Play St8Tion Child Development Home Llc

10A NCAC 09 .1705 · Violation

Name of Operation: PLAY ST8TION CHILD DEVELOPMENT HOME LLC Facility ID: 32002296 Consultant: TONI FULLER Operation Type: Family CC Home Case Number: Visit Date: 1/24/2024 Number Present: 5 Completed Date: 1/24/2024 Age: From 0 To 2 Total Minutes: 165 Time In: 10:30 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced Upon arrival the operator and additional caregiver greeted me. The purpose of today’s visit was to monitor applicable childcare requirements during your Annual Compliance visit. The last Annual Compliance visit was conducted on 2/9/23. This Family Child Care Home operates with a four-star license, which was issued on 10/25/21. During today’s visit the operator stated that the revised shift operating hours were working well: First Shift 7:00 am – 5:00 pm Second Shift 6:00 pm – 11:00 pm Third Shift 12:00 pm – 6:00 am Currently there are children enrolled on all three shifts. During today’s visit the indoor child care space and the outdoor environment were monitored. Current activity plans and menus were posted. CURRICULUM: This Family Child Care Home implements the High Reach curriculum. RESIDENTS IN THE HOME: The operator stated that she had remarried. During today’s visit I verified that the husband had Criminal Record Check clearance. OBSERVATIONS: There were five young children present today. I observed the children coloring, having music time, enjoying the outdoor environment, eating lunch, and resting during naptime. Lunch today consisted of macaroni w/cheese, lima beans, bread, blackberries and milk. Upon arrival I was given the enrollment worksheet, operator’s verification form, and the signed statements of responsibility. The forms were reviewed during the visit and discussed with the operator. I reminded the operator that she and the additional caregiver needed to complete an updated CPR and First Aid training by 3/5/24. SMOKE DETECTORS: The electrically operated smoke detector with battery back-up was tested during the visit. INCIDENT REPORTS: The operator stated that there had been no medical incidents during the past year. TRANSPORTATION: The operator stated she was not offering transportation services. The operator stated that she transported her grandson (who was enrolled in the program) during emergencies only. The vehicle was not on the premises today. INSPECTIONS: The last fire drill was conducted on 1/19/24. The last shelter-in-place drill was conducted on 12/19/23. The last outdoor inspection was completed on 12/19/23. The following violations were cited today: 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. The unlocked pantry near child care space contained bleach and aerosol cans. .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. One child, who began attending on 2/10/23, did not have a medical assessment on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. One child, who began attending on 2/10/23, did not have an immunization record on file. GS 110-91(1); .1721(a)(2) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. The infant did not have a signed discipline policy on file. G.S.110-91(10); .1727(a)&(b) 1301 Operator did not complete the required number of on-going training hours as specified in rule. The additional caregiver needed verification of six additional hours of training to meet her yearly requirement. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1714 The written plan of care did not specify the names of individuals who will be responsible for the care of children when the operator attends to routine tasks. Two siblings did not have a signed Written Plan of Care on file. .1712(e )(2) All violations must be corrected immediately. Please send me a signed Corrective Action letter by 2/7/24 explaining how the violations cited today have been corrected. HAZARDOUS ITEM STORAGE: Options for storing aerosol cans and other hazardous products were discussed. FOOD ALLERGY: One NC Pre-K child had a food allergy. The Epi-Pen for the allergy remains at public school. I asked the operator to talk with the parents about the allergy to determine if an Epi-Pen needed to be available for afterschool care and care during Teacher Workdays and holidays. RATED LICENSE: I explained that Playst8tion was in Cohort III for Rated License reassessment. Your assessment preparation year will begin on 7/1/25, and your assessment year will begin on 7/26. I discussed the option of having a prep year Environment Rating Scale assessment. CONTACT INFORMATION: Please contact me if I can be of any assistance to you. I can be reached at toni.fuller@dhhs.nc.gov or (919) 819-9366. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.1721 · Violation

Name of Operation: PLAY ST8TION CHILD DEVELOPMENT HOME LLC Facility ID: 32002296 Consultant: TONI FULLER Operation Type: Family CC Home Case Number: Visit Date: 1/24/2024 Number Present: 5 Completed Date: 1/24/2024 Age: From 0 To 2 Total Minutes: 165 Time In: 10:30 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced Upon arrival the operator and additional caregiver greeted me. The purpose of today’s visit was to monitor applicable childcare requirements during your Annual Compliance visit. The last Annual Compliance visit was conducted on 2/9/23. This Family Child Care Home operates with a four-star license, which was issued on 10/25/21. During today’s visit the operator stated that the revised shift operating hours were working well: First Shift 7:00 am – 5:00 pm Second Shift 6:00 pm – 11:00 pm Third Shift 12:00 pm – 6:00 am Currently there are children enrolled on all three shifts. During today’s visit the indoor child care space and the outdoor environment were monitored. Current activity plans and menus were posted. CURRICULUM: This Family Child Care Home implements the High Reach curriculum. RESIDENTS IN THE HOME: The operator stated that she had remarried. During today’s visit I verified that the husband had Criminal Record Check clearance. OBSERVATIONS: There were five young children present today. I observed the children coloring, having music time, enjoying the outdoor environment, eating lunch, and resting during naptime. Lunch today consisted of macaroni w/cheese, lima beans, bread, blackberries and milk. Upon arrival I was given the enrollment worksheet, operator’s verification form, and the signed statements of responsibility. The forms were reviewed during the visit and discussed with the operator. I reminded the operator that she and the additional caregiver needed to complete an updated CPR and First Aid training by 3/5/24. SMOKE DETECTORS: The electrically operated smoke detector with battery back-up was tested during the visit. INCIDENT REPORTS: The operator stated that there had been no medical incidents during the past year. TRANSPORTATION: The operator stated she was not offering transportation services. The operator stated that she transported her grandson (who was enrolled in the program) during emergencies only. The vehicle was not on the premises today. INSPECTIONS: The last fire drill was conducted on 1/19/24. The last shelter-in-place drill was conducted on 12/19/23. The last outdoor inspection was completed on 12/19/23. The following violations were cited today: 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. The unlocked pantry near child care space contained bleach and aerosol cans. .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. One child, who began attending on 2/10/23, did not have a medical assessment on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. One child, who began attending on 2/10/23, did not have an immunization record on file. GS 110-91(1); .1721(a)(2) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. The infant did not have a signed discipline policy on file. G.S.110-91(10); .1727(a)&(b) 1301 Operator did not complete the required number of on-going training hours as specified in rule. The additional caregiver needed verification of six additional hours of training to meet her yearly requirement. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1714 The written plan of care did not specify the names of individuals who will be responsible for the care of children when the operator attends to routine tasks. Two siblings did not have a signed Written Plan of Care on file. .1712(e )(2) All violations must be corrected immediately. Please send me a signed Corrective Action letter by 2/7/24 explaining how the violations cited today have been corrected. HAZARDOUS ITEM STORAGE: Options for storing aerosol cans and other hazardous products were discussed. FOOD ALLERGY: One NC Pre-K child had a food allergy. The Epi-Pen for the allergy remains at public school. I asked the operator to talk with the parents about the allergy to determine if an Epi-Pen needed to be available for afterschool care and care during Teacher Workdays and holidays. RATED LICENSE: I explained that Playst8tion was in Cohort III for Rated License reassessment. Your assessment preparation year will begin on 7/1/25, and your assessment year will begin on 7/26. I discussed the option of having a prep year Environment Rating Scale assessment. CONTACT INFORMATION: Please contact me if I can be of any assistance to you. I can be reached at toni.fuller@dhhs.nc.gov or (919) 819-9366. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S.110-91 · Violation

Name of Operation: PLAY ST8TION CHILD DEVELOPMENT HOME LLC Facility ID: 32002296 Consultant: TONI FULLER Operation Type: Family CC Home Case Number: Visit Date: 1/24/2024 Number Present: 5 Completed Date: 1/24/2024 Age: From 0 To 2 Total Minutes: 165 Time In: 10:30 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced Upon arrival the operator and additional caregiver greeted me. The purpose of today’s visit was to monitor applicable childcare requirements during your Annual Compliance visit. The last Annual Compliance visit was conducted on 2/9/23. This Family Child Care Home operates with a four-star license, which was issued on 10/25/21. During today’s visit the operator stated that the revised shift operating hours were working well: First Shift 7:00 am – 5:00 pm Second Shift 6:00 pm – 11:00 pm Third Shift 12:00 pm – 6:00 am Currently there are children enrolled on all three shifts. During today’s visit the indoor child care space and the outdoor environment were monitored. Current activity plans and menus were posted. CURRICULUM: This Family Child Care Home implements the High Reach curriculum. RESIDENTS IN THE HOME: The operator stated that she had remarried. During today’s visit I verified that the husband had Criminal Record Check clearance. OBSERVATIONS: There were five young children present today. I observed the children coloring, having music time, enjoying the outdoor environment, eating lunch, and resting during naptime. Lunch today consisted of macaroni w/cheese, lima beans, bread, blackberries and milk. Upon arrival I was given the enrollment worksheet, operator’s verification form, and the signed statements of responsibility. The forms were reviewed during the visit and discussed with the operator. I reminded the operator that she and the additional caregiver needed to complete an updated CPR and First Aid training by 3/5/24. SMOKE DETECTORS: The electrically operated smoke detector with battery back-up was tested during the visit. INCIDENT REPORTS: The operator stated that there had been no medical incidents during the past year. TRANSPORTATION: The operator stated she was not offering transportation services. The operator stated that she transported her grandson (who was enrolled in the program) during emergencies only. The vehicle was not on the premises today. INSPECTIONS: The last fire drill was conducted on 1/19/24. The last shelter-in-place drill was conducted on 12/19/23. The last outdoor inspection was completed on 12/19/23. The following violations were cited today: 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. The unlocked pantry near child care space contained bleach and aerosol cans. .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. One child, who began attending on 2/10/23, did not have a medical assessment on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. One child, who began attending on 2/10/23, did not have an immunization record on file. GS 110-91(1); .1721(a)(2) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. The infant did not have a signed discipline policy on file. G.S.110-91(10); .1727(a)&(b) 1301 Operator did not complete the required number of on-going training hours as specified in rule. The additional caregiver needed verification of six additional hours of training to meet her yearly requirement. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1714 The written plan of care did not specify the names of individuals who will be responsible for the care of children when the operator attends to routine tasks. Two siblings did not have a signed Written Plan of Care on file. .1712(e )(2) All violations must be corrected immediately. Please send me a signed Corrective Action letter by 2/7/24 explaining how the violations cited today have been corrected. HAZARDOUS ITEM STORAGE: Options for storing aerosol cans and other hazardous products were discussed. FOOD ALLERGY: One NC Pre-K child had a food allergy. The Epi-Pen for the allergy remains at public school. I asked the operator to talk with the parents about the allergy to determine if an Epi-Pen needed to be available for afterschool care and care during Teacher Workdays and holidays. RATED LICENSE: I explained that Playst8tion was in Cohort III for Rated License reassessment. Your assessment preparation year will begin on 7/1/25, and your assessment year will begin on 7/26. I discussed the option of having a prep year Environment Rating Scale assessment. CONTACT INFORMATION: Please contact me if I can be of any assistance to you. I can be reached at toni.fuller@dhhs.nc.gov or (919) 819-9366. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: PLAY ST8TION CHILD DEVELOPMENT HOME LLC Facility ID: 32002296 Consultant: TONI FULLER Operation Type: Family CC Home Case Number: Visit Date: 1/24/2024 Number Present: 5 Completed Date: 1/24/2024 Age: From 0 To 2 Total Minutes: 165 Time In: 10:30 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced Upon arrival the operator and additional caregiver greeted me. The purpose of today’s visit was to monitor applicable childcare requirements during your Annual Compliance visit. The last Annual Compliance visit was conducted on 2/9/23. This Family Child Care Home operates with a four-star license, which was issued on 10/25/21. During today’s visit the operator stated that the revised shift operating hours were working well: First Shift 7:00 am – 5:00 pm Second Shift 6:00 pm – 11:00 pm Third Shift 12:00 pm – 6:00 am Currently there are children enrolled on all three shifts. During today’s visit the indoor child care space and the outdoor environment were monitored. Current activity plans and menus were posted. CURRICULUM: This Family Child Care Home implements the High Reach curriculum. RESIDENTS IN THE HOME: The operator stated that she had remarried. During today’s visit I verified that the husband had Criminal Record Check clearance. OBSERVATIONS: There were five young children present today. I observed the children coloring, having music time, enjoying the outdoor environment, eating lunch, and resting during naptime. Lunch today consisted of macaroni w/cheese, lima beans, bread, blackberries and milk. Upon arrival I was given the enrollment worksheet, operator’s verification form, and the signed statements of responsibility. The forms were reviewed during the visit and discussed with the operator. I reminded the operator that she and the additional caregiver needed to complete an updated CPR and First Aid training by 3/5/24. SMOKE DETECTORS: The electrically operated smoke detector with battery back-up was tested during the visit. INCIDENT REPORTS: The operator stated that there had been no medical incidents during the past year. TRANSPORTATION: The operator stated she was not offering transportation services. The operator stated that she transported her grandson (who was enrolled in the program) during emergencies only. The vehicle was not on the premises today. INSPECTIONS: The last fire drill was conducted on 1/19/24. The last shelter-in-place drill was conducted on 12/19/23. The last outdoor inspection was completed on 12/19/23. The following violations were cited today: 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. The unlocked pantry near child care space contained bleach and aerosol cans. .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. One child, who began attending on 2/10/23, did not have a medical assessment on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. One child, who began attending on 2/10/23, did not have an immunization record on file. GS 110-91(1); .1721(a)(2) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. The infant did not have a signed discipline policy on file. G.S.110-91(10); .1727(a)&(b) 1301 Operator did not complete the required number of on-going training hours as specified in rule. The additional caregiver needed verification of six additional hours of training to meet her yearly requirement. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1714 The written plan of care did not specify the names of individuals who will be responsible for the care of children when the operator attends to routine tasks. Two siblings did not have a signed Written Plan of Care on file. .1712(e )(2) All violations must be corrected immediately. Please send me a signed Corrective Action letter by 2/7/24 explaining how the violations cited today have been corrected. HAZARDOUS ITEM STORAGE: Options for storing aerosol cans and other hazardous products were discussed. FOOD ALLERGY: One NC Pre-K child had a food allergy. The Epi-Pen for the allergy remains at public school. I asked the operator to talk with the parents about the allergy to determine if an Epi-Pen needed to be available for afterschool care and care during Teacher Workdays and holidays. RATED LICENSE: I explained that Playst8tion was in Cohort III for Rated License reassessment. Your assessment preparation year will begin on 7/1/25, and your assessment year will begin on 7/26. I discussed the option of having a prep year Environment Rating Scale assessment. CONTACT INFORMATION: Please contact me if I can be of any assistance to you. I can be reached at toni.fuller@dhhs.nc.gov or (919) 819-9366. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: PLAY ST8TION CHILD DEVELOPMENT HOME LLC Facility ID: 32002296 Consultant: TONI FULLER Operation Type: Family CC Home Case Number: 0823-276L Visit Date: 8/22/2023 Number Present: 3 Completed Date: 8/22/2023 Age: From 1 To 6 Total Minutes: 130 Time In: 02:20 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced On August 21, 2023, the Division of Child Development and Early Education (DCDEE) received a report alleging non-compliance with NC Child Care Licensing Requirements at this Family Child Care Home. As stated in the report, the allegations are: ALLEGATION #1 According to the reporter, children in care are being disciplined inappropriately. ALLEGATION #2 According to the reporter, the operator is caring for more children than stipulated on the child care license. Observations Upon arrival at the facility today, I was greeted by the operator. I informed the operator that the Division had received a report of possible non-compliance with the licensing requirements, and I was making today’s unannounced visit to gather information pertaining to the matter. The operator was given the opportunity to ask any questions related to the investigation process. During today’s visit there were three children present (2 preschool age and 1 school age). I arrived at the end of naptime. I observed the children getting up from naptime, eating afternoon snack, and engaged in free play activities in child care space. The child in the report was present today. During today’s visit I reviewed the enrollment worksheet with the operator. I determined that the child in the report was not on the enrollment roster. The operator stated that the child in the report attended on a “drop-in” status only. I reviewed the child’s file during today’s visit. Comments section: During today’s visit I discussed the report with the operator. The additional caregiver was not present during today’s visit. Allegation #1: During the 2/9/23 Annual Compliance visit children’s records were reviewed. I verified that parents had signed the standard discipline policy. I observed the child in the report for 45 minutes. He seemed happy, content in his surroundings, played well with the other two children, and interacted well with the operator. The following statements were made by the operator, regarding allegation #1: • The operator stated that she had never administered corporal punishment to any of the day care children. • The child in the report had a half-sibling (age 1), who attended every day. • The two brothers had the same father. • The mother of the drop-in child was not pleased that her son was enrolled at this Family Child Care Home. • During the visit, the child in the report was picked up by his stepmother. • The stepmother stated that both brothers liked attending this Family Child Care Home. • The child seemed happy as he transitioned to go home. Allegation #2: This Family Child Care Home was operating seven days a week. The operator stated that the shift hours were as follows: First Shift: 6:00 am to 3:00 pm Second Shift: 4:00 pm to 11:00 pm Third Shift: 12:00 pm to 5:00 am “Shift Overlap” was discussed and documented during the 2/9/23 visit and the 7/11/23 visit. During today’s visit I reviewed the attendance records for the month of August 2023. The attendance sheets showed that 10 children were present on first shift on the following days in August: 8/1/23, 8/2/23, 8/3/23, 8/4/23, 8/8/23, 8/10/23, 8/11/23, 8/14/23/, 8/15/23, 8/21/23, and 8/23/23. There were 9 children present on 8/9/23. I stated that the attendance roster was filled out for today, reflecting an attendance of 10 children on first shift, but there were only 3 children present today. The operator stated that most of the children were on vacation this week. . ALLEGATION RESOLUTION Allegation #1: Based on my observations and discussion with the operator today, I determined that the allegation of inappropriate discipline was UNSUBSTANTIATED. Allegation #2: Based on my review of the attendance records for the month of August, I determined that the allegation regarding too many children in care was SUBSTANTIATED. The following violations were cited during today’s visit. Violation Number Comment Rule 101 Number of children exceeded number allowed. It was determined that more than 8 children were present on first shift for 12 days during the month of August. GS 110-91(7)(b) & 110-86(3)(b) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. The child in the report did not have an immunization record on file. GS 110-91(1); .1721(a)(2) All violations must be corrected immediately. Please send me a signed Corrective Action letter by 9/5/23 explaining how the violations have been corrected. Since a violation of capacity was cited today, a return visit will be conducted soon to monitor the number of children present. TECHNICAL ASSISTANCE: The operator stated that trying to accommodate parents of school age children had been the problem this summer. Technical Assistance was provided on this matter. CONTACT INFORMATION: If you have any questions or need further assistance, I can be reached at (919)554-9952. All mail correspondence should be sent to Post Office Box 1042 Youngsville, NC 27596. 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: PLAY ST8TION CHILD DEVELOPMENT HOME LLC Facility ID: 32002296 Consultant: TONI FULLER Operation Type: Family CC Home Case Number: Visit Date: 7/11/2023 Number Present: 7 Completed Date: 7/11/2023 Age: From 0 To 9 Total Minutes: 80 Time In: 10:00 AM Time Out: 11:20 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced Upon arrival the operator and her daughter (additional caregiver) greeted me. The purpose of today’s visit was to monitor applicable child care requirements during a Routine Unannounced visit. The last Annual Compliance visit was conducted on 2/9/23. This Family Child Care Home operates with a four-star license, which was issued on 10/25/21. The compliance history for the previous eighteen-month time frame is 94%. During today’s visit all indoor child care space and the outdoor environment were monitored. There seven children (5 pre-school and 2 school age) present. I observed the children having tummy time and engaged in a variety of indoor activities. The them for the posted activity plan was “plants”. The operator had posted menus for snacks, breakfast, lunch, and dinner. By reviewing the documentation from the 2/9/23 Annual Compliance visit, I verified that the operator and additional caregiver had current CPR, First Aid, and Safe Sleep training, along with current Criminal Record Check clearance. CHILDREN: The operator stated that none of the children had a food allergy or were on medication. During today’s visit I reviewed the files for the two infants, who had enrolled after the 2/9/23 Annual Compliance visit. RESIDENTS: The operator stated that she and her son (age 14) were the only residents in the home. TRANSPORTATION: The operator stated that she was not offering transportation services. INSPECTIONS: The last documented fire drill was conducted on 6/23/23. The last documented shelter-in-place drill was conducted 6/23/23. The last outdoor inspection was completed on 6/23/23. The following violations were cited today: Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. The infant, who enrolled on 4/3/23, did not have a medical assessment on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 919 Accurate records were not maintained for all staff and children. The school age "drop-in" child present today, did not have any information 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. The daily attendance was last recorded on 7/5/23. .1721(e)(6) All violations must be corrected immediately. Please send me a signed Corrective Action letter by 7/25/23, explaining how the violations have been corrected. TECHNICAL ASSISTANCE WAS PROVIDED TODAY IN THE FOLLOWING AREAS: SUPERVISION: The operator’s school age grandson was enrolled for the summer months. During today’s visit I reviewed supervision requirements with the operator and suggested that the grandson store items that he wanted to play with in a designated place in child care space. Technical Assistance was provided on the challenges of maintaining supervision with the grandson during operating hours, when he had unlimited access to the entire home when the FCCH was closed. ENROLLMENT: During today’s visit I reviewed the shift hours with the operator, along with hours of care for each child enrolled on first and second shift. The operator was aware that shift overlap was not permitted. DROP-IN CARE: Technical Assistance was provided by explaining the importance of having information on file for the drop-in child in case of emergency. ACTIVITY PLANS: Please be diligent in keeping posted activity plans dated. ANNUAL COMPLIANCE VISIT: I stated that I would be tallying yearly in-service training hours for the operator and the additional caregiver during the Annual Compliance visit. I reminded the additional caregiver that she would need 20 hours of in-service training by the Annual Compliance visit. I stated that with the completion of Education 119 (NCECC), the yearly requirement would drop from 20 to 10 hours annually. The additional caregiver stated that she had already completed multiple trainings in meet the yearly requirement. RATED LICENSE: The Rated License reassessment process is resuming. According to the information I have today, this program will begin the reassessment process in July 2026. CONTACT INFORMATION: Please contact me if I can be of any assistance to you. I can be reached at toni.fuller@dhhs.nc.gov or (919) 819-9366. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: PLAY ST8TION CHILD DEVELOPMENT HOME LLC Facility ID: 32002296 Consultant: TONI FULLER Operation Type: Family CC Home Case Number: Visit Date: 7/11/2023 Number Present: 7 Completed Date: 7/11/2023 Age: From 0 To 9 Total Minutes: 80 Time In: 10:00 AM Time Out: 11:20 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced Upon arrival the operator and her daughter (additional caregiver) greeted me. The purpose of today’s visit was to monitor applicable child care requirements during a Routine Unannounced visit. The last Annual Compliance visit was conducted on 2/9/23. This Family Child Care Home operates with a four-star license, which was issued on 10/25/21. The compliance history for the previous eighteen-month time frame is 94%. During today’s visit all indoor child care space and the outdoor environment were monitored. There seven children (5 pre-school and 2 school age) present. I observed the children having tummy time and engaged in a variety of indoor activities. The them for the posted activity plan was “plants”. The operator had posted menus for snacks, breakfast, lunch, and dinner. By reviewing the documentation from the 2/9/23 Annual Compliance visit, I verified that the operator and additional caregiver had current CPR, First Aid, and Safe Sleep training, along with current Criminal Record Check clearance. CHILDREN: The operator stated that none of the children had a food allergy or were on medication. During today’s visit I reviewed the files for the two infants, who had enrolled after the 2/9/23 Annual Compliance visit. RESIDENTS: The operator stated that she and her son (age 14) were the only residents in the home. TRANSPORTATION: The operator stated that she was not offering transportation services. INSPECTIONS: The last documented fire drill was conducted on 6/23/23. The last documented shelter-in-place drill was conducted 6/23/23. The last outdoor inspection was completed on 6/23/23. The following violations were cited today: Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. The infant, who enrolled on 4/3/23, did not have a medical assessment on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 919 Accurate records were not maintained for all staff and children. The school age "drop-in" child present today, did not have any information 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. The daily attendance was last recorded on 7/5/23. .1721(e)(6) All violations must be corrected immediately. Please send me a signed Corrective Action letter by 7/25/23, explaining how the violations have been corrected. TECHNICAL ASSISTANCE WAS PROVIDED TODAY IN THE FOLLOWING AREAS: SUPERVISION: The operator’s school age grandson was enrolled for the summer months. During today’s visit I reviewed supervision requirements with the operator and suggested that the grandson store items that he wanted to play with in a designated place in child care space. Technical Assistance was provided on the challenges of maintaining supervision with the grandson during operating hours, when he had unlimited access to the entire home when the FCCH was closed. ENROLLMENT: During today’s visit I reviewed the shift hours with the operator, along with hours of care for each child enrolled on first and second shift. The operator was aware that shift overlap was not permitted. DROP-IN CARE: Technical Assistance was provided by explaining the importance of having information on file for the drop-in child in case of emergency. ACTIVITY PLANS: Please be diligent in keeping posted activity plans dated. ANNUAL COMPLIANCE VISIT: I stated that I would be tallying yearly in-service training hours for the operator and the additional caregiver during the Annual Compliance visit. I reminded the additional caregiver that she would need 20 hours of in-service training by the Annual Compliance visit. I stated that with the completion of Education 119 (NCECC), the yearly requirement would drop from 20 to 10 hours annually. The additional caregiver stated that she had already completed multiple trainings in meet the yearly requirement. RATED LICENSE: The Rated License reassessment process is resuming. According to the information I have today, this program will begin the reassessment process in July 2026. CONTACT INFORMATION: Please contact me if I can be of any assistance to you. I can be reached at toni.fuller@dhhs.nc.gov or (919) 819-9366. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: PLAY ST8TION CHILD DEVELOPMENT HOME LLC Facility ID: 32002296 Consultant: TONI FULLER Operation Type: Family CC Home Case Number: Visit Date: 7/11/2023 Number Present: 7 Completed Date: 7/11/2023 Age: From 0 To 9 Total Minutes: 80 Time In: 10:00 AM Time Out: 11:20 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced Upon arrival the operator and her daughter (additional caregiver) greeted me. The purpose of today’s visit was to monitor applicable child care requirements during a Routine Unannounced visit. The last Annual Compliance visit was conducted on 2/9/23. This Family Child Care Home operates with a four-star license, which was issued on 10/25/21. The compliance history for the previous eighteen-month time frame is 94%. During today’s visit all indoor child care space and the outdoor environment were monitored. There seven children (5 pre-school and 2 school age) present. I observed the children having tummy time and engaged in a variety of indoor activities. The them for the posted activity plan was “plants”. The operator had posted menus for snacks, breakfast, lunch, and dinner. By reviewing the documentation from the 2/9/23 Annual Compliance visit, I verified that the operator and additional caregiver had current CPR, First Aid, and Safe Sleep training, along with current Criminal Record Check clearance. CHILDREN: The operator stated that none of the children had a food allergy or were on medication. During today’s visit I reviewed the files for the two infants, who had enrolled after the 2/9/23 Annual Compliance visit. RESIDENTS: The operator stated that she and her son (age 14) were the only residents in the home. TRANSPORTATION: The operator stated that she was not offering transportation services. INSPECTIONS: The last documented fire drill was conducted on 6/23/23. The last documented shelter-in-place drill was conducted 6/23/23. The last outdoor inspection was completed on 6/23/23. The following violations were cited today: Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. The infant, who enrolled on 4/3/23, did not have a medical assessment on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 919 Accurate records were not maintained for all staff and children. The school age "drop-in" child present today, did not have any information 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. The daily attendance was last recorded on 7/5/23. .1721(e)(6) All violations must be corrected immediately. Please send me a signed Corrective Action letter by 7/25/23, explaining how the violations have been corrected. TECHNICAL ASSISTANCE WAS PROVIDED TODAY IN THE FOLLOWING AREAS: SUPERVISION: The operator’s school age grandson was enrolled for the summer months. During today’s visit I reviewed supervision requirements with the operator and suggested that the grandson store items that he wanted to play with in a designated place in child care space. Technical Assistance was provided on the challenges of maintaining supervision with the grandson during operating hours, when he had unlimited access to the entire home when the FCCH was closed. ENROLLMENT: During today’s visit I reviewed the shift hours with the operator, along with hours of care for each child enrolled on first and second shift. The operator was aware that shift overlap was not permitted. DROP-IN CARE: Technical Assistance was provided by explaining the importance of having information on file for the drop-in child in case of emergency. ACTIVITY PLANS: Please be diligent in keeping posted activity plans dated. ANNUAL COMPLIANCE VISIT: I stated that I would be tallying yearly in-service training hours for the operator and the additional caregiver during the Annual Compliance visit. I reminded the additional caregiver that she would need 20 hours of in-service training by the Annual Compliance visit. I stated that with the completion of Education 119 (NCECC), the yearly requirement would drop from 20 to 10 hours annually. The additional caregiver stated that she had already completed multiple trainings in meet the yearly requirement. RATED LICENSE: The Rated License reassessment process is resuming. According to the information I have today, this program will begin the reassessment process in July 2026. CONTACT INFORMATION: Please contact me if I can be of any assistance to you. I can be reached at toni.fuller@dhhs.nc.gov or (919) 819-9366. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times