GS 110-105 · Violation

Name of Operation: LITTLE DARLINGS CHILDCARE, INC. Facility ID: 99000020 Consultant: JULIA ARMSTRONG Operation Type: Center Case Number: 0825-066A Visit Date: 8/11/2025 Number Present: 25 Completed Date: 8/11/2025 Age: From 0 To 4 Total Minutes: 150 Time In: 10:15 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Natosha Lambeth, Western Investigations Supervisor, was also present during the visit. We conducted a walk-through of the facility unaccompanied. During the visit, we discussed the allegations with Glenna “Cathy” Waddell and an additional staff member. Limited monitoring of child care requirements occurred during today’s visit. The following violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Staff did not complete an incident report when a child sustained a bump on the head on August 4, 2025. .0802 (e) 904 A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. On August 4, 2025, a staff member hit a two-year-old child on top of the head with an empty plastic tote. The child sustained a bump on the head. .1803(a)(1) 1810 There was a substantiation of child maltreatment. The Division determined child maltreatment based on the physical needs and physical injury to a child. GS 110-105.6(a) Violations must be corrected immediately. Within one week (August 18, 2025), you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at Julia Armstrong, Investigations Consultant, Julia.armstrong@dhhs.nc.gov, 828-228-4614. You may contact me at Julia Armstrong, Investigations Consultant, Julia.armstrong@dhhs.nc.gov, 828-228-4614 or Natosha Lambeth, Western Investigations Supervisor, Natosha.lambeth@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0606 · Violation

Name of Operation: LITTLE DARLINGS CHILDCARE, INC. Facility ID: 99000020 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 4/22/2025 Number Present: 33 Completed Date: 4/22/2025 Age: From 0 To 5 Total Minutes: 202 Time In: 08:53 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Karen Young, Childcare Consultant with Cathy Waddell, Director. Your program currently operates with a THREE (3) Star license. Restrictions include 1st shift daytime care; meets enhanced space. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 4/21/25 and Little Darlings Child Care Inc., was listed as current and active. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children having free choice center play, playing number bingo and infant having individual needs met with feeding and changing. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on 5/24/24. A sanitation inspection was completed on 8/14/24 with a Superior classification with five (5) demerits. The last fire inspection was conducted on 1/10/25. The fire inspection was completed on the incorrect form. Ms. Waddell is contacting the fire inspector to have him complete the inspection on the Child and Adult Care Fire Inspection form, send it to Ms. Waddell and then she is to scan the form to me. Program records and required postings were monitored. A fire drill was conducted on 3/14/25 at 9:45 am with forty-two (42) seconds to evacuate nineteen (19) children and six (6) adults by C. Waddell. A shelter in place drill was documented on 1/17/25 at 10:20 am with twenty-five (25) seconds to shelter-in-place by C. Waddell. An outdoor inspection was documented on 4/1/25 with no items noted by C Waddell. Two (2) staff files, including one new staff and four (4) children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Hazardous items were stored in locked closets. No medications were observed nor reported. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 871 Center staff did not comply with the safe sleep policy. One infant in Space 1 did not have "I can roll over" added to the information posted on the child's individual crib which is stated on the safe sleep policy for the center. This was corrected during today's visit. 10A NCAC 09 .0606(a) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space 2, one child's twelve month authorization for permission to administer medication had expired on 4/8/25. One child's diaper cream stated "as much as needed" vs. a specific amount in Space 1. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Tuesday, May 6, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action being taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action being taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: • Over the counter diaper creams and ointments must have a specific amount listed by parents to administer, not “as much as needed.” See childcare rule 10A NCAC 09 .0803. • Authorization for permission to administer medications are good for one (1) year. See childcare rule 10A NCAC 09 .0803. • Staff and Training worksheets were not available for review by consultant. See General Statute 110-91(9). * Staff are to follow the center's safe sleep policy. See childcare rule 10A NCAC 09 .0606(a). Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • You are still in Hold & Harmless. • Visit NCRLAP website and read the information on Connecting with the Three’s! ECERS-3 and ITERS-3 use began on 2/1/25. • The QRIS is in the process of being implemented. You can go to the DCDEE homepage and go to the “What’s New?” tab, then scroll down to QRIS modernization to read about Updates. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new childcare providers working who were hired or moved into the childcare facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. • Public schools and licensed childcare facilities in North Carolina are eligible to participate in the funding mechanisms to cover the costs of testing for lead in water and inspecting for asbestos and lead-based paint hazards beyond the May 1, 2024, deadline listed in 10A NCAC 41C .1002(a). Due to the recent impacts of Hurricane Helene and other natural disasters, this deadline has been revised statewide, and facilities that have not yet enrolled should complete the online process by May 31, 2025. The Clean Classrooms for Carolina Kids Program provides free facility-wide testing and inspections without any out-of-pocket costs. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement and will allow facilities to participate in the funding mechanisms. Required water testing for childcare centers under rule 15A NCAC 18A .2816 is not affected by the new May 31, 2025, deadline. Enroll today at https://www.cleanwaterforcarolinakids.org/enroll. If you have enrolled for only one or two of the program sections, log back in to complete surveys for the remaining section(s) to comply with the rule requirements. Thank you for your participation in ensuring healthy learning environments for children across North Carolina. Please contact me at ed.norman@dhhs.nc.gov or 919-218-6511 if you have questions regarding this guidance. • Here are tips on MYNCID and Moodle. Please review and save for your reference. Moodle Helpful Hints 1. When on the Moodle homepage, scroll down past the three-square boxes to find directions to self-register for various training opportunities. 2. If you do not access a training opportunity for 150 days, the training will be suspended. To regain access, email a request to set status to “active” including the name of the training course to dcdee_moodle_support@dhhs.nc.gov. 3. Send any questions about DCDEE Moodle trainings to dcdee_moodle_support@dhhs.nc.gov. Tips for MY NCID Users Did you know that if you do not log in to any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. Pro Tip: Set your calendar to remind you every 6 months to login and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. • Make sure your 12-month permission to administer over the counter medications does not expire by checking monthly and making notes for parents to fill out a new authorization form prior to the expiration date of the permission form. Make sure that any permission to administer medications form has specific directions from parents on the amount to be administered. Not “as needed” or “as much as needed”. • Be sure to follow your center's safe sleep policy and make sure all infant cribs are labeled with name and be sure it states if the child can roll over. • Send updated staff & training worksheets to your consultant at least two (2) months prior to each annual compliance visit. This ensures your consultant is able to review the worksheets prior to your visit. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: LITTLE DARLINGS CHILDCARE, INC. Facility ID: 99000020 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 4/22/2025 Number Present: 33 Completed Date: 4/22/2025 Age: From 0 To 5 Total Minutes: 202 Time In: 08:53 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Karen Young, Childcare Consultant with Cathy Waddell, Director. Your program currently operates with a THREE (3) Star license. Restrictions include 1st shift daytime care; meets enhanced space. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 4/21/25 and Little Darlings Child Care Inc., was listed as current and active. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children having free choice center play, playing number bingo and infant having individual needs met with feeding and changing. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on 5/24/24. A sanitation inspection was completed on 8/14/24 with a Superior classification with five (5) demerits. The last fire inspection was conducted on 1/10/25. The fire inspection was completed on the incorrect form. Ms. Waddell is contacting the fire inspector to have him complete the inspection on the Child and Adult Care Fire Inspection form, send it to Ms. Waddell and then she is to scan the form to me. Program records and required postings were monitored. A fire drill was conducted on 3/14/25 at 9:45 am with forty-two (42) seconds to evacuate nineteen (19) children and six (6) adults by C. Waddell. A shelter in place drill was documented on 1/17/25 at 10:20 am with twenty-five (25) seconds to shelter-in-place by C. Waddell. An outdoor inspection was documented on 4/1/25 with no items noted by C Waddell. Two (2) staff files, including one new staff and four (4) children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Hazardous items were stored in locked closets. No medications were observed nor reported. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 871 Center staff did not comply with the safe sleep policy. One infant in Space 1 did not have "I can roll over" added to the information posted on the child's individual crib which is stated on the safe sleep policy for the center. This was corrected during today's visit. 10A NCAC 09 .0606(a) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space 2, one child's twelve month authorization for permission to administer medication had expired on 4/8/25. One child's diaper cream stated "as much as needed" vs. a specific amount in Space 1. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Tuesday, May 6, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action being taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action being taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: • Over the counter diaper creams and ointments must have a specific amount listed by parents to administer, not “as much as needed.” See childcare rule 10A NCAC 09 .0803. • Authorization for permission to administer medications are good for one (1) year. See childcare rule 10A NCAC 09 .0803. • Staff and Training worksheets were not available for review by consultant. See General Statute 110-91(9). * Staff are to follow the center's safe sleep policy. See childcare rule 10A NCAC 09 .0606(a). Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • You are still in Hold & Harmless. • Visit NCRLAP website and read the information on Connecting with the Three’s! ECERS-3 and ITERS-3 use began on 2/1/25. • The QRIS is in the process of being implemented. You can go to the DCDEE homepage and go to the “What’s New?” tab, then scroll down to QRIS modernization to read about Updates. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new childcare providers working who were hired or moved into the childcare facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. • Public schools and licensed childcare facilities in North Carolina are eligible to participate in the funding mechanisms to cover the costs of testing for lead in water and inspecting for asbestos and lead-based paint hazards beyond the May 1, 2024, deadline listed in 10A NCAC 41C .1002(a). Due to the recent impacts of Hurricane Helene and other natural disasters, this deadline has been revised statewide, and facilities that have not yet enrolled should complete the online process by May 31, 2025. The Clean Classrooms for Carolina Kids Program provides free facility-wide testing and inspections without any out-of-pocket costs. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement and will allow facilities to participate in the funding mechanisms. Required water testing for childcare centers under rule 15A NCAC 18A .2816 is not affected by the new May 31, 2025, deadline. Enroll today at https://www.cleanwaterforcarolinakids.org/enroll. If you have enrolled for only one or two of the program sections, log back in to complete surveys for the remaining section(s) to comply with the rule requirements. Thank you for your participation in ensuring healthy learning environments for children across North Carolina. Please contact me at ed.norman@dhhs.nc.gov or 919-218-6511 if you have questions regarding this guidance. • Here are tips on MYNCID and Moodle. Please review and save for your reference. Moodle Helpful Hints 1. When on the Moodle homepage, scroll down past the three-square boxes to find directions to self-register for various training opportunities. 2. If you do not access a training opportunity for 150 days, the training will be suspended. To regain access, email a request to set status to “active” including the name of the training course to dcdee_moodle_support@dhhs.nc.gov. 3. Send any questions about DCDEE Moodle trainings to dcdee_moodle_support@dhhs.nc.gov. Tips for MY NCID Users Did you know that if you do not log in to any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. Pro Tip: Set your calendar to remind you every 6 months to login and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. • Make sure your 12-month permission to administer over the counter medications does not expire by checking monthly and making notes for parents to fill out a new authorization form prior to the expiration date of the permission form. Make sure that any permission to administer medications form has specific directions from parents on the amount to be administered. Not “as needed” or “as much as needed”. • Be sure to follow your center's safe sleep policy and make sure all infant cribs are labeled with name and be sure it states if the child can roll over. • Send updated staff & training worksheets to your consultant at least two (2) months prior to each annual compliance visit. This ensures your consultant is able to review the worksheets prior to your visit. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: LITTLE DARLINGS CHILDCARE, INC. Facility ID: 99000020 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 4/22/2025 Number Present: 33 Completed Date: 4/22/2025 Age: From 0 To 5 Total Minutes: 202 Time In: 08:53 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Karen Young, Childcare Consultant with Cathy Waddell, Director. Your program currently operates with a THREE (3) Star license. Restrictions include 1st shift daytime care; meets enhanced space. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 4/21/25 and Little Darlings Child Care Inc., was listed as current and active. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children having free choice center play, playing number bingo and infant having individual needs met with feeding and changing. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on 5/24/24. A sanitation inspection was completed on 8/14/24 with a Superior classification with five (5) demerits. The last fire inspection was conducted on 1/10/25. The fire inspection was completed on the incorrect form. Ms. Waddell is contacting the fire inspector to have him complete the inspection on the Child and Adult Care Fire Inspection form, send it to Ms. Waddell and then she is to scan the form to me. Program records and required postings were monitored. A fire drill was conducted on 3/14/25 at 9:45 am with forty-two (42) seconds to evacuate nineteen (19) children and six (6) adults by C. Waddell. A shelter in place drill was documented on 1/17/25 at 10:20 am with twenty-five (25) seconds to shelter-in-place by C. Waddell. An outdoor inspection was documented on 4/1/25 with no items noted by C Waddell. Two (2) staff files, including one new staff and four (4) children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Hazardous items were stored in locked closets. No medications were observed nor reported. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 871 Center staff did not comply with the safe sleep policy. One infant in Space 1 did not have "I can roll over" added to the information posted on the child's individual crib which is stated on the safe sleep policy for the center. This was corrected during today's visit. 10A NCAC 09 .0606(a) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space 2, one child's twelve month authorization for permission to administer medication had expired on 4/8/25. One child's diaper cream stated "as much as needed" vs. a specific amount in Space 1. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Tuesday, May 6, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action being taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action being taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: • Over the counter diaper creams and ointments must have a specific amount listed by parents to administer, not “as much as needed.” See childcare rule 10A NCAC 09 .0803. • Authorization for permission to administer medications are good for one (1) year. See childcare rule 10A NCAC 09 .0803. • Staff and Training worksheets were not available for review by consultant. See General Statute 110-91(9). * Staff are to follow the center's safe sleep policy. See childcare rule 10A NCAC 09 .0606(a). Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • You are still in Hold & Harmless. • Visit NCRLAP website and read the information on Connecting with the Three’s! ECERS-3 and ITERS-3 use began on 2/1/25. • The QRIS is in the process of being implemented. You can go to the DCDEE homepage and go to the “What’s New?” tab, then scroll down to QRIS modernization to read about Updates. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new childcare providers working who were hired or moved into the childcare facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. • Public schools and licensed childcare facilities in North Carolina are eligible to participate in the funding mechanisms to cover the costs of testing for lead in water and inspecting for asbestos and lead-based paint hazards beyond the May 1, 2024, deadline listed in 10A NCAC 41C .1002(a). Due to the recent impacts of Hurricane Helene and other natural disasters, this deadline has been revised statewide, and facilities that have not yet enrolled should complete the online process by May 31, 2025. The Clean Classrooms for Carolina Kids Program provides free facility-wide testing and inspections without any out-of-pocket costs. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement and will allow facilities to participate in the funding mechanisms. Required water testing for childcare centers under rule 15A NCAC 18A .2816 is not affected by the new May 31, 2025, deadline. Enroll today at https://www.cleanwaterforcarolinakids.org/enroll. If you have enrolled for only one or two of the program sections, log back in to complete surveys for the remaining section(s) to comply with the rule requirements. Thank you for your participation in ensuring healthy learning environments for children across North Carolina. Please contact me at ed.norman@dhhs.nc.gov or 919-218-6511 if you have questions regarding this guidance. • Here are tips on MYNCID and Moodle. Please review and save for your reference. Moodle Helpful Hints 1. When on the Moodle homepage, scroll down past the three-square boxes to find directions to self-register for various training opportunities. 2. If you do not access a training opportunity for 150 days, the training will be suspended. To regain access, email a request to set status to “active” including the name of the training course to dcdee_moodle_support@dhhs.nc.gov. 3. Send any questions about DCDEE Moodle trainings to dcdee_moodle_support@dhhs.nc.gov. Tips for MY NCID Users Did you know that if you do not log in to any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. Pro Tip: Set your calendar to remind you every 6 months to login and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. • Make sure your 12-month permission to administer over the counter medications does not expire by checking monthly and making notes for parents to fill out a new authorization form prior to the expiration date of the permission form. Make sure that any permission to administer medications form has specific directions from parents on the amount to be administered. Not “as needed” or “as much as needed”. • Be sure to follow your center's safe sleep policy and make sure all infant cribs are labeled with name and be sure it states if the child can roll over. • Send updated staff & training worksheets to your consultant at least two (2) months prior to each annual compliance visit. This ensures your consultant is able to review the worksheets prior to your visit. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: LITTLE DARLINGS CHILDCARE, INC. Facility ID: 99000020 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 10/10/2024 Number Present: 31 Completed Date: 10/10/2024 Age: From 0 To 4 Total Minutes: 150 Time In: 09:20 AM Time Out: 11:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit to Little Darlings Child Care Center was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. Director, Cathy Waddell assisted me with the visit. Your program currently operates with a THREE (3) Star license. Restrictions include 1st shift day time care; meets enhanced space. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children having free choice center time, circle time, having individual needs met in the infant room and outside time. One (1) new staff were reported at this program, Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. One (1) medication, Epi-Pen, was observed. Storage hazardous items was monitored today. A playground inspection was recorded 9/6/24. A fire drill was recorded 9/11/24 at 3pm with fifty-four (54) seconds to evacuate twenty-eight (28) children and six (6) adults by C. Waddell. A shelter in place /lockdown drill for the facility was last recorded 5/29/24. There was no documentation of an emergency drill in August 2024, three months from the 5/29/24 date. The most recent fire inspection was in December of 2023. I observed a sanitation inspection was last conducted on 8/14/24 earning a Superior classification with five (5) demerits. You stated that you do not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. I observed the infant room did not have a current activity plan for all children posted. This violation was corrected during the visit today. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. I observed three (3) infant bottles for the same child and two (2) from another child that were not labeled with today's date. This violation was corrected during the visit today. 15A NCAC 18A .2804(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. I observed an Epi Pen in the pharmacy container but with no label containing the name of the prescription, prescribed amount or child's name. The medication paperwork expired 9/12/24. .0803(2)(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last emergency drill for lockdown or shelter-in-place was conducted 5/29/24. There was no documentation of an emergency drill conducted in August of 2024, three months later. .0604(u);.0302(d)(8) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Thursday, October 24, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • Lesson plans for the classroom can be done weekly or monthly. Infants should have individualized lesson plans posted to meet their developmental needs. See child care rule 10A NCAC 09 .0508(a). • Bottles of formula or human milk must be labeled and dated daily for the infants, to prevent spoilage or contamination. See Child Care Rule 10A NCAC 09 .2804(d). • Emergency drills are to take place at least every three (3) months to ensure staff and children are familiar with the procedures to evacuate safely. See Child Care Rule 10A NCAC 09 .0302(d)(8). Prescription medication si to be in the original pharmacy container with a printed label on the container specifically for the child to which medication is prescribed. See child Care Rule 10A NCAC 09 .0803(2)(a). Consultation during today’s visit: • You must give me a thirty (30) day notice for any change in location, address, or ownership status. • The cohorts are no more. Visit NCRLAP website and read the information on Connecting with the Three’s! ECERS-3 and ITERS 3 will be used beginning 2/1/25. • The QRIS is being implemented. I will share additional information as I learn more to share. * Today we discussed that the health, medical and TB information on staff is to be kept in a separate file in a separate drawer in the file cabinet. * We discussed staff cell phone usage in the center today as well. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0508 · Violation

Name of Operation: LITTLE DARLINGS CHILDCARE, INC. Facility ID: 99000020 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 10/10/2024 Number Present: 31 Completed Date: 10/10/2024 Age: From 0 To 4 Total Minutes: 150 Time In: 09:20 AM Time Out: 11:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit to Little Darlings Child Care Center was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. Director, Cathy Waddell assisted me with the visit. Your program currently operates with a THREE (3) Star license. Restrictions include 1st shift day time care; meets enhanced space. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children having free choice center time, circle time, having individual needs met in the infant room and outside time. One (1) new staff were reported at this program, Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. One (1) medication, Epi-Pen, was observed. Storage hazardous items was monitored today. A playground inspection was recorded 9/6/24. A fire drill was recorded 9/11/24 at 3pm with fifty-four (54) seconds to evacuate twenty-eight (28) children and six (6) adults by C. Waddell. A shelter in place /lockdown drill for the facility was last recorded 5/29/24. There was no documentation of an emergency drill in August 2024, three months from the 5/29/24 date. The most recent fire inspection was in December of 2023. I observed a sanitation inspection was last conducted on 8/14/24 earning a Superior classification with five (5) demerits. You stated that you do not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. I observed the infant room did not have a current activity plan for all children posted. This violation was corrected during the visit today. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. I observed three (3) infant bottles for the same child and two (2) from another child that were not labeled with today's date. This violation was corrected during the visit today. 15A NCAC 18A .2804(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. I observed an Epi Pen in the pharmacy container but with no label containing the name of the prescription, prescribed amount or child's name. The medication paperwork expired 9/12/24. .0803(2)(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last emergency drill for lockdown or shelter-in-place was conducted 5/29/24. There was no documentation of an emergency drill conducted in August of 2024, three months later. .0604(u);.0302(d)(8) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Thursday, October 24, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • Lesson plans for the classroom can be done weekly or monthly. Infants should have individualized lesson plans posted to meet their developmental needs. See child care rule 10A NCAC 09 .0508(a). • Bottles of formula or human milk must be labeled and dated daily for the infants, to prevent spoilage or contamination. See Child Care Rule 10A NCAC 09 .2804(d). • Emergency drills are to take place at least every three (3) months to ensure staff and children are familiar with the procedures to evacuate safely. See Child Care Rule 10A NCAC 09 .0302(d)(8). Prescription medication si to be in the original pharmacy container with a printed label on the container specifically for the child to which medication is prescribed. See child Care Rule 10A NCAC 09 .0803(2)(a). Consultation during today’s visit: • You must give me a thirty (30) day notice for any change in location, address, or ownership status. • The cohorts are no more. Visit NCRLAP website and read the information on Connecting with the Three’s! ECERS-3 and ITERS 3 will be used beginning 2/1/25. • The QRIS is being implemented. I will share additional information as I learn more to share. * Today we discussed that the health, medical and TB information on staff is to be kept in a separate file in a separate drawer in the file cabinet. * We discussed staff cell phone usage in the center today as well. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: LITTLE DARLINGS CHILDCARE, INC. Facility ID: 99000020 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 10/10/2024 Number Present: 31 Completed Date: 10/10/2024 Age: From 0 To 4 Total Minutes: 150 Time In: 09:20 AM Time Out: 11:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit to Little Darlings Child Care Center was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. Director, Cathy Waddell assisted me with the visit. Your program currently operates with a THREE (3) Star license. Restrictions include 1st shift day time care; meets enhanced space. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children having free choice center time, circle time, having individual needs met in the infant room and outside time. One (1) new staff were reported at this program, Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. One (1) medication, Epi-Pen, was observed. Storage hazardous items was monitored today. A playground inspection was recorded 9/6/24. A fire drill was recorded 9/11/24 at 3pm with fifty-four (54) seconds to evacuate twenty-eight (28) children and six (6) adults by C. Waddell. A shelter in place /lockdown drill for the facility was last recorded 5/29/24. There was no documentation of an emergency drill in August 2024, three months from the 5/29/24 date. The most recent fire inspection was in December of 2023. I observed a sanitation inspection was last conducted on 8/14/24 earning a Superior classification with five (5) demerits. You stated that you do not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. I observed the infant room did not have a current activity plan for all children posted. This violation was corrected during the visit today. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. I observed three (3) infant bottles for the same child and two (2) from another child that were not labeled with today's date. This violation was corrected during the visit today. 15A NCAC 18A .2804(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. I observed an Epi Pen in the pharmacy container but with no label containing the name of the prescription, prescribed amount or child's name. The medication paperwork expired 9/12/24. .0803(2)(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last emergency drill for lockdown or shelter-in-place was conducted 5/29/24. There was no documentation of an emergency drill conducted in August of 2024, three months later. .0604(u);.0302(d)(8) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Thursday, October 24, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • Lesson plans for the classroom can be done weekly or monthly. Infants should have individualized lesson plans posted to meet their developmental needs. See child care rule 10A NCAC 09 .0508(a). • Bottles of formula or human milk must be labeled and dated daily for the infants, to prevent spoilage or contamination. See Child Care Rule 10A NCAC 09 .2804(d). • Emergency drills are to take place at least every three (3) months to ensure staff and children are familiar with the procedures to evacuate safely. See Child Care Rule 10A NCAC 09 .0302(d)(8). Prescription medication si to be in the original pharmacy container with a printed label on the container specifically for the child to which medication is prescribed. See child Care Rule 10A NCAC 09 .0803(2)(a). Consultation during today’s visit: • You must give me a thirty (30) day notice for any change in location, address, or ownership status. • The cohorts are no more. Visit NCRLAP website and read the information on Connecting with the Three’s! ECERS-3 and ITERS 3 will be used beginning 2/1/25. • The QRIS is being implemented. I will share additional information as I learn more to share. * Today we discussed that the health, medical and TB information on staff is to be kept in a separate file in a separate drawer in the file cabinet. * We discussed staff cell phone usage in the center today as well. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2804 · Violation

Name of Operation: LITTLE DARLINGS CHILDCARE, INC. Facility ID: 99000020 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 10/10/2024 Number Present: 31 Completed Date: 10/10/2024 Age: From 0 To 4 Total Minutes: 150 Time In: 09:20 AM Time Out: 11:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit to Little Darlings Child Care Center was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. Director, Cathy Waddell assisted me with the visit. Your program currently operates with a THREE (3) Star license. Restrictions include 1st shift day time care; meets enhanced space. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children having free choice center time, circle time, having individual needs met in the infant room and outside time. One (1) new staff were reported at this program, Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. One (1) medication, Epi-Pen, was observed. Storage hazardous items was monitored today. A playground inspection was recorded 9/6/24. A fire drill was recorded 9/11/24 at 3pm with fifty-four (54) seconds to evacuate twenty-eight (28) children and six (6) adults by C. Waddell. A shelter in place /lockdown drill for the facility was last recorded 5/29/24. There was no documentation of an emergency drill in August 2024, three months from the 5/29/24 date. The most recent fire inspection was in December of 2023. I observed a sanitation inspection was last conducted on 8/14/24 earning a Superior classification with five (5) demerits. You stated that you do not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. I observed the infant room did not have a current activity plan for all children posted. This violation was corrected during the visit today. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. I observed three (3) infant bottles for the same child and two (2) from another child that were not labeled with today's date. This violation was corrected during the visit today. 15A NCAC 18A .2804(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. I observed an Epi Pen in the pharmacy container but with no label containing the name of the prescription, prescribed amount or child's name. The medication paperwork expired 9/12/24. .0803(2)(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last emergency drill for lockdown or shelter-in-place was conducted 5/29/24. There was no documentation of an emergency drill conducted in August of 2024, three months later. .0604(u);.0302(d)(8) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Thursday, October 24, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • Lesson plans for the classroom can be done weekly or monthly. Infants should have individualized lesson plans posted to meet their developmental needs. See child care rule 10A NCAC 09 .0508(a). • Bottles of formula or human milk must be labeled and dated daily for the infants, to prevent spoilage or contamination. See Child Care Rule 10A NCAC 09 .2804(d). • Emergency drills are to take place at least every three (3) months to ensure staff and children are familiar with the procedures to evacuate safely. See Child Care Rule 10A NCAC 09 .0302(d)(8). Prescription medication si to be in the original pharmacy container with a printed label on the container specifically for the child to which medication is prescribed. See child Care Rule 10A NCAC 09 .0803(2)(a). Consultation during today’s visit: • You must give me a thirty (30) day notice for any change in location, address, or ownership status. • The cohorts are no more. Visit NCRLAP website and read the information on Connecting with the Three’s! ECERS-3 and ITERS 3 will be used beginning 2/1/25. • The QRIS is being implemented. I will share additional information as I learn more to share. * Today we discussed that the health, medical and TB information on staff is to be kept in a separate file in a separate drawer in the file cabinet. * We discussed staff cell phone usage in the center today as well. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: LITTLE DARLINGS CHILDCARE, INC. Facility ID: 99000020 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 10/10/2024 Number Present: 31 Completed Date: 10/10/2024 Age: From 0 To 4 Total Minutes: 150 Time In: 09:20 AM Time Out: 11:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit to Little Darlings Child Care Center was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. Director, Cathy Waddell assisted me with the visit. Your program currently operates with a THREE (3) Star license. Restrictions include 1st shift day time care; meets enhanced space. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children having free choice center time, circle time, having individual needs met in the infant room and outside time. One (1) new staff were reported at this program, Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. One (1) medication, Epi-Pen, was observed. Storage hazardous items was monitored today. A playground inspection was recorded 9/6/24. A fire drill was recorded 9/11/24 at 3pm with fifty-four (54) seconds to evacuate twenty-eight (28) children and six (6) adults by C. Waddell. A shelter in place /lockdown drill for the facility was last recorded 5/29/24. There was no documentation of an emergency drill in August 2024, three months from the 5/29/24 date. The most recent fire inspection was in December of 2023. I observed a sanitation inspection was last conducted on 8/14/24 earning a Superior classification with five (5) demerits. You stated that you do not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. I observed the infant room did not have a current activity plan for all children posted. This violation was corrected during the visit today. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. I observed three (3) infant bottles for the same child and two (2) from another child that were not labeled with today's date. This violation was corrected during the visit today. 15A NCAC 18A .2804(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. I observed an Epi Pen in the pharmacy container but with no label containing the name of the prescription, prescribed amount or child's name. The medication paperwork expired 9/12/24. .0803(2)(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last emergency drill for lockdown or shelter-in-place was conducted 5/29/24. There was no documentation of an emergency drill conducted in August of 2024, three months later. .0604(u);.0302(d)(8) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Thursday, October 24, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • Lesson plans for the classroom can be done weekly or monthly. Infants should have individualized lesson plans posted to meet their developmental needs. See child care rule 10A NCAC 09 .0508(a). • Bottles of formula or human milk must be labeled and dated daily for the infants, to prevent spoilage or contamination. See Child Care Rule 10A NCAC 09 .2804(d). • Emergency drills are to take place at least every three (3) months to ensure staff and children are familiar with the procedures to evacuate safely. See Child Care Rule 10A NCAC 09 .0302(d)(8). Prescription medication si to be in the original pharmacy container with a printed label on the container specifically for the child to which medication is prescribed. See child Care Rule 10A NCAC 09 .0803(2)(a). Consultation during today’s visit: • You must give me a thirty (30) day notice for any change in location, address, or ownership status. • The cohorts are no more. Visit NCRLAP website and read the information on Connecting with the Three’s! ECERS-3 and ITERS 3 will be used beginning 2/1/25. • The QRIS is being implemented. I will share additional information as I learn more to share. * Today we discussed that the health, medical and TB information on staff is to be kept in a separate file in a separate drawer in the file cabinet. * We discussed staff cell phone usage in the center today as well. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: LITTLE DARLINGS CHILDCARE, INC. Facility ID: 99000020 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 10/10/2024 Number Present: 31 Completed Date: 10/10/2024 Age: From 0 To 4 Total Minutes: 150 Time In: 09:20 AM Time Out: 11:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit to Little Darlings Child Care Center was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. Director, Cathy Waddell assisted me with the visit. Your program currently operates with a THREE (3) Star license. Restrictions include 1st shift day time care; meets enhanced space. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children having free choice center time, circle time, having individual needs met in the infant room and outside time. One (1) new staff were reported at this program, Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. One (1) medication, Epi-Pen, was observed. Storage hazardous items was monitored today. A playground inspection was recorded 9/6/24. A fire drill was recorded 9/11/24 at 3pm with fifty-four (54) seconds to evacuate twenty-eight (28) children and six (6) adults by C. Waddell. A shelter in place /lockdown drill for the facility was last recorded 5/29/24. There was no documentation of an emergency drill in August 2024, three months from the 5/29/24 date. The most recent fire inspection was in December of 2023. I observed a sanitation inspection was last conducted on 8/14/24 earning a Superior classification with five (5) demerits. You stated that you do not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. I observed the infant room did not have a current activity plan for all children posted. This violation was corrected during the visit today. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. I observed three (3) infant bottles for the same child and two (2) from another child that were not labeled with today's date. This violation was corrected during the visit today. 15A NCAC 18A .2804(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. I observed an Epi Pen in the pharmacy container but with no label containing the name of the prescription, prescribed amount or child's name. The medication paperwork expired 9/12/24. .0803(2)(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last emergency drill for lockdown or shelter-in-place was conducted 5/29/24. There was no documentation of an emergency drill conducted in August of 2024, three months later. .0604(u);.0302(d)(8) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Thursday, October 24, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • Lesson plans for the classroom can be done weekly or monthly. Infants should have individualized lesson plans posted to meet their developmental needs. See child care rule 10A NCAC 09 .0508(a). • Bottles of formula or human milk must be labeled and dated daily for the infants, to prevent spoilage or contamination. See Child Care Rule 10A NCAC 09 .2804(d). • Emergency drills are to take place at least every three (3) months to ensure staff and children are familiar with the procedures to evacuate safely. See Child Care Rule 10A NCAC 09 .0302(d)(8). Prescription medication si to be in the original pharmacy container with a printed label on the container specifically for the child to which medication is prescribed. See child Care Rule 10A NCAC 09 .0803(2)(a). Consultation during today’s visit: • You must give me a thirty (30) day notice for any change in location, address, or ownership status. • The cohorts are no more. Visit NCRLAP website and read the information on Connecting with the Three’s! ECERS-3 and ITERS 3 will be used beginning 2/1/25. • The QRIS is being implemented. I will share additional information as I learn more to share. * Today we discussed that the health, medical and TB information on staff is to be kept in a separate file in a separate drawer in the file cabinet. * We discussed staff cell phone usage in the center today as well. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: LITTLE DARLINGS CHILDCARE, INC. Facility ID: 99000020 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 5/24/2024 Number Present: 31 Completed Date: 5/24/2024 Age: From 0 To 5 Total Minutes: 185 Time In: 09:00 AM Time Out: 12:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Karen Young, Childcare Consultant with Melissa Hardy, “in-charge”. Cathy Waddell, director, was on vacation today. Your program currently operates with a Three (3) Star license. Restrictions include 1st shift day time care; meets enhanced space. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 5/22/24 and Little Darlings Childcare, Inc. was listed as current and active. The program’s compliance history was 95% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children having free choice play and eating lunch, and infants were having individual needs met. I observed developmentally appropriate materials and activities were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum. The last annual compliance visit was conducted on 6/1/23 A sanitation inspection was completed 2/29/24 with a Superior classification and three (3) demerits. The last fire inspection was conducted was not available for review today. The director will scan a copy to me upon her return. Program records and required postings were monitored. A fire drill was conducted on 5/13/24 at 10:10 am with sixty-five (65) seconds to evacuate thirty-six (36) children and six (6) adults by C. Waddell. A shelter in place drill was documented on 2/19/24 at 11 am with twenty(2) seconds to shelter-in-place by C. Waddell. An outdoor inspection was documented on 4/1/24 with no issues noted on the playground inspection sheet. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. It was observed that growth from the other side of the fence is creeping through to the playground. Keep growth cut back at least one (1) foot beyond the fence. 15A NCAC 18A .2832(a) 847 Parent's medication authorization did not include required information. I obaserved two (2) children in Space 2 and one (1) child in Space 3 had no specific amount listed on the permission to administer form for over the counter medications. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. It was observed today that there was no annual review of the Emergency Medical Care Plan with staff. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. It was observed that files for health questionnaire were not available for review today. .0701(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. I observed the EPR plan was last reviewed with staff on 5/26/22. The last computer print out was 6/21/16. .0607(e) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. I observed one (1) staff had not completed the Health & Safety training requirements. .1103(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Friday, June 7, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • Permission to administer medication forms must have a specific amount listed, such as nickel size, pea size amounts, etc. • Growth needs to be cut back on the other side of the fence on the playground at least one (1) foot back away from fence. Growth should not be coming over into playground. • The EPR plan must be review with staff and updated on the computer annually. • Health & Safety Trainings must be completed by staff at least every five (5) years. • Your Emergency Medical Care Plan must be reviewed with staff annually. • Staff must have Medical and Emergency info sheets completed annually. Consultation during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Review with staff how often sand & water play inside should occur. • You are in Cohort 1 which means you are currently in tour prep year of 7/1/23-6/30/24. Your license reassessment year will begin 7/1/24 and go through 6/30/25. • Please be sure all current and any updated education (official transcripts) has been sent electronically to DCDEE WORKS for evaluation. If it is not in WORKS, it is as if it never happened, and we want all staff to get credit for any and all education. • Review a Chapter at a time of the ITERS-R and ECERS-R book at your staff meetings. • Visit the NCRLAP project website to view videos and reminders for going through the ERS. • Contact your local Yadkin Partnership to schedule mock assessments when you are ready. This will emphasize your strengths and weaknesses so that you may improve your score. • Contact me at any time for assistance. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education website. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: LITTLE DARLINGS CHILDCARE, INC. Facility ID: 99000020 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 5/24/2024 Number Present: 31 Completed Date: 5/24/2024 Age: From 0 To 5 Total Minutes: 185 Time In: 09:00 AM Time Out: 12:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Karen Young, Childcare Consultant with Melissa Hardy, “in-charge”. Cathy Waddell, director, was on vacation today. Your program currently operates with a Three (3) Star license. Restrictions include 1st shift day time care; meets enhanced space. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 5/22/24 and Little Darlings Childcare, Inc. was listed as current and active. The program’s compliance history was 95% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children having free choice play and eating lunch, and infants were having individual needs met. I observed developmentally appropriate materials and activities were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum. The last annual compliance visit was conducted on 6/1/23 A sanitation inspection was completed 2/29/24 with a Superior classification and three (3) demerits. The last fire inspection was conducted was not available for review today. The director will scan a copy to me upon her return. Program records and required postings were monitored. A fire drill was conducted on 5/13/24 at 10:10 am with sixty-five (65) seconds to evacuate thirty-six (36) children and six (6) adults by C. Waddell. A shelter in place drill was documented on 2/19/24 at 11 am with twenty(2) seconds to shelter-in-place by C. Waddell. An outdoor inspection was documented on 4/1/24 with no issues noted on the playground inspection sheet. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. It was observed that growth from the other side of the fence is creeping through to the playground. Keep growth cut back at least one (1) foot beyond the fence. 15A NCAC 18A .2832(a) 847 Parent's medication authorization did not include required information. I obaserved two (2) children in Space 2 and one (1) child in Space 3 had no specific amount listed on the permission to administer form for over the counter medications. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. It was observed today that there was no annual review of the Emergency Medical Care Plan with staff. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. It was observed that files for health questionnaire were not available for review today. .0701(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. I observed the EPR plan was last reviewed with staff on 5/26/22. The last computer print out was 6/21/16. .0607(e) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. I observed one (1) staff had not completed the Health & Safety training requirements. .1103(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Friday, June 7, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • Permission to administer medication forms must have a specific amount listed, such as nickel size, pea size amounts, etc. • Growth needs to be cut back on the other side of the fence on the playground at least one (1) foot back away from fence. Growth should not be coming over into playground. • The EPR plan must be review with staff and updated on the computer annually. • Health & Safety Trainings must be completed by staff at least every five (5) years. • Your Emergency Medical Care Plan must be reviewed with staff annually. • Staff must have Medical and Emergency info sheets completed annually. Consultation during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Review with staff how often sand & water play inside should occur. • You are in Cohort 1 which means you are currently in tour prep year of 7/1/23-6/30/24. Your license reassessment year will begin 7/1/24 and go through 6/30/25. • Please be sure all current and any updated education (official transcripts) has been sent electronically to DCDEE WORKS for evaluation. If it is not in WORKS, it is as if it never happened, and we want all staff to get credit for any and all education. • Review a Chapter at a time of the ITERS-R and ECERS-R book at your staff meetings. • Visit the NCRLAP project website to view videos and reminders for going through the ERS. • Contact your local Yadkin Partnership to schedule mock assessments when you are ready. This will emphasize your strengths and weaknesses so that you may improve your score. • Contact me at any time for assistance. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education website. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: LITTLE DARLINGS CHILDCARE, INC. Facility ID: 99000020 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 5/24/2024 Number Present: 31 Completed Date: 5/24/2024 Age: From 0 To 5 Total Minutes: 185 Time In: 09:00 AM Time Out: 12:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Karen Young, Childcare Consultant with Melissa Hardy, “in-charge”. Cathy Waddell, director, was on vacation today. Your program currently operates with a Three (3) Star license. Restrictions include 1st shift day time care; meets enhanced space. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 5/22/24 and Little Darlings Childcare, Inc. was listed as current and active. The program’s compliance history was 95% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children having free choice play and eating lunch, and infants were having individual needs met. I observed developmentally appropriate materials and activities were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum. The last annual compliance visit was conducted on 6/1/23 A sanitation inspection was completed 2/29/24 with a Superior classification and three (3) demerits. The last fire inspection was conducted was not available for review today. The director will scan a copy to me upon her return. Program records and required postings were monitored. A fire drill was conducted on 5/13/24 at 10:10 am with sixty-five (65) seconds to evacuate thirty-six (36) children and six (6) adults by C. Waddell. A shelter in place drill was documented on 2/19/24 at 11 am with twenty(2) seconds to shelter-in-place by C. Waddell. An outdoor inspection was documented on 4/1/24 with no issues noted on the playground inspection sheet. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. It was observed that growth from the other side of the fence is creeping through to the playground. Keep growth cut back at least one (1) foot beyond the fence. 15A NCAC 18A .2832(a) 847 Parent's medication authorization did not include required information. I obaserved two (2) children in Space 2 and one (1) child in Space 3 had no specific amount listed on the permission to administer form for over the counter medications. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. It was observed today that there was no annual review of the Emergency Medical Care Plan with staff. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. It was observed that files for health questionnaire were not available for review today. .0701(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. I observed the EPR plan was last reviewed with staff on 5/26/22. The last computer print out was 6/21/16. .0607(e) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. I observed one (1) staff had not completed the Health & Safety training requirements. .1103(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Friday, June 7, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • Permission to administer medication forms must have a specific amount listed, such as nickel size, pea size amounts, etc. • Growth needs to be cut back on the other side of the fence on the playground at least one (1) foot back away from fence. Growth should not be coming over into playground. • The EPR plan must be review with staff and updated on the computer annually. • Health & Safety Trainings must be completed by staff at least every five (5) years. • Your Emergency Medical Care Plan must be reviewed with staff annually. • Staff must have Medical and Emergency info sheets completed annually. Consultation during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Review with staff how often sand & water play inside should occur. • You are in Cohort 1 which means you are currently in tour prep year of 7/1/23-6/30/24. Your license reassessment year will begin 7/1/24 and go through 6/30/25. • Please be sure all current and any updated education (official transcripts) has been sent electronically to DCDEE WORKS for evaluation. If it is not in WORKS, it is as if it never happened, and we want all staff to get credit for any and all education. • Review a Chapter at a time of the ITERS-R and ECERS-R book at your staff meetings. • Visit the NCRLAP project website to view videos and reminders for going through the ERS. • Contact your local Yadkin Partnership to schedule mock assessments when you are ready. This will emphasize your strengths and weaknesses so that you may improve your score. • Contact me at any time for assistance. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education website. 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 .0701 · Violation

Name of Operation: LITTLE DARLINGS CHILDCARE, INC. Facility ID: 99000020 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 11/28/2023 Number Present: 32 Completed Date: 11/28/2023 Age: From 0 To 5 Total Minutes: 195 Time In: 08:55 AM Time Out: 12:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. Cathy Waddell, the director, assisted me with the visit. Your program currently operates with a Three (3) Star license effective 6/17/20. Restrictions include 1st shift day time care; Meets enhanced space. The program’s compliance history was 96% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. On the outdoor play area, no violations were cited. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children having free choice center time. Infants were having individual needs met such as diapering and bottle feeding. One (1) new staff was reported at this program. I observed there was no medical statement nor TB screening/test on file prior to employment for the new staff member. Orientation for the new staff member did not take place within the first two (2) weeks. There was one (1) emergency Epi-Pen medication observed and reported. There were three other allergies reported throughout the center. Storage hazardous items was monitored today. A playground inspection was recorded 11/6/23 with no issues noted on the playground inspection checklist. A fire drill was recorded on 10/31/23 at 10:30 am with (50) seconds to evacuate twenty-eight (28) children and four (4) adults by C. Waddell. A lockdown emergency drill for the facility was conducted 7/19/23. There was no emergency drill conducted for at least three months, in October of 2023. The most recent fire inspection was on 10/18/22 with Approved and Satisfactory by Ricky Leonard. I observed a sanitation inspection was last conducted on 6/7/23 earning a Superior classification with nine (9) demerits. You stated that you do not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. I observed a new staff member who had no TB test or screening on file available for review today. .0701(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. I observed one new staff member who had not received the six hours of orientation training in required topic areas during the first two (2) weeks. .1101(a)(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. I observed no ememgency drill documentation in the month of October 2023 which was three (3) months from the last lockdown emergency drill in July of 2023. .0604(u);.0302(d)(8) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. I observed a new staff member who had no medical report on file available for review today. .0701(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Tuesday, December 12, 2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: 1- An emergency drill must be conducted at least every three (3) months per Child Care Rule 10A NCAC 09.0102. The purpose of this rule is to ensure staff and children are familiar with procedures to evacuate during an emergency. 2- A medical statement is to be received from new staff prior to employment. The purpose of this Child Care Rule under Health Standards, 10ANCAC 09.0701(a) is to ensure a statement signed by a health care professional is received prior to working with children, that indicates that the person is emotionally and physically fit to care for children. 3- A TB screening/test is to be received from new staff prior to employment. The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. This is due on or before first day of work. See Child Care Rule Health Standards 10A NCAC 09 .0701(a). The purpose of this rule is to ensure the individual is free of active tuberculosis prior to working with children. 4. New staff did not receive orientation of required topic within the first two (2) weeks of employment. The purpose of this Rule is to ensure staff have received the required training on specific topics during the fist two weeks of employment. See Child Care Rule 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Additional Information shared during today’s consultation: 1- You are in Cohort 1 which means your prep year is going on now, July 1, 2023– June 30, 2024 and your license reassessment year will be July1, 2024 – June 30, 2025. Please contact your Yadkin County Partnership for Children for assistance or to schedule a mock assessment. You may contact me, Karen Young for help and also your CCHC, Natalie Williams at the Partnership for assistance in preparing for your rated license assessment. Please remember to send official transcripts to WORKS if the lead teacher or teacher assistant has additional education that has not been evaluated or if there are changes to NC Pre-K staff. 2- You received an email from me on 6/28/23 giving you about the Cohorts. You received a list of tasks and activities to complete during your prep year. Reach out to me if you need additional help in preparation for your rated license. 3- Review the new sanitation rules on the DCDEE website and be sure you have your “clean-up-team” in place. 4- Go to the EPR portal, check your plan for any updates, print 1st page of the EPR plan for me to view and review the updated plan with staff. 5- As books begin to wear and tear replace them with newer books or repurpose them for your outdoor space. 6- As mats begin to show wear and tear replace them with new mats. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1101 · Violation

Name of Operation: LITTLE DARLINGS CHILDCARE, INC. Facility ID: 99000020 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 11/28/2023 Number Present: 32 Completed Date: 11/28/2023 Age: From 0 To 5 Total Minutes: 195 Time In: 08:55 AM Time Out: 12:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. Cathy Waddell, the director, assisted me with the visit. Your program currently operates with a Three (3) Star license effective 6/17/20. Restrictions include 1st shift day time care; Meets enhanced space. The program’s compliance history was 96% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. On the outdoor play area, no violations were cited. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children having free choice center time. Infants were having individual needs met such as diapering and bottle feeding. One (1) new staff was reported at this program. I observed there was no medical statement nor TB screening/test on file prior to employment for the new staff member. Orientation for the new staff member did not take place within the first two (2) weeks. There was one (1) emergency Epi-Pen medication observed and reported. There were three other allergies reported throughout the center. Storage hazardous items was monitored today. A playground inspection was recorded 11/6/23 with no issues noted on the playground inspection checklist. A fire drill was recorded on 10/31/23 at 10:30 am with (50) seconds to evacuate twenty-eight (28) children and four (4) adults by C. Waddell. A lockdown emergency drill for the facility was conducted 7/19/23. There was no emergency drill conducted for at least three months, in October of 2023. The most recent fire inspection was on 10/18/22 with Approved and Satisfactory by Ricky Leonard. I observed a sanitation inspection was last conducted on 6/7/23 earning a Superior classification with nine (9) demerits. You stated that you do not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. I observed a new staff member who had no TB test or screening on file available for review today. .0701(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. I observed one new staff member who had not received the six hours of orientation training in required topic areas during the first two (2) weeks. .1101(a)(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. I observed no ememgency drill documentation in the month of October 2023 which was three (3) months from the last lockdown emergency drill in July of 2023. .0604(u);.0302(d)(8) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. I observed a new staff member who had no medical report on file available for review today. .0701(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Tuesday, December 12, 2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: 1- An emergency drill must be conducted at least every three (3) months per Child Care Rule 10A NCAC 09.0102. The purpose of this rule is to ensure staff and children are familiar with procedures to evacuate during an emergency. 2- A medical statement is to be received from new staff prior to employment. The purpose of this Child Care Rule under Health Standards, 10ANCAC 09.0701(a) is to ensure a statement signed by a health care professional is received prior to working with children, that indicates that the person is emotionally and physically fit to care for children. 3- A TB screening/test is to be received from new staff prior to employment. The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. This is due on or before first day of work. See Child Care Rule Health Standards 10A NCAC 09 .0701(a). The purpose of this rule is to ensure the individual is free of active tuberculosis prior to working with children. 4. New staff did not receive orientation of required topic within the first two (2) weeks of employment. The purpose of this Rule is to ensure staff have received the required training on specific topics during the fist two weeks of employment. See Child Care Rule 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Additional Information shared during today’s consultation: 1- You are in Cohort 1 which means your prep year is going on now, July 1, 2023– June 30, 2024 and your license reassessment year will be July1, 2024 – June 30, 2025. Please contact your Yadkin County Partnership for Children for assistance or to schedule a mock assessment. You may contact me, Karen Young for help and also your CCHC, Natalie Williams at the Partnership for assistance in preparing for your rated license assessment. Please remember to send official transcripts to WORKS if the lead teacher or teacher assistant has additional education that has not been evaluated or if there are changes to NC Pre-K staff. 2- You received an email from me on 6/28/23 giving you about the Cohorts. You received a list of tasks and activities to complete during your prep year. Reach out to me if you need additional help in preparation for your rated license. 3- Review the new sanitation rules on the DCDEE website and be sure you have your “clean-up-team” in place. 4- Go to the EPR portal, check your plan for any updates, print 1st page of the EPR plan for me to view and review the updated plan with staff. 5- As books begin to wear and tear replace them with newer books or repurpose them for your outdoor space. 6- As mats begin to show wear and tear replace them with new mats. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.0102 · Violation

Name of Operation: LITTLE DARLINGS CHILDCARE, INC. Facility ID: 99000020 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 11/28/2023 Number Present: 32 Completed Date: 11/28/2023 Age: From 0 To 5 Total Minutes: 195 Time In: 08:55 AM Time Out: 12:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. Cathy Waddell, the director, assisted me with the visit. Your program currently operates with a Three (3) Star license effective 6/17/20. Restrictions include 1st shift day time care; Meets enhanced space. The program’s compliance history was 96% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. On the outdoor play area, no violations were cited. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children having free choice center time. Infants were having individual needs met such as diapering and bottle feeding. One (1) new staff was reported at this program. I observed there was no medical statement nor TB screening/test on file prior to employment for the new staff member. Orientation for the new staff member did not take place within the first two (2) weeks. There was one (1) emergency Epi-Pen medication observed and reported. There were three other allergies reported throughout the center. Storage hazardous items was monitored today. A playground inspection was recorded 11/6/23 with no issues noted on the playground inspection checklist. A fire drill was recorded on 10/31/23 at 10:30 am with (50) seconds to evacuate twenty-eight (28) children and four (4) adults by C. Waddell. A lockdown emergency drill for the facility was conducted 7/19/23. There was no emergency drill conducted for at least three months, in October of 2023. The most recent fire inspection was on 10/18/22 with Approved and Satisfactory by Ricky Leonard. I observed a sanitation inspection was last conducted on 6/7/23 earning a Superior classification with nine (9) demerits. You stated that you do not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. I observed a new staff member who had no TB test or screening on file available for review today. .0701(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. I observed one new staff member who had not received the six hours of orientation training in required topic areas during the first two (2) weeks. .1101(a)(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. I observed no ememgency drill documentation in the month of October 2023 which was three (3) months from the last lockdown emergency drill in July of 2023. .0604(u);.0302(d)(8) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. I observed a new staff member who had no medical report on file available for review today. .0701(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Tuesday, December 12, 2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: 1- An emergency drill must be conducted at least every three (3) months per Child Care Rule 10A NCAC 09.0102. The purpose of this rule is to ensure staff and children are familiar with procedures to evacuate during an emergency. 2- A medical statement is to be received from new staff prior to employment. The purpose of this Child Care Rule under Health Standards, 10ANCAC 09.0701(a) is to ensure a statement signed by a health care professional is received prior to working with children, that indicates that the person is emotionally and physically fit to care for children. 3- A TB screening/test is to be received from new staff prior to employment. The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. This is due on or before first day of work. See Child Care Rule Health Standards 10A NCAC 09 .0701(a). The purpose of this rule is to ensure the individual is free of active tuberculosis prior to working with children. 4. New staff did not receive orientation of required topic within the first two (2) weeks of employment. The purpose of this Rule is to ensure staff have received the required training on specific topics during the fist two weeks of employment. See Child Care Rule 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Additional Information shared during today’s consultation: 1- You are in Cohort 1 which means your prep year is going on now, July 1, 2023– June 30, 2024 and your license reassessment year will be July1, 2024 – June 30, 2025. Please contact your Yadkin County Partnership for Children for assistance or to schedule a mock assessment. You may contact me, Karen Young for help and also your CCHC, Natalie Williams at the Partnership for assistance in preparing for your rated license assessment. Please remember to send official transcripts to WORKS if the lead teacher or teacher assistant has additional education that has not been evaluated or if there are changes to NC Pre-K staff. 2- You received an email from me on 6/28/23 giving you about the Cohorts. You received a list of tasks and activities to complete during your prep year. Reach out to me if you need additional help in preparation for your rated license. 3- Review the new sanitation rules on the DCDEE website and be sure you have your “clean-up-team” in place. 4- Go to the EPR portal, check your plan for any updates, print 1st page of the EPR plan for me to view and review the updated plan with staff. 5- As books begin to wear and tear replace them with newer books or repurpose them for your outdoor space. 6- As mats begin to show wear and tear replace them with new mats. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: LITTLE DARLINGS CHILDCARE, INC. Facility ID: 99000020 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 11/28/2023 Number Present: 32 Completed Date: 11/28/2023 Age: From 0 To 5 Total Minutes: 195 Time In: 08:55 AM Time Out: 12:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. Cathy Waddell, the director, assisted me with the visit. Your program currently operates with a Three (3) Star license effective 6/17/20. Restrictions include 1st shift day time care; Meets enhanced space. The program’s compliance history was 96% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. On the outdoor play area, no violations were cited. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children having free choice center time. Infants were having individual needs met such as diapering and bottle feeding. One (1) new staff was reported at this program. I observed there was no medical statement nor TB screening/test on file prior to employment for the new staff member. Orientation for the new staff member did not take place within the first two (2) weeks. There was one (1) emergency Epi-Pen medication observed and reported. There were three other allergies reported throughout the center. Storage hazardous items was monitored today. A playground inspection was recorded 11/6/23 with no issues noted on the playground inspection checklist. A fire drill was recorded on 10/31/23 at 10:30 am with (50) seconds to evacuate twenty-eight (28) children and four (4) adults by C. Waddell. A lockdown emergency drill for the facility was conducted 7/19/23. There was no emergency drill conducted for at least three months, in October of 2023. The most recent fire inspection was on 10/18/22 with Approved and Satisfactory by Ricky Leonard. I observed a sanitation inspection was last conducted on 6/7/23 earning a Superior classification with nine (9) demerits. You stated that you do not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. I observed a new staff member who had no TB test or screening on file available for review today. .0701(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. I observed one new staff member who had not received the six hours of orientation training in required topic areas during the first two (2) weeks. .1101(a)(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. I observed no ememgency drill documentation in the month of October 2023 which was three (3) months from the last lockdown emergency drill in July of 2023. .0604(u);.0302(d)(8) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. I observed a new staff member who had no medical report on file available for review today. .0701(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Tuesday, December 12, 2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: 1- An emergency drill must be conducted at least every three (3) months per Child Care Rule 10A NCAC 09.0102. The purpose of this rule is to ensure staff and children are familiar with procedures to evacuate during an emergency. 2- A medical statement is to be received from new staff prior to employment. The purpose of this Child Care Rule under Health Standards, 10ANCAC 09.0701(a) is to ensure a statement signed by a health care professional is received prior to working with children, that indicates that the person is emotionally and physically fit to care for children. 3- A TB screening/test is to be received from new staff prior to employment. The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. This is due on or before first day of work. See Child Care Rule Health Standards 10A NCAC 09 .0701(a). The purpose of this rule is to ensure the individual is free of active tuberculosis prior to working with children. 4. New staff did not receive orientation of required topic within the first two (2) weeks of employment. The purpose of this Rule is to ensure staff have received the required training on specific topics during the fist two weeks of employment. See Child Care Rule 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Additional Information shared during today’s consultation: 1- You are in Cohort 1 which means your prep year is going on now, July 1, 2023– June 30, 2024 and your license reassessment year will be July1, 2024 – June 30, 2025. Please contact your Yadkin County Partnership for Children for assistance or to schedule a mock assessment. You may contact me, Karen Young for help and also your CCHC, Natalie Williams at the Partnership for assistance in preparing for your rated license assessment. Please remember to send official transcripts to WORKS if the lead teacher or teacher assistant has additional education that has not been evaluated or if there are changes to NC Pre-K staff. 2- You received an email from me on 6/28/23 giving you about the Cohorts. You received a list of tasks and activities to complete during your prep year. Reach out to me if you need additional help in preparation for your rated license. 3- Review the new sanitation rules on the DCDEE website and be sure you have your “clean-up-team” in place. 4- Go to the EPR portal, check your plan for any updates, print 1st page of the EPR plan for me to view and review the updated plan with staff. 5- As books begin to wear and tear replace them with newer books or repurpose them for your outdoor space. 6- As mats begin to show wear and tear replace them with new mats. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times