Deb's Home Daycare

10A NCAC 09.1721 · Violation

Name of Operation: DEB'S HOME DAYCARE Facility ID: 32001685 Consultant: MANDY ANNUNZIATA Operation Type: Family CC Home Case Number: Visit Date: 4/21/2026 Number Present: 2 Completed Date: 4/21/2026 Age: From 0 To 1 Total Minutes: 135 Time In: 09:15 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor applicable child care requirements during your routine unannounced visit. Upon arrival, I was greeted by the provider, Deborah Royster, who assisted me during the visit. LICENSE STATUS The family child care home currently operates with a Three Star License issued on April 10, 2020. The program received two points for Program Standards, four points for Staff Education, and one Quality Point. INSPECTIONS/DRILLS STATUS -The last documented outdoor play area inspection was completed on 4/2/26. -The last documented fire drill was conducted on 3/20/26. -The last documented lockdown/shelter-in-place drill was conducted on 4/1/26. -The last annual compliance visit was conducted on 10/10/25. MONITORING I completed a walk-through of the home, visiting the caregiving space, bathroom, and outdoor play area. Two children were present, both eight months of age. The children were observed playing on the floor with the caregiver and sitting in swings and a exersaucer. A partial assessment of child care requirements was conducted. I monitored all applicable requirements, including but not limited to supervision, staff-child ratios, health and safety requirements, equipment and furnishings, and program records. Newly enrolled children’s records also were reviewed. No enrolled children have medications or medical care plans, so these requirements were not monitored. Children 12 months of age or younger are enrolled; therefore, safe sleep requirements were monitored and a violation was cited. INDOOR/OUTDOOR SPACE Children are cared for in a room between the living room and kitchen, and a variety of materials are available for play, including blocks, manipulatives, books, and dramatic play items. The bathroom and changing table are located down the hall from the caregiving space. The unfenced outdoor play area is located in the front of the house. There are a variety of toddler slides and climbers, playhouses, a basketball goals, balls, and other equipment for gross motor play. VIOLATIONS The following violations were observed and documented during today’s visit: 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. An unlocked bathroom cabinet within children's reach contained hydrogen peroxide, rubbing alcohol, and an aerosol product. .1719 (a)(7) 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. A child who enrolled on 9/22/25 did not have a medical report on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 919 Accurate records were not maintained for all staff and children. A child who began attending regularly in April 2026 did not have all required paperwork on file. G.S. 110-91(9) 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 which included arrival and departure times were not recorded consistently in March or April 2026. .1721(e)(6) 1821 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. Safe sleep records were not maintained consistently in March or April 2026. .1724(a)(8)&(f) In order to comply with the NC Laws and Rules, any violations documented today must be corrected immediately. I need to receive your compliance letter by May 5, 2026. The letter must address each violation and explain how it has been corrected. Please send this to mandy.annunziata@dhhs.nc.gov and include the following information: -Facility name -Facility ID number -Each item number COMPLIANCE HISTORY Prior to today’s visit, the provider’s compliance history score was 92%. According to NC General Statute 110-90(4)(d), all facilities must maintain a compliance history of at least 75% for the past 18 months. Failure to maintain compliance may result in an administrative action. The FCCH was not in compliance with all applicable minimum licensing requirements during today’s visit and violations were documented that could impact the provider’s overall compliance history score. An updated compliance history score will be generated after today’s visit, and you will be informed of the results during the next visit to your facility.) TECHNICAL ASSISTANCE -When caring for infants, it’s important to follow safe sleep practices because the consequences for failing to follow procedures can be life-threatening. One required component of safe sleep policy is visually checking infants and documenting these sleep checks on a sleep log, which must be retained for 30 days. Today, the logs revealed that the sleep checks have not been documented regularly. Be sure you document sleep checks every time infants nap. If they are not present, you can document the date and write “absent.” -Providers are required to keep daily attendance records for all children in their care, including drop-off and pick-up times. Accurate attendance records show that you remain in compliance with child care ratios as well as provide a list of children present in the event of an emergency. I recommend placing the attendance log next to the entrance door of each classroom for parents to sign children in and out each day. -It is important that children’s files contain emergency information as well as documentation that parents have received and reviewed all policies. A newly enrolled student’s file was incomplete today. It was missing a medical report, immunization record, infant feeding plan, signed safe sleep policy, signed discipline policy, emergency medical care authorization, and a signed no smoking policy. You said the child is your grandchild and she had attended sporadically between October and April 2026. You stated that she started attending daily in April 2026. To ensure you have all required forms, I recommend collecting them from the parent before you begin caring for the child. You can also use the children’s file checklist available on the DCDEE website under the “Provider” tab. -Record keeping is an important piece of a FCCH operation. Today, an infant who enrolled on 9/22/25 was missing a medical report that had been completed by a doctor, which is required within 30 days of enrollment. To ensure each child’s file is complete, you may reference the children’s file checklist available on the DCDEE website under the “Provider Documents and Forms” tab. Requiring all forms at the time of enrollment will help you stay in compliance. -Safety is a top priority when providing care for young children. Today I observed hazardous products and liquids (including rubbing alcohol, hydrogen peroxide, and an aerosol product) in an unlocked bathroom cabinet within reach of young children. I suggest conducting a walk-through of the children’s space prior to children’s arrival each morning, removing any potential hazards and placing them at least five feet high or in locked storage. CONSULTATION -We reviewed your progress preparing for your upcoming rated license assessment. If you have completed additional coursework since your last submission to WORKS, please submit your education transcripts to DCDEE WORKS as soon as possible to allow sufficient time for processing and plan to send your application to me within the next couple of weeks. The rated license application can be found on the DCDEE website under “Provider Documents and Forms,” and links to all required forms are on that document. A list of approved curricula and formative assessments can be found here: https://ncchildcare.ncdhhs.gov/Services/Licensing/Star-Rated-License/Curriculum. -Criminal Backgrounds Checks for all providers should be completed every five years. You are due to renew before 11/7/29. -The Clean Classrooms for Carolina Kids Program provides free facility-wide testing for lead in water and inspections for asbestos and lead-based paint hazards without any out-of-pocket costs. Providers are required to test for lead in drinking water per Child Care Rule .1725. -You can access and update your EPR plan by using your NCID to log into the North Carolina Risk Management Portal at https://rmp.nc.gov/portal/portal.aspx. Please review and update your EPR plan yearly. TRAINING REMINDERS -CPR and First Aid must be renewed every two years. Your certification expires 6/14/27. -ITS-SIDS training must be renewed every three years. Your training expires 1/11/27. -Health and Safety Training must be renewed every five years. You can find this training in Moodle on the DCDEE website. You are due to renew by 6/4/22. -You need to complete 10 hours of ongoing training before your next annual compliance visit. RATED LICENSE STATUS New QRIS rules are in effect, and the Division is transitioning programs to their new rated license in 2026. Resources, forms, and training will be provided to support you in preparing for new pathway options to earn your Two- through Five-Star Rated License. All the newest information will be posted at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization and will also be provided through emails and Raise NC newsletters. A transition plan has been created for your facility with a target month of September 2026 your rated license assessment. AGENCY UPDATES Please check the Division of Child Development and Early Education’s website frequently for any new policies or rules. Go to https://ncchildcare.ncdhhs.gov/, and click on the “What’s New” tab for all agency updates, including QRIS Modernization. CONTACT INFORMATION If you have questions or need further assistance, please contact me at (919) 971-6255 or mandy.annunziata@dhhs.nc.gov. My supervisor, Holli Hemby, can be reached at holli.hemby@dhhs.nc.gov or (919) 819-9363. 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: DEB'S HOME DAYCARE Facility ID: 32001685 Consultant: MANDY ANNUNZIATA Operation Type: Family CC Home Case Number: Visit Date: 4/21/2026 Number Present: 2 Completed Date: 4/21/2026 Age: From 0 To 1 Total Minutes: 135 Time In: 09:15 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor applicable child care requirements during your routine unannounced visit. Upon arrival, I was greeted by the provider, Deborah Royster, who assisted me during the visit. LICENSE STATUS The family child care home currently operates with a Three Star License issued on April 10, 2020. The program received two points for Program Standards, four points for Staff Education, and one Quality Point. INSPECTIONS/DRILLS STATUS -The last documented outdoor play area inspection was completed on 4/2/26. -The last documented fire drill was conducted on 3/20/26. -The last documented lockdown/shelter-in-place drill was conducted on 4/1/26. -The last annual compliance visit was conducted on 10/10/25. MONITORING I completed a walk-through of the home, visiting the caregiving space, bathroom, and outdoor play area. Two children were present, both eight months of age. The children were observed playing on the floor with the caregiver and sitting in swings and a exersaucer. A partial assessment of child care requirements was conducted. I monitored all applicable requirements, including but not limited to supervision, staff-child ratios, health and safety requirements, equipment and furnishings, and program records. Newly enrolled children’s records also were reviewed. No enrolled children have medications or medical care plans, so these requirements were not monitored. Children 12 months of age or younger are enrolled; therefore, safe sleep requirements were monitored and a violation was cited. INDOOR/OUTDOOR SPACE Children are cared for in a room between the living room and kitchen, and a variety of materials are available for play, including blocks, manipulatives, books, and dramatic play items. The bathroom and changing table are located down the hall from the caregiving space. The unfenced outdoor play area is located in the front of the house. There are a variety of toddler slides and climbers, playhouses, a basketball goals, balls, and other equipment for gross motor play. VIOLATIONS The following violations were observed and documented during today’s visit: 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. An unlocked bathroom cabinet within children's reach contained hydrogen peroxide, rubbing alcohol, and an aerosol product. .1719 (a)(7) 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. A child who enrolled on 9/22/25 did not have a medical report on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 919 Accurate records were not maintained for all staff and children. A child who began attending regularly in April 2026 did not have all required paperwork on file. G.S. 110-91(9) 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 which included arrival and departure times were not recorded consistently in March or April 2026. .1721(e)(6) 1821 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. Safe sleep records were not maintained consistently in March or April 2026. .1724(a)(8)&(f) In order to comply with the NC Laws and Rules, any violations documented today must be corrected immediately. I need to receive your compliance letter by May 5, 2026. The letter must address each violation and explain how it has been corrected. Please send this to mandy.annunziata@dhhs.nc.gov and include the following information: -Facility name -Facility ID number -Each item number COMPLIANCE HISTORY Prior to today’s visit, the provider’s compliance history score was 92%. According to NC General Statute 110-90(4)(d), all facilities must maintain a compliance history of at least 75% for the past 18 months. Failure to maintain compliance may result in an administrative action. The FCCH was not in compliance with all applicable minimum licensing requirements during today’s visit and violations were documented that could impact the provider’s overall compliance history score. An updated compliance history score will be generated after today’s visit, and you will be informed of the results during the next visit to your facility.) TECHNICAL ASSISTANCE -When caring for infants, it’s important to follow safe sleep practices because the consequences for failing to follow procedures can be life-threatening. One required component of safe sleep policy is visually checking infants and documenting these sleep checks on a sleep log, which must be retained for 30 days. Today, the logs revealed that the sleep checks have not been documented regularly. Be sure you document sleep checks every time infants nap. If they are not present, you can document the date and write “absent.” -Providers are required to keep daily attendance records for all children in their care, including drop-off and pick-up times. Accurate attendance records show that you remain in compliance with child care ratios as well as provide a list of children present in the event of an emergency. I recommend placing the attendance log next to the entrance door of each classroom for parents to sign children in and out each day. -It is important that children’s files contain emergency information as well as documentation that parents have received and reviewed all policies. A newly enrolled student’s file was incomplete today. It was missing a medical report, immunization record, infant feeding plan, signed safe sleep policy, signed discipline policy, emergency medical care authorization, and a signed no smoking policy. You said the child is your grandchild and she had attended sporadically between October and April 2026. You stated that she started attending daily in April 2026. To ensure you have all required forms, I recommend collecting them from the parent before you begin caring for the child. You can also use the children’s file checklist available on the DCDEE website under the “Provider” tab. -Record keeping is an important piece of a FCCH operation. Today, an infant who enrolled on 9/22/25 was missing a medical report that had been completed by a doctor, which is required within 30 days of enrollment. To ensure each child’s file is complete, you may reference the children’s file checklist available on the DCDEE website under the “Provider Documents and Forms” tab. Requiring all forms at the time of enrollment will help you stay in compliance. -Safety is a top priority when providing care for young children. Today I observed hazardous products and liquids (including rubbing alcohol, hydrogen peroxide, and an aerosol product) in an unlocked bathroom cabinet within reach of young children. I suggest conducting a walk-through of the children’s space prior to children’s arrival each morning, removing any potential hazards and placing them at least five feet high or in locked storage. CONSULTATION -We reviewed your progress preparing for your upcoming rated license assessment. If you have completed additional coursework since your last submission to WORKS, please submit your education transcripts to DCDEE WORKS as soon as possible to allow sufficient time for processing and plan to send your application to me within the next couple of weeks. The rated license application can be found on the DCDEE website under “Provider Documents and Forms,” and links to all required forms are on that document. A list of approved curricula and formative assessments can be found here: https://ncchildcare.ncdhhs.gov/Services/Licensing/Star-Rated-License/Curriculum. -Criminal Backgrounds Checks for all providers should be completed every five years. You are due to renew before 11/7/29. -The Clean Classrooms for Carolina Kids Program provides free facility-wide testing for lead in water and inspections for asbestos and lead-based paint hazards without any out-of-pocket costs. Providers are required to test for lead in drinking water per Child Care Rule .1725. -You can access and update your EPR plan by using your NCID to log into the North Carolina Risk Management Portal at https://rmp.nc.gov/portal/portal.aspx. Please review and update your EPR plan yearly. TRAINING REMINDERS -CPR and First Aid must be renewed every two years. Your certification expires 6/14/27. -ITS-SIDS training must be renewed every three years. Your training expires 1/11/27. -Health and Safety Training must be renewed every five years. You can find this training in Moodle on the DCDEE website. You are due to renew by 6/4/22. -You need to complete 10 hours of ongoing training before your next annual compliance visit. RATED LICENSE STATUS New QRIS rules are in effect, and the Division is transitioning programs to their new rated license in 2026. Resources, forms, and training will be provided to support you in preparing for new pathway options to earn your Two- through Five-Star Rated License. All the newest information will be posted at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization and will also be provided through emails and Raise NC newsletters. A transition plan has been created for your facility with a target month of September 2026 your rated license assessment. AGENCY UPDATES Please check the Division of Child Development and Early Education’s website frequently for any new policies or rules. Go to https://ncchildcare.ncdhhs.gov/, and click on the “What’s New” tab for all agency updates, including QRIS Modernization. CONTACT INFORMATION If you have questions or need further assistance, please contact me at (919) 971-6255 or mandy.annunziata@dhhs.nc.gov. My supervisor, Holli Hemby, can be reached at holli.hemby@dhhs.nc.gov or (919) 819-9363. 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: DEB'S HOME DAYCARE Facility ID: 32001685 Consultant: MANDY ANNUNZIATA Operation Type: Family CC Home Case Number: Visit Date: 4/21/2026 Number Present: 2 Completed Date: 4/21/2026 Age: From 0 To 1 Total Minutes: 135 Time In: 09:15 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor applicable child care requirements during your routine unannounced visit. Upon arrival, I was greeted by the provider, Deborah Royster, who assisted me during the visit. LICENSE STATUS The family child care home currently operates with a Three Star License issued on April 10, 2020. The program received two points for Program Standards, four points for Staff Education, and one Quality Point. INSPECTIONS/DRILLS STATUS -The last documented outdoor play area inspection was completed on 4/2/26. -The last documented fire drill was conducted on 3/20/26. -The last documented lockdown/shelter-in-place drill was conducted on 4/1/26. -The last annual compliance visit was conducted on 10/10/25. MONITORING I completed a walk-through of the home, visiting the caregiving space, bathroom, and outdoor play area. Two children were present, both eight months of age. The children were observed playing on the floor with the caregiver and sitting in swings and a exersaucer. A partial assessment of child care requirements was conducted. I monitored all applicable requirements, including but not limited to supervision, staff-child ratios, health and safety requirements, equipment and furnishings, and program records. Newly enrolled children’s records also were reviewed. No enrolled children have medications or medical care plans, so these requirements were not monitored. Children 12 months of age or younger are enrolled; therefore, safe sleep requirements were monitored and a violation was cited. INDOOR/OUTDOOR SPACE Children are cared for in a room between the living room and kitchen, and a variety of materials are available for play, including blocks, manipulatives, books, and dramatic play items. The bathroom and changing table are located down the hall from the caregiving space. The unfenced outdoor play area is located in the front of the house. There are a variety of toddler slides and climbers, playhouses, a basketball goals, balls, and other equipment for gross motor play. VIOLATIONS The following violations were observed and documented during today’s visit: 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. An unlocked bathroom cabinet within children's reach contained hydrogen peroxide, rubbing alcohol, and an aerosol product. .1719 (a)(7) 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. A child who enrolled on 9/22/25 did not have a medical report on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 919 Accurate records were not maintained for all staff and children. A child who began attending regularly in April 2026 did not have all required paperwork on file. G.S. 110-91(9) 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 which included arrival and departure times were not recorded consistently in March or April 2026. .1721(e)(6) 1821 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. Safe sleep records were not maintained consistently in March or April 2026. .1724(a)(8)&(f) In order to comply with the NC Laws and Rules, any violations documented today must be corrected immediately. I need to receive your compliance letter by May 5, 2026. The letter must address each violation and explain how it has been corrected. Please send this to mandy.annunziata@dhhs.nc.gov and include the following information: -Facility name -Facility ID number -Each item number COMPLIANCE HISTORY Prior to today’s visit, the provider’s compliance history score was 92%. According to NC General Statute 110-90(4)(d), all facilities must maintain a compliance history of at least 75% for the past 18 months. Failure to maintain compliance may result in an administrative action. The FCCH was not in compliance with all applicable minimum licensing requirements during today’s visit and violations were documented that could impact the provider’s overall compliance history score. An updated compliance history score will be generated after today’s visit, and you will be informed of the results during the next visit to your facility.) TECHNICAL ASSISTANCE -When caring for infants, it’s important to follow safe sleep practices because the consequences for failing to follow procedures can be life-threatening. One required component of safe sleep policy is visually checking infants and documenting these sleep checks on a sleep log, which must be retained for 30 days. Today, the logs revealed that the sleep checks have not been documented regularly. Be sure you document sleep checks every time infants nap. If they are not present, you can document the date and write “absent.” -Providers are required to keep daily attendance records for all children in their care, including drop-off and pick-up times. Accurate attendance records show that you remain in compliance with child care ratios as well as provide a list of children present in the event of an emergency. I recommend placing the attendance log next to the entrance door of each classroom for parents to sign children in and out each day. -It is important that children’s files contain emergency information as well as documentation that parents have received and reviewed all policies. A newly enrolled student’s file was incomplete today. It was missing a medical report, immunization record, infant feeding plan, signed safe sleep policy, signed discipline policy, emergency medical care authorization, and a signed no smoking policy. You said the child is your grandchild and she had attended sporadically between October and April 2026. You stated that she started attending daily in April 2026. To ensure you have all required forms, I recommend collecting them from the parent before you begin caring for the child. You can also use the children’s file checklist available on the DCDEE website under the “Provider” tab. -Record keeping is an important piece of a FCCH operation. Today, an infant who enrolled on 9/22/25 was missing a medical report that had been completed by a doctor, which is required within 30 days of enrollment. To ensure each child’s file is complete, you may reference the children’s file checklist available on the DCDEE website under the “Provider Documents and Forms” tab. Requiring all forms at the time of enrollment will help you stay in compliance. -Safety is a top priority when providing care for young children. Today I observed hazardous products and liquids (including rubbing alcohol, hydrogen peroxide, and an aerosol product) in an unlocked bathroom cabinet within reach of young children. I suggest conducting a walk-through of the children’s space prior to children’s arrival each morning, removing any potential hazards and placing them at least five feet high or in locked storage. CONSULTATION -We reviewed your progress preparing for your upcoming rated license assessment. If you have completed additional coursework since your last submission to WORKS, please submit your education transcripts to DCDEE WORKS as soon as possible to allow sufficient time for processing and plan to send your application to me within the next couple of weeks. The rated license application can be found on the DCDEE website under “Provider Documents and Forms,” and links to all required forms are on that document. A list of approved curricula and formative assessments can be found here: https://ncchildcare.ncdhhs.gov/Services/Licensing/Star-Rated-License/Curriculum. -Criminal Backgrounds Checks for all providers should be completed every five years. You are due to renew before 11/7/29. -The Clean Classrooms for Carolina Kids Program provides free facility-wide testing for lead in water and inspections for asbestos and lead-based paint hazards without any out-of-pocket costs. Providers are required to test for lead in drinking water per Child Care Rule .1725. -You can access and update your EPR plan by using your NCID to log into the North Carolina Risk Management Portal at https://rmp.nc.gov/portal/portal.aspx. Please review and update your EPR plan yearly. TRAINING REMINDERS -CPR and First Aid must be renewed every two years. Your certification expires 6/14/27. -ITS-SIDS training must be renewed every three years. Your training expires 1/11/27. -Health and Safety Training must be renewed every five years. You can find this training in Moodle on the DCDEE website. You are due to renew by 6/4/22. -You need to complete 10 hours of ongoing training before your next annual compliance visit. RATED LICENSE STATUS New QRIS rules are in effect, and the Division is transitioning programs to their new rated license in 2026. Resources, forms, and training will be provided to support you in preparing for new pathway options to earn your Two- through Five-Star Rated License. All the newest information will be posted at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization and will also be provided through emails and Raise NC newsletters. A transition plan has been created for your facility with a target month of September 2026 your rated license assessment. AGENCY UPDATES Please check the Division of Child Development and Early Education’s website frequently for any new policies or rules. Go to https://ncchildcare.ncdhhs.gov/, and click on the “What’s New” tab for all agency updates, including QRIS Modernization. CONTACT INFORMATION If you have questions or need further assistance, please contact me at (919) 971-6255 or mandy.annunziata@dhhs.nc.gov. My supervisor, Holli Hemby, can be reached at holli.hemby@dhhs.nc.gov or (919) 819-9363. 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 .1705 · Violation

Name of Operation: DEB'S HOME DAYCARE Facility ID: 32001685 Consultant: MANDY ANNUNZIATA Operation Type: Family CC Home Case Number: Visit Date: 10/10/2025 Number Present: 2 Completed Date: 10/10/2025 Age: From 0 To 1 Total Minutes: 130 Time In: 09:45 AM Time Out: 11:55 AM Time In: Time Out: 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 applicable child care requirements during your annual compliance visit. Upon arrival, I was greeted by the provider, Deborah Royster, who assisted me during today’s visit. LICENSE STATUS The family child care home currently operates with a Three Star license issued on April 10, 2020. The program received four points for Staff Education, two points for Program Standards, and one Quality Point. INSPECTIONS/DRILLS STATUS -The last annual compliance visit was conducted on 10/29/24. -The last documented monthly outdoor play area inspection was completed on 10/2/25. -The last documented monthly fire drill was conducted on 10/2/25. -The last documented quarterly lockdown/shelter-in-place drill was conducted on 9/8/25. MONITORING I completed a walk-through of the home, including the children’s space, kitchen, bathroom, and outdoor play area. At the time of the visit, there were two children present ranging in age from 7 weeks to one year old. There are two children enrolled. The infant was observing drinking a bottle, being held by the provide, and sleeping. The toddler was observed playing with vehicles and interacting in the provider while playing with pretend vegetables, and being read a book. The provider kept up a running dialogue with the toddler, naming objects and asking questions to extend his learning. A full assessment of child care requirements was conducted. I used a checklist to monitor all applicable requirements, including but not limited to supervision, capacity, health and safety requirements, equipment and furnishings, and program records. The provider does not transport children; therefore, this requirement was not monitored. Storage of diaper cream and corresponding permission forms were monitored and found in compliance. Children 12 months or younger are enrolled; therefore, safe sleep requirements were monitored and found in compliance. The provider verified that all the information on the FCCH Verification of Required Information for Operator and Additional Caregivers form was correct. INDOOR/OUTDOOR ENVIRONMENT Inside the home, children are cared for in a room between the living room and kitchen. A variety of items for learning through play are available, including manipulatives, blocks, books, and home living props. The bathroom and changing table are located down the hall from the children’s play area. Mats and a portable crib are used for rest time. The outdoor learning environment is an unfenced front yard with a variety of gross motor equipment. VIOLATIONS The following violation was observed and documented during today’s visit: Violation Number Comment Rule 1301 Operator did not complete the required number of on-going training hours as specified in rule. Training hours due by 12/5/24 were not completed until 3/1/25. No training hours have been completed for the current year. GS 110-91(11); 10A NCAC 09 .1705(b)(5) In order to comply with the NC Laws and Rules, any violations documented today must be corrected immediately. I need to receive your compliance letter by October 24, 2025. The letter must address each violation and explain specifically when and how it was corrected, as well as how you will prevent the same violations from happening in the future. Please send this to mandy.annunziata@dhhs.nc.gov and include the following information: -Facility name -Facility ID number -Each item number COMPLIANCE HISTORY Prior to today’s visit, the facility’s compliance history score was 90%. According to NC General Statute 110-90(4)(d), all facilities must maintain a compliance history of at least 75% for the past 18 months. Failure to maintain compliance may result in an administrative action. The facility was not in compliance with all applicable minimum licensing requirements during today’s visit and violations were documented that could impact your overall compliance history score. An updated compliance history score will be generated after today’s visit, and you will be informed of the results during the next visit to your program. TECHNICAL ASSISTANCE -Ongoing training hours are important because they help you learn about best practices in child care and ways to improve your program. Today, I reviewed your training hours and noted that you did not complete the 7.5 hours that were due by 12/5/24 until 3/1/25, and you have not completed any training hours for the current annual compliance year. You will need to complete all required hours and submit training certificates to me by 10/29/25. There are many classes available on the Moodle and the Early Years websites. In addition, the NC Rated License Assessment Project website (https://ncrlap.org/) offers a variety of free webinars related to the new FCCERS-3 rating scale. CONSULTATION -We reviewed the new licensure pathway options and I showed you how to access the QRIS information on the DCDEE website. You stated that you are not sure which pathway you want to pursue. I encouraged you to take some time to study the information available on the DCDEE website. I will return for a TA visit in December 2025 to complete the QRIS transition plan form and finalize the timeline for the completion of your rated license. -The Clean Classrooms for Carolina Kids Program provides free facility-wide testing for lead in water and inspections for asbestos and lead-based paint hazards without any out-of-pocket costs. Visit www.cleanwaterforuskids.org/carolina to enroll. Providers are required to test for lead in drinking water per Child Care Rule .1725. -You can access and update your EPR plan by using your NCID to log into the North Carolina Risk Management Portal at https://rmp.nc.gov/portal/portal.aspx. Please review and update your EPR plan yearly. An update is due by the end of this month. -Criminal Backgrounds Checks for the provider and all household members 16 years of age and older should be completed every five years. You stated that you never received your last qualification letter, dated 11/7/24. You may contact the CBC Unit via telephone (919) 814-6401 or by email DHHS.CBC.Unit@dhhs.nc.gov if you have questions or need assistance. TRAINING REMINDERS -Training from 10/29/24 to 10/9/25 was reviewed today and documented on the Verification of Required Information for Operator and Additional Caregivers form. Ten additional training hours required for this year should be completed by 10/29/25. -CPR and First Aid must be renewed every two years. Your CPR and First Aid certification expires on 6/14/27. -ITS-SIDS training must be renewed every three years. Your training expires on 1/11/27. -Health and safety training must be renewed every five years. Your training expires on 6/4/27. RATED LICENSE STATUS The NC State Legislature has extended “hold harmless” status until new rated licensing guidelines are in place, and you may opt to keep your current license and delay your rated license assessment until the new guidelines are adopted. Please use this time to update your WORKS account with your education information. You can visit the North Carolina Rated License Project website (https://www.ncrlap.org) for resources regarding the rated license assessment process and the FCCH self-study. AGENCY UPDATES Please check the Division of Child Development and Early Education’s website frequently for any new policies or rules. Go to https://ncchildcare.ncdhhs.gov/, and click on the “What’s New” tab for all agency updates, including QRIS Modernization. I recommend exploring the new pathway options to obtain a rated license. New QRIS rules are in effect, and the Division is preparing for a gradual transition to the new requirements. Resources, forms, and training will be provided to support you in preparing for new options to earn your Two- through Five-Star Rated License. All the newest information will be posted at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization and will also be provided through emails and Raise NC newsletters. CONTACT INFORMATION If you have questions or need further assistance, please contact me at (919) 971-6255 or mandy.annunziata@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 110-91 · Violation

Name of Operation: DEB'S HOME DAYCARE Facility ID: 32001685 Consultant: MANDY ANNUNZIATA Operation Type: Family CC Home Case Number: Visit Date: 10/10/2025 Number Present: 2 Completed Date: 10/10/2025 Age: From 0 To 1 Total Minutes: 130 Time In: 09:45 AM Time Out: 11:55 AM Time In: Time Out: 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 applicable child care requirements during your annual compliance visit. Upon arrival, I was greeted by the provider, Deborah Royster, who assisted me during today’s visit. LICENSE STATUS The family child care home currently operates with a Three Star license issued on April 10, 2020. The program received four points for Staff Education, two points for Program Standards, and one Quality Point. INSPECTIONS/DRILLS STATUS -The last annual compliance visit was conducted on 10/29/24. -The last documented monthly outdoor play area inspection was completed on 10/2/25. -The last documented monthly fire drill was conducted on 10/2/25. -The last documented quarterly lockdown/shelter-in-place drill was conducted on 9/8/25. MONITORING I completed a walk-through of the home, including the children’s space, kitchen, bathroom, and outdoor play area. At the time of the visit, there were two children present ranging in age from 7 weeks to one year old. There are two children enrolled. The infant was observing drinking a bottle, being held by the provide, and sleeping. The toddler was observed playing with vehicles and interacting in the provider while playing with pretend vegetables, and being read a book. The provider kept up a running dialogue with the toddler, naming objects and asking questions to extend his learning. A full assessment of child care requirements was conducted. I used a checklist to monitor all applicable requirements, including but not limited to supervision, capacity, health and safety requirements, equipment and furnishings, and program records. The provider does not transport children; therefore, this requirement was not monitored. Storage of diaper cream and corresponding permission forms were monitored and found in compliance. Children 12 months or younger are enrolled; therefore, safe sleep requirements were monitored and found in compliance. The provider verified that all the information on the FCCH Verification of Required Information for Operator and Additional Caregivers form was correct. INDOOR/OUTDOOR ENVIRONMENT Inside the home, children are cared for in a room between the living room and kitchen. A variety of items for learning through play are available, including manipulatives, blocks, books, and home living props. The bathroom and changing table are located down the hall from the children’s play area. Mats and a portable crib are used for rest time. The outdoor learning environment is an unfenced front yard with a variety of gross motor equipment. VIOLATIONS The following violation was observed and documented during today’s visit: Violation Number Comment Rule 1301 Operator did not complete the required number of on-going training hours as specified in rule. Training hours due by 12/5/24 were not completed until 3/1/25. No training hours have been completed for the current year. GS 110-91(11); 10A NCAC 09 .1705(b)(5) In order to comply with the NC Laws and Rules, any violations documented today must be corrected immediately. I need to receive your compliance letter by October 24, 2025. The letter must address each violation and explain specifically when and how it was corrected, as well as how you will prevent the same violations from happening in the future. Please send this to mandy.annunziata@dhhs.nc.gov and include the following information: -Facility name -Facility ID number -Each item number COMPLIANCE HISTORY Prior to today’s visit, the facility’s compliance history score was 90%. According to NC General Statute 110-90(4)(d), all facilities must maintain a compliance history of at least 75% for the past 18 months. Failure to maintain compliance may result in an administrative action. The facility was not in compliance with all applicable minimum licensing requirements during today’s visit and violations were documented that could impact your overall compliance history score. An updated compliance history score will be generated after today’s visit, and you will be informed of the results during the next visit to your program. TECHNICAL ASSISTANCE -Ongoing training hours are important because they help you learn about best practices in child care and ways to improve your program. Today, I reviewed your training hours and noted that you did not complete the 7.5 hours that were due by 12/5/24 until 3/1/25, and you have not completed any training hours for the current annual compliance year. You will need to complete all required hours and submit training certificates to me by 10/29/25. There are many classes available on the Moodle and the Early Years websites. In addition, the NC Rated License Assessment Project website (https://ncrlap.org/) offers a variety of free webinars related to the new FCCERS-3 rating scale. CONSULTATION -We reviewed the new licensure pathway options and I showed you how to access the QRIS information on the DCDEE website. You stated that you are not sure which pathway you want to pursue. I encouraged you to take some time to study the information available on the DCDEE website. I will return for a TA visit in December 2025 to complete the QRIS transition plan form and finalize the timeline for the completion of your rated license. -The Clean Classrooms for Carolina Kids Program provides free facility-wide testing for lead in water and inspections for asbestos and lead-based paint hazards without any out-of-pocket costs. Visit www.cleanwaterforuskids.org/carolina to enroll. Providers are required to test for lead in drinking water per Child Care Rule .1725. -You can access and update your EPR plan by using your NCID to log into the North Carolina Risk Management Portal at https://rmp.nc.gov/portal/portal.aspx. Please review and update your EPR plan yearly. An update is due by the end of this month. -Criminal Backgrounds Checks for the provider and all household members 16 years of age and older should be completed every five years. You stated that you never received your last qualification letter, dated 11/7/24. You may contact the CBC Unit via telephone (919) 814-6401 or by email DHHS.CBC.Unit@dhhs.nc.gov if you have questions or need assistance. TRAINING REMINDERS -Training from 10/29/24 to 10/9/25 was reviewed today and documented on the Verification of Required Information for Operator and Additional Caregivers form. Ten additional training hours required for this year should be completed by 10/29/25. -CPR and First Aid must be renewed every two years. Your CPR and First Aid certification expires on 6/14/27. -ITS-SIDS training must be renewed every three years. Your training expires on 1/11/27. -Health and safety training must be renewed every five years. Your training expires on 6/4/27. RATED LICENSE STATUS The NC State Legislature has extended “hold harmless” status until new rated licensing guidelines are in place, and you may opt to keep your current license and delay your rated license assessment until the new guidelines are adopted. Please use this time to update your WORKS account with your education information. You can visit the North Carolina Rated License Project website (https://www.ncrlap.org) for resources regarding the rated license assessment process and the FCCH self-study. AGENCY UPDATES Please check the Division of Child Development and Early Education’s website frequently for any new policies or rules. Go to https://ncchildcare.ncdhhs.gov/, and click on the “What’s New” tab for all agency updates, including QRIS Modernization. I recommend exploring the new pathway options to obtain a rated license. New QRIS rules are in effect, and the Division is preparing for a gradual transition to the new requirements. Resources, forms, and training will be provided to support you in preparing for new options to earn your Two- through Five-Star Rated License. All the newest information will be posted at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization and will also be provided through emails and Raise NC newsletters. CONTACT INFORMATION If you have questions or need further assistance, please contact me at (919) 971-6255 or mandy.annunziata@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 09.1721 · Violation

Name of Operation: DEB'S HOME DAYCARE Facility ID: 32001685 Consultant: MANDY ANNUNZIATA Operation Type: Family CC Home Case Number: Visit Date: 10/29/2024 Number Present: 1 Completed Date: 10/29/2024 Age: From 2 To 2 Total Minutes: 185 Time In: 09:30 AM Time Out: 12:35 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor applicable child care requirements during your annual compliance visit. Upon arrival, I was greeted by the provider, Deborah Royster, who assisted me during today’s visit. LICENSE STATUS The family child care home currently operates with a three star license issued on April 10, 2017. The program received four points for staff education, two points for program standards, and one quality point. INSPECTIONS/DRILLS STATUS -The last annual compliance visit was conducted on 12/5/23. -The last documented monthly outdoor play area inspection was completed on 10/1/24. -The last documented monthly fire drill was conducted on 8/9/24. -The last documented quarterly lockdown/shelter-in-place drill was conducted on 8/13/24. MONITORING I completed a walk-through of the home, including the children’s space, kitchen, bathroom, and outdoor play area. At the time of the visit, there was one child present who was two years old. There are three children enrolled. The child was observed playing with puzzles, singing, and reading a book with the provider. A full assessment of child care requirements was conducted. I used a checklist to monitor all applicable requirements, including but not limited to supervision, capacity, health and safety requirements, equipment and furnishings, and program records. The provider does transport children; however, the car used for transportation was at the auto repair shop today and unavailable for monitoring. I will return at a later date to inspect the car. Until then, you should not provide transportation. One enrolled children uses diaper cream. Medication requirements were monitored and found in compliance. Children 12 months or younger are enrolled; therefore, safe sleep requirements were monitored. The provider verified that all the information on the FCCH Verification of Required Information for Operator and Additional Caregivers form was correct. INDOOR/OUTDOOR ENVIRONMENT Inside the home, children are cared for in a space between the kitchen and living room. A variety of items for learning through play are available, including puzzles, books, art materials, home living props, and infant toys. The children eat their meals in this area. The bathroom and changing table are located within sight of the children’s play area. The outdoor play area is in the front yard of the home and is not fenced. There are a variety of gross motor play items, including a small slide. There is an enclosed play area for the infant. VIOLATIONS The following violations were observed and documented during today’s visit: Violation Number Comment Rule 907 Written record of up-to-date pet vaccinations as required by NC law and local ordinances, including rabies vaccination for dogs and cats, was not available. No vet records or animal acknowledgment form was on file for the dog that was present today. .1719(b)(1) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. One child's health assessment was incomplete. The parent part was filled out, but there was no physician signature or record of a health exam. GS 110-91(1); 10A NCAC 09.1721(a)(1) 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. The last documentation of attendance was on October 17, 2024. .1721(e)(6) 930 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years from the date of issuance). The provider's qualification letter expired on April 4, 2024. G.S. 110-90.2 & .2703(n) & (o) 1821 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. The last documented safe sleep check was on October 17, 2024. .1724(a)(8)&(f) 1853 The operator did not conduct a monthly fire drill. The last documented monthly fire drill was on August 9, 2024. .1719(a)(15) & .1721( e)(2) 1940 Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care. Cleaning products were stored on an open shelf within reach of the changing table and sunscreen was in an unlocked cabinet in the bathroom the children use. .1719(a)(6) In order to comply with the NC Laws and Rules, any violations documented today must be corrected immediately. I need to receive your compliance letter by November 12, 2024. The letter must address each violation and explain specifically when and how it was corrected, as well as how you will prevent the same violations from happening in the future. Please send this to mandy.annunziata@dhhs.nc.gov and include the following information: -Facility name -Facility ID number -Each item number COMPLIANCE HISTORY Prior to today’s visit, the facility’s compliance history score was 93%. According to NC General Statute 110-90(4)(d), all facilities must maintain a compliance history of at least 75% for the past 18 months. Failure to maintain compliance may result in an administrative action. The facility was not in compliance with all applicable minimum licensing requirements during today’s visit and violations were documented that could impact the center’s overall compliance history score. An updated compliance history score will be generated after today’s visit, and you will be informed of the results during the next visit to your program. TECHNICAL ASSISTANCE -Criminal Backgrounds Checks for all providers should be completed every five years. Your last qualifying letter expired 4/4/24 and must be renewed immediately. You have 15 days to obtain a new qualifying letter; after that, you will not be able to keep children in child care until you receive your new qualifying letter. -When caring for infants, it’s important to follow safe sleep practices because the consequences for failing to follow procedures can be life-threatening. One required component of safe sleep policy is visually checking infants and documenting these sleep checks on a sleep log, which must be retained for 30 days. Today, the logs revealed that the sleep checks have not been regularly documented. There was also no signed safe sleep policy in the infant’s file. If you are having difficulty adhering to the safe sleep rules, you should consider only providing care for children over one year of age. -It is important to keep children’s medical records on file to ensure children are healthy and able to participate in activities. Today, one child’s health assessment on file had not been completed and signed by a physician. I recommend using the children’s file checklist in “Provider Documents and Forms” under the “Provider” tab on the DCDEE website and checking files regularly to help you keep track of required records. Requiring all completed forms at the time of enrollment will help you stay in compliance. -Providers are required to keep daily attendance records for all children in their care, including drop-off and pick-up times. No attendance had been documented since October 17, 2024. Accurate attendance records show that you remain in compliance with child care ratios as well as provide a list of children present in the event of an emergency. I recommend placing the attendance log next to the front door for parents (or you) to sign children in and out each day. -Fire drills are required to be conducted monthly. Your last documented drill was in August 2024. I suggest conducting all your drills and inspections on the same day of each month (for example, the 15th of every month) to help you easily remember when everything is due. -A small dog was present in the home today, but none of the children’s files contained the animal acknowledgement form. You stated that the dog belongs to your daughter and was just visiting today. You also said all parents were verbally informed. For the safety of the children at any future visits, please have all parents sign the animal acknowledgement form and also keep a copy of the dog’s shot records on hand to be sure the dog is up-to-date on all vaccines. -It is important to keep hazardous products out of reach of children and in locked storage. Today I noted cleaning products stored in reach of the changing table as well as aerosol products and sunscreen under the unlocked bathroom sink. I recommend placing all cleaning products in the bathroom in a cabinet with a metal lock (not a plastic childproof lock). CONSULTATION -The Clean Classrooms for Carolina Kids Program provides free facility-wide testing for lead in water and inspections for asbestos and lead-based paint hazards without any out-of-pocket costs. Visit www.cleanwaterforuskids.org/carolina to enroll by November 1, 2024. -You can access and update your EPR plan by using your NCID to log into the North Carolina Risk Management Portal at https://rmp.nc.gov/portal/portal.aspx. Please review and update your EPR plan yearly. -You stated that you are interested in increasing your home’s star rating and also taking classes at Durham Tech to further your education. I recommend exploring CCSA’s website to see what financial support might be available to help you reach your goals. In addition, you can visit the NCRLAP website for information about the new rating scales which will be used for assessments beginning in February 2025. TRAINING REMINDERS -Training from December 5, 2023 to October 28, 2024 was reviewed today and documented on the Verification of Required Information for Operator and Additional Caregivers form. Any outstanding training hours should be completed by December 5, 2024. -CPR and First Aid must be renewed every two years. Your CPR and First Aid certification expires on 1/8/25. Now would be a good time to register for a recertification class. -ITS-SIDS training must be renewed every three years. Your training expires on 1/11/27. -Health and safety training must be renewed every five years. Your training expires 6/4/27. You are also due to renew “Recognizing and Responding to Suspicions of Child Maltreatment” (found on the Prevent Child Abuse NC website) before 10/10/26. RATED LICENSE STATUS The NC State Legislature has extended “hold harmless” status until new rated licensing guidelines are in place, and you may opt to keep your current license and delay your rated license assessment until the new guidelines are adopted. Please use this time to update your WORKS account with your education information. You can visit the North Carolina Rated License Project website (https://www.ncrlap.org) for resources regarding the rated license assessment process and the FCCH self-study. AGENCY UPDATES Please check the Division of Child Development and Early Education’s website frequently for any new policies or rules. Go to https://ncchildcare.ncdhhs.gov/, and click on the “What’s New” tab for all agency updates. CONTACT INFORMATION If you have questions or need further assistance, please contact me at (919) 971-6255 or mandy.annunziata@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: DEB'S HOME DAYCARE Facility ID: 32001685 Consultant: MANDY ANNUNZIATA Operation Type: Family CC Home Case Number: Visit Date: 10/29/2024 Number Present: 1 Completed Date: 10/29/2024 Age: From 2 To 2 Total Minutes: 185 Time In: 09:30 AM Time Out: 12:35 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor applicable child care requirements during your annual compliance visit. Upon arrival, I was greeted by the provider, Deborah Royster, who assisted me during today’s visit. LICENSE STATUS The family child care home currently operates with a three star license issued on April 10, 2017. The program received four points for staff education, two points for program standards, and one quality point. INSPECTIONS/DRILLS STATUS -The last annual compliance visit was conducted on 12/5/23. -The last documented monthly outdoor play area inspection was completed on 10/1/24. -The last documented monthly fire drill was conducted on 8/9/24. -The last documented quarterly lockdown/shelter-in-place drill was conducted on 8/13/24. MONITORING I completed a walk-through of the home, including the children’s space, kitchen, bathroom, and outdoor play area. At the time of the visit, there was one child present who was two years old. There are three children enrolled. The child was observed playing with puzzles, singing, and reading a book with the provider. A full assessment of child care requirements was conducted. I used a checklist to monitor all applicable requirements, including but not limited to supervision, capacity, health and safety requirements, equipment and furnishings, and program records. The provider does transport children; however, the car used for transportation was at the auto repair shop today and unavailable for monitoring. I will return at a later date to inspect the car. Until then, you should not provide transportation. One enrolled children uses diaper cream. Medication requirements were monitored and found in compliance. Children 12 months or younger are enrolled; therefore, safe sleep requirements were monitored. The provider verified that all the information on the FCCH Verification of Required Information for Operator and Additional Caregivers form was correct. INDOOR/OUTDOOR ENVIRONMENT Inside the home, children are cared for in a space between the kitchen and living room. A variety of items for learning through play are available, including puzzles, books, art materials, home living props, and infant toys. The children eat their meals in this area. The bathroom and changing table are located within sight of the children’s play area. The outdoor play area is in the front yard of the home and is not fenced. There are a variety of gross motor play items, including a small slide. There is an enclosed play area for the infant. VIOLATIONS The following violations were observed and documented during today’s visit: Violation Number Comment Rule 907 Written record of up-to-date pet vaccinations as required by NC law and local ordinances, including rabies vaccination for dogs and cats, was not available. No vet records or animal acknowledgment form was on file for the dog that was present today. .1719(b)(1) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. One child's health assessment was incomplete. The parent part was filled out, but there was no physician signature or record of a health exam. GS 110-91(1); 10A NCAC 09.1721(a)(1) 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. The last documentation of attendance was on October 17, 2024. .1721(e)(6) 930 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years from the date of issuance). The provider's qualification letter expired on April 4, 2024. G.S. 110-90.2 & .2703(n) & (o) 1821 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. The last documented safe sleep check was on October 17, 2024. .1724(a)(8)&(f) 1853 The operator did not conduct a monthly fire drill. The last documented monthly fire drill was on August 9, 2024. .1719(a)(15) & .1721( e)(2) 1940 Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care. Cleaning products were stored on an open shelf within reach of the changing table and sunscreen was in an unlocked cabinet in the bathroom the children use. .1719(a)(6) In order to comply with the NC Laws and Rules, any violations documented today must be corrected immediately. I need to receive your compliance letter by November 12, 2024. The letter must address each violation and explain specifically when and how it was corrected, as well as how you will prevent the same violations from happening in the future. Please send this to mandy.annunziata@dhhs.nc.gov and include the following information: -Facility name -Facility ID number -Each item number COMPLIANCE HISTORY Prior to today’s visit, the facility’s compliance history score was 93%. According to NC General Statute 110-90(4)(d), all facilities must maintain a compliance history of at least 75% for the past 18 months. Failure to maintain compliance may result in an administrative action. The facility was not in compliance with all applicable minimum licensing requirements during today’s visit and violations were documented that could impact the center’s overall compliance history score. An updated compliance history score will be generated after today’s visit, and you will be informed of the results during the next visit to your program. TECHNICAL ASSISTANCE -Criminal Backgrounds Checks for all providers should be completed every five years. Your last qualifying letter expired 4/4/24 and must be renewed immediately. You have 15 days to obtain a new qualifying letter; after that, you will not be able to keep children in child care until you receive your new qualifying letter. -When caring for infants, it’s important to follow safe sleep practices because the consequences for failing to follow procedures can be life-threatening. One required component of safe sleep policy is visually checking infants and documenting these sleep checks on a sleep log, which must be retained for 30 days. Today, the logs revealed that the sleep checks have not been regularly documented. There was also no signed safe sleep policy in the infant’s file. If you are having difficulty adhering to the safe sleep rules, you should consider only providing care for children over one year of age. -It is important to keep children’s medical records on file to ensure children are healthy and able to participate in activities. Today, one child’s health assessment on file had not been completed and signed by a physician. I recommend using the children’s file checklist in “Provider Documents and Forms” under the “Provider” tab on the DCDEE website and checking files regularly to help you keep track of required records. Requiring all completed forms at the time of enrollment will help you stay in compliance. -Providers are required to keep daily attendance records for all children in their care, including drop-off and pick-up times. No attendance had been documented since October 17, 2024. Accurate attendance records show that you remain in compliance with child care ratios as well as provide a list of children present in the event of an emergency. I recommend placing the attendance log next to the front door for parents (or you) to sign children in and out each day. -Fire drills are required to be conducted monthly. Your last documented drill was in August 2024. I suggest conducting all your drills and inspections on the same day of each month (for example, the 15th of every month) to help you easily remember when everything is due. -A small dog was present in the home today, but none of the children’s files contained the animal acknowledgement form. You stated that the dog belongs to your daughter and was just visiting today. You also said all parents were verbally informed. For the safety of the children at any future visits, please have all parents sign the animal acknowledgement form and also keep a copy of the dog’s shot records on hand to be sure the dog is up-to-date on all vaccines. -It is important to keep hazardous products out of reach of children and in locked storage. Today I noted cleaning products stored in reach of the changing table as well as aerosol products and sunscreen under the unlocked bathroom sink. I recommend placing all cleaning products in the bathroom in a cabinet with a metal lock (not a plastic childproof lock). CONSULTATION -The Clean Classrooms for Carolina Kids Program provides free facility-wide testing for lead in water and inspections for asbestos and lead-based paint hazards without any out-of-pocket costs. Visit www.cleanwaterforuskids.org/carolina to enroll by November 1, 2024. -You can access and update your EPR plan by using your NCID to log into the North Carolina Risk Management Portal at https://rmp.nc.gov/portal/portal.aspx. Please review and update your EPR plan yearly. -You stated that you are interested in increasing your home’s star rating and also taking classes at Durham Tech to further your education. I recommend exploring CCSA’s website to see what financial support might be available to help you reach your goals. In addition, you can visit the NCRLAP website for information about the new rating scales which will be used for assessments beginning in February 2025. TRAINING REMINDERS -Training from December 5, 2023 to October 28, 2024 was reviewed today and documented on the Verification of Required Information for Operator and Additional Caregivers form. Any outstanding training hours should be completed by December 5, 2024. -CPR and First Aid must be renewed every two years. Your CPR and First Aid certification expires on 1/8/25. Now would be a good time to register for a recertification class. -ITS-SIDS training must be renewed every three years. Your training expires on 1/11/27. -Health and safety training must be renewed every five years. Your training expires 6/4/27. You are also due to renew “Recognizing and Responding to Suspicions of Child Maltreatment” (found on the Prevent Child Abuse NC website) before 10/10/26. RATED LICENSE STATUS The NC State Legislature has extended “hold harmless” status until new rated licensing guidelines are in place, and you may opt to keep your current license and delay your rated license assessment until the new guidelines are adopted. Please use this time to update your WORKS account with your education information. You can visit the North Carolina Rated License Project website (https://www.ncrlap.org) for resources regarding the rated license assessment process and the FCCH self-study. AGENCY UPDATES Please check the Division of Child Development and Early Education’s website frequently for any new policies or rules. Go to https://ncchildcare.ncdhhs.gov/, and click on the “What’s New” tab for all agency updates. CONTACT INFORMATION If you have questions or need further assistance, please contact me at (919) 971-6255 or mandy.annunziata@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 110-91 · Violation

Name of Operation: DEB'S HOME DAYCARE Facility ID: 32001685 Consultant: MANDY ANNUNZIATA Operation Type: Family CC Home Case Number: Visit Date: 10/29/2024 Number Present: 1 Completed Date: 10/29/2024 Age: From 2 To 2 Total Minutes: 185 Time In: 09:30 AM Time Out: 12:35 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor applicable child care requirements during your annual compliance visit. Upon arrival, I was greeted by the provider, Deborah Royster, who assisted me during today’s visit. LICENSE STATUS The family child care home currently operates with a three star license issued on April 10, 2017. The program received four points for staff education, two points for program standards, and one quality point. INSPECTIONS/DRILLS STATUS -The last annual compliance visit was conducted on 12/5/23. -The last documented monthly outdoor play area inspection was completed on 10/1/24. -The last documented monthly fire drill was conducted on 8/9/24. -The last documented quarterly lockdown/shelter-in-place drill was conducted on 8/13/24. MONITORING I completed a walk-through of the home, including the children’s space, kitchen, bathroom, and outdoor play area. At the time of the visit, there was one child present who was two years old. There are three children enrolled. The child was observed playing with puzzles, singing, and reading a book with the provider. A full assessment of child care requirements was conducted. I used a checklist to monitor all applicable requirements, including but not limited to supervision, capacity, health and safety requirements, equipment and furnishings, and program records. The provider does transport children; however, the car used for transportation was at the auto repair shop today and unavailable for monitoring. I will return at a later date to inspect the car. Until then, you should not provide transportation. One enrolled children uses diaper cream. Medication requirements were monitored and found in compliance. Children 12 months or younger are enrolled; therefore, safe sleep requirements were monitored. The provider verified that all the information on the FCCH Verification of Required Information for Operator and Additional Caregivers form was correct. INDOOR/OUTDOOR ENVIRONMENT Inside the home, children are cared for in a space between the kitchen and living room. A variety of items for learning through play are available, including puzzles, books, art materials, home living props, and infant toys. The children eat their meals in this area. The bathroom and changing table are located within sight of the children’s play area. The outdoor play area is in the front yard of the home and is not fenced. There are a variety of gross motor play items, including a small slide. There is an enclosed play area for the infant. VIOLATIONS The following violations were observed and documented during today’s visit: Violation Number Comment Rule 907 Written record of up-to-date pet vaccinations as required by NC law and local ordinances, including rabies vaccination for dogs and cats, was not available. No vet records or animal acknowledgment form was on file for the dog that was present today. .1719(b)(1) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. One child's health assessment was incomplete. The parent part was filled out, but there was no physician signature or record of a health exam. GS 110-91(1); 10A NCAC 09.1721(a)(1) 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. The last documentation of attendance was on October 17, 2024. .1721(e)(6) 930 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years from the date of issuance). The provider's qualification letter expired on April 4, 2024. G.S. 110-90.2 & .2703(n) & (o) 1821 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. The last documented safe sleep check was on October 17, 2024. .1724(a)(8)&(f) 1853 The operator did not conduct a monthly fire drill. The last documented monthly fire drill was on August 9, 2024. .1719(a)(15) & .1721( e)(2) 1940 Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care. Cleaning products were stored on an open shelf within reach of the changing table and sunscreen was in an unlocked cabinet in the bathroom the children use. .1719(a)(6) In order to comply with the NC Laws and Rules, any violations documented today must be corrected immediately. I need to receive your compliance letter by November 12, 2024. The letter must address each violation and explain specifically when and how it was corrected, as well as how you will prevent the same violations from happening in the future. Please send this to mandy.annunziata@dhhs.nc.gov and include the following information: -Facility name -Facility ID number -Each item number COMPLIANCE HISTORY Prior to today’s visit, the facility’s compliance history score was 93%. According to NC General Statute 110-90(4)(d), all facilities must maintain a compliance history of at least 75% for the past 18 months. Failure to maintain compliance may result in an administrative action. The facility was not in compliance with all applicable minimum licensing requirements during today’s visit and violations were documented that could impact the center’s overall compliance history score. An updated compliance history score will be generated after today’s visit, and you will be informed of the results during the next visit to your program. TECHNICAL ASSISTANCE -Criminal Backgrounds Checks for all providers should be completed every five years. Your last qualifying letter expired 4/4/24 and must be renewed immediately. You have 15 days to obtain a new qualifying letter; after that, you will not be able to keep children in child care until you receive your new qualifying letter. -When caring for infants, it’s important to follow safe sleep practices because the consequences for failing to follow procedures can be life-threatening. One required component of safe sleep policy is visually checking infants and documenting these sleep checks on a sleep log, which must be retained for 30 days. Today, the logs revealed that the sleep checks have not been regularly documented. There was also no signed safe sleep policy in the infant’s file. If you are having difficulty adhering to the safe sleep rules, you should consider only providing care for children over one year of age. -It is important to keep children’s medical records on file to ensure children are healthy and able to participate in activities. Today, one child’s health assessment on file had not been completed and signed by a physician. I recommend using the children’s file checklist in “Provider Documents and Forms” under the “Provider” tab on the DCDEE website and checking files regularly to help you keep track of required records. Requiring all completed forms at the time of enrollment will help you stay in compliance. -Providers are required to keep daily attendance records for all children in their care, including drop-off and pick-up times. No attendance had been documented since October 17, 2024. Accurate attendance records show that you remain in compliance with child care ratios as well as provide a list of children present in the event of an emergency. I recommend placing the attendance log next to the front door for parents (or you) to sign children in and out each day. -Fire drills are required to be conducted monthly. Your last documented drill was in August 2024. I suggest conducting all your drills and inspections on the same day of each month (for example, the 15th of every month) to help you easily remember when everything is due. -A small dog was present in the home today, but none of the children’s files contained the animal acknowledgement form. You stated that the dog belongs to your daughter and was just visiting today. You also said all parents were verbally informed. For the safety of the children at any future visits, please have all parents sign the animal acknowledgement form and also keep a copy of the dog’s shot records on hand to be sure the dog is up-to-date on all vaccines. -It is important to keep hazardous products out of reach of children and in locked storage. Today I noted cleaning products stored in reach of the changing table as well as aerosol products and sunscreen under the unlocked bathroom sink. I recommend placing all cleaning products in the bathroom in a cabinet with a metal lock (not a plastic childproof lock). CONSULTATION -The Clean Classrooms for Carolina Kids Program provides free facility-wide testing for lead in water and inspections for asbestos and lead-based paint hazards without any out-of-pocket costs. Visit www.cleanwaterforuskids.org/carolina to enroll by November 1, 2024. -You can access and update your EPR plan by using your NCID to log into the North Carolina Risk Management Portal at https://rmp.nc.gov/portal/portal.aspx. Please review and update your EPR plan yearly. -You stated that you are interested in increasing your home’s star rating and also taking classes at Durham Tech to further your education. I recommend exploring CCSA’s website to see what financial support might be available to help you reach your goals. In addition, you can visit the NCRLAP website for information about the new rating scales which will be used for assessments beginning in February 2025. TRAINING REMINDERS -Training from December 5, 2023 to October 28, 2024 was reviewed today and documented on the Verification of Required Information for Operator and Additional Caregivers form. Any outstanding training hours should be completed by December 5, 2024. -CPR and First Aid must be renewed every two years. Your CPR and First Aid certification expires on 1/8/25. Now would be a good time to register for a recertification class. -ITS-SIDS training must be renewed every three years. Your training expires on 1/11/27. -Health and safety training must be renewed every five years. Your training expires 6/4/27. You are also due to renew “Recognizing and Responding to Suspicions of Child Maltreatment” (found on the Prevent Child Abuse NC website) before 10/10/26. RATED LICENSE STATUS The NC State Legislature has extended “hold harmless” status until new rated licensing guidelines are in place, and you may opt to keep your current license and delay your rated license assessment until the new guidelines are adopted. Please use this time to update your WORKS account with your education information. You can visit the North Carolina Rated License Project website (https://www.ncrlap.org) for resources regarding the rated license assessment process and the FCCH self-study. AGENCY UPDATES Please check the Division of Child Development and Early Education’s website frequently for any new policies or rules. Go to https://ncchildcare.ncdhhs.gov/, and click on the “What’s New” tab for all agency updates. CONTACT INFORMATION If you have questions or need further assistance, please contact me at (919) 971-6255 or mandy.annunziata@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 09.1721 · Violation

Name of Operation: DEB'S HOME DAYCARE Facility ID: 32001685 Consultant: SHAMEQUA WILKERSON-HARRIS Operation Type: Family CC Home Case Number: Visit Date: 12/5/2023 Number Present: 3 Completed Date: 12/5/2023 Age: From 1 To 2 Total Minutes: 120 Time In: 10:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to assess applicable child-care requirements during your annual compliance visit. A checklist was used to note the requirements monitored today. The Family Child Care Home Provider, Deborah Royster, was present and assisted me during today’s visit. I completed a general walk-through of the children’s space, outside play area, kitchen area and bathroom. At the time of the visit, there were three (3) children present aging in range one (1) to two (2) years old. The children were observed playing, interacting with the provider and routine care. LICENSE STATUS The Family Child Care Home (FCCH) operates with a Three (3) star license issued April 10, 2020. The facility is approved for first, second shift with a maximum of five (5) preschool children at any time and the Fireplace/Woodstove not used during operating hours. MONITORING During today’s visit, a full assessment was conducted monitoring all spaces occupied by the children, including the outdoor play environment. The provider’s and children files were reviewed. All spaces were monitored for supervision, child capacity, materials and equipment. The provider does not provide transportation; therefore, this requirement was monitored. The provider does not have any children 12 months and younger enrolled, therefore safe sleep requirements were not monitored. No children enrolled have medications or medical care plans, so these requirements were not monitored. The FCCH provider verified the information on the Verification of required information for operator and additional caregiver’s form to be accurate. --PROGRAM RECORDS *The last documented fire drill was conducted 11/1/23. *The last documented shelter-in-place or lockdown drill was conducted 11/1/23. *The last documented playground inspection was conducted 11/2/23. The following violations were observed and documented during today’s visit: 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. A child enrolled on 5/9/22 did not have a copy of the health assessment on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1306 Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training. The provider did not renew ITS-SIDS training on or before the expiration date of 10/29/23. .1703(a)(4) 1892 Application was not on file for each enrolled child, including his/her own preschool child(ren) who are not school-age. One child enrolled that started today, 12/5/23, did not have an application on file. .1721(a)(3) To comply with the NC Laws and Rules any violations cited today must be corrected immediately. A compliance letter must be received on or before December 19, 2023, letter must address each violation, explain how it has been corrected and how the violation will maintain compliance in the future. Please make sure to include: -Facility name -Facility ID number -Each item number The letter can be emailed to Shamequa.Wilkerson-Harris@dhhs.nc.gov or mailed to: Shamequa Wilkerson-Harris 300 Sugar Maple Avenue Wake Forest, NC 27587 Prior to today’s visit, the program’s compliance history was 89%. According to NC General Statue 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past eighteen months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. TECHNICAL ASSISTANCE The following items were discussed during today’s visit to help you maintain quality within your program and to prevent further violations. CHILDREN FILES I discussed with the provider the importance of receiving the application for each child on or before the first day of attendance. The provider stated to me that today was the first day of attendance for the child that did not have an application on file. I recommend using the Children File Checklist to make sure that all forms are on file for each child. ITS-SIDS The provider asked for assistance to register for an ITS-SIDS class to renew the training. The Provider was able to register for the training scheduled for January 4, 2024. I recommend that you utilize your outlook calendar to send a reminder to renew all necessary trainings before they expire. CONSULTATION AND REMINDERS The following items were discussed during today’s visit to improve the quality of your program. IN-SERVICE TRAINING You are required to receive 10 training hours yearly. I reviewed your training hours from 12/19/22 to 12/5/23. Please send me five (5) additional training hours on or before 12/19/23 to remain in compliance. RATED LICENSE STATUS On Monday June 12, 2023, the hold harmless legislation was extended and signed into law. All facilities are allowed to remain at their current star level without reassessment until June 30, 2024. Your facility has been determined to be in Cohort 2. Your reassessment year will be between July 1, 2025, and June 30, 2026. I will reach out to you prior to the beginning of your preparation year. Please use this time to make sure all your staff have a WORKS account with all education information updated. Also review updated resources on the North Carolina Rated License Project (NCRLAP) website (www.ncrlap.org). You may also want to consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment. HEALTH AND SAFETY TRAINING Health and Safety trainings are now available through Moodle on the DCDEE website. These trainings are provided free of charge. You should use your NCID username and password to access the Moodle portal. The Health and Safety trainings must be renewed at least every five (5) years. If you completed the trainings in 2017, you should begin to retake the training now. CRIMINAL BACKGROUND As of July 11, 2022, criminal record checks are now to be renewed every five (5) years instead of three (3) years. Please make arrangements to complete your 5-year re-qualification before the expiration date. AGENCY UPDATES Please remember to check the Division of Child Development and Early Education website (ncchildcare.gov) on a weekly basis to stay up to date on all new policies and rules. If you have any questions or need assistance, please contact me at Shamequa.Wilkerson-Harris@dhhs.nc.gov or by phone at 919 417-2872. 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: DEB'S HOME DAYCARE Facility ID: 32001685 Consultant: SHAMEQUA WILKERSON-HARRIS Operation Type: Family CC Home Case Number: Visit Date: 12/5/2023 Number Present: 3 Completed Date: 12/5/2023 Age: From 1 To 2 Total Minutes: 120 Time In: 10:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to assess applicable child-care requirements during your annual compliance visit. A checklist was used to note the requirements monitored today. The Family Child Care Home Provider, Deborah Royster, was present and assisted me during today’s visit. I completed a general walk-through of the children’s space, outside play area, kitchen area and bathroom. At the time of the visit, there were three (3) children present aging in range one (1) to two (2) years old. The children were observed playing, interacting with the provider and routine care. LICENSE STATUS The Family Child Care Home (FCCH) operates with a Three (3) star license issued April 10, 2020. The facility is approved for first, second shift with a maximum of five (5) preschool children at any time and the Fireplace/Woodstove not used during operating hours. MONITORING During today’s visit, a full assessment was conducted monitoring all spaces occupied by the children, including the outdoor play environment. The provider’s and children files were reviewed. All spaces were monitored for supervision, child capacity, materials and equipment. The provider does not provide transportation; therefore, this requirement was monitored. The provider does not have any children 12 months and younger enrolled, therefore safe sleep requirements were not monitored. No children enrolled have medications or medical care plans, so these requirements were not monitored. The FCCH provider verified the information on the Verification of required information for operator and additional caregiver’s form to be accurate. --PROGRAM RECORDS *The last documented fire drill was conducted 11/1/23. *The last documented shelter-in-place or lockdown drill was conducted 11/1/23. *The last documented playground inspection was conducted 11/2/23. The following violations were observed and documented during today’s visit: 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. A child enrolled on 5/9/22 did not have a copy of the health assessment on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1306 Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training. The provider did not renew ITS-SIDS training on or before the expiration date of 10/29/23. .1703(a)(4) 1892 Application was not on file for each enrolled child, including his/her own preschool child(ren) who are not school-age. One child enrolled that started today, 12/5/23, did not have an application on file. .1721(a)(3) To comply with the NC Laws and Rules any violations cited today must be corrected immediately. A compliance letter must be received on or before December 19, 2023, letter must address each violation, explain how it has been corrected and how the violation will maintain compliance in the future. Please make sure to include: -Facility name -Facility ID number -Each item number The letter can be emailed to Shamequa.Wilkerson-Harris@dhhs.nc.gov or mailed to: Shamequa Wilkerson-Harris 300 Sugar Maple Avenue Wake Forest, NC 27587 Prior to today’s visit, the program’s compliance history was 89%. According to NC General Statue 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past eighteen months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. TECHNICAL ASSISTANCE The following items were discussed during today’s visit to help you maintain quality within your program and to prevent further violations. CHILDREN FILES I discussed with the provider the importance of receiving the application for each child on or before the first day of attendance. The provider stated to me that today was the first day of attendance for the child that did not have an application on file. I recommend using the Children File Checklist to make sure that all forms are on file for each child. ITS-SIDS The provider asked for assistance to register for an ITS-SIDS class to renew the training. The Provider was able to register for the training scheduled for January 4, 2024. I recommend that you utilize your outlook calendar to send a reminder to renew all necessary trainings before they expire. CONSULTATION AND REMINDERS The following items were discussed during today’s visit to improve the quality of your program. IN-SERVICE TRAINING You are required to receive 10 training hours yearly. I reviewed your training hours from 12/19/22 to 12/5/23. Please send me five (5) additional training hours on or before 12/19/23 to remain in compliance. RATED LICENSE STATUS On Monday June 12, 2023, the hold harmless legislation was extended and signed into law. All facilities are allowed to remain at their current star level without reassessment until June 30, 2024. Your facility has been determined to be in Cohort 2. Your reassessment year will be between July 1, 2025, and June 30, 2026. I will reach out to you prior to the beginning of your preparation year. Please use this time to make sure all your staff have a WORKS account with all education information updated. Also review updated resources on the North Carolina Rated License Project (NCRLAP) website (www.ncrlap.org). You may also want to consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment. HEALTH AND SAFETY TRAINING Health and Safety trainings are now available through Moodle on the DCDEE website. These trainings are provided free of charge. You should use your NCID username and password to access the Moodle portal. The Health and Safety trainings must be renewed at least every five (5) years. If you completed the trainings in 2017, you should begin to retake the training now. CRIMINAL BACKGROUND As of July 11, 2022, criminal record checks are now to be renewed every five (5) years instead of three (3) years. Please make arrangements to complete your 5-year re-qualification before the expiration date. AGENCY UPDATES Please remember to check the Division of Child Development and Early Education website (ncchildcare.gov) on a weekly basis to stay up to date on all new policies and rules. If you have any questions or need assistance, please contact me at Shamequa.Wilkerson-Harris@dhhs.nc.gov or by phone at 919 417-2872. 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