10A NCAC 09 .1725 · Violation

Name of Operation: MARY'S LIL LAMBS Facility ID: 32001965 Consultant: MANDY ANNUNZIATA Operation Type: Family CC Home Case Number: Visit Date: 9/29/2025 Number Present: 8 Completed Date: 9/29/2025 Age: From 1 To 8 Total Minutes: 120 Time In: 12:15 PM Time Out: 02:15 PM 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, Mary Hill, who assisted me during the visit. LICENSE STATUS The family child care home currently operates with a Four Star License issued on July 17, 2017. 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 8/18/25. -The last documented fire drill was conducted on 8/18/25. -The last documented lockdown/shelter-in-place drill was conducted on 8/18/25. -The last annual compliance visit was conducted on 2/25/25. MONITORING I completed a walk-through of the home, visiting the caregiving space and bathroom. Eight children were present, ranging in age from one year to eight years of age. The children were resting, drawing, and playing with quiet toys, including puzzles. Due to inclement weather, the outdoor play area was not monitored today. 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. No enrolled children have medications or medical care plans, so these requirements were not monitored. No children 12 months of age or younger are enrolled; therefore, safe sleep requirements were not monitored. INDOOR/OUTDOOR SPACE Children are cared for in the lower level of a split-level home, and a variety of materials are available for play, including blocks, manipulatives, books, and art materials. A bathroom and changing table are located within sight of the caregiving space. Mats are used for rest time. The side yard is fenced with a variety of slides and climbers for gross motor play. VIOLATIONS The following violations were observed and documented during today’s visit: Violation Number Comment Rule 102 Number of preschool children exceeded five children, including the provider's own preschool children. Six preschool-aged children were present during the visit. GS 110-91(7)(b) 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification. First aid certification expired on 5/10/25. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. CPR certification expired on 5/10/25. .1703(a)(3) 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 supplies were stored in an unlocked bathroom cabinet that was accessible to children. .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 October 13, 2025. 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 91%. 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 -In order to be prepared in case of an emergency medical event, CPR and First Aid certification must be renewed every two years. Your training expired on 5/10/25. You can visit the DCDEE website for a list of approved training agencies: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training -Safety is a top priority when providing care for young children. Today I observed cleaning supplies stored in an unlocked bathroom cabinet within reach of children. I recommend conducting a walk-through of the children’s space prior to children’s arrival each morning, removing any potential hazardous substances and placing them in locked storage. -Today I noted that, in addition to two school-age children, you had six preschoolers in care, which is a violation of the restriction on your license stating that you may have a maximum of five preschool-aged children in care at any time. You stated that you thought you were meeting the requirement by having no more than eight total children present. Some of the children are enrolled in Durham Pre-K and are not always present. Some attend year-round school and are only present during trackout. I clarified the rules surrounding capacity and we had a brief discussion of the possibility of increasing your licensed capacity under the new child care law, which would allow you more flexibility with the ages you serve. I shared some of the requirements you would need to meet prior to increasing your capacity. In the meantime, you will need to meet the restrictions that are listed on your license. CONSULTATION -We discussed the new licensure pathway options and I showed you how to access the QRIS information on the DCDEE website. You can choose your pathway during my next visit. -Criminal Backgrounds Checks for all providers should be completed every five years. Your qualifying letter will expire on 2/25/26. To access the background check portal, go to https://ncabcms.nc.gov/DCDEE/Applicant. You may also 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. Providers may request new background checks up to six months in advance of their qualifying letter’s expiration date. -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 and submit water samples. This is a requirement under Child Care Rule 10A NCAC 09 .1725 (a)(2). -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 -ITS-SIDS training must be renewed every three years. Your training expires 9/19/27. -Health and Safety Training must be renewed every five years. You can find this training in Moodle on the DCDEE website. Also, “Recognizing and Responding to Suspicions of Child Maltreatment” (part of the Health and Safety Training) should be renewed every five years. This training can be found on the Positive Childhood Alliance NC website: https://preventchildabusenc.org/online-trainings/ 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. 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

GS 110-91 · Violation

Name of Operation: MARY'S LIL LAMBS Facility ID: 32001965 Consultant: MANDY ANNUNZIATA Operation Type: Family CC Home Case Number: Visit Date: 9/29/2025 Number Present: 8 Completed Date: 9/29/2025 Age: From 1 To 8 Total Minutes: 120 Time In: 12:15 PM Time Out: 02:15 PM 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, Mary Hill, who assisted me during the visit. LICENSE STATUS The family child care home currently operates with a Four Star License issued on July 17, 2017. 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 8/18/25. -The last documented fire drill was conducted on 8/18/25. -The last documented lockdown/shelter-in-place drill was conducted on 8/18/25. -The last annual compliance visit was conducted on 2/25/25. MONITORING I completed a walk-through of the home, visiting the caregiving space and bathroom. Eight children were present, ranging in age from one year to eight years of age. The children were resting, drawing, and playing with quiet toys, including puzzles. Due to inclement weather, the outdoor play area was not monitored today. 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. No enrolled children have medications or medical care plans, so these requirements were not monitored. No children 12 months of age or younger are enrolled; therefore, safe sleep requirements were not monitored. INDOOR/OUTDOOR SPACE Children are cared for in the lower level of a split-level home, and a variety of materials are available for play, including blocks, manipulatives, books, and art materials. A bathroom and changing table are located within sight of the caregiving space. Mats are used for rest time. The side yard is fenced with a variety of slides and climbers for gross motor play. VIOLATIONS The following violations were observed and documented during today’s visit: Violation Number Comment Rule 102 Number of preschool children exceeded five children, including the provider's own preschool children. Six preschool-aged children were present during the visit. GS 110-91(7)(b) 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification. First aid certification expired on 5/10/25. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. CPR certification expired on 5/10/25. .1703(a)(3) 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 supplies were stored in an unlocked bathroom cabinet that was accessible to children. .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 October 13, 2025. 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 91%. 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 -In order to be prepared in case of an emergency medical event, CPR and First Aid certification must be renewed every two years. Your training expired on 5/10/25. You can visit the DCDEE website for a list of approved training agencies: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training -Safety is a top priority when providing care for young children. Today I observed cleaning supplies stored in an unlocked bathroom cabinet within reach of children. I recommend conducting a walk-through of the children’s space prior to children’s arrival each morning, removing any potential hazardous substances and placing them in locked storage. -Today I noted that, in addition to two school-age children, you had six preschoolers in care, which is a violation of the restriction on your license stating that you may have a maximum of five preschool-aged children in care at any time. You stated that you thought you were meeting the requirement by having no more than eight total children present. Some of the children are enrolled in Durham Pre-K and are not always present. Some attend year-round school and are only present during trackout. I clarified the rules surrounding capacity and we had a brief discussion of the possibility of increasing your licensed capacity under the new child care law, which would allow you more flexibility with the ages you serve. I shared some of the requirements you would need to meet prior to increasing your capacity. In the meantime, you will need to meet the restrictions that are listed on your license. CONSULTATION -We discussed the new licensure pathway options and I showed you how to access the QRIS information on the DCDEE website. You can choose your pathway during my next visit. -Criminal Backgrounds Checks for all providers should be completed every five years. Your qualifying letter will expire on 2/25/26. To access the background check portal, go to https://ncabcms.nc.gov/DCDEE/Applicant. You may also 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. Providers may request new background checks up to six months in advance of their qualifying letter’s expiration date. -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 and submit water samples. This is a requirement under Child Care Rule 10A NCAC 09 .1725 (a)(2). -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 -ITS-SIDS training must be renewed every three years. Your training expires 9/19/27. -Health and Safety Training must be renewed every five years. You can find this training in Moodle on the DCDEE website. Also, “Recognizing and Responding to Suspicions of Child Maltreatment” (part of the Health and Safety Training) should be renewed every five years. This training can be found on the Positive Childhood Alliance NC website: https://preventchildabusenc.org/online-trainings/ 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. 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 .1718 · Violation

Name of Operation: MARY'S LIL LAMBS Facility ID: 32001965 Consultant: MANDY ANNUNZIATA Operation Type: Family CC Home Case Number: Visit Date: 2/25/2025 Number Present: 5 Completed Date: 2/25/2025 Age: From 0 To 5 Total Minutes: 190 Time In: 10:20 AM Time Out: 01:30 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, Mary Hill, who assisted me during today’s visit. LICENSE STATUS The family child care home currently operates with a three-star license issued on July 17, 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 4/9/24. -The last documented monthly outdoor play area inspection was completed on 1/6/25. -The last documented monthly fire drill was conducted on 1/6/25. -The last documented quarterly lockdown/shelter-in-place drill was conducted on 11/4/24. 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 were five children present ranging in age from 14 months to five years old. There are eight children enrolled. The children were observed playing freely with materials in the play space, getting a diaper change, cleaning up, playing outside, and washing hands. 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; therefore, this requirement was monitored and found in compliance. No enrolled children have medications or medical care plans, so these requirements were not monitored. 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 the lower level of a split-level home. A variety of items for learning through play are available, including manipulatives, blocks, books, art materials, and home living props. The bathroom and changing table are located within sight of the children’s play area. The outdoor play area is a fenced backyard, and it includes a variety of slides, climbers, and play kitchen centers. 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. A pet dog's rabies vaccination expired on 1/8/25. .1719(b)(1) 915 The written schedule did not show blocks of time assigned to types of activities and/or include periods of time for both active play and quiet play or rest. No written schedule was available for review. GS 110-91(12); 10 A NCAC 09 .1718(6)(a-c) 1920 Indoor and outdoor area was not checked daily for debris, vandalism, broken equipment, and animal waste. Two pieces of equipment with broken/jagged plastic were in the outdoor play area and accessible to children. .1719(a)(17) 1964 Activity plan did not reflect that children have at least four different activities daily, at least one of which is outdoors. No activity plan was available for review. 10A NCAC 09 .1718(a)(8)(C)(i-v) 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 March 11, 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 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 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 -Safety is a top priority when providing care for young children. Today I observed broken/jagged pieces of plastic on two of your outdoor play items (climbing cube and play kitchen). You stated that you believed the damage happened yesterday and you would remove the items promptly. I suggest conducting a walk-through of the children’s space prior to children’s arrival each morning, removing any potential hazards. -It’s important to ensure that any pets in the home who might come into contact with children are up-to-date on their vaccines. Your dog’s rabies vaccine expired on 1/8/25 and needs to be updated immediately. You stated that you thought the dog’s vaccines were current, but you would contact your vet to update them. -No activity plan or schedule was available for review today. It is important to have an activity plan to share with parents so they are informed about what their children are learning. A schedule helps ensure that children have time during the day for group and individual play, personal routines, and outdoor time with gross motor activities. Be sure to use the Foundations document (on the DCDEE website) to guide your activity planning and help you address all learning domains. CONSULTATION -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, and be sure to add me as your consultant. -Criminal Backgrounds Checks for the provider and all household members 16 years of age and older should be completed every five years. Your qualifying letter is valid until 2/25/26. -Remember to conduct a fire drill, lockdown/shelter-in-place drill, and outdoor inspection before the end of this month. TRAINING REMINDERS -Training from 4/9/24 to 2/24/25 was reviewed today and documented on the Verification of Required Information for Operator and Additional Caregivers form. All training hours have been completed for this year and 1.5 hours will carry over to apply to next year’s training requirement. -CPR and First Aid must be renewed every two years. Your CPR and First Aid certification expires on 5/10/25. -ITS-SIDS training must be renewed every three years. Your training expires on 9/19/27. -Health and safety training must be renewed every five years. Your training expires in 2027. Also, “Recognizing and Responding to Suspicions of Child Maltreatment” (part of the Health and Safety Training) should be renewed every five years. This training can be found on the Positive Child Alliance NC website: https://preventchildabusenc.org/online-trainings/ 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

GS 110-91 · Violation

Name of Operation: MARY'S LIL LAMBS Facility ID: 32001965 Consultant: MANDY ANNUNZIATA Operation Type: Family CC Home Case Number: Visit Date: 2/25/2025 Number Present: 5 Completed Date: 2/25/2025 Age: From 0 To 5 Total Minutes: 190 Time In: 10:20 AM Time Out: 01:30 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, Mary Hill, who assisted me during today’s visit. LICENSE STATUS The family child care home currently operates with a three-star license issued on July 17, 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 4/9/24. -The last documented monthly outdoor play area inspection was completed on 1/6/25. -The last documented monthly fire drill was conducted on 1/6/25. -The last documented quarterly lockdown/shelter-in-place drill was conducted on 11/4/24. 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 were five children present ranging in age from 14 months to five years old. There are eight children enrolled. The children were observed playing freely with materials in the play space, getting a diaper change, cleaning up, playing outside, and washing hands. 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; therefore, this requirement was monitored and found in compliance. No enrolled children have medications or medical care plans, so these requirements were not monitored. 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 the lower level of a split-level home. A variety of items for learning through play are available, including manipulatives, blocks, books, art materials, and home living props. The bathroom and changing table are located within sight of the children’s play area. The outdoor play area is a fenced backyard, and it includes a variety of slides, climbers, and play kitchen centers. 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. A pet dog's rabies vaccination expired on 1/8/25. .1719(b)(1) 915 The written schedule did not show blocks of time assigned to types of activities and/or include periods of time for both active play and quiet play or rest. No written schedule was available for review. GS 110-91(12); 10 A NCAC 09 .1718(6)(a-c) 1920 Indoor and outdoor area was not checked daily for debris, vandalism, broken equipment, and animal waste. Two pieces of equipment with broken/jagged plastic were in the outdoor play area and accessible to children. .1719(a)(17) 1964 Activity plan did not reflect that children have at least four different activities daily, at least one of which is outdoors. No activity plan was available for review. 10A NCAC 09 .1718(a)(8)(C)(i-v) 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 March 11, 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 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 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 -Safety is a top priority when providing care for young children. Today I observed broken/jagged pieces of plastic on two of your outdoor play items (climbing cube and play kitchen). You stated that you believed the damage happened yesterday and you would remove the items promptly. I suggest conducting a walk-through of the children’s space prior to children’s arrival each morning, removing any potential hazards. -It’s important to ensure that any pets in the home who might come into contact with children are up-to-date on their vaccines. Your dog’s rabies vaccine expired on 1/8/25 and needs to be updated immediately. You stated that you thought the dog’s vaccines were current, but you would contact your vet to update them. -No activity plan or schedule was available for review today. It is important to have an activity plan to share with parents so they are informed about what their children are learning. A schedule helps ensure that children have time during the day for group and individual play, personal routines, and outdoor time with gross motor activities. Be sure to use the Foundations document (on the DCDEE website) to guide your activity planning and help you address all learning domains. CONSULTATION -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, and be sure to add me as your consultant. -Criminal Backgrounds Checks for the provider and all household members 16 years of age and older should be completed every five years. Your qualifying letter is valid until 2/25/26. -Remember to conduct a fire drill, lockdown/shelter-in-place drill, and outdoor inspection before the end of this month. TRAINING REMINDERS -Training from 4/9/24 to 2/24/25 was reviewed today and documented on the Verification of Required Information for Operator and Additional Caregivers form. All training hours have been completed for this year and 1.5 hours will carry over to apply to next year’s training requirement. -CPR and First Aid must be renewed every two years. Your CPR and First Aid certification expires on 5/10/25. -ITS-SIDS training must be renewed every three years. Your training expires on 9/19/27. -Health and safety training must be renewed every five years. Your training expires in 2027. Also, “Recognizing and Responding to Suspicions of Child Maltreatment” (part of the Health and Safety Training) should be renewed every five years. This training can be found on the Positive Child Alliance NC website: https://preventchildabusenc.org/online-trainings/ 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: MARY'S LIL LAMBS Facility ID: 32001965 Consultant: SHAMEQUA WILKERSON-HARRIS Operation Type: Family CC Home Case Number: Visit Date: 4/9/2024 Number Present: 3 Completed Date: 4/9/2024 Age: From 3 To 4 Total Minutes: 130 Time In: 09:30 AM Time Out: 11:40 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 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, Mary Hill, 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 ranging in age from three (3) to four (4) years old. The children were observed having screen time, playing in centers, playing a matching game, interacting with the provider, and completing routine tasks. LICENSE STATUS The Family Child Care Home (FCCH) operates with a Three (3) star license issued June 29, 2018, earning four (4) points in staff education, two (2) points in program standards and one (1) quality. 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 have a child under 12 months enrolled, therefore safe sleep requirements were not monitored. No children enrolled have medications or medical care plans, so these requirements were not monitored. Transportation is provided; however, the van was not able to be monitored. The provider stated that the van was at the shop being repaired. I monitored the providers driver’s license and vehicle insurance. 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 3/1/24. *The last documented shelter-in-place or lockdown drill was conducted 2/1/24. *The last documented playground inspection was conducted 3/1/24. The following violations were observed and cited on 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. Paint, gain laundry pods, and baking powder was not stored in a locked storage. Paint was stored on the floor and gain laundry pods and baking powder was stored in reach of the children. .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 enrolled on 3/5/24 did not have a health assessment on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. A child enrolled on 3/5/24 did not have immunization records on file. GS 110-91(1); .1721(a)(2) 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 for each child was not accurately maintained daily. .1721(e)(6) 1895 Application did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns. A child enrolled on 3/5/24 did not have health care needs or concerns completed on the application. .1721 (a ) (3)(D) 1968 Screen time was not limited to a maximum of thirty minutes per day, and no more than two and a half hours per week, per child. The screen time log was not filled out correctly to determine the time limit for each child. The children were observed having screen time upon my arrival. .1718(b)(2) 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 April 23, 2024, 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 COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history was 93%. 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: During today’s visit, the information below was shared with you to maintain quality within your program and to prevent further violations. SCREEN TIME Upon my arrival children were observed having screen time watching ‘Mickey Mouse Club House.’ The screen time log was not completed to reflect the days and times screen time is offered. I would recommend using the screen time log to document the actual day and time the screen time started. Once screen time is over, I would recommend that you then document the time. I also recommend you go to the Caring for Kids website (nrckids.org) and read about Screen time. STORAGE OF HAZARDOUS MATERIALS The provider stated that she is having her home painted after the children leave in the afternoon. The paint was not removed while children were in attendance. I also observed gain laundry detergents pods, and baking soda that stated ‘keep out of reach of children’ in reach of the children. I would recommend checking after the painters to make sure the paint is put away once they are complete each night. CHILDREN FILES I would recommend you using the children file checklist to make sure all paperwork is completed and filed on or before the child’s first day of attendance. ATTENDANCE I would recommend that you as the provider check daily to make sure attendance has been recorded for all children daily. I would recommend using the state provided attendance form. I provided a copy of the state attendance form. CONSULTATION AND REMINDERS The following items were discussed during today’s visit to improve the quality of your program. 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 1. Your reassessment year will be between July 1, 2024, and June 30, 2025. I discussed with the provider to consider going through FCCERS-R assessment during June 2024. I also discussed that if the FCCERS-R assessment is completed during the prep year and the scores are liked they can be used immediately upon the administrators request or be held until the actual assessment year. HEALTH CONSULTANT Ellie Morrise is the new Child Care Health Consultant. If you should have any health related questions, please reach out to her at morrise@email.unc.edu and/or 919.809.9645. 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 2019, you should begin to retake the training now. CLEAN CLASSROOMS FOR CAROLINA KIDS I encourage you to enroll in the Clean Classrooms for Carolina Kids program to identify and eliminate exposure to lead and asbestos hazards in building infrastructure. This program is an expansion of Clean Water for Carolina Kids. Facilities are now required to meet rule requirements NC 10A NCAC 41C. 1001-1007, NC 154A NCAC 18A .2816. Clean Classrooms for Carolina Kids is designed to ensure facilities meet all requirements, receive direct support throughout the participation process, and have access to communication resources. If you need more information on this topic please refer to your December 7, 2023 email from NCDHHS Division of Child Development and Early Education. 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

GS 110-91 · Violation

Name of Operation: MARY'S LIL LAMBS Facility ID: 32001965 Consultant: SHAMEQUA WILKERSON-HARRIS Operation Type: Family CC Home Case Number: Visit Date: 4/9/2024 Number Present: 3 Completed Date: 4/9/2024 Age: From 3 To 4 Total Minutes: 130 Time In: 09:30 AM Time Out: 11:40 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 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, Mary Hill, 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 ranging in age from three (3) to four (4) years old. The children were observed having screen time, playing in centers, playing a matching game, interacting with the provider, and completing routine tasks. LICENSE STATUS The Family Child Care Home (FCCH) operates with a Three (3) star license issued June 29, 2018, earning four (4) points in staff education, two (2) points in program standards and one (1) quality. 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 have a child under 12 months enrolled, therefore safe sleep requirements were not monitored. No children enrolled have medications or medical care plans, so these requirements were not monitored. Transportation is provided; however, the van was not able to be monitored. The provider stated that the van was at the shop being repaired. I monitored the providers driver’s license and vehicle insurance. 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 3/1/24. *The last documented shelter-in-place or lockdown drill was conducted 2/1/24. *The last documented playground inspection was conducted 3/1/24. The following violations were observed and cited on 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. Paint, gain laundry pods, and baking powder was not stored in a locked storage. Paint was stored on the floor and gain laundry pods and baking powder was stored in reach of the children. .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 enrolled on 3/5/24 did not have a health assessment on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. A child enrolled on 3/5/24 did not have immunization records on file. GS 110-91(1); .1721(a)(2) 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 for each child was not accurately maintained daily. .1721(e)(6) 1895 Application did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns. A child enrolled on 3/5/24 did not have health care needs or concerns completed on the application. .1721 (a ) (3)(D) 1968 Screen time was not limited to a maximum of thirty minutes per day, and no more than two and a half hours per week, per child. The screen time log was not filled out correctly to determine the time limit for each child. The children were observed having screen time upon my arrival. .1718(b)(2) 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 April 23, 2024, 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 COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history was 93%. 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: During today’s visit, the information below was shared with you to maintain quality within your program and to prevent further violations. SCREEN TIME Upon my arrival children were observed having screen time watching ‘Mickey Mouse Club House.’ The screen time log was not completed to reflect the days and times screen time is offered. I would recommend using the screen time log to document the actual day and time the screen time started. Once screen time is over, I would recommend that you then document the time. I also recommend you go to the Caring for Kids website (nrckids.org) and read about Screen time. STORAGE OF HAZARDOUS MATERIALS The provider stated that she is having her home painted after the children leave in the afternoon. The paint was not removed while children were in attendance. I also observed gain laundry detergents pods, and baking soda that stated ‘keep out of reach of children’ in reach of the children. I would recommend checking after the painters to make sure the paint is put away once they are complete each night. CHILDREN FILES I would recommend you using the children file checklist to make sure all paperwork is completed and filed on or before the child’s first day of attendance. ATTENDANCE I would recommend that you as the provider check daily to make sure attendance has been recorded for all children daily. I would recommend using the state provided attendance form. I provided a copy of the state attendance form. CONSULTATION AND REMINDERS The following items were discussed during today’s visit to improve the quality of your program. 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 1. Your reassessment year will be between July 1, 2024, and June 30, 2025. I discussed with the provider to consider going through FCCERS-R assessment during June 2024. I also discussed that if the FCCERS-R assessment is completed during the prep year and the scores are liked they can be used immediately upon the administrators request or be held until the actual assessment year. HEALTH CONSULTANT Ellie Morrise is the new Child Care Health Consultant. If you should have any health related questions, please reach out to her at morrise@email.unc.edu and/or 919.809.9645. 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 2019, you should begin to retake the training now. CLEAN CLASSROOMS FOR CAROLINA KIDS I encourage you to enroll in the Clean Classrooms for Carolina Kids program to identify and eliminate exposure to lead and asbestos hazards in building infrastructure. This program is an expansion of Clean Water for Carolina Kids. Facilities are now required to meet rule requirements NC 10A NCAC 41C. 1001-1007, NC 154A NCAC 18A .2816. Clean Classrooms for Carolina Kids is designed to ensure facilities meet all requirements, receive direct support throughout the participation process, and have access to communication resources. If you need more information on this topic please refer to your December 7, 2023 email from NCDHHS Division of Child Development and Early Education. 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