitored. TECHNICAL ASSISTANCE -Plastic bags must be kept out of reach of children under three years of age. The child care space should be checked before the arrival of children to ensure all items are age appropriate for the children in care. Potentially hazardous items shall be stored in locked areas or with other appropriate safeguards or be removed from the premises. -The fcch has one electrically operated with battery back-up and one battery-operated smoke detector. The detectors must not only be present, but both must be operable for fire safety and the protection of children in care. CONSULTATION AUTOMATED BACKGROUND CHECK MANAGEMENT SYSTEM North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows providers to: •See the real-time background check status of staff members or household members. •Run a printable report of the roster to assist with compliance visits. •See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle and submit the signed Powerform available at the conclusion of the training. REMINDERS The following requirements will come due in the near future; please make arrangements to complete the items before the deadline. *The qualification letters for R. Guy and C. Brooks will expire on 6/28/21. Remember your paperwork for the 5-year recheck can be submitted six months prior to the expiration of the qualification letter. You should start the process now to avoid a lapse in qualification. *The on-going training requirements will be monitored on the next annual compliance visit. *Update your EPR Plan (rmp.nc.gov/portal/) and Professional Development Plan before your next visit. *Please check the Division of Child Development and Early Education website: ncchildcare.ncdhhs.gov frequently and click the “what’s new” tab to stay informed of all updates available to you. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at (919) 819-9378, Kia.Reid@dhhs.nc.gov or Holli Hemby, Supervisor, 919-819-9363, Holli.Hemby@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1721 · Violation

Name of Operation: CARE BEAR HOME DAY CARE Facility ID: 32000179 Consultant: KIA REID Operation Type: Family CC Home Case Number: Visit Date: 10/1/2025 Number Present: 2 Completed Date: 10/1/2025 Age: From 4 To 4 Total Minutes: 120 Time In: 09:45 AM Time Out: 11:30 AM Time In: 02:15 PM Time Out: 02:30 PM List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance during your annual compliance visit. The provider, Deloris Guy, was present and assisted me during the visit today. The visit summary was reviewed with Ms. Guy, and a copy was given to her at the conclusion of the visit. Upon arrival, I was greeted by Ms. Guy. I completed a general walk through of the indoor and outdoor environments. The two (2) preschool children present were observed down for nap initially then engaged in an activity with shapes and reading books. CURRENT LICENSE STATUS Currently this fcch operates with a three-star license re-issued on February 24, 2023, earning three (3) points in Staff Education, three (3) points in Program Standards and one (1) Quality Point. INSPECTIONS *The last annual compliance visit was conducted on October 23, 2024. *The last documented fire drill and shelter-in-place droll were both conducted on September 29, 2025. *The last documented outdoor inspection was completed on September 16, 2025. The provider informed me of the following: -Medication is not administered at this time. -There have not been any accident/incident reports written. -There are no children with allergies. -Transportation is not provided. All required items were posted in a prominent place in the home. During this visit, a full assessment of Child Care Requirements was conducted. A checklist was used to note the requirements monitored today. The following violations were observed, documented and technical assistance regarding maintaining compliance was offered. Violation Number Comment Rule 306 At least one 5 lb 2-A:10-B:C type fire extinguisher was not readily accessible for every 2500 square feet of floor space in the home. The gauge on the fire extinguisher was in the red zone to the left indicating it needs to be refilled. 10A NCAC 09. 1707(4) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. Attendance records were not maintained daily for the following months: April, May, July, August, and September. .1721(e)(6) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. This information was not on file for one child currently enrolled. GS 110-102 1718 The written plan of care was not given and explained to parents of children in care on or before the first day the child attended the home. Parents did not sign a statement acknowledging the receipt and explanation of the plan. Parents did not give written permission for their child to be transported by the operator for specific routine tasks that are included on the written schedule. This was not on file for one child currently enrolled. .1712(e )(6) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The EPR Plan was not updated or available for review. .1714(e ) 1894 Application did not include names and contact information of individuals to whom the operator may release the child as authorized by the person who signs the application. One child's application did not include an individual other than the guardian for release in case of an emergency. .1721(a)(3)(F) 2027 The professional development plan was not maintained in the personnel file. The professional development plan was not completed. .1703(i)(5) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. This was not on file for one child currently enrolled. .1719(a)(11) 2041 Application did not include the names and the phone numbers of the child's physician and the persons to be contacted in an emergency situation. One child's application did not include the physician information. 10A NCAC 09 .1721(a)(3)(G)(H) In order to comply with the NC Laws and Rules any violations cited today must be corrected IMMEDIATELY. A compliance letter must be sent to me by October 15, 2025. IF THE LETTER IS NOT RECEIVED BY THE DATE LISTED A RETURN VISIT WILL BE MADE TO THE FCCH. The letter must address each violation and explain how it has been corrected. Please send this to Kia.Reid@dhhs.nc.gov and include the following: -Facility name -Facility ID number -Each Item number COMPLIANCE HISTORY Prior to today's visit, the Compliance History Score for the family child care home was 93%. According to NC General Statute 110-90 (4) (d) all facilities must maintain a compliance history of at least seventy-five percent (75%) for the past 18 months. ANNUAL COMPLIANCE RECORDS The provider’s file, children and program records were reviewed. The on-going training requirements were monitored from October 2024-2025 and was not in compliance. You have until 10/22/25 to send me verification that you have completed 4.5 on-going hours. If the trainings have not been received by the date given a violation of not completing on-going trainings for the year will be added to the visit. TECHNICAL ASSISTANCE *I suggested that the files include the children's and operator file checklists to ensure all items have been received for a complete file. When preparing for visits from your child care consultant it’s best practice to check ALL files, 3 months prior to your upcoming visit, as well as periodically during the year. The updated children’s, operator and program checklists were given to Ms. Guy. The forms can be found under the provider’s tab on the DCDEE website. We discussed Ms. Guy using a binder to keep all the operator paperwork. Using the binder would help keep all required records in one place without having to search in different locations trying to find paperwork. *The EPR Plan must be reviewed/updated annually. In case of an emergency, you need to have all the updated information in your ready-to-go kit, this includes children’s information. Please use this email address to update your EPR Plan. rmp.nc.gov/portal/ *Your professional development plan must be completed annually and should include goals to enhance your skills. The plan should establish clear, measurable, and achievable professional goals. Create a structured timeline with specific steps and a realistic timeframe for achieving these goals. QRIS REQUIREMENTS I encourage you to visit the DCDEE website in preparation for the new Pathways to the Stars. We are going away from a point-based system allowing you to have three different pathways to achieve stars. You will find the following resources in the QRIS section. -Pathways to the Stars Family Child Care Home Slide Deck -Pathways to the Stars Questions and Answers -Frequently asked questions As of February 1, 2025, the FCCERS-3 will be used for the assessment. Access www.ncrlap.org to participate in webinar sessions that will focus on the changes. CHILD CARE RULES Child Care Rules have been updated as of 7/1/25. Please visit the DCDEE website to review and download a copy. The following free trainings are available on the Moodle portal. -Child Development module -Summary of Rule Changes Effective July 1, 2025 (Pathways to the Stars Rule Rollout) WORKS SYSTEM You have existing Education information in the previous system, and your information must be merged into the WORKS portal. To set up the WORKS account go to the DCDEE website and click on the WORKS tab to set up your account using your NCID username and password. The DCDEE WORKS applicant portal enables an individual applicant to register and maintain their workforce information to support education requirements. CONSULTATION To get a free copy of the Safe sleep poster contact the NC Child Care Health and Safety Resource Center call 1-800-367-2229 or access https://healthychildcare.unc.edu/. REMINDERS The following requirements will come due in the near future; please make arrangements to complete the items before the deadline. *Your health questionnaire will expire on 3/24/26. *The qualification letter for R. Guy and C. Brooks will expire on 6/28/26. Remember your paperwork for the 5-year re-check can be submitted six months prior to the expiration of the qualification letter. *Please check the Division of Child Development and Early Education website: ncchildcare.ncdhhs.gov frequently and click the “what’s new” tab to stay informed of all updates available to you. If you have any questions or if I can be of any assistance, please feel free to contact me at (919) 819-9378 or by email at Kia.Reid@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-102 · Violation

Name of Operation: CARE BEAR HOME DAY CARE Facility ID: 32000179 Consultant: KIA REID Operation Type: Family CC Home Case Number: Visit Date: 10/1/2025 Number Present: 2 Completed Date: 10/1/2025 Age: From 4 To 4 Total Minutes: 120 Time In: 09:45 AM Time Out: 11:30 AM Time In: 02:15 PM Time Out: 02:30 PM List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance during your annual compliance visit. The provider, Deloris Guy, was present and assisted me during the visit today. The visit summary was reviewed with Ms. Guy, and a copy was given to her at the conclusion of the visit. Upon arrival, I was greeted by Ms. Guy. I completed a general walk through of the indoor and outdoor environments. The two (2) preschool children present were observed down for nap initially then engaged in an activity with shapes and reading books. CURRENT LICENSE STATUS Currently this fcch operates with a three-star license re-issued on February 24, 2023, earning three (3) points in Staff Education, three (3) points in Program Standards and one (1) Quality Point. INSPECTIONS *The last annual compliance visit was conducted on October 23, 2024. *The last documented fire drill and shelter-in-place droll were both conducted on September 29, 2025. *The last documented outdoor inspection was completed on September 16, 2025. The provider informed me of the following: -Medication is not administered at this time. -There have not been any accident/incident reports written. -There are no children with allergies. -Transportation is not provided. All required items were posted in a prominent place in the home. During this visit, a full assessment of Child Care Requirements was conducted. A checklist was used to note the requirements monitored today. The following violations were observed, documented and technical assistance regarding maintaining compliance was offered. Violation Number Comment Rule 306 At least one 5 lb 2-A:10-B:C type fire extinguisher was not readily accessible for every 2500 square feet of floor space in the home. The gauge on the fire extinguisher was in the red zone to the left indicating it needs to be refilled. 10A NCAC 09. 1707(4) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. Attendance records were not maintained daily for the following months: April, May, July, August, and September. .1721(e)(6) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. This information was not on file for one child currently enrolled. GS 110-102 1718 The written plan of care was not given and explained to parents of children in care on or before the first day the child attended the home. Parents did not sign a statement acknowledging the receipt and explanation of the plan. Parents did not give written permission for their child to be transported by the operator for specific routine tasks that are included on the written schedule. This was not on file for one child currently enrolled. .1712(e )(6) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The EPR Plan was not updated or available for review. .1714(e ) 1894 Application did not include names and contact information of individuals to whom the operator may release the child as authorized by the person who signs the application. One child's application did not include an individual other than the guardian for release in case of an emergency. .1721(a)(3)(F) 2027 The professional development plan was not maintained in the personnel file. The professional development plan was not completed. .1703(i)(5) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. This was not on file for one child currently enrolled. .1719(a)(11) 2041 Application did not include the names and the phone numbers of the child's physician and the persons to be contacted in an emergency situation. One child's application did not include the physician information. 10A NCAC 09 .1721(a)(3)(G)(H) In order to comply with the NC Laws and Rules any violations cited today must be corrected IMMEDIATELY. A compliance letter must be sent to me by October 15, 2025. IF THE LETTER IS NOT RECEIVED BY THE DATE LISTED A RETURN VISIT WILL BE MADE TO THE FCCH. The letter must address each violation and explain how it has been corrected. Please send this to Kia.Reid@dhhs.nc.gov and include the following: -Facility name -Facility ID number -Each Item number COMPLIANCE HISTORY Prior to today's visit, the Compliance History Score for the family child care home was 93%. According to NC General Statute 110-90 (4) (d) all facilities must maintain a compliance history of at least seventy-five percent (75%) for the past 18 months. ANNUAL COMPLIANCE RECORDS The provider’s file, children and program records were reviewed. The on-going training requirements were monitored from October 2024-2025 and was not in compliance. You have until 10/22/25 to send me verification that you have completed 4.5 on-going hours. If the trainings have not been received by the date given a violation of not completing on-going trainings for the year will be added to the visit. TECHNICAL ASSISTANCE *I suggested that the files include the children's and operator file checklists to ensure all items have been received for a complete file. When preparing for visits from your child care consultant it’s best practice to check ALL files, 3 months prior to your upcoming visit, as well as periodically during the year. The updated children’s, operator and program checklists were given to Ms. Guy. The forms can be found under the provider’s tab on the DCDEE website. We discussed Ms. Guy using a binder to keep all the operator paperwork. Using the binder would help keep all required records in one place without having to search in different locations trying to find paperwork. *The EPR Plan must be reviewed/updated annually. In case of an emergency, you need to have all the updated information in your ready-to-go kit, this includes children’s information. Please use this email address to update your EPR Plan. rmp.nc.gov/portal/ *Your professional development plan must be completed annually and should include goals to enhance your skills. The plan should establish clear, measurable, and achievable professional goals. Create a structured timeline with specific steps and a realistic timeframe for achieving these goals. QRIS REQUIREMENTS I encourage you to visit the DCDEE website in preparation for the new Pathways to the Stars. We are going away from a point-based system allowing you to have three different pathways to achieve stars. You will find the following resources in the QRIS section. -Pathways to the Stars Family Child Care Home Slide Deck -Pathways to the Stars Questions and Answers -Frequently asked questions As of February 1, 2025, the FCCERS-3 will be used for the assessment. Access www.ncrlap.org to participate in webinar sessions that will focus on the changes. CHILD CARE RULES Child Care Rules have been updated as of 7/1/25. Please visit the DCDEE website to review and download a copy. The following free trainings are available on the Moodle portal. -Child Development module -Summary of Rule Changes Effective July 1, 2025 (Pathways to the Stars Rule Rollout) WORKS SYSTEM You have existing Education information in the previous system, and your information must be merged into the WORKS portal. To set up the WORKS account go to the DCDEE website and click on the WORKS tab to set up your account using your NCID username and password. The DCDEE WORKS applicant portal enables an individual applicant to register and maintain their workforce information to support education requirements. CONSULTATION To get a free copy of the Safe sleep poster contact the NC Child Care Health and Safety Resource Center call 1-800-367-2229 or access https://healthychildcare.unc.edu/. REMINDERS The following requirements will come due in the near future; please make arrangements to complete the items before the deadline. *Your health questionnaire will expire on 3/24/26. *The qualification letter for R. Guy and C. Brooks will expire on 6/28/26. Remember your paperwork for the 5-year re-check can be submitted six months prior to the expiration of the qualification letter. *Please check the Division of Child Development and Early Education website: ncchildcare.ncdhhs.gov frequently and click the “what’s new” tab to stay informed of all updates available to you. If you have any questions or if I can be of any assistance, please feel free to contact me at (919) 819-9378 or by email at Kia.Reid@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09. 1707 · Violation

Name of Operation: CARE BEAR HOME DAY CARE Facility ID: 32000179 Consultant: KIA REID Operation Type: Family CC Home Case Number: Visit Date: 10/1/2025 Number Present: 2 Completed Date: 10/1/2025 Age: From 4 To 4 Total Minutes: 120 Time In: 09:45 AM Time Out: 11:30 AM Time In: 02:15 PM Time Out: 02:30 PM List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance during your annual compliance visit. The provider, Deloris Guy, was present and assisted me during the visit today. The visit summary was reviewed with Ms. Guy, and a copy was given to her at the conclusion of the visit. Upon arrival, I was greeted by Ms. Guy. I completed a general walk through of the indoor and outdoor environments. The two (2) preschool children present were observed down for nap initially then engaged in an activity with shapes and reading books. CURRENT LICENSE STATUS Currently this fcch operates with a three-star license re-issued on February 24, 2023, earning three (3) points in Staff Education, three (3) points in Program Standards and one (1) Quality Point. INSPECTIONS *The last annual compliance visit was conducted on October 23, 2024. *The last documented fire drill and shelter-in-place droll were both conducted on September 29, 2025. *The last documented outdoor inspection was completed on September 16, 2025. The provider informed me of the following: -Medication is not administered at this time. -There have not been any accident/incident reports written. -There are no children with allergies. -Transportation is not provided. All required items were posted in a prominent place in the home. During this visit, a full assessment of Child Care Requirements was conducted. A checklist was used to note the requirements monitored today. The following violations were observed, documented and technical assistance regarding maintaining compliance was offered. Violation Number Comment Rule 306 At least one 5 lb 2-A:10-B:C type fire extinguisher was not readily accessible for every 2500 square feet of floor space in the home. The gauge on the fire extinguisher was in the red zone to the left indicating it needs to be refilled. 10A NCAC 09. 1707(4) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. Attendance records were not maintained daily for the following months: April, May, July, August, and September. .1721(e)(6) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. This information was not on file for one child currently enrolled. GS 110-102 1718 The written plan of care was not given and explained to parents of children in care on or before the first day the child attended the home. Parents did not sign a statement acknowledging the receipt and explanation of the plan. Parents did not give written permission for their child to be transported by the operator for specific routine tasks that are included on the written schedule. This was not on file for one child currently enrolled. .1712(e )(6) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The EPR Plan was not updated or available for review. .1714(e ) 1894 Application did not include names and contact information of individuals to whom the operator may release the child as authorized by the person who signs the application. One child's application did not include an individual other than the guardian for release in case of an emergency. .1721(a)(3)(F) 2027 The professional development plan was not maintained in the personnel file. The professional development plan was not completed. .1703(i)(5) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. This was not on file for one child currently enrolled. .1719(a)(11) 2041 Application did not include the names and the phone numbers of the child's physician and the persons to be contacted in an emergency situation. One child's application did not include the physician information. 10A NCAC 09 .1721(a)(3)(G)(H) In order to comply with the NC Laws and Rules any violations cited today must be corrected IMMEDIATELY. A compliance letter must be sent to me by October 15, 2025. IF THE LETTER IS NOT RECEIVED BY THE DATE LISTED A RETURN VISIT WILL BE MADE TO THE FCCH. The letter must address each violation and explain how it has been corrected. Please send this to Kia.Reid@dhhs.nc.gov and include the following: -Facility name -Facility ID number -Each Item number COMPLIANCE HISTORY Prior to today's visit, the Compliance History Score for the family child care home was 93%. According to NC General Statute 110-90 (4) (d) all facilities must maintain a compliance history of at least seventy-five percent (75%) for the past 18 months. ANNUAL COMPLIANCE RECORDS The provider’s file, children and program records were reviewed. The on-going training requirements were monitored from October 2024-2025 and was not in compliance. You have until 10/22/25 to send me verification that you have completed 4.5 on-going hours. If the trainings have not been received by the date given a violation of not completing on-going trainings for the year will be added to the visit. TECHNICAL ASSISTANCE *I suggested that the files include the children's and operator file checklists to ensure all items have been received for a complete file. When preparing for visits from your child care consultant it’s best practice to check ALL files, 3 months prior to your upcoming visit, as well as periodically during the year. The updated children’s, operator and program checklists were given to Ms. Guy. The forms can be found under the provider’s tab on the DCDEE website. We discussed Ms. Guy using a binder to keep all the operator paperwork. Using the binder would help keep all required records in one place without having to search in different locations trying to find paperwork. *The EPR Plan must be reviewed/updated annually. In case of an emergency, you need to have all the updated information in your ready-to-go kit, this includes children’s information. Please use this email address to update your EPR Plan. rmp.nc.gov/portal/ *Your professional development plan must be completed annually and should include goals to enhance your skills. The plan should establish clear, measurable, and achievable professional goals. Create a structured timeline with specific steps and a realistic timeframe for achieving these goals. QRIS REQUIREMENTS I encourage you to visit the DCDEE website in preparation for the new Pathways to the Stars. We are going away from a point-based system allowing you to have three different pathways to achieve stars. You will find the following resources in the QRIS section. -Pathways to the Stars Family Child Care Home Slide Deck -Pathways to the Stars Questions and Answers -Frequently asked questions As of February 1, 2025, the FCCERS-3 will be used for the assessment. Access www.ncrlap.org to participate in webinar sessions that will focus on the changes. CHILD CARE RULES Child Care Rules have been updated as of 7/1/25. Please visit the DCDEE website to review and download a copy. The following free trainings are available on the Moodle portal. -Child Development module -Summary of Rule Changes Effective July 1, 2025 (Pathways to the Stars Rule Rollout) WORKS SYSTEM You have existing Education information in the previous system, and your information must be merged into the WORKS portal. To set up the WORKS account go to the DCDEE website and click on the WORKS tab to set up your account using your NCID username and password. The DCDEE WORKS applicant portal enables an individual applicant to register and maintain their workforce information to support education requirements. CONSULTATION To get a free copy of the Safe sleep poster contact the NC Child Care Health and Safety Resource Center call 1-800-367-2229 or access https://healthychildcare.unc.edu/. REMINDERS The following requirements will come due in the near future; please make arrangements to complete the items before the deadline. *Your health questionnaire will expire on 3/24/26. *The qualification letter for R. Guy and C. Brooks will expire on 6/28/26. Remember your paperwork for the 5-year re-check can be submitted six months prior to the expiration of the qualification letter. *Please check the Division of Child Development and Early Education website: ncchildcare.ncdhhs.gov frequently and click the “what’s new” tab to stay informed of all updates available to you. If you have any questions or if I can be of any assistance, please feel free to contact me at (919) 819-9378 or by email at Kia.Reid@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: CARE BEAR HOME DAY CARE Facility ID: 32000179 Consultant: KIA REID Operation Type: Family CC Home Case Number: Visit Date: 3/24/2025 Number Present: 2 Completed Date: 3/24/2025 Age: From 3 To 5 Total Minutes: 105 Time In: 10:15 AM Time Out: 11:30 AM Time In: 01:00 PM Time Out: 01:30 PM List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance during your routine unannounced visit. The provider, Deloris Guy, was present and assisted me during the visit today. The visit summary was reviewed with Ms. Guy, and a copy was given to her at the conclusion of the visit. Upon arrival, I was greeted by Ms. Guy. I completed a general walk through of the indoor and outdoor environments. There were two preschool children present. CURRENT LICENSE STATUS Currently this fcch operates with a three-star license re-issued on February 24, 2023, earning three (3) points in Staff Education, three (3) points in Program Standards and one (1) Quality Point. There are no infants enrolled at this time, and no children enrolled on 3rd shift. INSPECTIONS *The last annual compliance visit was conducted on October 23, 2024. *The last documented fire drill was conducted on March 14, 2025. *The last shelter-in-place drill was conducted on March 5, 2025. INDOOR ENVIRONMENT In the children’s space, there are a variety of materials for the children to explore throughout the day. The bathroom is located near the childcare space and is accessible to those that are potty trained. The children eat their meals in the kitchen. *The outdoor play area is in the backyard of the home and is fenced. One shed is on the property, and it is kept locked. The provider informed me of the following: -There have not been any accident/incident reports written. -There are no children with allergies. -Transportation is not provided. During this visit, a partial assessment of Child Care Requirements was conducted. The monitoring included Supervision, Capacity, CPR/FA, ITS-SIDS training, Criminal Background Checks, General Health, Administering of Medication, Storage of Hazardous Substances, Storage of Medication, General Safety, Discipline, Adequate/Approved Space, General Licensing Requirements, Program Records, License Posted, Fire Safety, and Sanitation. The following violations were observed, documented and technical assistance regarding maintaining compliance was offered. Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. There was can of lysol spray on the kitchen table, a can of Gorilla Adhesive spray and bleach on top of the refrigerator, bottles of swiffer solution and swiffer wipes on top of a shelf in the kitchen. All of the hazardous products were not in locked storage. .1719 (a)(7) 714 Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division. The outdoor inspections were not available for review. 10A NCAC .1721(e)(5)(A-F) 908 Health questionnaire was not completed annually. The last documented health questionnaire was completed on 1/4/24. .1703(a)(1) 1831 A valid qualification letter was not on file and available for review at the facility. A qualification letter was not on file for one household member. G.S. 110-90.2 (b) & (d) & .2703(e) .1702(b)(1) In order to comply with the NC Laws and Rules any violations cited today must be corrected IMMEDIATELY. A compliance letter must be sent to me by April 7, 2025. IF THE LETTER IS NOT RECEIVED BY THE DATE LISTED A RETURN VISIT WILL BE MADE TO THE FCCH. The letter must address each violation and explain how it has been corrected. Please send this to Kia.Reid@dhhs.nc.gov and include the following: -Facility name -Facility ID number -Each Item number TECHNICAL ASSISTANCE -Products labeled keep out of reach of children with additional warnings must be kept in locked storage. Locked storage includes lock and key devices, magnetic locks, pad locks, and combination lock devices. Potentially hazardous items shall be stored in locked areas or with other appropriate safeguards or be removed from the premises. -One household member, R. Guy, did not have a copy of the qualification letter on file. The qualification letter expires on 6/28/26 as per the ABCMS portal. I explained that R. Guy has until 4/7/25 to send me a copy of the qualification letter. If I don’t receive the letter by the date listed the fcch will have to be put on inactive status or the HHM will have to reside at another location. -Ms. Guy could not locate certain forms. Some paperwork is kept in a file cabinet in the childcare space and some in her bedroom. I suggested that all required paperwork for me to review be kept in the file cabinet to ensure all information is in one place. CONSULTATION The posted activity plan wasn’t very detailed to include activity plans for inside and outside. I explained the activity plan must include activities intended to stimulate five developmental domains as referenced in NC Foundations for Early Learning and Development. The activity plan must reflect that children have at least four different activities daily; at least one which is outdoors. Music and rhythm, science and nature, sand and water play must be offered weekly. I discussed making sure the activity plans are updated at least monthly and be themed based. Examples were shared with Ms. Guy. REMINDERS The activity plan must reflect that children have at least four different activities daily. Other materials and opportunities must be offered weekly. [Child Care Rule .1718 (7), (8) and (10)]. The following requirements will come due in the near future; please make arrangements to complete the items before the deadline. *Your ITS-SIDS training will expire on 7/18/25. *The on-going training requirements will be monitored on the next annual compliance visit. *Update your EPR Plan (rmp.nc.gov/portal/) and Professional Development Plan before your next visit. *Please check the Division of Child Development and Early Education website: ncchildcare.ncdhhs.gov frequently and click the “what’s new” tab to stay informed of all updates available to you. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1721 · Violation

Name of Operation: CARE BEAR HOME DAY CARE Facility ID: 32000179 Consultant: KIA REID Operation Type: Family CC Home Case Number: Visit Date: 10/23/2024 Number Present: 3 Completed Date: 10/23/2024 Age: From 3 To 3 Total Minutes: 105 Time In: 09:45 AM Time Out: 11:15 AM Time In: 01:00 PM Time Out: 01:15 PM List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance during your annual compliance visit. The provider, Deloris Guy, was present and assisted me during the visit today. The visit summary was reviewed with Ms. Guy, and a copy was given to her at the conclusion of the visit. Upon arrival, I was greeted by the provider’s daughter who lives in the home. I completed a general walk through of the indoor and outdoor environments. The three preschool children present were observed down for nap initially then engaged in free play. CURRENT LICENSE STATUS Currently this fcch operates with a three-star license re-issued on February 24, 2023, earning three (3) points in Staff Education, three (3) points in Program Standards and one (1) Quality Point. There are no infants enrolled at this time. INSPECTIONS *The last annual compliance visit was conducted on November 6, 2023. *The last documented fire drill was conducted on October 2, 2024. *The last shelter-in-place drill was conducted on August 6, 2024. *The last documented outdoor inspection was completed on October 11, 2024. INDOOR ENVIRONMENT In the children’s space, there are a variety of materials for the children to explore throughout the day. The bathroom is located near the childcare space and is accessible to those that are potty trained. The children eat their meals in the kitchen. *The outdoor play area is in the backyard of the home and is fenced. One shed is on the property, and it is kept locked. The provider informed me of the following: -Medication is not administered at this time. -There have not been any accident/incident reports written. -There are no children with allergies. -Transportation is not provided. During this visit, a full assessment of Child Care Requirements was conducted. A checklist was used to note the requirements monitored today. The following violations were observed, documented and technical assistance regarding maintaining compliance was offered. Violation Number Comment Rule 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. Attendance was not documented on 10/22/24 for the children enrolled on 1st shift. Attendance was not documented during the month of October for the child enrolled on 2nd and 3rd shift. .1721(e)(6) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. This was not on file for two children currently enrolled. G.S.110-91(10); .1727(a)&(b) 1831 A valid qualification letter was not on file and available for review at the facility. Qualification letters for two household members were not on file. G.S. 110-90.2 (b) & (d) & .2703(e) .1702(b)(1) 2041 Application did not include the names and the phone numbers of the child's physician and the persons to be contacted in an emergency situation. One child currently enrolled did not have the physician information listed on the application. 10A NCAC 09 .1721(a)(3)(G)(H) In order to comply with the NC Laws and Rules any violations cited today must be corrected IMMEDIATELY. A compliance letter must be sent to me by November 6, 2024. IF THE LETTER IS NOT RECEIVED BY THE DATE LISTED A RETURN VISIT WILL BE MADE TO THE FCCH. The letter must address each violation and explain how it has been corrected. Please send this to Kia.Reid@dhhs.nc.gov and include the following: -Facility name -Facility ID number -Each Item number COMPLIANCE HISTORY Prior to today's visit, the Compliance History Score for the family child care home was 95%. According to NC General Statute 110-90 (4) (d) all facilities must maintain a compliance history of at least seventy-five percent (75%) for the past 18 months. ANNUAL COMPLIANCE RECORDS I monitored the provider's file, five children’s files, and required program records. The on-going training requirements were monitored from October 2023-2024 and was found to be in compliance. TECHNICAL ASSISTANCE -I encouraged Ms. Guy to use the children’s file checklist to ensure all paperwork is in the file. Best practice would be to check the files twice per year to make sure all forms are present. I left a copy of the children’s file checklist today. -I explained to Ms. Guy that although the household members are qualified and their letters aren't due to expire until 2026/2027 the child care rule requires the letters to be kept on file. You should keep the qualification letters with your paperwork. CONSULTATION -You must update your written plan of care to state that no routine tasks are completed. Once the change has been made you have 14 days to inform the parents and have them sign an updated written plan of care form. -I explained to Ms. Guy that the EPR Plan must be updated annually as per Child Care Rule .1714(d)(8). You can access the portal to update the plan by accessing this website rmp.nc.gov/portal/. -The professional development plan must be completed annually as per Child Care Rule .1703(i). CHILD CARE HEALTH CONSULTANT If you need information on health-related concerns, please reach out to our Child Care Health Consultant Ellie Morris. Her contact information is listed, morrise@email.unc.edu, (919) 809-9645. REMINDERS The following requirements will come due in the near future; please make arrangements to complete the items before the deadline. *You must complete a shelter-in-place or lockdown drill by 11/30/24. *Your health questionnaire will expire on 1/4/25. *Your CPR and First Aid training will expire on 1/23/25. *Please check the Division of Child Development and Early Education website: ncchildcare.ncdhhs.gov frequently and click the “what’s new” tab to stay informed of all updates available to you. If you have any questions or if I can be of any assistance, please feel free to contact me at (919) 819-9378 or by email at Kia.Reid@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: CARE BEAR HOME DAY CARE Facility ID: 32000179 Consultant: KIA REID Operation Type: Family CC Home Case Number: Visit Date: 10/23/2024 Number Present: 3 Completed Date: 10/23/2024 Age: From 3 To 3 Total Minutes: 105 Time In: 09:45 AM Time Out: 11:15 AM Time In: 01:00 PM Time Out: 01:15 PM List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance during your annual compliance visit. The provider, Deloris Guy, was present and assisted me during the visit today. The visit summary was reviewed with Ms. Guy, and a copy was given to her at the conclusion of the visit. Upon arrival, I was greeted by the provider’s daughter who lives in the home. I completed a general walk through of the indoor and outdoor environments. The three preschool children present were observed down for nap initially then engaged in free play. CURRENT LICENSE STATUS Currently this fcch operates with a three-star license re-issued on February 24, 2023, earning three (3) points in Staff Education, three (3) points in Program Standards and one (1) Quality Point. There are no infants enrolled at this time. INSPECTIONS *The last annual compliance visit was conducted on November 6, 2023. *The last documented fire drill was conducted on October 2, 2024. *The last shelter-in-place drill was conducted on August 6, 2024. *The last documented outdoor inspection was completed on October 11, 2024. INDOOR ENVIRONMENT In the children’s space, there are a variety of materials for the children to explore throughout the day. The bathroom is located near the childcare space and is accessible to those that are potty trained. The children eat their meals in the kitchen. *The outdoor play area is in the backyard of the home and is fenced. One shed is on the property, and it is kept locked. The provider informed me of the following: -Medication is not administered at this time. -There have not been any accident/incident reports written. -There are no children with allergies. -Transportation is not provided. During this visit, a full assessment of Child Care Requirements was conducted. A checklist was used to note the requirements monitored today. The following violations were observed, documented and technical assistance regarding maintaining compliance was offered. Violation Number Comment Rule 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. Attendance was not documented on 10/22/24 for the children enrolled on 1st shift. Attendance was not documented during the month of October for the child enrolled on 2nd and 3rd shift. .1721(e)(6) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. This was not on file for two children currently enrolled. G.S.110-91(10); .1727(a)&(b) 1831 A valid qualification letter was not on file and available for review at the facility. Qualification letters for two household members were not on file. G.S. 110-90.2 (b) & (d) & .2703(e) .1702(b)(1) 2041 Application did not include the names and the phone numbers of the child's physician and the persons to be contacted in an emergency situation. One child currently enrolled did not have the physician information listed on the application. 10A NCAC 09 .1721(a)(3)(G)(H) In order to comply with the NC Laws and Rules any violations cited today must be corrected IMMEDIATELY. A compliance letter must be sent to me by November 6, 2024. IF THE LETTER IS NOT RECEIVED BY THE DATE LISTED A RETURN VISIT WILL BE MADE TO THE FCCH. The letter must address each violation and explain how it has been corrected. Please send this to Kia.Reid@dhhs.nc.gov and include the following: -Facility name -Facility ID number -Each Item number COMPLIANCE HISTORY Prior to today's visit, the Compliance History Score for the family child care home was 95%. According to NC General Statute 110-90 (4) (d) all facilities must maintain a compliance history of at least seventy-five percent (75%) for the past 18 months. ANNUAL COMPLIANCE RECORDS I monitored the provider's file, five children’s files, and required program records. The on-going training requirements were monitored from October 2023-2024 and was found to be in compliance. TECHNICAL ASSISTANCE -I encouraged Ms. Guy to use the children’s file checklist to ensure all paperwork is in the file. Best practice would be to check the files twice per year to make sure all forms are present. I left a copy of the children’s file checklist today. -I explained to Ms. Guy that although the household members are qualified and their letters aren't due to expire until 2026/2027 the child care rule requires the letters to be kept on file. You should keep the qualification letters with your paperwork. CONSULTATION -You must update your written plan of care to state that no routine tasks are completed. Once the change has been made you have 14 days to inform the parents and have them sign an updated written plan of care form. -I explained to Ms. Guy that the EPR Plan must be updated annually as per Child Care Rule .1714(d)(8). You can access the portal to update the plan by accessing this website rmp.nc.gov/portal/. -The professional development plan must be completed annually as per Child Care Rule .1703(i). CHILD CARE HEALTH CONSULTANT If you need information on health-related concerns, please reach out to our Child Care Health Consultant Ellie Morris. Her contact information is listed, morrise@email.unc.edu, (919) 809-9645. REMINDERS The following requirements will come due in the near future; please make arrangements to complete the items before the deadline. *You must complete a shelter-in-place or lockdown drill by 11/30/24. *Your health questionnaire will expire on 1/4/25. *Your CPR and First Aid training will expire on 1/23/25. *Please check the Division of Child Development and Early Education website: ncchildcare.ncdhhs.gov frequently and click the “what’s new” tab to stay informed of all updates available to you. If you have any questions or if I can be of any assistance, please feel free to contact me at (919) 819-9378 or by email at Kia.Reid@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S.110-91 · Violation

Name of Operation: CARE BEAR HOME DAY CARE Facility ID: 32000179 Consultant: KIA REID Operation Type: Family CC Home Case Number: Visit Date: 10/23/2024 Number Present: 3 Completed Date: 10/23/2024 Age: From 3 To 3 Total Minutes: 105 Time In: 09:45 AM Time Out: 11:15 AM Time In: 01:00 PM Time Out: 01:15 PM List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance during your annual compliance visit. The provider, Deloris Guy, was present and assisted me during the visit today. The visit summary was reviewed with Ms. Guy, and a copy was given to her at the conclusion of the visit. Upon arrival, I was greeted by the provider’s daughter who lives in the home. I completed a general walk through of the indoor and outdoor environments. The three preschool children present were observed down for nap initially then engaged in free play. CURRENT LICENSE STATUS Currently this fcch operates with a three-star license re-issued on February 24, 2023, earning three (3) points in Staff Education, three (3) points in Program Standards and one (1) Quality Point. There are no infants enrolled at this time. INSPECTIONS *The last annual compliance visit was conducted on November 6, 2023. *The last documented fire drill was conducted on October 2, 2024. *The last shelter-in-place drill was conducted on August 6, 2024. *The last documented outdoor inspection was completed on October 11, 2024. INDOOR ENVIRONMENT In the children’s space, there are a variety of materials for the children to explore throughout the day. The bathroom is located near the childcare space and is accessible to those that are potty trained. The children eat their meals in the kitchen. *The outdoor play area is in the backyard of the home and is fenced. One shed is on the property, and it is kept locked. The provider informed me of the following: -Medication is not administered at this time. -There have not been any accident/incident reports written. -There are no children with allergies. -Transportation is not provided. During this visit, a full assessment of Child Care Requirements was conducted. A checklist was used to note the requirements monitored today. The following violations were observed, documented and technical assistance regarding maintaining compliance was offered. Violation Number Comment Rule 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. Attendance was not documented on 10/22/24 for the children enrolled on 1st shift. Attendance was not documented during the month of October for the child enrolled on 2nd and 3rd shift. .1721(e)(6) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. This was not on file for two children currently enrolled. G.S.110-91(10); .1727(a)&(b) 1831 A valid qualification letter was not on file and available for review at the facility. Qualification letters for two household members were not on file. G.S. 110-90.2 (b) & (d) & .2703(e) .1702(b)(1) 2041 Application did not include the names and the phone numbers of the child's physician and the persons to be contacted in an emergency situation. One child currently enrolled did not have the physician information listed on the application. 10A NCAC 09 .1721(a)(3)(G)(H) In order to comply with the NC Laws and Rules any violations cited today must be corrected IMMEDIATELY. A compliance letter must be sent to me by November 6, 2024. IF THE LETTER IS NOT RECEIVED BY THE DATE LISTED A RETURN VISIT WILL BE MADE TO THE FCCH. The letter must address each violation and explain how it has been corrected. Please send this to Kia.Reid@dhhs.nc.gov and include the following: -Facility name -Facility ID number -Each Item number COMPLIANCE HISTORY Prior to today's visit, the Compliance History Score for the family child care home was 95%. According to NC General Statute 110-90 (4) (d) all facilities must maintain a compliance history of at least seventy-five percent (75%) for the past 18 months. ANNUAL COMPLIANCE RECORDS I monitored the provider's file, five children’s files, and required program records. The on-going training requirements were monitored from October 2023-2024 and was found to be in compliance. TECHNICAL ASSISTANCE -I encouraged Ms. Guy to use the children’s file checklist to ensure all paperwork is in the file. Best practice would be to check the files twice per year to make sure all forms are present. I left a copy of the children’s file checklist today. -I explained to Ms. Guy that although the household members are qualified and their letters aren't due to expire until 2026/2027 the child care rule requires the letters to be kept on file. You should keep the qualification letters with your paperwork. CONSULTATION -You must update your written plan of care to state that no routine tasks are completed. Once the change has been made you have 14 days to inform the parents and have them sign an updated written plan of care form. -I explained to Ms. Guy that the EPR Plan must be updated annually as per Child Care Rule .1714(d)(8). You can access the portal to update the plan by accessing this website rmp.nc.gov/portal/. -The professional development plan must be completed annually as per Child Care Rule .1703(i). CHILD CARE HEALTH CONSULTANT If you need information on health-related concerns, please reach out to our Child Care Health Consultant Ellie Morris. Her contact information is listed, morrise@email.unc.edu, (919) 809-9645. REMINDERS The following requirements will come due in the near future; please make arrangements to complete the items before the deadline. *You must complete a shelter-in-place or lockdown drill by 11/30/24. *Your health questionnaire will expire on 1/4/25. *Your CPR and First Aid training will expire on 1/23/25. *Please check the Division of Child Development and Early Education website: ncchildcare.ncdhhs.gov frequently and click the “what’s new” tab to stay informed of all updates available to you. If you have any questions or if I can be of any assistance, please feel free to contact me at (919) 819-9378 or by email at Kia.Reid@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1718 · Violation

Name of Operation: CARE BEAR HOME DAY CARE Facility ID: 32000179 Consultant: TONI FULLER Operation Type: Family CC Home Case Number: Visit Date: 5/23/2024 Number Present: 4 Completed Date: 5/23/2024 Age: From 3 To 4 Total Minutes: 105 Time In: 12:30 PM Time Out: 02:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced Upon arrival the operator greeted me. The purpose of today’s visit was to monitor applicable child care requirements during a Routine Unannounced visit. The last Annual Compliance visit was conducted on 11/6/23. This Family Child Care Home was issued a three-star license on 2/7/19. The license was re-issued on 2/24/23 to add third shift care. The compliance history for this facility for the previous 18-month time frame was 95%. During today’s visit the indoor child care space and the outdoor environment were monitored. I observed that fencing had been added around the patio area of the backyard play area. OBSERVATIONS: There were four preschool age children enrolled and present today. I observed the children playing in child care space. The operator’s adult resident grandson and one of the operator’s resident adult daughters were present during today’s visit. CHILDREN’S RECORDS: During today’s visit I reviewed the file for the child who enrolled after the 11/6/23 Annual Compliance visit. All the children were currently enrolled on first shift only. OPERATOR REQUIREMENTS: By reviewing the documentation from the 1/8/24 visit, I determined that the operator had current CPR, First Aid, and IT’S SIDS training, along with current Criminal Record Check clearance. I also verified that household members had current Criminal Record Check clearance. TRANSPORTATION: The operator stated that she was not offering transportation services. INSPECTIONS: The last documented fire drill was conducted on 5/2/24. The last documented lockdown drill was conducted on 5/2/24. The last documented outdoor inspection was completed on 5/12/24. The following violations were cited today: Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. The child, who began attending on 2/10/24, did not have a medical assessment on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. The child, who began attending on 2/10/24, did not have an immunization record on file. GS 110-91(1); .1721(a)(2) 1964 Activity plan did not reflect that children have at least four different activities daily, at least one of which is outdoors. The posted activity plans were the plans posted in November 2023 to correct the violation cited during the 11/6/23 visit. 10A NCAC 09 .1718(a)(8)(C)(i-v) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. The child, who began attending on 2/10/24, did not have a signed statement on file. .1719(a)(11) 2031 Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy. The child, who began attending on 2/10/24, did not have the signed policy on file. .1726(b)&(c) All violations must be corrected immediately. Please send me a signed Corrective Action letter by 6/6/24, stating how the violations cited today have been corrected. TECHNICAL ASSISTANCE WAS PROVIDED IN THE FOLLOWING AREAS: LIGHTING: During today’s visit I talked with the operator about the value of more inside lighting. ACTIVITY PLANS: During today’s visit Technical Assistance was provided on activity plans. In response to the violation cited during the 11/6/23 visit, the operator had posted an activity plan to be completed for one week. The posted activity plan was very detailed to include activity plans for inside and outside. I explained the activity plans needed to be changed and kept current, since the same activities were not completed every day of the year. Technical Assistance was provided by suggesting monthly plans that were theme based. Examples were discussed with the operator. RATED LICENSE: I stated that Rated License reassessments had resumed. I explained that Care Bear was in Cohort II for reassessment. The preparation year will be from 7/1/24 to 6/30/25. The assessment year will begin on 7/1/25. The operator was aware that the FCCERS-R would need to be conducted to maintain the three-star license. During today’s visit the option of a “prep year” assessment was explained. The operator stated that she was interested in having a “prep” year assessment after 7/1/24. AGENCY UPDATES: Child Care facilities are required to test their drinking and cooking water for lead every three years. For information you should contact Clean Water for Carolina Kids www.cleanwaterforcarolinakids.org. Also, child care facilities are now required to test for lead and asbestos hazards in their buildings. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch the pre-enrollment webinar, which are available at www.cleanwaterforUSkids.org/carolina. Additional information can be found in the Raise NC newsletter emailed to you on December 7, 2023. CONTACT INFORMATION: Please contact me if I can be of any assistance to you. I can be reached at toni.fuller@dhhs.nc.gov or (919) 819-9366. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.1721 · Violation

Name of Operation: CARE BEAR HOME DAY CARE Facility ID: 32000179 Consultant: TONI FULLER Operation Type: Family CC Home Case Number: Visit Date: 5/23/2024 Number Present: 4 Completed Date: 5/23/2024 Age: From 3 To 4 Total Minutes: 105 Time In: 12:30 PM Time Out: 02:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced Upon arrival the operator greeted me. The purpose of today’s visit was to monitor applicable child care requirements during a Routine Unannounced visit. The last Annual Compliance visit was conducted on 11/6/23. This Family Child Care Home was issued a three-star license on 2/7/19. The license was re-issued on 2/24/23 to add third shift care. The compliance history for this facility for the previous 18-month time frame was 95%. During today’s visit the indoor child care space and the outdoor environment were monitored. I observed that fencing had been added around the patio area of the backyard play area. OBSERVATIONS: There were four preschool age children enrolled and present today. I observed the children playing in child care space. The operator’s adult resident grandson and one of the operator’s resident adult daughters were present during today’s visit. CHILDREN’S RECORDS: During today’s visit I reviewed the file for the child who enrolled after the 11/6/23 Annual Compliance visit. All the children were currently enrolled on first shift only. OPERATOR REQUIREMENTS: By reviewing the documentation from the 1/8/24 visit, I determined that the operator had current CPR, First Aid, and IT’S SIDS training, along with current Criminal Record Check clearance. I also verified that household members had current Criminal Record Check clearance. TRANSPORTATION: The operator stated that she was not offering transportation services. INSPECTIONS: The last documented fire drill was conducted on 5/2/24. The last documented lockdown drill was conducted on 5/2/24. The last documented outdoor inspection was completed on 5/12/24. The following violations were cited today: Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. The child, who began attending on 2/10/24, did not have a medical assessment on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. The child, who began attending on 2/10/24, did not have an immunization record on file. GS 110-91(1); .1721(a)(2) 1964 Activity plan did not reflect that children have at least four different activities daily, at least one of which is outdoors. The posted activity plans were the plans posted in November 2023 to correct the violation cited during the 11/6/23 visit. 10A NCAC 09 .1718(a)(8)(C)(i-v) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. The child, who began attending on 2/10/24, did not have a signed statement on file. .1719(a)(11) 2031 Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy. The child, who began attending on 2/10/24, did not have the signed policy on file. .1726(b)&(c) All violations must be corrected immediately. Please send me a signed Corrective Action letter by 6/6/24, stating how the violations cited today have been corrected. TECHNICAL ASSISTANCE WAS PROVIDED IN THE FOLLOWING AREAS: LIGHTING: During today’s visit I talked with the operator about the value of more inside lighting. ACTIVITY PLANS: During today’s visit Technical Assistance was provided on activity plans. In response to the violation cited during the 11/6/23 visit, the operator had posted an activity plan to be completed for one week. The posted activity plan was very detailed to include activity plans for inside and outside. I explained the activity plans needed to be changed and kept current, since the same activities were not completed every day of the year. Technical Assistance was provided by suggesting monthly plans that were theme based. Examples were discussed with the operator. RATED LICENSE: I stated that Rated License reassessments had resumed. I explained that Care Bear was in Cohort II for reassessment. The preparation year will be from 7/1/24 to 6/30/25. The assessment year will begin on 7/1/25. The operator was aware that the FCCERS-R would need to be conducted to maintain the three-star license. During today’s visit the option of a “prep year” assessment was explained. The operator stated that she was interested in having a “prep” year assessment after 7/1/24. AGENCY UPDATES: Child Care facilities are required to test their drinking and cooking water for lead every three years. For information you should contact Clean Water for Carolina Kids www.cleanwaterforcarolinakids.org. Also, child care facilities are now required to test for lead and asbestos hazards in their buildings. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch the pre-enrollment webinar, which are available at www.cleanwaterforUSkids.org/carolina. Additional information can be found in the Raise NC newsletter emailed to you on December 7, 2023. CONTACT INFORMATION: Please contact me if I can be of any assistance to you. I can be reached at toni.fuller@dhhs.nc.gov or (919) 819-9366. 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: CARE BEAR HOME DAY CARE Facility ID: 32000179 Consultant: TONI FULLER Operation Type: Family CC Home Case Number: Visit Date: 5/23/2024 Number Present: 4 Completed Date: 5/23/2024 Age: From 3 To 4 Total Minutes: 105 Time In: 12:30 PM Time Out: 02:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced Upon arrival the operator greeted me. The purpose of today’s visit was to monitor applicable child care requirements during a Routine Unannounced visit. The last Annual Compliance visit was conducted on 11/6/23. This Family Child Care Home was issued a three-star license on 2/7/19. The license was re-issued on 2/24/23 to add third shift care. The compliance history for this facility for the previous 18-month time frame was 95%. During today’s visit the indoor child care space and the outdoor environment were monitored. I observed that fencing had been added around the patio area of the backyard play area. OBSERVATIONS: There were four preschool age children enrolled and present today. I observed the children playing in child care space. The operator’s adult resident grandson and one of the operator’s resident adult daughters were present during today’s visit. CHILDREN’S RECORDS: During today’s visit I reviewed the file for the child who enrolled after the 11/6/23 Annual Compliance visit. All the children were currently enrolled on first shift only. OPERATOR REQUIREMENTS: By reviewing the documentation from the 1/8/24 visit, I determined that the operator had current CPR, First Aid, and IT’S SIDS training, along with current Criminal Record Check clearance. I also verified that household members had current Criminal Record Check clearance. TRANSPORTATION: The operator stated that she was not offering transportation services. INSPECTIONS: The last documented fire drill was conducted on 5/2/24. The last documented lockdown drill was conducted on 5/2/24. The last documented outdoor inspection was completed on 5/12/24. The following violations were cited today: Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. The child, who began attending on 2/10/24, did not have a medical assessment on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. The child, who began attending on 2/10/24, did not have an immunization record on file. GS 110-91(1); .1721(a)(2) 1964 Activity plan did not reflect that children have at least four different activities daily, at least one of which is outdoors. The posted activity plans were the plans posted in November 2023 to correct the violation cited during the 11/6/23 visit. 10A NCAC 09 .1718(a)(8)(C)(i-v) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. The child, who began attending on 2/10/24, did not have a signed statement on file. .1719(a)(11) 2031 Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy. The child, who began attending on 2/10/24, did not have the signed policy on file. .1726(b)&(c) All violations must be corrected immediately. Please send me a signed Corrective Action letter by 6/6/24, stating how the violations cited today have been corrected. TECHNICAL ASSISTANCE WAS PROVIDED IN THE FOLLOWING AREAS: LIGHTING: During today’s visit I talked with the operator about the value of more inside lighting. ACTIVITY PLANS: During today’s visit Technical Assistance was provided on activity plans. In response to the violation cited during the 11/6/23 visit, the operator had posted an activity plan to be completed for one week. The posted activity plan was very detailed to include activity plans for inside and outside. I explained the activity plans needed to be changed and kept current, since the same activities were not completed every day of the year. Technical Assistance was provided by suggesting monthly plans that were theme based. Examples were discussed with the operator. RATED LICENSE: I stated that Rated License reassessments had resumed. I explained that Care Bear was in Cohort II for reassessment. The preparation year will be from 7/1/24 to 6/30/25. The assessment year will begin on 7/1/25. The operator was aware that the FCCERS-R would need to be conducted to maintain the three-star license. During today’s visit the option of a “prep year” assessment was explained. The operator stated that she was interested in having a “prep” year assessment after 7/1/24. AGENCY UPDATES: Child Care facilities are required to test their drinking and cooking water for lead every three years. For information you should contact Clean Water for Carolina Kids www.cleanwaterforcarolinakids.org. Also, child care facilities are now required to test for lead and asbestos hazards in their buildings. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch the pre-enrollment webinar, which are available at www.cleanwaterforUSkids.org/carolina. Additional information can be found in the Raise NC newsletter emailed to you on December 7, 2023. CONTACT INFORMATION: Please contact me if I can be of any assistance to you. I can be reached at toni.fuller@dhhs.nc.gov or (919) 819-9366. 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 .1718 · Violation

Name of Operation: CARE BEAR HOME DAY CARE Facility ID: 32000179 Consultant: TONI FULLER Operation Type: Family CC Home Case Number: Visit Date: 11/6/2023 Number Present: 4 Completed Date: 11/6/2023 Age: From 2 To 4 Total Minutes: 100 Time In: 11:40 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced Upon arrival the operator greeted me. The purpose of today’s unannounced visit was to monitor applicable childcare requirements during your Annual Compliance visit. The last Annual Compliance visit was conducted on 2/7/19. This Family Child Care Home was issued a three-star license on 10/11/19. The license was re-issued on 2/24/23 to add third shift care. COMPLIANCE HISTORY: The compliance history for the previous 18-month timeframe was 91%. During today’s visit the indoor child care space and the outdoor environment were monitored. The operator’s adult resident daughter and adult resident grandson were present during today’s visit. There were four preschool age children present. I observed the children having free play in child care space. I observed that the operator had added equipment and surfacing to the outdoor environment. The provider had completed the enrollment worksheet, operator’s verification form, and statements of responsibility. The information on the verification form was reviewed and discussed with the operator. CHILDREN’S REC0RDS: I reviewed the children’s records during today’s visit. TRANSPORTATION: The operator stated that she was not offering transportation services. SMOKE DETECTOR: The electrically-operator smoke detector with battery back-up was tested during the visit. IN-SERVICE TRAINING HOURS: Training hours were tallied today for training completed since last year’s Annual Compliance visit. It was determined that the operator needed to complete one additional hour of in-service training by 11/14/23. Technical assistance was provided by showing the grandson how to access training through Moodle on the DCDEE web site. The operator will send me a copy of the completed training certificate. INSPECTIONS: The last documented fire drill was conducted on 10/11/23. The last outdoor inspection was completed on 11/9/23. The last documented lockdown/shelter-in-place drill was conducted on 10/11/23. The following violations were cited today: Violation Number Comment Rule 1964 Activity plan did not reflect that children have at least four different activities daily, at least one of which is outdoors. The operator did not have any current activity plans to review. 10A NCAC 09 .1718(a)(8)(C)(i-v) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. Two children needed a signed "no smoking" statement on file. .1719(a)(11) All violations must be corrected immediately. Please send me a signed Corrective Action letter by 11/20/23, explaining how each violation has been corrected. TECHNICAL ASSISTANCE WAS PROVIDED TODAY IN THE FOLLOWING AREAS: THIRD SHIFT CARE: The operator keeps her bedroom locked during first shift to safeguard her medication from children. The bedroom was locked during today’s visit. The operator stated that when the third shift child was in care, the medication was locked in her personal bathroom. I reviewed the safety importance of following this procedure. RATED LICENSE: I stated that Rated License reassessments had resumed. I explained that Care Bear was in Cohort II for reassessment. The preparation year will be from 7/1/24 to 6/30/25. The assessment year will begin on 7/1/25. The operator was aware that the FCCERS-R would need to be conducted to maintain the three-star license. CONTACT INFORMATION: Please contact me if I can be of any assistance to you. I can be reached at toni.fuller@dhhs.nc.gov or (919) 819-9366. 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