10A NCAC 09 .1714 · Violation

Name of Operation: THE PLAY AND LEARNING CENTER Facility ID: 45000420 Consultant: KARLA TERRY Operation Type: Family CC Home Case Number: Visit Date: 4/14/2025 Number Present: 3 Completed Date: 4/14/2025 Age: From 2 To 3 Total Minutes: 125 Time In: 10:40 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Brandi Mills, Owner/Operator, during the visit. A signed copy of the visit summary was left on-site with you. Brandi Mills, Owner/Operator was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 4/14/2025. Permit type – Four (4) Star Rated License effective 12/20/2022. Special Services/Restrictions – first shift (daytime care), Children in care on ground level only, Maximum of 5 preschool children at any time, Fireplace/woodstove not used during operating hours, Serves no more than two infants under one year of age. The last annual compliance visit was conducted on 5/16/2024. The last fire drill was practiced on 3/20/2025. A fire drill for the month of October was missed due to Tropical Storm Helene. Since reopening the facility has resumed monthly fire drills. The last shelter-in-place drill was practiced on 2/19/2025. An emergency drill was not conducted every three (3) months between the 7/1/2024 and 11/19/2024 due to Tropical Storm Helene. Since reopening the facility has resumed drills every three (3) months. The last outdoor inspection was documented on 3/21/2025. The outdoor area was unable to be monitored today due the construction that was being conducted at the home. The last lead water test was conducted on 5/22/2024. The lead paint and asbestos testing was completed on 1/15/2025. The Emergency Medical Care plan was posted and current. The facility was closed from 9/27/2024 to 10/21/2024 due to Tropical Storm Helene. The facility sustained roof damage and has had the roof repairs completed. The facility has had a flashing leak and currently the facility is in the process of making the repairs to the upstairs area. The water damage did not affect the child care area. Upon arrival today, I was greeted by Brandi Mills, Owner/Operator. The children ages two to three years old were engaged in free play with books, blocks, and dramatic play materials. After free play, they washed hands and prepared for lunch. While monitoring the indoor space, I observed three (3) areas where the paneling was separating from the wall. The paneling had a gap between the wall and the back of the paneling creating a pinch hazard. Lunch today consisted of pizza, corn, green beans, and milk. During the visit, I asked Ms. Mills about outdoor play, and she stated that they have not been able to play outdoors due to the construction that has been going on. She stated that she is providing indoor gross motor play. We discussed prior to the children resuming outdoor gross motor play in the outdoor play space she will need to walk the outdoor space to ensure all nails, screws, and construction equipment or debris is removed. The program does not provide transportation. I used the Family Child Care Home Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 510 First-aid supplies were not kept in a place accessible to the operator. A first aid kit was not accessible to the provider during the visit. 10 A NCAC 09 .1719(a )(9) 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. Indoors, the paneling was separating from the walls creating a pinch hazard. .1719(a)(1)&(17) 2056 Documentation of the operator's Emergency Preparedness and Response plan was not completed and/or maintained on the template provided by the Division of Emergency Management. The Emergency Preparedness and Response plan was not available for review. 10A NCAC 09 .1714(c) & .1721(e)(1) Technical assistance was provided as follows: Item 510 A first aid kit was not accessible to the provider during the visit. When asked about the first aid kit she stated that it is in the garage due to the construction. We discussed that a first aid kit must be accessible at all times when children are present. Rule Reference: 10A NCAC 09.1719 (a)(9) Item 701 Indoors, the paneling was separating from the walls creating a pinch hazard. When asked about this, Ms. Mills stated that she will be getting the repairs completed this weekend. We discussed to use tape or to put a tall shelf or chair in front of the areas to prevent a child from getting their finger caught and pinched between the wall and the paneling. Rule Reference: 10A NCAC 09 .1719 (a)(1&17) Item 2056 The Emergency Preparedness and Response plan was not available for review. When asked about the EPR plan, Ms. Mills stated that it is with the first aid kit in the garage. We discussed that a EPR plan must be accessible at all times when children are present in the event an of an emergency. Rule Reference: 10A NCAC 09 .1714 (c) Achieving Compliance: 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. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/28/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We reviewed children’s emergency information forms are to be updated annually or when changes occurred. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. 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 child care providers working who were hired or moved into the child care 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) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1719 · Violation

Name of Operation: THE PLAY AND LEARNING CENTER Facility ID: 45000420 Consultant: KARLA TERRY Operation Type: Family CC Home Case Number: Visit Date: 4/14/2025 Number Present: 3 Completed Date: 4/14/2025 Age: From 2 To 3 Total Minutes: 125 Time In: 10:40 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Brandi Mills, Owner/Operator, during the visit. A signed copy of the visit summary was left on-site with you. Brandi Mills, Owner/Operator was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 4/14/2025. Permit type – Four (4) Star Rated License effective 12/20/2022. Special Services/Restrictions – first shift (daytime care), Children in care on ground level only, Maximum of 5 preschool children at any time, Fireplace/woodstove not used during operating hours, Serves no more than two infants under one year of age. The last annual compliance visit was conducted on 5/16/2024. The last fire drill was practiced on 3/20/2025. A fire drill for the month of October was missed due to Tropical Storm Helene. Since reopening the facility has resumed monthly fire drills. The last shelter-in-place drill was practiced on 2/19/2025. An emergency drill was not conducted every three (3) months between the 7/1/2024 and 11/19/2024 due to Tropical Storm Helene. Since reopening the facility has resumed drills every three (3) months. The last outdoor inspection was documented on 3/21/2025. The outdoor area was unable to be monitored today due the construction that was being conducted at the home. The last lead water test was conducted on 5/22/2024. The lead paint and asbestos testing was completed on 1/15/2025. The Emergency Medical Care plan was posted and current. The facility was closed from 9/27/2024 to 10/21/2024 due to Tropical Storm Helene. The facility sustained roof damage and has had the roof repairs completed. The facility has had a flashing leak and currently the facility is in the process of making the repairs to the upstairs area. The water damage did not affect the child care area. Upon arrival today, I was greeted by Brandi Mills, Owner/Operator. The children ages two to three years old were engaged in free play with books, blocks, and dramatic play materials. After free play, they washed hands and prepared for lunch. While monitoring the indoor space, I observed three (3) areas where the paneling was separating from the wall. The paneling had a gap between the wall and the back of the paneling creating a pinch hazard. Lunch today consisted of pizza, corn, green beans, and milk. During the visit, I asked Ms. Mills about outdoor play, and she stated that they have not been able to play outdoors due to the construction that has been going on. She stated that she is providing indoor gross motor play. We discussed prior to the children resuming outdoor gross motor play in the outdoor play space she will need to walk the outdoor space to ensure all nails, screws, and construction equipment or debris is removed. The program does not provide transportation. I used the Family Child Care Home Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 510 First-aid supplies were not kept in a place accessible to the operator. A first aid kit was not accessible to the provider during the visit. 10 A NCAC 09 .1719(a )(9) 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. Indoors, the paneling was separating from the walls creating a pinch hazard. .1719(a)(1)&(17) 2056 Documentation of the operator's Emergency Preparedness and Response plan was not completed and/or maintained on the template provided by the Division of Emergency Management. The Emergency Preparedness and Response plan was not available for review. 10A NCAC 09 .1714(c) & .1721(e)(1) Technical assistance was provided as follows: Item 510 A first aid kit was not accessible to the provider during the visit. When asked about the first aid kit she stated that it is in the garage due to the construction. We discussed that a first aid kit must be accessible at all times when children are present. Rule Reference: 10A NCAC 09.1719 (a)(9) Item 701 Indoors, the paneling was separating from the walls creating a pinch hazard. When asked about this, Ms. Mills stated that she will be getting the repairs completed this weekend. We discussed to use tape or to put a tall shelf or chair in front of the areas to prevent a child from getting their finger caught and pinched between the wall and the paneling. Rule Reference: 10A NCAC 09 .1719 (a)(1&17) Item 2056 The Emergency Preparedness and Response plan was not available for review. When asked about the EPR plan, Ms. Mills stated that it is with the first aid kit in the garage. We discussed that a EPR plan must be accessible at all times when children are present in the event an of an emergency. Rule Reference: 10A NCAC 09 .1714 (c) Achieving Compliance: 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. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/28/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We reviewed children’s emergency information forms are to be updated annually or when changes occurred. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. 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 child care providers working who were hired or moved into the child care 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) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: THE PLAY AND LEARNING CENTER Facility ID: 45000420 Consultant: KARLA TERRY Operation Type: Family CC Home Case Number: Visit Date: 4/14/2025 Number Present: 3 Completed Date: 4/14/2025 Age: From 2 To 3 Total Minutes: 125 Time In: 10:40 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Brandi Mills, Owner/Operator, during the visit. A signed copy of the visit summary was left on-site with you. Brandi Mills, Owner/Operator was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 4/14/2025. Permit type – Four (4) Star Rated License effective 12/20/2022. Special Services/Restrictions – first shift (daytime care), Children in care on ground level only, Maximum of 5 preschool children at any time, Fireplace/woodstove not used during operating hours, Serves no more than two infants under one year of age. The last annual compliance visit was conducted on 5/16/2024. The last fire drill was practiced on 3/20/2025. A fire drill for the month of October was missed due to Tropical Storm Helene. Since reopening the facility has resumed monthly fire drills. The last shelter-in-place drill was practiced on 2/19/2025. An emergency drill was not conducted every three (3) months between the 7/1/2024 and 11/19/2024 due to Tropical Storm Helene. Since reopening the facility has resumed drills every three (3) months. The last outdoor inspection was documented on 3/21/2025. The outdoor area was unable to be monitored today due the construction that was being conducted at the home. The last lead water test was conducted on 5/22/2024. The lead paint and asbestos testing was completed on 1/15/2025. The Emergency Medical Care plan was posted and current. The facility was closed from 9/27/2024 to 10/21/2024 due to Tropical Storm Helene. The facility sustained roof damage and has had the roof repairs completed. The facility has had a flashing leak and currently the facility is in the process of making the repairs to the upstairs area. The water damage did not affect the child care area. Upon arrival today, I was greeted by Brandi Mills, Owner/Operator. The children ages two to three years old were engaged in free play with books, blocks, and dramatic play materials. After free play, they washed hands and prepared for lunch. While monitoring the indoor space, I observed three (3) areas where the paneling was separating from the wall. The paneling had a gap between the wall and the back of the paneling creating a pinch hazard. Lunch today consisted of pizza, corn, green beans, and milk. During the visit, I asked Ms. Mills about outdoor play, and she stated that they have not been able to play outdoors due to the construction that has been going on. She stated that she is providing indoor gross motor play. We discussed prior to the children resuming outdoor gross motor play in the outdoor play space she will need to walk the outdoor space to ensure all nails, screws, and construction equipment or debris is removed. The program does not provide transportation. I used the Family Child Care Home Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 510 First-aid supplies were not kept in a place accessible to the operator. A first aid kit was not accessible to the provider during the visit. 10 A NCAC 09 .1719(a )(9) 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. Indoors, the paneling was separating from the walls creating a pinch hazard. .1719(a)(1)&(17) 2056 Documentation of the operator's Emergency Preparedness and Response plan was not completed and/or maintained on the template provided by the Division of Emergency Management. The Emergency Preparedness and Response plan was not available for review. 10A NCAC 09 .1714(c) & .1721(e)(1) Technical assistance was provided as follows: Item 510 A first aid kit was not accessible to the provider during the visit. When asked about the first aid kit she stated that it is in the garage due to the construction. We discussed that a first aid kit must be accessible at all times when children are present. Rule Reference: 10A NCAC 09.1719 (a)(9) Item 701 Indoors, the paneling was separating from the walls creating a pinch hazard. When asked about this, Ms. Mills stated that she will be getting the repairs completed this weekend. We discussed to use tape or to put a tall shelf or chair in front of the areas to prevent a child from getting their finger caught and pinched between the wall and the paneling. Rule Reference: 10A NCAC 09 .1719 (a)(1&17) Item 2056 The Emergency Preparedness and Response plan was not available for review. When asked about the EPR plan, Ms. Mills stated that it is with the first aid kit in the garage. We discussed that a EPR plan must be accessible at all times when children are present in the event an of an emergency. Rule Reference: 10A NCAC 09 .1714 (c) Achieving Compliance: 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. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/28/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We reviewed children’s emergency information forms are to be updated annually or when changes occurred. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. 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 child care providers working who were hired or moved into the child care 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) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: THE PLAY AND LEARNING CENTER Facility ID: 45000420 Consultant: KARLA TERRY Operation Type: Family CC Home Case Number: Visit Date: 4/14/2025 Number Present: 3 Completed Date: 4/14/2025 Age: From 2 To 3 Total Minutes: 125 Time In: 10:40 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Brandi Mills, Owner/Operator, during the visit. A signed copy of the visit summary was left on-site with you. Brandi Mills, Owner/Operator was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 4/14/2025. Permit type – Four (4) Star Rated License effective 12/20/2022. Special Services/Restrictions – first shift (daytime care), Children in care on ground level only, Maximum of 5 preschool children at any time, Fireplace/woodstove not used during operating hours, Serves no more than two infants under one year of age. The last annual compliance visit was conducted on 5/16/2024. The last fire drill was practiced on 3/20/2025. A fire drill for the month of October was missed due to Tropical Storm Helene. Since reopening the facility has resumed monthly fire drills. The last shelter-in-place drill was practiced on 2/19/2025. An emergency drill was not conducted every three (3) months between the 7/1/2024 and 11/19/2024 due to Tropical Storm Helene. Since reopening the facility has resumed drills every three (3) months. The last outdoor inspection was documented on 3/21/2025. The outdoor area was unable to be monitored today due the construction that was being conducted at the home. The last lead water test was conducted on 5/22/2024. The lead paint and asbestos testing was completed on 1/15/2025. The Emergency Medical Care plan was posted and current. The facility was closed from 9/27/2024 to 10/21/2024 due to Tropical Storm Helene. The facility sustained roof damage and has had the roof repairs completed. The facility has had a flashing leak and currently the facility is in the process of making the repairs to the upstairs area. The water damage did not affect the child care area. Upon arrival today, I was greeted by Brandi Mills, Owner/Operator. The children ages two to three years old were engaged in free play with books, blocks, and dramatic play materials. After free play, they washed hands and prepared for lunch. While monitoring the indoor space, I observed three (3) areas where the paneling was separating from the wall. The paneling had a gap between the wall and the back of the paneling creating a pinch hazard. Lunch today consisted of pizza, corn, green beans, and milk. During the visit, I asked Ms. Mills about outdoor play, and she stated that they have not been able to play outdoors due to the construction that has been going on. She stated that she is providing indoor gross motor play. We discussed prior to the children resuming outdoor gross motor play in the outdoor play space she will need to walk the outdoor space to ensure all nails, screws, and construction equipment or debris is removed. The program does not provide transportation. I used the Family Child Care Home Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 510 First-aid supplies were not kept in a place accessible to the operator. A first aid kit was not accessible to the provider during the visit. 10 A NCAC 09 .1719(a )(9) 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. Indoors, the paneling was separating from the walls creating a pinch hazard. .1719(a)(1)&(17) 2056 Documentation of the operator's Emergency Preparedness and Response plan was not completed and/or maintained on the template provided by the Division of Emergency Management. The Emergency Preparedness and Response plan was not available for review. 10A NCAC 09 .1714(c) & .1721(e)(1) Technical assistance was provided as follows: Item 510 A first aid kit was not accessible to the provider during the visit. When asked about the first aid kit she stated that it is in the garage due to the construction. We discussed that a first aid kit must be accessible at all times when children are present. Rule Reference: 10A NCAC 09.1719 (a)(9) Item 701 Indoors, the paneling was separating from the walls creating a pinch hazard. When asked about this, Ms. Mills stated that she will be getting the repairs completed this weekend. We discussed to use tape or to put a tall shelf or chair in front of the areas to prevent a child from getting their finger caught and pinched between the wall and the paneling. Rule Reference: 10A NCAC 09 .1719 (a)(1&17) Item 2056 The Emergency Preparedness and Response plan was not available for review. When asked about the EPR plan, Ms. Mills stated that it is with the first aid kit in the garage. We discussed that a EPR plan must be accessible at all times when children are present in the event an of an emergency. Rule Reference: 10A NCAC 09 .1714 (c) Achieving Compliance: 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. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/28/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We reviewed children’s emergency information forms are to be updated annually or when changes occurred. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. 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 child care providers working who were hired or moved into the child care 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) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: THE PLAY AND LEARNING CENTER Facility ID: 45000420 Consultant: KARLA TERRY Operation Type: Family CC Home Case Number: Visit Date: 4/14/2025 Number Present: 3 Completed Date: 4/14/2025 Age: From 2 To 3 Total Minutes: 125 Time In: 10:40 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Brandi Mills, Owner/Operator, during the visit. A signed copy of the visit summary was left on-site with you. Brandi Mills, Owner/Operator was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 4/14/2025. Permit type – Four (4) Star Rated License effective 12/20/2022. Special Services/Restrictions – first shift (daytime care), Children in care on ground level only, Maximum of 5 preschool children at any time, Fireplace/woodstove not used during operating hours, Serves no more than two infants under one year of age. The last annual compliance visit was conducted on 5/16/2024. The last fire drill was practiced on 3/20/2025. A fire drill for the month of October was missed due to Tropical Storm Helene. Since reopening the facility has resumed monthly fire drills. The last shelter-in-place drill was practiced on 2/19/2025. An emergency drill was not conducted every three (3) months between the 7/1/2024 and 11/19/2024 due to Tropical Storm Helene. Since reopening the facility has resumed drills every three (3) months. The last outdoor inspection was documented on 3/21/2025. The outdoor area was unable to be monitored today due the construction that was being conducted at the home. The last lead water test was conducted on 5/22/2024. The lead paint and asbestos testing was completed on 1/15/2025. The Emergency Medical Care plan was posted and current. The facility was closed from 9/27/2024 to 10/21/2024 due to Tropical Storm Helene. The facility sustained roof damage and has had the roof repairs completed. The facility has had a flashing leak and currently the facility is in the process of making the repairs to the upstairs area. The water damage did not affect the child care area. Upon arrival today, I was greeted by Brandi Mills, Owner/Operator. The children ages two to three years old were engaged in free play with books, blocks, and dramatic play materials. After free play, they washed hands and prepared for lunch. While monitoring the indoor space, I observed three (3) areas where the paneling was separating from the wall. The paneling had a gap between the wall and the back of the paneling creating a pinch hazard. Lunch today consisted of pizza, corn, green beans, and milk. During the visit, I asked Ms. Mills about outdoor play, and she stated that they have not been able to play outdoors due to the construction that has been going on. She stated that she is providing indoor gross motor play. We discussed prior to the children resuming outdoor gross motor play in the outdoor play space she will need to walk the outdoor space to ensure all nails, screws, and construction equipment or debris is removed. The program does not provide transportation. I used the Family Child Care Home Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 510 First-aid supplies were not kept in a place accessible to the operator. A first aid kit was not accessible to the provider during the visit. 10 A NCAC 09 .1719(a )(9) 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. Indoors, the paneling was separating from the walls creating a pinch hazard. .1719(a)(1)&(17) 2056 Documentation of the operator's Emergency Preparedness and Response plan was not completed and/or maintained on the template provided by the Division of Emergency Management. The Emergency Preparedness and Response plan was not available for review. 10A NCAC 09 .1714(c) & .1721(e)(1) Technical assistance was provided as follows: Item 510 A first aid kit was not accessible to the provider during the visit. When asked about the first aid kit she stated that it is in the garage due to the construction. We discussed that a first aid kit must be accessible at all times when children are present. Rule Reference: 10A NCAC 09.1719 (a)(9) Item 701 Indoors, the paneling was separating from the walls creating a pinch hazard. When asked about this, Ms. Mills stated that she will be getting the repairs completed this weekend. We discussed to use tape or to put a tall shelf or chair in front of the areas to prevent a child from getting their finger caught and pinched between the wall and the paneling. Rule Reference: 10A NCAC 09 .1719 (a)(1&17) Item 2056 The Emergency Preparedness and Response plan was not available for review. When asked about the EPR plan, Ms. Mills stated that it is with the first aid kit in the garage. We discussed that a EPR plan must be accessible at all times when children are present in the event an of an emergency. Rule Reference: 10A NCAC 09 .1714 (c) Achieving Compliance: 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. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/28/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We reviewed children’s emergency information forms are to be updated annually or when changes occurred. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. 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 child care providers working who were hired or moved into the child care 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) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1714 · Violation

Name of Operation: THE PLAY AND LEARNING CENTER Facility ID: 45000420 Consultant: KARLA TERRY Operation Type: Family CC Home Case Number: Visit Date: 4/14/2025 Number Present: 3 Completed Date: 4/14/2025 Age: From 2 To 3 Total Minutes: 125 Time In: 10:40 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Brandi Mills, Owner/Operator, during the visit. A signed copy of the visit summary was left on-site with you. Brandi Mills, Owner/Operator was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 4/14/2025. Permit type – Four (4) Star Rated License effective 12/20/2022. Special Services/Restrictions – first shift (daytime care), Children in care on ground level only, Maximum of 5 preschool children at any time, Fireplace/woodstove not used during operating hours, Serves no more than two infants under one year of age. The last annual compliance visit was conducted on 5/16/2024. The last fire drill was practiced on 3/20/2025. A fire drill for the month of October was missed due to Tropical Storm Helene. Since reopening the facility has resumed monthly fire drills. The last shelter-in-place drill was practiced on 2/19/2025. An emergency drill was not conducted every three (3) months between the 7/1/2024 and 11/19/2024 due to Tropical Storm Helene. Since reopening the facility has resumed drills every three (3) months. The last outdoor inspection was documented on 3/21/2025. The outdoor area was unable to be monitored today due the construction that was being conducted at the home. The last lead water test was conducted on 5/22/2024. The lead paint and asbestos testing was completed on 1/15/2025. The Emergency Medical Care plan was posted and current. The facility was closed from 9/27/2024 to 10/21/2024 due to Tropical Storm Helene. The facility sustained roof damage and has had the roof repairs completed. The facility has had a flashing leak and currently the facility is in the process of making the repairs to the upstairs area. The water damage did not affect the child care area. Upon arrival today, I was greeted by Brandi Mills, Owner/Operator. The children ages two to three years old were engaged in free play with books, blocks, and dramatic play materials. After free play, they washed hands and prepared for lunch. While monitoring the indoor space, I observed three (3) areas where the paneling was separating from the wall. The paneling had a gap between the wall and the back of the paneling creating a pinch hazard. Lunch today consisted of pizza, corn, green beans, and milk. During the visit, I asked Ms. Mills about outdoor play, and she stated that they have not been able to play outdoors due to the construction that has been going on. She stated that she is providing indoor gross motor play. We discussed prior to the children resuming outdoor gross motor play in the outdoor play space she will need to walk the outdoor space to ensure all nails, screws, and construction equipment or debris is removed. The program does not provide transportation. I used the Family Child Care Home Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 510 First-aid supplies were not kept in a place accessible to the operator. A first aid kit was not accessible to the provider during the visit. 10 A NCAC 09 .1719(a )(9) 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. Indoors, the paneling was separating from the walls creating a pinch hazard. .1719(a)(1)&(17) 2056 Documentation of the operator's Emergency Preparedness and Response plan was not completed and/or maintained on the template provided by the Division of Emergency Management. The Emergency Preparedness and Response plan was not available for review. 10A NCAC 09 .1714(c) & .1721(e)(1) Technical assistance was provided as follows: Item 510 A first aid kit was not accessible to the provider during the visit. When asked about the first aid kit she stated that it is in the garage due to the construction. We discussed that a first aid kit must be accessible at all times when children are present. Rule Reference: 10A NCAC 09.1719 (a)(9) Item 701 Indoors, the paneling was separating from the walls creating a pinch hazard. When asked about this, Ms. Mills stated that she will be getting the repairs completed this weekend. We discussed to use tape or to put a tall shelf or chair in front of the areas to prevent a child from getting their finger caught and pinched between the wall and the paneling. Rule Reference: 10A NCAC 09 .1719 (a)(1&17) Item 2056 The Emergency Preparedness and Response plan was not available for review. When asked about the EPR plan, Ms. Mills stated that it is with the first aid kit in the garage. We discussed that a EPR plan must be accessible at all times when children are present in the event an of an emergency. Rule Reference: 10A NCAC 09 .1714 (c) Achieving Compliance: 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. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/28/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We reviewed children’s emergency information forms are to be updated annually or when changes occurred. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. 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 child care providers working who were hired or moved into the child care 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) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: THE PLAY AND LEARNING CENTER Facility ID: 45000420 Consultant: KARLA TERRY Operation Type: Family CC Home Case Number: Visit Date: 4/14/2025 Number Present: 3 Completed Date: 4/14/2025 Age: From 2 To 3 Total Minutes: 125 Time In: 10:40 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Brandi Mills, Owner/Operator, during the visit. A signed copy of the visit summary was left on-site with you. Brandi Mills, Owner/Operator was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 4/14/2025. Permit type – Four (4) Star Rated License effective 12/20/2022. Special Services/Restrictions – first shift (daytime care), Children in care on ground level only, Maximum of 5 preschool children at any time, Fireplace/woodstove not used during operating hours, Serves no more than two infants under one year of age. The last annual compliance visit was conducted on 5/16/2024. The last fire drill was practiced on 3/20/2025. A fire drill for the month of October was missed due to Tropical Storm Helene. Since reopening the facility has resumed monthly fire drills. The last shelter-in-place drill was practiced on 2/19/2025. An emergency drill was not conducted every three (3) months between the 7/1/2024 and 11/19/2024 due to Tropical Storm Helene. Since reopening the facility has resumed drills every three (3) months. The last outdoor inspection was documented on 3/21/2025. The outdoor area was unable to be monitored today due the construction that was being conducted at the home. The last lead water test was conducted on 5/22/2024. The lead paint and asbestos testing was completed on 1/15/2025. The Emergency Medical Care plan was posted and current. The facility was closed from 9/27/2024 to 10/21/2024 due to Tropical Storm Helene. The facility sustained roof damage and has had the roof repairs completed. The facility has had a flashing leak and currently the facility is in the process of making the repairs to the upstairs area. The water damage did not affect the child care area. Upon arrival today, I was greeted by Brandi Mills, Owner/Operator. The children ages two to three years old were engaged in free play with books, blocks, and dramatic play materials. After free play, they washed hands and prepared for lunch. While monitoring the indoor space, I observed three (3) areas where the paneling was separating from the wall. The paneling had a gap between the wall and the back of the paneling creating a pinch hazard. Lunch today consisted of pizza, corn, green beans, and milk. During the visit, I asked Ms. Mills about outdoor play, and she stated that they have not been able to play outdoors due to the construction that has been going on. She stated that she is providing indoor gross motor play. We discussed prior to the children resuming outdoor gross motor play in the outdoor play space she will need to walk the outdoor space to ensure all nails, screws, and construction equipment or debris is removed. The program does not provide transportation. I used the Family Child Care Home Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 510 First-aid supplies were not kept in a place accessible to the operator. A first aid kit was not accessible to the provider during the visit. 10 A NCAC 09 .1719(a )(9) 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. Indoors, the paneling was separating from the walls creating a pinch hazard. .1719(a)(1)&(17) 2056 Documentation of the operator's Emergency Preparedness and Response plan was not completed and/or maintained on the template provided by the Division of Emergency Management. The Emergency Preparedness and Response plan was not available for review. 10A NCAC 09 .1714(c) & .1721(e)(1) Technical assistance was provided as follows: Item 510 A first aid kit was not accessible to the provider during the visit. When asked about the first aid kit she stated that it is in the garage due to the construction. We discussed that a first aid kit must be accessible at all times when children are present. Rule Reference: 10A NCAC 09.1719 (a)(9) Item 701 Indoors, the paneling was separating from the walls creating a pinch hazard. When asked about this, Ms. Mills stated that she will be getting the repairs completed this weekend. We discussed to use tape or to put a tall shelf or chair in front of the areas to prevent a child from getting their finger caught and pinched between the wall and the paneling. Rule Reference: 10A NCAC 09 .1719 (a)(1&17) Item 2056 The Emergency Preparedness and Response plan was not available for review. When asked about the EPR plan, Ms. Mills stated that it is with the first aid kit in the garage. We discussed that a EPR plan must be accessible at all times when children are present in the event an of an emergency. Rule Reference: 10A NCAC 09 .1714 (c) Achieving Compliance: 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. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/28/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We reviewed children’s emergency information forms are to be updated annually or when changes occurred. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. 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 child care providers working who were hired or moved into the child care 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) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.1719 · Violation

Name of Operation: THE PLAY AND LEARNING CENTER Facility ID: 45000420 Consultant: KARLA TERRY Operation Type: Family CC Home Case Number: Visit Date: 4/14/2025 Number Present: 3 Completed Date: 4/14/2025 Age: From 2 To 3 Total Minutes: 125 Time In: 10:40 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Brandi Mills, Owner/Operator, during the visit. A signed copy of the visit summary was left on-site with you. Brandi Mills, Owner/Operator was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 4/14/2025. Permit type – Four (4) Star Rated License effective 12/20/2022. Special Services/Restrictions – first shift (daytime care), Children in care on ground level only, Maximum of 5 preschool children at any time, Fireplace/woodstove not used during operating hours, Serves no more than two infants under one year of age. The last annual compliance visit was conducted on 5/16/2024. The last fire drill was practiced on 3/20/2025. A fire drill for the month of October was missed due to Tropical Storm Helene. Since reopening the facility has resumed monthly fire drills. The last shelter-in-place drill was practiced on 2/19/2025. An emergency drill was not conducted every three (3) months between the 7/1/2024 and 11/19/2024 due to Tropical Storm Helene. Since reopening the facility has resumed drills every three (3) months. The last outdoor inspection was documented on 3/21/2025. The outdoor area was unable to be monitored today due the construction that was being conducted at the home. The last lead water test was conducted on 5/22/2024. The lead paint and asbestos testing was completed on 1/15/2025. The Emergency Medical Care plan was posted and current. The facility was closed from 9/27/2024 to 10/21/2024 due to Tropical Storm Helene. The facility sustained roof damage and has had the roof repairs completed. The facility has had a flashing leak and currently the facility is in the process of making the repairs to the upstairs area. The water damage did not affect the child care area. Upon arrival today, I was greeted by Brandi Mills, Owner/Operator. The children ages two to three years old were engaged in free play with books, blocks, and dramatic play materials. After free play, they washed hands and prepared for lunch. While monitoring the indoor space, I observed three (3) areas where the paneling was separating from the wall. The paneling had a gap between the wall and the back of the paneling creating a pinch hazard. Lunch today consisted of pizza, corn, green beans, and milk. During the visit, I asked Ms. Mills about outdoor play, and she stated that they have not been able to play outdoors due to the construction that has been going on. She stated that she is providing indoor gross motor play. We discussed prior to the children resuming outdoor gross motor play in the outdoor play space she will need to walk the outdoor space to ensure all nails, screws, and construction equipment or debris is removed. The program does not provide transportation. I used the Family Child Care Home Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 510 First-aid supplies were not kept in a place accessible to the operator. A first aid kit was not accessible to the provider during the visit. 10 A NCAC 09 .1719(a )(9) 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. Indoors, the paneling was separating from the walls creating a pinch hazard. .1719(a)(1)&(17) 2056 Documentation of the operator's Emergency Preparedness and Response plan was not completed and/or maintained on the template provided by the Division of Emergency Management. The Emergency Preparedness and Response plan was not available for review. 10A NCAC 09 .1714(c) & .1721(e)(1) Technical assistance was provided as follows: Item 510 A first aid kit was not accessible to the provider during the visit. When asked about the first aid kit she stated that it is in the garage due to the construction. We discussed that a first aid kit must be accessible at all times when children are present. Rule Reference: 10A NCAC 09.1719 (a)(9) Item 701 Indoors, the paneling was separating from the walls creating a pinch hazard. When asked about this, Ms. Mills stated that she will be getting the repairs completed this weekend. We discussed to use tape or to put a tall shelf or chair in front of the areas to prevent a child from getting their finger caught and pinched between the wall and the paneling. Rule Reference: 10A NCAC 09 .1719 (a)(1&17) Item 2056 The Emergency Preparedness and Response plan was not available for review. When asked about the EPR plan, Ms. Mills stated that it is with the first aid kit in the garage. We discussed that a EPR plan must be accessible at all times when children are present in the event an of an emergency. Rule Reference: 10A NCAC 09 .1714 (c) Achieving Compliance: 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. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/28/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We reviewed children’s emergency information forms are to be updated annually or when changes occurred. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. 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 child care providers working who were hired or moved into the child care 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) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: THE PLAY AND LEARNING CENTER Facility ID: 45000420 Consultant: KARLA TERRY Operation Type: Family CC Home Case Number: Visit Date: 4/14/2025 Number Present: 3 Completed Date: 4/14/2025 Age: From 2 To 3 Total Minutes: 125 Time In: 10:40 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Brandi Mills, Owner/Operator, during the visit. A signed copy of the visit summary was left on-site with you. Brandi Mills, Owner/Operator was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 4/14/2025. Permit type – Four (4) Star Rated License effective 12/20/2022. Special Services/Restrictions – first shift (daytime care), Children in care on ground level only, Maximum of 5 preschool children at any time, Fireplace/woodstove not used during operating hours, Serves no more than two infants under one year of age. The last annual compliance visit was conducted on 5/16/2024. The last fire drill was practiced on 3/20/2025. A fire drill for the month of October was missed due to Tropical Storm Helene. Since reopening the facility has resumed monthly fire drills. The last shelter-in-place drill was practiced on 2/19/2025. An emergency drill was not conducted every three (3) months between the 7/1/2024 and 11/19/2024 due to Tropical Storm Helene. Since reopening the facility has resumed drills every three (3) months. The last outdoor inspection was documented on 3/21/2025. The outdoor area was unable to be monitored today due the construction that was being conducted at the home. The last lead water test was conducted on 5/22/2024. The lead paint and asbestos testing was completed on 1/15/2025. The Emergency Medical Care plan was posted and current. The facility was closed from 9/27/2024 to 10/21/2024 due to Tropical Storm Helene. The facility sustained roof damage and has had the roof repairs completed. The facility has had a flashing leak and currently the facility is in the process of making the repairs to the upstairs area. The water damage did not affect the child care area. Upon arrival today, I was greeted by Brandi Mills, Owner/Operator. The children ages two to three years old were engaged in free play with books, blocks, and dramatic play materials. After free play, they washed hands and prepared for lunch. While monitoring the indoor space, I observed three (3) areas where the paneling was separating from the wall. The paneling had a gap between the wall and the back of the paneling creating a pinch hazard. Lunch today consisted of pizza, corn, green beans, and milk. During the visit, I asked Ms. Mills about outdoor play, and she stated that they have not been able to play outdoors due to the construction that has been going on. She stated that she is providing indoor gross motor play. We discussed prior to the children resuming outdoor gross motor play in the outdoor play space she will need to walk the outdoor space to ensure all nails, screws, and construction equipment or debris is removed. The program does not provide transportation. I used the Family Child Care Home Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 510 First-aid supplies were not kept in a place accessible to the operator. A first aid kit was not accessible to the provider during the visit. 10 A NCAC 09 .1719(a )(9) 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. Indoors, the paneling was separating from the walls creating a pinch hazard. .1719(a)(1)&(17) 2056 Documentation of the operator's Emergency Preparedness and Response plan was not completed and/or maintained on the template provided by the Division of Emergency Management. The Emergency Preparedness and Response plan was not available for review. 10A NCAC 09 .1714(c) & .1721(e)(1) Technical assistance was provided as follows: Item 510 A first aid kit was not accessible to the provider during the visit. When asked about the first aid kit she stated that it is in the garage due to the construction. We discussed that a first aid kit must be accessible at all times when children are present. Rule Reference: 10A NCAC 09.1719 (a)(9) Item 701 Indoors, the paneling was separating from the walls creating a pinch hazard. When asked about this, Ms. Mills stated that she will be getting the repairs completed this weekend. We discussed to use tape or to put a tall shelf or chair in front of the areas to prevent a child from getting their finger caught and pinched between the wall and the paneling. Rule Reference: 10A NCAC 09 .1719 (a)(1&17) Item 2056 The Emergency Preparedness and Response plan was not available for review. When asked about the EPR plan, Ms. Mills stated that it is with the first aid kit in the garage. We discussed that a EPR plan must be accessible at all times when children are present in the event an of an emergency. Rule Reference: 10A NCAC 09 .1714 (c) Achieving Compliance: 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. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/28/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We reviewed children’s emergency information forms are to be updated annually or when changes occurred. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. 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 child care providers working who were hired or moved into the child care 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) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: THE PLAY AND LEARNING CENTER Facility ID: 45000420 Consultant: KARLA TERRY Operation Type: Family CC Home Case Number: Visit Date: 4/14/2025 Number Present: 3 Completed Date: 4/14/2025 Age: From 2 To 3 Total Minutes: 125 Time In: 10:40 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Brandi Mills, Owner/Operator, during the visit. A signed copy of the visit summary was left on-site with you. Brandi Mills, Owner/Operator was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 4/14/2025. Permit type – Four (4) Star Rated License effective 12/20/2022. Special Services/Restrictions – first shift (daytime care), Children in care on ground level only, Maximum of 5 preschool children at any time, Fireplace/woodstove not used during operating hours, Serves no more than two infants under one year of age. The last annual compliance visit was conducted on 5/16/2024. The last fire drill was practiced on 3/20/2025. A fire drill for the month of October was missed due to Tropical Storm Helene. Since reopening the facility has resumed monthly fire drills. The last shelter-in-place drill was practiced on 2/19/2025. An emergency drill was not conducted every three (3) months between the 7/1/2024 and 11/19/2024 due to Tropical Storm Helene. Since reopening the facility has resumed drills every three (3) months. The last outdoor inspection was documented on 3/21/2025. The outdoor area was unable to be monitored today due the construction that was being conducted at the home. The last lead water test was conducted on 5/22/2024. The lead paint and asbestos testing was completed on 1/15/2025. The Emergency Medical Care plan was posted and current. The facility was closed from 9/27/2024 to 10/21/2024 due to Tropical Storm Helene. The facility sustained roof damage and has had the roof repairs completed. The facility has had a flashing leak and currently the facility is in the process of making the repairs to the upstairs area. The water damage did not affect the child care area. Upon arrival today, I was greeted by Brandi Mills, Owner/Operator. The children ages two to three years old were engaged in free play with books, blocks, and dramatic play materials. After free play, they washed hands and prepared for lunch. While monitoring the indoor space, I observed three (3) areas where the paneling was separating from the wall. The paneling had a gap between the wall and the back of the paneling creating a pinch hazard. Lunch today consisted of pizza, corn, green beans, and milk. During the visit, I asked Ms. Mills about outdoor play, and she stated that they have not been able to play outdoors due to the construction that has been going on. She stated that she is providing indoor gross motor play. We discussed prior to the children resuming outdoor gross motor play in the outdoor play space she will need to walk the outdoor space to ensure all nails, screws, and construction equipment or debris is removed. The program does not provide transportation. I used the Family Child Care Home Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 510 First-aid supplies were not kept in a place accessible to the operator. A first aid kit was not accessible to the provider during the visit. 10 A NCAC 09 .1719(a )(9) 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. Indoors, the paneling was separating from the walls creating a pinch hazard. .1719(a)(1)&(17) 2056 Documentation of the operator's Emergency Preparedness and Response plan was not completed and/or maintained on the template provided by the Division of Emergency Management. The Emergency Preparedness and Response plan was not available for review. 10A NCAC 09 .1714(c) & .1721(e)(1) Technical assistance was provided as follows: Item 510 A first aid kit was not accessible to the provider during the visit. When asked about the first aid kit she stated that it is in the garage due to the construction. We discussed that a first aid kit must be accessible at all times when children are present. Rule Reference: 10A NCAC 09.1719 (a)(9) Item 701 Indoors, the paneling was separating from the walls creating a pinch hazard. When asked about this, Ms. Mills stated that she will be getting the repairs completed this weekend. We discussed to use tape or to put a tall shelf or chair in front of the areas to prevent a child from getting their finger caught and pinched between the wall and the paneling. Rule Reference: 10A NCAC 09 .1719 (a)(1&17) Item 2056 The Emergency Preparedness and Response plan was not available for review. When asked about the EPR plan, Ms. Mills stated that it is with the first aid kit in the garage. We discussed that a EPR plan must be accessible at all times when children are present in the event an of an emergency. Rule Reference: 10A NCAC 09 .1714 (c) Achieving Compliance: 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. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/28/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We reviewed children’s emergency information forms are to be updated annually or when changes occurred. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. 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 child care providers working who were hired or moved into the child care 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) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: THE PLAY AND LEARNING CENTER Facility ID: 45000420 Consultant: KARLA TERRY Operation Type: Family CC Home Case Number: Visit Date: 5/16/2024 Number Present: 4 Completed Date: 5/16/2024 Age: From 1 To 4 Total Minutes: 130 Time In: 01:25 PM Time Out: 03:35 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and also signed by Brandi Mills, Owner/Operator, during the visit. A signed copy of the visit summary was left on site for your records. Brandi Mills, Owner/Operator was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percentage (93%) as of 5/15/24. The program operates with a Four Star Rated License, issued 12/20/2022. The permit restrictions were in compliance including first Shift (daytime care), maximum of 5 preschool children at any time, fireplace/woodstove not used during operating hours, children in care on ground level only, serves no more than two infants under one year of age. The last annual compliance visit was conducted on 6/7/2023. The last fire drill was practiced on 4/8/2024. The last lockdown drill was practiced on 4/7/2024. The last outdoor inspection was documented on 4/16//2024. The Emergency Medical Care plan was posted and current. Upon arrival, I was greeted by the owner/operator. The group of children ages one to four years old were observed resting on cots. As the children began to wake, they were given books. The children transitioned to toileting, washing hands and having snack. Ms. Mills sanitized the surfaces before the snack was served. The outdoor space offers adequate room for running and vigorous play. There are portable materials to enhance play on the outdoor space. All interactions were positive, supervision was adequate. Snack today consisted of apples and crackers. Applesauce was served to the one-year-old. Criminal Record Checks were found to be current. The operator’s Health Questionnaire was up to date and current. CPR and First Aid is current and will need to be renewed by 1/27/26 . ITS- SIDS training current and will need to be renewed by10/12/26 . The Operators Statement of Responsibility and The Verification of Required Information forms were completed and received during today’s visit. You stated that you do not provide transportation while the children are in care. You only provide transportation in the event of an emergency. You stated that there are no medications on-site for the children enrolled in your care. However, you will begin providing bug spray in Fall 2024. You do have pets in the home. The pet’s vaccination records were reviewed and were current. The parents have completed the acknowledgement that pets are on-site. You stated that you keep children from going into un-used areas of the home through gates and locked doors. It is required that rooms with hazardous items located inside are kept inaccessible through the use of locked doors and that all hazardous products are kept out of reach of children accordingly. You stated that you do not have any weaponry in the home. If weaponry is purchased, contact Karla Terry, Child Care Consultant. We did discuss that Ms. Terry will need to see how it is stored. The weaponry and ammo must be stored separately in locked storage. I used the Family Child Care Homes Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violation was documented during today’s visit: Violation Number Comment Rule 810 Refrigerator was not maintained at a temperature of 45 degrees Fahrenheit or below and/or was not monitored by a refrigerator thermometer. The thermometer in the refrigerator was not operational. 10A NCAC 09 .1725(a)(10) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. A plastic grocery bag was on the counter .1719(a)(18) 2056 Documentation of the operator's Emergency Preparedness and Response plan was not completed and/or maintained on the template provided by the Division of Emergency Management. The EPR plan document was not printed and on-site for review. 10A NCAC 09 .1714(c) & .1721(e)(1) Technical assistance provided 1922-Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities. A plastic grocery bag was on the counter. The bag was placed above 5 feet for correction during the visit. Plan to assign a storage area above 5 feet for loose plastic bags. 810-Refrigerator was not maintained at a temperature of 45 degrees Fahrenheit or below and/or was not monitored by a refrigerator thermometer. 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: refrigerate all perishable food and beverages. The refrigerator shall be in good repair and maintain a temperature of 45 degrees Fahrenheit or below. A refrigerator thermometer is required to monitor the temperature. The thermometer in the refrigerator was not operational. A working thermometer was placed in the refrigerator for correction during the visit. Plan to monitor the refrigerator thermometer each morning to ensure it is in working order. 2056-Documentation of the operator's Emergency Preparedness and Response plan was not completed and/or maintained on the template provided by the Division of Emergency Management. 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (c) Upon completion of the Emergency Preparedness and Response (EPR) in Child Care training, the operator shall develop the Emergency Preparedness and Response Plan (EPR). The Emergency Preparedness and Response (EPR) Plan means a written plan that addresses how a child care facility will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disaster, or a dangerous person in the vicinity, to ensure the safety and protection of the children and additional caregivers. This Plan shall be on a template provided by the Division available at https://rmp.nc.gov/portal/# completed within four months of completion of the Emergency Preparedness and Response in Child Care training, and available for review. The EPR plan document was not printed and on-site for review. Plan to print the EPR plan and have available for review. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/30/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Today, we discussed the following: -When using ear buds, ensure supervision of the children is not compromised. Children must be able to be heard. -When rated license resumes your facility is in cohort 3. The year of preparation will begin on July 1, 2025, and end June 30, 2026. The assessment year will begin July 1, 2026, and end June 30, 2027. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1703 · Violation

Name of Operation: THE PLAY AND LEARNING CENTER Facility ID: 45000420 Consultant: KARLA TERRY Operation Type: Family CC Home Case Number: Visit Date: 5/16/2024 Number Present: 4 Completed Date: 5/16/2024 Age: From 1 To 4 Total Minutes: 130 Time In: 01:25 PM Time Out: 03:35 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and also signed by Brandi Mills, Owner/Operator, during the visit. A signed copy of the visit summary was left on site for your records. Brandi Mills, Owner/Operator was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percentage (93%) as of 5/15/24. The program operates with a Four Star Rated License, issued 12/20/2022. The permit restrictions were in compliance including first Shift (daytime care), maximum of 5 preschool children at any time, fireplace/woodstove not used during operating hours, children in care on ground level only, serves no more than two infants under one year of age. The last annual compliance visit was conducted on 6/7/2023. The last fire drill was practiced on 4/8/2024. The last lockdown drill was practiced on 4/7/2024. The last outdoor inspection was documented on 4/16//2024. The Emergency Medical Care plan was posted and current. Upon arrival, I was greeted by the owner/operator. The group of children ages one to four years old were observed resting on cots. As the children began to wake, they were given books. The children transitioned to toileting, washing hands and having snack. Ms. Mills sanitized the surfaces before the snack was served. The outdoor space offers adequate room for running and vigorous play. There are portable materials to enhance play on the outdoor space. All interactions were positive, supervision was adequate. Snack today consisted of apples and crackers. Applesauce was served to the one-year-old. Criminal Record Checks were found to be current. The operator’s Health Questionnaire was up to date and current. CPR and First Aid is current and will need to be renewed by 1/27/26 . ITS- SIDS training current and will need to be renewed by10/12/26 . The Operators Statement of Responsibility and The Verification of Required Information forms were completed and received during today’s visit. You stated that you do not provide transportation while the children are in care. You only provide transportation in the event of an emergency. You stated that there are no medications on-site for the children enrolled in your care. However, you will begin providing bug spray in Fall 2024. You do have pets in the home. The pet’s vaccination records were reviewed and were current. The parents have completed the acknowledgement that pets are on-site. You stated that you keep children from going into un-used areas of the home through gates and locked doors. It is required that rooms with hazardous items located inside are kept inaccessible through the use of locked doors and that all hazardous products are kept out of reach of children accordingly. You stated that you do not have any weaponry in the home. If weaponry is purchased, contact Karla Terry, Child Care Consultant. We did discuss that Ms. Terry will need to see how it is stored. The weaponry and ammo must be stored separately in locked storage. I used the Family Child Care Homes Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violation was documented during today’s visit: Violation Number Comment Rule 810 Refrigerator was not maintained at a temperature of 45 degrees Fahrenheit or below and/or was not monitored by a refrigerator thermometer. The thermometer in the refrigerator was not operational. 10A NCAC 09 .1725(a)(10) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. A plastic grocery bag was on the counter .1719(a)(18) 2056 Documentation of the operator's Emergency Preparedness and Response plan was not completed and/or maintained on the template provided by the Division of Emergency Management. The EPR plan document was not printed and on-site for review. 10A NCAC 09 .1714(c) & .1721(e)(1) Technical assistance provided 1922-Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities. A plastic grocery bag was on the counter. The bag was placed above 5 feet for correction during the visit. Plan to assign a storage area above 5 feet for loose plastic bags. 810-Refrigerator was not maintained at a temperature of 45 degrees Fahrenheit or below and/or was not monitored by a refrigerator thermometer. 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: refrigerate all perishable food and beverages. The refrigerator shall be in good repair and maintain a temperature of 45 degrees Fahrenheit or below. A refrigerator thermometer is required to monitor the temperature. The thermometer in the refrigerator was not operational. A working thermometer was placed in the refrigerator for correction during the visit. Plan to monitor the refrigerator thermometer each morning to ensure it is in working order. 2056-Documentation of the operator's Emergency Preparedness and Response plan was not completed and/or maintained on the template provided by the Division of Emergency Management. 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (c) Upon completion of the Emergency Preparedness and Response (EPR) in Child Care training, the operator shall develop the Emergency Preparedness and Response Plan (EPR). The Emergency Preparedness and Response (EPR) Plan means a written plan that addresses how a child care facility will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disaster, or a dangerous person in the vicinity, to ensure the safety and protection of the children and additional caregivers. This Plan shall be on a template provided by the Division available at https://rmp.nc.gov/portal/# completed within four months of completion of the Emergency Preparedness and Response in Child Care training, and available for review. The EPR plan document was not printed and on-site for review. Plan to print the EPR plan and have available for review. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/30/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Today, we discussed the following: -When using ear buds, ensure supervision of the children is not compromised. Children must be able to be heard. -When rated license resumes your facility is in cohort 3. The year of preparation will begin on July 1, 2025, and end June 30, 2026. The assessment year will begin July 1, 2026, and end June 30, 2027. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1714 · Violation

Name of Operation: THE PLAY AND LEARNING CENTER Facility ID: 45000420 Consultant: KARLA TERRY Operation Type: Family CC Home Case Number: Visit Date: 5/16/2024 Number Present: 4 Completed Date: 5/16/2024 Age: From 1 To 4 Total Minutes: 130 Time In: 01:25 PM Time Out: 03:35 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and also signed by Brandi Mills, Owner/Operator, during the visit. A signed copy of the visit summary was left on site for your records. Brandi Mills, Owner/Operator was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percentage (93%) as of 5/15/24. The program operates with a Four Star Rated License, issued 12/20/2022. The permit restrictions were in compliance including first Shift (daytime care), maximum of 5 preschool children at any time, fireplace/woodstove not used during operating hours, children in care on ground level only, serves no more than two infants under one year of age. The last annual compliance visit was conducted on 6/7/2023. The last fire drill was practiced on 4/8/2024. The last lockdown drill was practiced on 4/7/2024. The last outdoor inspection was documented on 4/16//2024. The Emergency Medical Care plan was posted and current. Upon arrival, I was greeted by the owner/operator. The group of children ages one to four years old were observed resting on cots. As the children began to wake, they were given books. The children transitioned to toileting, washing hands and having snack. Ms. Mills sanitized the surfaces before the snack was served. The outdoor space offers adequate room for running and vigorous play. There are portable materials to enhance play on the outdoor space. All interactions were positive, supervision was adequate. Snack today consisted of apples and crackers. Applesauce was served to the one-year-old. Criminal Record Checks were found to be current. The operator’s Health Questionnaire was up to date and current. CPR and First Aid is current and will need to be renewed by 1/27/26 . ITS- SIDS training current and will need to be renewed by10/12/26 . The Operators Statement of Responsibility and The Verification of Required Information forms were completed and received during today’s visit. You stated that you do not provide transportation while the children are in care. You only provide transportation in the event of an emergency. You stated that there are no medications on-site for the children enrolled in your care. However, you will begin providing bug spray in Fall 2024. You do have pets in the home. The pet’s vaccination records were reviewed and were current. The parents have completed the acknowledgement that pets are on-site. You stated that you keep children from going into un-used areas of the home through gates and locked doors. It is required that rooms with hazardous items located inside are kept inaccessible through the use of locked doors and that all hazardous products are kept out of reach of children accordingly. You stated that you do not have any weaponry in the home. If weaponry is purchased, contact Karla Terry, Child Care Consultant. We did discuss that Ms. Terry will need to see how it is stored. The weaponry and ammo must be stored separately in locked storage. I used the Family Child Care Homes Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violation was documented during today’s visit: Violation Number Comment Rule 810 Refrigerator was not maintained at a temperature of 45 degrees Fahrenheit or below and/or was not monitored by a refrigerator thermometer. The thermometer in the refrigerator was not operational. 10A NCAC 09 .1725(a)(10) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. A plastic grocery bag was on the counter .1719(a)(18) 2056 Documentation of the operator's Emergency Preparedness and Response plan was not completed and/or maintained on the template provided by the Division of Emergency Management. The EPR plan document was not printed and on-site for review. 10A NCAC 09 .1714(c) & .1721(e)(1) Technical assistance provided 1922-Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities. A plastic grocery bag was on the counter. The bag was placed above 5 feet for correction during the visit. Plan to assign a storage area above 5 feet for loose plastic bags. 810-Refrigerator was not maintained at a temperature of 45 degrees Fahrenheit or below and/or was not monitored by a refrigerator thermometer. 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: refrigerate all perishable food and beverages. The refrigerator shall be in good repair and maintain a temperature of 45 degrees Fahrenheit or below. A refrigerator thermometer is required to monitor the temperature. The thermometer in the refrigerator was not operational. A working thermometer was placed in the refrigerator for correction during the visit. Plan to monitor the refrigerator thermometer each morning to ensure it is in working order. 2056-Documentation of the operator's Emergency Preparedness and Response plan was not completed and/or maintained on the template provided by the Division of Emergency Management. 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (c) Upon completion of the Emergency Preparedness and Response (EPR) in Child Care training, the operator shall develop the Emergency Preparedness and Response Plan (EPR). The Emergency Preparedness and Response (EPR) Plan means a written plan that addresses how a child care facility will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disaster, or a dangerous person in the vicinity, to ensure the safety and protection of the children and additional caregivers. This Plan shall be on a template provided by the Division available at https://rmp.nc.gov/portal/# completed within four months of completion of the Emergency Preparedness and Response in Child Care training, and available for review. The EPR plan document was not printed and on-site for review. Plan to print the EPR plan and have available for review. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/30/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Today, we discussed the following: -When using ear buds, ensure supervision of the children is not compromised. Children must be able to be heard. -When rated license resumes your facility is in cohort 3. The year of preparation will begin on July 1, 2025, and end June 30, 2026. The assessment year will begin July 1, 2026, and end June 30, 2027. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1719 · Violation

Name of Operation: THE PLAY AND LEARNING CENTER Facility ID: 45000420 Consultant: KARLA TERRY Operation Type: Family CC Home Case Number: Visit Date: 5/16/2024 Number Present: 4 Completed Date: 5/16/2024 Age: From 1 To 4 Total Minutes: 130 Time In: 01:25 PM Time Out: 03:35 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and also signed by Brandi Mills, Owner/Operator, during the visit. A signed copy of the visit summary was left on site for your records. Brandi Mills, Owner/Operator was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percentage (93%) as of 5/15/24. The program operates with a Four Star Rated License, issued 12/20/2022. The permit restrictions were in compliance including first Shift (daytime care), maximum of 5 preschool children at any time, fireplace/woodstove not used during operating hours, children in care on ground level only, serves no more than two infants under one year of age. The last annual compliance visit was conducted on 6/7/2023. The last fire drill was practiced on 4/8/2024. The last lockdown drill was practiced on 4/7/2024. The last outdoor inspection was documented on 4/16//2024. The Emergency Medical Care plan was posted and current. Upon arrival, I was greeted by the owner/operator. The group of children ages one to four years old were observed resting on cots. As the children began to wake, they were given books. The children transitioned to toileting, washing hands and having snack. Ms. Mills sanitized the surfaces before the snack was served. The outdoor space offers adequate room for running and vigorous play. There are portable materials to enhance play on the outdoor space. All interactions were positive, supervision was adequate. Snack today consisted of apples and crackers. Applesauce was served to the one-year-old. Criminal Record Checks were found to be current. The operator’s Health Questionnaire was up to date and current. CPR and First Aid is current and will need to be renewed by 1/27/26 . ITS- SIDS training current and will need to be renewed by10/12/26 . The Operators Statement of Responsibility and The Verification of Required Information forms were completed and received during today’s visit. You stated that you do not provide transportation while the children are in care. You only provide transportation in the event of an emergency. You stated that there are no medications on-site for the children enrolled in your care. However, you will begin providing bug spray in Fall 2024. You do have pets in the home. The pet’s vaccination records were reviewed and were current. The parents have completed the acknowledgement that pets are on-site. You stated that you keep children from going into un-used areas of the home through gates and locked doors. It is required that rooms with hazardous items located inside are kept inaccessible through the use of locked doors and that all hazardous products are kept out of reach of children accordingly. You stated that you do not have any weaponry in the home. If weaponry is purchased, contact Karla Terry, Child Care Consultant. We did discuss that Ms. Terry will need to see how it is stored. The weaponry and ammo must be stored separately in locked storage. I used the Family Child Care Homes Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violation was documented during today’s visit: Violation Number Comment Rule 810 Refrigerator was not maintained at a temperature of 45 degrees Fahrenheit or below and/or was not monitored by a refrigerator thermometer. The thermometer in the refrigerator was not operational. 10A NCAC 09 .1725(a)(10) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. A plastic grocery bag was on the counter .1719(a)(18) 2056 Documentation of the operator's Emergency Preparedness and Response plan was not completed and/or maintained on the template provided by the Division of Emergency Management. The EPR plan document was not printed and on-site for review. 10A NCAC 09 .1714(c) & .1721(e)(1) Technical assistance provided 1922-Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities. A plastic grocery bag was on the counter. The bag was placed above 5 feet for correction during the visit. Plan to assign a storage area above 5 feet for loose plastic bags. 810-Refrigerator was not maintained at a temperature of 45 degrees Fahrenheit or below and/or was not monitored by a refrigerator thermometer. 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: refrigerate all perishable food and beverages. The refrigerator shall be in good repair and maintain a temperature of 45 degrees Fahrenheit or below. A refrigerator thermometer is required to monitor the temperature. The thermometer in the refrigerator was not operational. A working thermometer was placed in the refrigerator for correction during the visit. Plan to monitor the refrigerator thermometer each morning to ensure it is in working order. 2056-Documentation of the operator's Emergency Preparedness and Response plan was not completed and/or maintained on the template provided by the Division of Emergency Management. 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (c) Upon completion of the Emergency Preparedness and Response (EPR) in Child Care training, the operator shall develop the Emergency Preparedness and Response Plan (EPR). The Emergency Preparedness and Response (EPR) Plan means a written plan that addresses how a child care facility will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disaster, or a dangerous person in the vicinity, to ensure the safety and protection of the children and additional caregivers. This Plan shall be on a template provided by the Division available at https://rmp.nc.gov/portal/# completed within four months of completion of the Emergency Preparedness and Response in Child Care training, and available for review. The EPR plan document was not printed and on-site for review. Plan to print the EPR plan and have available for review. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/30/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Today, we discussed the following: -When using ear buds, ensure supervision of the children is not compromised. Children must be able to be heard. -When rated license resumes your facility is in cohort 3. The year of preparation will begin on July 1, 2025, and end June 30, 2026. The assessment year will begin July 1, 2026, and end June 30, 2027. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1725 · Violation

Name of Operation: THE PLAY AND LEARNING CENTER Facility ID: 45000420 Consultant: KARLA TERRY Operation Type: Family CC Home Case Number: Visit Date: 5/16/2024 Number Present: 4 Completed Date: 5/16/2024 Age: From 1 To 4 Total Minutes: 130 Time In: 01:25 PM Time Out: 03:35 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and also signed by Brandi Mills, Owner/Operator, during the visit. A signed copy of the visit summary was left on site for your records. Brandi Mills, Owner/Operator was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percentage (93%) as of 5/15/24. The program operates with a Four Star Rated License, issued 12/20/2022. The permit restrictions were in compliance including first Shift (daytime care), maximum of 5 preschool children at any time, fireplace/woodstove not used during operating hours, children in care on ground level only, serves no more than two infants under one year of age. The last annual compliance visit was conducted on 6/7/2023. The last fire drill was practiced on 4/8/2024. The last lockdown drill was practiced on 4/7/2024. The last outdoor inspection was documented on 4/16//2024. The Emergency Medical Care plan was posted and current. Upon arrival, I was greeted by the owner/operator. The group of children ages one to four years old were observed resting on cots. As the children began to wake, they were given books. The children transitioned to toileting, washing hands and having snack. Ms. Mills sanitized the surfaces before the snack was served. The outdoor space offers adequate room for running and vigorous play. There are portable materials to enhance play on the outdoor space. All interactions were positive, supervision was adequate. Snack today consisted of apples and crackers. Applesauce was served to the one-year-old. Criminal Record Checks were found to be current. The operator’s Health Questionnaire was up to date and current. CPR and First Aid is current and will need to be renewed by 1/27/26 . ITS- SIDS training current and will need to be renewed by10/12/26 . The Operators Statement of Responsibility and The Verification of Required Information forms were completed and received during today’s visit. You stated that you do not provide transportation while the children are in care. You only provide transportation in the event of an emergency. You stated that there are no medications on-site for the children enrolled in your care. However, you will begin providing bug spray in Fall 2024. You do have pets in the home. The pet’s vaccination records were reviewed and were current. The parents have completed the acknowledgement that pets are on-site. You stated that you keep children from going into un-used areas of the home through gates and locked doors. It is required that rooms with hazardous items located inside are kept inaccessible through the use of locked doors and that all hazardous products are kept out of reach of children accordingly. You stated that you do not have any weaponry in the home. If weaponry is purchased, contact Karla Terry, Child Care Consultant. We did discuss that Ms. Terry will need to see how it is stored. The weaponry and ammo must be stored separately in locked storage. I used the Family Child Care Homes Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violation was documented during today’s visit: Violation Number Comment Rule 810 Refrigerator was not maintained at a temperature of 45 degrees Fahrenheit or below and/or was not monitored by a refrigerator thermometer. The thermometer in the refrigerator was not operational. 10A NCAC 09 .1725(a)(10) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. A plastic grocery bag was on the counter .1719(a)(18) 2056 Documentation of the operator's Emergency Preparedness and Response plan was not completed and/or maintained on the template provided by the Division of Emergency Management. The EPR plan document was not printed and on-site for review. 10A NCAC 09 .1714(c) & .1721(e)(1) Technical assistance provided 1922-Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities. A plastic grocery bag was on the counter. The bag was placed above 5 feet for correction during the visit. Plan to assign a storage area above 5 feet for loose plastic bags. 810-Refrigerator was not maintained at a temperature of 45 degrees Fahrenheit or below and/or was not monitored by a refrigerator thermometer. 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: refrigerate all perishable food and beverages. The refrigerator shall be in good repair and maintain a temperature of 45 degrees Fahrenheit or below. A refrigerator thermometer is required to monitor the temperature. The thermometer in the refrigerator was not operational. A working thermometer was placed in the refrigerator for correction during the visit. Plan to monitor the refrigerator thermometer each morning to ensure it is in working order. 2056-Documentation of the operator's Emergency Preparedness and Response plan was not completed and/or maintained on the template provided by the Division of Emergency Management. 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (c) Upon completion of the Emergency Preparedness and Response (EPR) in Child Care training, the operator shall develop the Emergency Preparedness and Response Plan (EPR). The Emergency Preparedness and Response (EPR) Plan means a written plan that addresses how a child care facility will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disaster, or a dangerous person in the vicinity, to ensure the safety and protection of the children and additional caregivers. This Plan shall be on a template provided by the Division available at https://rmp.nc.gov/portal/# completed within four months of completion of the Emergency Preparedness and Response in Child Care training, and available for review. The EPR plan document was not printed and on-site for review. Plan to print the EPR plan and have available for review. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/30/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Today, we discussed the following: -When using ear buds, ensure supervision of the children is not compromised. Children must be able to be heard. -When rated license resumes your facility is in cohort 3. The year of preparation will begin on July 1, 2025, and end June 30, 2026. The assessment year will begin July 1, 2026, and end June 30, 2027. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: THE PLAY AND LEARNING CENTER Facility ID: 45000420 Consultant: KARLA TERRY Operation Type: Family CC Home Case Number: Visit Date: 5/16/2024 Number Present: 4 Completed Date: 5/16/2024 Age: From 1 To 4 Total Minutes: 130 Time In: 01:25 PM Time Out: 03:35 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and also signed by Brandi Mills, Owner/Operator, during the visit. A signed copy of the visit summary was left on site for your records. Brandi Mills, Owner/Operator was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percentage (93%) as of 5/15/24. The program operates with a Four Star Rated License, issued 12/20/2022. The permit restrictions were in compliance including first Shift (daytime care), maximum of 5 preschool children at any time, fireplace/woodstove not used during operating hours, children in care on ground level only, serves no more than two infants under one year of age. The last annual compliance visit was conducted on 6/7/2023. The last fire drill was practiced on 4/8/2024. The last lockdown drill was practiced on 4/7/2024. The last outdoor inspection was documented on 4/16//2024. The Emergency Medical Care plan was posted and current. Upon arrival, I was greeted by the owner/operator. The group of children ages one to four years old were observed resting on cots. As the children began to wake, they were given books. The children transitioned to toileting, washing hands and having snack. Ms. Mills sanitized the surfaces before the snack was served. The outdoor space offers adequate room for running and vigorous play. There are portable materials to enhance play on the outdoor space. All interactions were positive, supervision was adequate. Snack today consisted of apples and crackers. Applesauce was served to the one-year-old. Criminal Record Checks were found to be current. The operator’s Health Questionnaire was up to date and current. CPR and First Aid is current and will need to be renewed by 1/27/26 . ITS- SIDS training current and will need to be renewed by10/12/26 . The Operators Statement of Responsibility and The Verification of Required Information forms were completed and received during today’s visit. You stated that you do not provide transportation while the children are in care. You only provide transportation in the event of an emergency. You stated that there are no medications on-site for the children enrolled in your care. However, you will begin providing bug spray in Fall 2024. You do have pets in the home. The pet’s vaccination records were reviewed and were current. The parents have completed the acknowledgement that pets are on-site. You stated that you keep children from going into un-used areas of the home through gates and locked doors. It is required that rooms with hazardous items located inside are kept inaccessible through the use of locked doors and that all hazardous products are kept out of reach of children accordingly. You stated that you do not have any weaponry in the home. If weaponry is purchased, contact Karla Terry, Child Care Consultant. We did discuss that Ms. Terry will need to see how it is stored. The weaponry and ammo must be stored separately in locked storage. I used the Family Child Care Homes Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violation was documented during today’s visit: Violation Number Comment Rule 810 Refrigerator was not maintained at a temperature of 45 degrees Fahrenheit or below and/or was not monitored by a refrigerator thermometer. The thermometer in the refrigerator was not operational. 10A NCAC 09 .1725(a)(10) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. A plastic grocery bag was on the counter .1719(a)(18) 2056 Documentation of the operator's Emergency Preparedness and Response plan was not completed and/or maintained on the template provided by the Division of Emergency Management. The EPR plan document was not printed and on-site for review. 10A NCAC 09 .1714(c) & .1721(e)(1) Technical assistance provided 1922-Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities. A plastic grocery bag was on the counter. The bag was placed above 5 feet for correction during the visit. Plan to assign a storage area above 5 feet for loose plastic bags. 810-Refrigerator was not maintained at a temperature of 45 degrees Fahrenheit or below and/or was not monitored by a refrigerator thermometer. 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: refrigerate all perishable food and beverages. The refrigerator shall be in good repair and maintain a temperature of 45 degrees Fahrenheit or below. A refrigerator thermometer is required to monitor the temperature. The thermometer in the refrigerator was not operational. A working thermometer was placed in the refrigerator for correction during the visit. Plan to monitor the refrigerator thermometer each morning to ensure it is in working order. 2056-Documentation of the operator's Emergency Preparedness and Response plan was not completed and/or maintained on the template provided by the Division of Emergency Management. 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (c) Upon completion of the Emergency Preparedness and Response (EPR) in Child Care training, the operator shall develop the Emergency Preparedness and Response Plan (EPR). The Emergency Preparedness and Response (EPR) Plan means a written plan that addresses how a child care facility will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disaster, or a dangerous person in the vicinity, to ensure the safety and protection of the children and additional caregivers. This Plan shall be on a template provided by the Division available at https://rmp.nc.gov/portal/# completed within four months of completion of the Emergency Preparedness and Response in Child Care training, and available for review. The EPR plan document was not printed and on-site for review. Plan to print the EPR plan and have available for review. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/30/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Today, we discussed the following: -When using ear buds, ensure supervision of the children is not compromised. Children must be able to be heard. -When rated license resumes your facility is in cohort 3. The year of preparation will begin on July 1, 2025, and end June 30, 2026. The assessment year will begin July 1, 2026, and end June 30, 2027. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: THE PLAY AND LEARNING CENTER Facility ID: 45000420 Consultant: KARLA TERRY Operation Type: Family CC Home Case Number: Visit Date: 5/16/2024 Number Present: 4 Completed Date: 5/16/2024 Age: From 1 To 4 Total Minutes: 130 Time In: 01:25 PM Time Out: 03:35 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and also signed by Brandi Mills, Owner/Operator, during the visit. A signed copy of the visit summary was left on site for your records. Brandi Mills, Owner/Operator was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percentage (93%) as of 5/15/24. The program operates with a Four Star Rated License, issued 12/20/2022. The permit restrictions were in compliance including first Shift (daytime care), maximum of 5 preschool children at any time, fireplace/woodstove not used during operating hours, children in care on ground level only, serves no more than two infants under one year of age. The last annual compliance visit was conducted on 6/7/2023. The last fire drill was practiced on 4/8/2024. The last lockdown drill was practiced on 4/7/2024. The last outdoor inspection was documented on 4/16//2024. The Emergency Medical Care plan was posted and current. Upon arrival, I was greeted by the owner/operator. The group of children ages one to four years old were observed resting on cots. As the children began to wake, they were given books. The children transitioned to toileting, washing hands and having snack. Ms. Mills sanitized the surfaces before the snack was served. The outdoor space offers adequate room for running and vigorous play. There are portable materials to enhance play on the outdoor space. All interactions were positive, supervision was adequate. Snack today consisted of apples and crackers. Applesauce was served to the one-year-old. Criminal Record Checks were found to be current. The operator’s Health Questionnaire was up to date and current. CPR and First Aid is current and will need to be renewed by 1/27/26 . ITS- SIDS training current and will need to be renewed by10/12/26 . The Operators Statement of Responsibility and The Verification of Required Information forms were completed and received during today’s visit. You stated that you do not provide transportation while the children are in care. You only provide transportation in the event of an emergency. You stated that there are no medications on-site for the children enrolled in your care. However, you will begin providing bug spray in Fall 2024. You do have pets in the home. The pet’s vaccination records were reviewed and were current. The parents have completed the acknowledgement that pets are on-site. You stated that you keep children from going into un-used areas of the home through gates and locked doors. It is required that rooms with hazardous items located inside are kept inaccessible through the use of locked doors and that all hazardous products are kept out of reach of children accordingly. You stated that you do not have any weaponry in the home. If weaponry is purchased, contact Karla Terry, Child Care Consultant. We did discuss that Ms. Terry will need to see how it is stored. The weaponry and ammo must be stored separately in locked storage. I used the Family Child Care Homes Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violation was documented during today’s visit: Violation Number Comment Rule 810 Refrigerator was not maintained at a temperature of 45 degrees Fahrenheit or below and/or was not monitored by a refrigerator thermometer. The thermometer in the refrigerator was not operational. 10A NCAC 09 .1725(a)(10) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. A plastic grocery bag was on the counter .1719(a)(18) 2056 Documentation of the operator's Emergency Preparedness and Response plan was not completed and/or maintained on the template provided by the Division of Emergency Management. The EPR plan document was not printed and on-site for review. 10A NCAC 09 .1714(c) & .1721(e)(1) Technical assistance provided 1922-Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: not have plastic bags, toys, and toy parts small enough to be swallowed accessible to children under three years of age. This includes materials that can be easily torn apart such as foam rubber and Styrofoam, except that Styrofoam plates may be used for food service and larger pieces of foam rubber may be used for supervised art activities. A plastic grocery bag was on the counter. The bag was placed above 5 feet for correction during the visit. Plan to assign a storage area above 5 feet for loose plastic bags. 810-Refrigerator was not maintained at a temperature of 45 degrees Fahrenheit or below and/or was not monitored by a refrigerator thermometer. 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: refrigerate all perishable food and beverages. The refrigerator shall be in good repair and maintain a temperature of 45 degrees Fahrenheit or below. A refrigerator thermometer is required to monitor the temperature. The thermometer in the refrigerator was not operational. A working thermometer was placed in the refrigerator for correction during the visit. Plan to monitor the refrigerator thermometer each morning to ensure it is in working order. 2056-Documentation of the operator's Emergency Preparedness and Response plan was not completed and/or maintained on the template provided by the Division of Emergency Management. 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (c) Upon completion of the Emergency Preparedness and Response (EPR) in Child Care training, the operator shall develop the Emergency Preparedness and Response Plan (EPR). The Emergency Preparedness and Response (EPR) Plan means a written plan that addresses how a child care facility will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disaster, or a dangerous person in the vicinity, to ensure the safety and protection of the children and additional caregivers. This Plan shall be on a template provided by the Division available at https://rmp.nc.gov/portal/# completed within four months of completion of the Emergency Preparedness and Response in Child Care training, and available for review. The EPR plan document was not printed and on-site for review. Plan to print the EPR plan and have available for review. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/30/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Today, we discussed the following: -When using ear buds, ensure supervision of the children is not compromised. Children must be able to be heard. -When rated license resumes your facility is in cohort 3. The year of preparation will begin on July 1, 2025, and end June 30, 2026. The assessment year will begin July 1, 2026, and end June 30, 2027. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: THE PLAY AND LEARNING CENTER Facility ID: 45000420 Consultant: KARLA TERRY Operation Type: Family CC Home Case Number: Visit Date: 2/1/2024 Number Present: 5 Completed Date: 2/1/2024 Age: From 0 To 4 Total Minutes: 142 Time In: 11:08 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Brandi Mills, Owner/Operator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I was greeted Brandi Mills, Owner/Operator. I reviewed the purpose of today’s visit with you. Ms. Mills was available to assist with questions. The program currently operates with a Four (4) Star Rated License effective 12/20/2022. The permit restrictions were in compliance including first shift (daytime care), maximum of five (5) preschool children at any time, children in care on ground level, serves no more than two (2) infants under one year of age, fireplace/woodstove not used during operating hours. The family child care home’s compliance history was reviewed with the operator. The program’s compliance history was ninety-eight percent (98%) as of 2/1/2024. The program’s annual compliance visit was conducted on 6/7/2023. The following items were monitored today: Supervision Capacity CPR / First Aid ITS-SIDS CBC Qualification General Health Administering of Medication Storage of Hazardous Products Storage of Medication General Safety General License Requirements Program Records License Posted Fire Safety Sanitation During today’s visit, I observed the children ages infant to four years old, two (2) were engaged in finishing lunch, one (1) was asleep in the pack n play, one (1) was in the activity seat, and one (1) was sitting on the floor beside the child in the activity seat looking at a book. After finishing lunch, the children transitioned to wash hands and prepared to return back to play. The provider read a story to the children. The child that was asleep woke up and became engaged with the story. When the children became uninterested in the story, the children transitioned to free art. After free art, the children used the restroom and washed hands to prepare for nap time. The provider put out the cots, dimed the lights, and turned on the calming music. All provider interactions were loving, nurturing and positive and children were happy and engaged in developmentally appropriate activities. Toys were ample in quantity, in good condition and developmentally appropriate for the children in care. The children in care were well adjusted to the daily routine, happy and secure with their care provider. Limited staff file monitoring was conducted to review trainings First Aid and CPR, and valid qualification letters. First Aid and CPR card is current and expires 1/27/2026. Valid qualification letters are on file and current for you, your husband, and son. The last fire drill was practiced on 1/8/2024. The last emergency drill, lockdown drill, was practiced on 11/10/2023. The Emergency Medical Care Plan is posted and current. Currently, you, your husband, and son (20 years old) live in the residence. You do not provide transportation while the children are in care. Only emergency transportation is provided in the event of an emergency. You keep children from going into un-used areas of the home through the use of gates and closed locked doors. The program has no medications for the children enrolled. I used the Division of Child Development and Early Education Family Child Care Home Item Number Listing as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. The following violations were documented during today’s visit Violation Number Comment Rule 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification. BM first aid training was not renewed on or before the expiration of the certification. The card on file was dated 11/2023. The new certification was completed on 1/27/2024. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. BM CPR training was not renewed on or before the expiration of the certification. The card on file was dated 11/2023. The new certification was completed on 1/27/2024. .1703(a)(3) 714 Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division. Monthly check for hazards on the outdoor play areas was not completed for January. The last monthly outdoor check was completed on 12/16/2023. 10A NCAC .1721(e)(5)(A-F) 1986 Breast milk, formula, and other bottled beverages sent from home were not fully prepared, dated, and labeled with individual child's names. An unlabeled bottle was observed sitting on the couch. When I asked the provider about it she said it was the child that was a sleeps bottle and she forgot to label it. The provider corrected this during the visit. .1706(l) Technical assistance was provided as follows: Item #508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2). First aid training was not renewed on or before the expiration of the certification. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (2) Renew First Aid training on or before expiration of the certification appropriate for the ages of children in care; -BM first aid training was not renewed on or before the expiration of the certification. The card on file was dated 11/2023. The new certification was completed on 1/27/2024. I suggest adding the expiration date to your calendar to notify you when to register for training. Item #511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2). CPR training was not renewed on or before the expiration of the certification. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (3) Renew CPR course on or before the expiration of the certification appropriate for the ages of children in care; -BM CPR training was not renewed on or before the expiration of the certification. The card on file was dated 11/2023. The new certification was completed on 1/27/2024. I suggest adding the expiration date to your calendar to notify you when to register for training. Item #714 Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division. 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (e) The family child care home operator shall complete and maintain other records that include: (5) documentation that a monthly check for hazards on the outdoor play area is completed. This form shall be supplied by the Division and shall be maintained in the family child care home for review by the Division. The form shall include the following information: (A) Name of facility, time and date the form was completed; (B) Signature of individual completing form; (C) General inspection items; (D) Surfacing; (E) General hazard items; and (F) Deterioration of equipment. For items on the checklist the operator has to check if pass or fail, if fail identify the problem and solution. A copy of the form can be found of the Division's website. -Monthly check for hazards on the outdoor play areas was not completed for January. The last monthly outdoor check was completed on 12/16/2023. I suggest pre-planning and adding to your calendar a date to complete the monthly outdoor check to remind you to complete the check. Item #1986 Breast milk, formula, and other bottled beverages sent from home were not fully prepared, dated, and labeled with individual child's names. 10A NCAC 09 .1706 NUTRITION STANDARDS (l) Breast milk, formula, and other bottled beverages sent from home shall be fully prepared, dated, and labeled with individual child names. All beverages shall be returned to the child's parent or discarded at the end of each day. -An unlabeled bottle was observed sitting on the couch. When I asked the provider about it she said it was the child that was a sleeps bottle and she forgot to label it. The provider corrected this during the visit. I suggest looking at the bottles brought from home when the children arrive and add a label when you are putting the bottles in the refrigerator. Corrective Action Plan: 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. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/15/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: - Resuming Rated License- The facility is in cohort 3 with a year of preparation beginning 7/1/2025 and ending 6/30/2026. Then a year for the assessments to be conducted beginning 7/1/2026 and ending 6/30/2027. - Lead water testing is now effective for family child care homes as of January, 2024. You have until May 2024 to apply and receive funding to remediate any lead/asbestos hazards. 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: (2) collect and submit samples of water from each water outlet used for drinking or food preparation for lead analysis to the local health department or a laboratory certified to analyze for lead in drinking water by the North Carolina State Laboratory of Public Health. Results of the analysis shall be on file in the home. For operators that submit an application for licensure after the effective date of this Rule, water samples shall be collected by the operator and tested during the application process. For all other family child care homes, water samples shall be collected by the operator and tested within 12 months of the effective date of this Rule; - Funding Opportunity for Lead Paint and Asbestos training is on February 5th 7:00p-8:00p via Zoom. - Family Child Care Home provider meeting is scheduled for February 19th 6:00p-8:00pp via TEAMS meeting. A invite will be shared with you soon. - Sign-in and Out should be completed daily when children arrive and depart. - Attendance should be completed daily and checked when the children arrive. - An emergency drill is due to be conducted by the end of February. - Challenging behaviors can be reached at 1-888-600-1685 Option 1. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is your responsibility to make sure you are registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or (828) 200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1703 · Violation

Name of Operation: THE PLAY AND LEARNING CENTER Facility ID: 45000420 Consultant: KARLA TERRY Operation Type: Family CC Home Case Number: Visit Date: 2/1/2024 Number Present: 5 Completed Date: 2/1/2024 Age: From 0 To 4 Total Minutes: 142 Time In: 11:08 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Brandi Mills, Owner/Operator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I was greeted Brandi Mills, Owner/Operator. I reviewed the purpose of today’s visit with you. Ms. Mills was available to assist with questions. The program currently operates with a Four (4) Star Rated License effective 12/20/2022. The permit restrictions were in compliance including first shift (daytime care), maximum of five (5) preschool children at any time, children in care on ground level, serves no more than two (2) infants under one year of age, fireplace/woodstove not used during operating hours. The family child care home’s compliance history was reviewed with the operator. The program’s compliance history was ninety-eight percent (98%) as of 2/1/2024. The program’s annual compliance visit was conducted on 6/7/2023. The following items were monitored today: Supervision Capacity CPR / First Aid ITS-SIDS CBC Qualification General Health Administering of Medication Storage of Hazardous Products Storage of Medication General Safety General License Requirements Program Records License Posted Fire Safety Sanitation During today’s visit, I observed the children ages infant to four years old, two (2) were engaged in finishing lunch, one (1) was asleep in the pack n play, one (1) was in the activity seat, and one (1) was sitting on the floor beside the child in the activity seat looking at a book. After finishing lunch, the children transitioned to wash hands and prepared to return back to play. The provider read a story to the children. The child that was asleep woke up and became engaged with the story. When the children became uninterested in the story, the children transitioned to free art. After free art, the children used the restroom and washed hands to prepare for nap time. The provider put out the cots, dimed the lights, and turned on the calming music. All provider interactions were loving, nurturing and positive and children were happy and engaged in developmentally appropriate activities. Toys were ample in quantity, in good condition and developmentally appropriate for the children in care. The children in care were well adjusted to the daily routine, happy and secure with their care provider. Limited staff file monitoring was conducted to review trainings First Aid and CPR, and valid qualification letters. First Aid and CPR card is current and expires 1/27/2026. Valid qualification letters are on file and current for you, your husband, and son. The last fire drill was practiced on 1/8/2024. The last emergency drill, lockdown drill, was practiced on 11/10/2023. The Emergency Medical Care Plan is posted and current. Currently, you, your husband, and son (20 years old) live in the residence. You do not provide transportation while the children are in care. Only emergency transportation is provided in the event of an emergency. You keep children from going into un-used areas of the home through the use of gates and closed locked doors. The program has no medications for the children enrolled. I used the Division of Child Development and Early Education Family Child Care Home Item Number Listing as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. The following violations were documented during today’s visit Violation Number Comment Rule 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification. BM first aid training was not renewed on or before the expiration of the certification. The card on file was dated 11/2023. The new certification was completed on 1/27/2024. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. BM CPR training was not renewed on or before the expiration of the certification. The card on file was dated 11/2023. The new certification was completed on 1/27/2024. .1703(a)(3) 714 Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division. Monthly check for hazards on the outdoor play areas was not completed for January. The last monthly outdoor check was completed on 12/16/2023. 10A NCAC .1721(e)(5)(A-F) 1986 Breast milk, formula, and other bottled beverages sent from home were not fully prepared, dated, and labeled with individual child's names. An unlabeled bottle was observed sitting on the couch. When I asked the provider about it she said it was the child that was a sleeps bottle and she forgot to label it. The provider corrected this during the visit. .1706(l) Technical assistance was provided as follows: Item #508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2). First aid training was not renewed on or before the expiration of the certification. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (2) Renew First Aid training on or before expiration of the certification appropriate for the ages of children in care; -BM first aid training was not renewed on or before the expiration of the certification. The card on file was dated 11/2023. The new certification was completed on 1/27/2024. I suggest adding the expiration date to your calendar to notify you when to register for training. Item #511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2). CPR training was not renewed on or before the expiration of the certification. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (3) Renew CPR course on or before the expiration of the certification appropriate for the ages of children in care; -BM CPR training was not renewed on or before the expiration of the certification. The card on file was dated 11/2023. The new certification was completed on 1/27/2024. I suggest adding the expiration date to your calendar to notify you when to register for training. Item #714 Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division. 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (e) The family child care home operator shall complete and maintain other records that include: (5) documentation that a monthly check for hazards on the outdoor play area is completed. This form shall be supplied by the Division and shall be maintained in the family child care home for review by the Division. The form shall include the following information: (A) Name of facility, time and date the form was completed; (B) Signature of individual completing form; (C) General inspection items; (D) Surfacing; (E) General hazard items; and (F) Deterioration of equipment. For items on the checklist the operator has to check if pass or fail, if fail identify the problem and solution. A copy of the form can be found of the Division's website. -Monthly check for hazards on the outdoor play areas was not completed for January. The last monthly outdoor check was completed on 12/16/2023. I suggest pre-planning and adding to your calendar a date to complete the monthly outdoor check to remind you to complete the check. Item #1986 Breast milk, formula, and other bottled beverages sent from home were not fully prepared, dated, and labeled with individual child's names. 10A NCAC 09 .1706 NUTRITION STANDARDS (l) Breast milk, formula, and other bottled beverages sent from home shall be fully prepared, dated, and labeled with individual child names. All beverages shall be returned to the child's parent or discarded at the end of each day. -An unlabeled bottle was observed sitting on the couch. When I asked the provider about it she said it was the child that was a sleeps bottle and she forgot to label it. The provider corrected this during the visit. I suggest looking at the bottles brought from home when the children arrive and add a label when you are putting the bottles in the refrigerator. Corrective Action Plan: 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. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/15/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: - Resuming Rated License- The facility is in cohort 3 with a year of preparation beginning 7/1/2025 and ending 6/30/2026. Then a year for the assessments to be conducted beginning 7/1/2026 and ending 6/30/2027. - Lead water testing is now effective for family child care homes as of January, 2024. You have until May 2024 to apply and receive funding to remediate any lead/asbestos hazards. 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: (2) collect and submit samples of water from each water outlet used for drinking or food preparation for lead analysis to the local health department or a laboratory certified to analyze for lead in drinking water by the North Carolina State Laboratory of Public Health. Results of the analysis shall be on file in the home. For operators that submit an application for licensure after the effective date of this Rule, water samples shall be collected by the operator and tested during the application process. For all other family child care homes, water samples shall be collected by the operator and tested within 12 months of the effective date of this Rule; - Funding Opportunity for Lead Paint and Asbestos training is on February 5th 7:00p-8:00p via Zoom. - Family Child Care Home provider meeting is scheduled for February 19th 6:00p-8:00pp via TEAMS meeting. A invite will be shared with you soon. - Sign-in and Out should be completed daily when children arrive and depart. - Attendance should be completed daily and checked when the children arrive. - An emergency drill is due to be conducted by the end of February. - Challenging behaviors can be reached at 1-888-600-1685 Option 1. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is your responsibility to make sure you are registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or (828) 200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1706 · Violation

Name of Operation: THE PLAY AND LEARNING CENTER Facility ID: 45000420 Consultant: KARLA TERRY Operation Type: Family CC Home Case Number: Visit Date: 2/1/2024 Number Present: 5 Completed Date: 2/1/2024 Age: From 0 To 4 Total Minutes: 142 Time In: 11:08 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Brandi Mills, Owner/Operator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I was greeted Brandi Mills, Owner/Operator. I reviewed the purpose of today’s visit with you. Ms. Mills was available to assist with questions. The program currently operates with a Four (4) Star Rated License effective 12/20/2022. The permit restrictions were in compliance including first shift (daytime care), maximum of five (5) preschool children at any time, children in care on ground level, serves no more than two (2) infants under one year of age, fireplace/woodstove not used during operating hours. The family child care home’s compliance history was reviewed with the operator. The program’s compliance history was ninety-eight percent (98%) as of 2/1/2024. The program’s annual compliance visit was conducted on 6/7/2023. The following items were monitored today: Supervision Capacity CPR / First Aid ITS-SIDS CBC Qualification General Health Administering of Medication Storage of Hazardous Products Storage of Medication General Safety General License Requirements Program Records License Posted Fire Safety Sanitation During today’s visit, I observed the children ages infant to four years old, two (2) were engaged in finishing lunch, one (1) was asleep in the pack n play, one (1) was in the activity seat, and one (1) was sitting on the floor beside the child in the activity seat looking at a book. After finishing lunch, the children transitioned to wash hands and prepared to return back to play. The provider read a story to the children. The child that was asleep woke up and became engaged with the story. When the children became uninterested in the story, the children transitioned to free art. After free art, the children used the restroom and washed hands to prepare for nap time. The provider put out the cots, dimed the lights, and turned on the calming music. All provider interactions were loving, nurturing and positive and children were happy and engaged in developmentally appropriate activities. Toys were ample in quantity, in good condition and developmentally appropriate for the children in care. The children in care were well adjusted to the daily routine, happy and secure with their care provider. Limited staff file monitoring was conducted to review trainings First Aid and CPR, and valid qualification letters. First Aid and CPR card is current and expires 1/27/2026. Valid qualification letters are on file and current for you, your husband, and son. The last fire drill was practiced on 1/8/2024. The last emergency drill, lockdown drill, was practiced on 11/10/2023. The Emergency Medical Care Plan is posted and current. Currently, you, your husband, and son (20 years old) live in the residence. You do not provide transportation while the children are in care. Only emergency transportation is provided in the event of an emergency. You keep children from going into un-used areas of the home through the use of gates and closed locked doors. The program has no medications for the children enrolled. I used the Division of Child Development and Early Education Family Child Care Home Item Number Listing as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. The following violations were documented during today’s visit Violation Number Comment Rule 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification. BM first aid training was not renewed on or before the expiration of the certification. The card on file was dated 11/2023. The new certification was completed on 1/27/2024. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. BM CPR training was not renewed on or before the expiration of the certification. The card on file was dated 11/2023. The new certification was completed on 1/27/2024. .1703(a)(3) 714 Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division. Monthly check for hazards on the outdoor play areas was not completed for January. The last monthly outdoor check was completed on 12/16/2023. 10A NCAC .1721(e)(5)(A-F) 1986 Breast milk, formula, and other bottled beverages sent from home were not fully prepared, dated, and labeled with individual child's names. An unlabeled bottle was observed sitting on the couch. When I asked the provider about it she said it was the child that was a sleeps bottle and she forgot to label it. The provider corrected this during the visit. .1706(l) Technical assistance was provided as follows: Item #508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2). First aid training was not renewed on or before the expiration of the certification. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (2) Renew First Aid training on or before expiration of the certification appropriate for the ages of children in care; -BM first aid training was not renewed on or before the expiration of the certification. The card on file was dated 11/2023. The new certification was completed on 1/27/2024. I suggest adding the expiration date to your calendar to notify you when to register for training. Item #511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2). CPR training was not renewed on or before the expiration of the certification. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (3) Renew CPR course on or before the expiration of the certification appropriate for the ages of children in care; -BM CPR training was not renewed on or before the expiration of the certification. The card on file was dated 11/2023. The new certification was completed on 1/27/2024. I suggest adding the expiration date to your calendar to notify you when to register for training. Item #714 Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division. 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (e) The family child care home operator shall complete and maintain other records that include: (5) documentation that a monthly check for hazards on the outdoor play area is completed. This form shall be supplied by the Division and shall be maintained in the family child care home for review by the Division. The form shall include the following information: (A) Name of facility, time and date the form was completed; (B) Signature of individual completing form; (C) General inspection items; (D) Surfacing; (E) General hazard items; and (F) Deterioration of equipment. For items on the checklist the operator has to check if pass or fail, if fail identify the problem and solution. A copy of the form can be found of the Division's website. -Monthly check for hazards on the outdoor play areas was not completed for January. The last monthly outdoor check was completed on 12/16/2023. I suggest pre-planning and adding to your calendar a date to complete the monthly outdoor check to remind you to complete the check. Item #1986 Breast milk, formula, and other bottled beverages sent from home were not fully prepared, dated, and labeled with individual child's names. 10A NCAC 09 .1706 NUTRITION STANDARDS (l) Breast milk, formula, and other bottled beverages sent from home shall be fully prepared, dated, and labeled with individual child names. All beverages shall be returned to the child's parent or discarded at the end of each day. -An unlabeled bottle was observed sitting on the couch. When I asked the provider about it she said it was the child that was a sleeps bottle and she forgot to label it. The provider corrected this during the visit. I suggest looking at the bottles brought from home when the children arrive and add a label when you are putting the bottles in the refrigerator. Corrective Action Plan: 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. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/15/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: - Resuming Rated License- The facility is in cohort 3 with a year of preparation beginning 7/1/2025 and ending 6/30/2026. Then a year for the assessments to be conducted beginning 7/1/2026 and ending 6/30/2027. - Lead water testing is now effective for family child care homes as of January, 2024. You have until May 2024 to apply and receive funding to remediate any lead/asbestos hazards. 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: (2) collect and submit samples of water from each water outlet used for drinking or food preparation for lead analysis to the local health department or a laboratory certified to analyze for lead in drinking water by the North Carolina State Laboratory of Public Health. Results of the analysis shall be on file in the home. For operators that submit an application for licensure after the effective date of this Rule, water samples shall be collected by the operator and tested during the application process. For all other family child care homes, water samples shall be collected by the operator and tested within 12 months of the effective date of this Rule; - Funding Opportunity for Lead Paint and Asbestos training is on February 5th 7:00p-8:00p via Zoom. - Family Child Care Home provider meeting is scheduled for February 19th 6:00p-8:00pp via TEAMS meeting. A invite will be shared with you soon. - Sign-in and Out should be completed daily when children arrive and depart. - Attendance should be completed daily and checked when the children arrive. - An emergency drill is due to be conducted by the end of February. - Challenging behaviors can be reached at 1-888-600-1685 Option 1. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is your responsibility to make sure you are registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or (828) 200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1721 · Violation

Name of Operation: THE PLAY AND LEARNING CENTER Facility ID: 45000420 Consultant: KARLA TERRY Operation Type: Family CC Home Case Number: Visit Date: 2/1/2024 Number Present: 5 Completed Date: 2/1/2024 Age: From 0 To 4 Total Minutes: 142 Time In: 11:08 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Brandi Mills, Owner/Operator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I was greeted Brandi Mills, Owner/Operator. I reviewed the purpose of today’s visit with you. Ms. Mills was available to assist with questions. The program currently operates with a Four (4) Star Rated License effective 12/20/2022. The permit restrictions were in compliance including first shift (daytime care), maximum of five (5) preschool children at any time, children in care on ground level, serves no more than two (2) infants under one year of age, fireplace/woodstove not used during operating hours. The family child care home’s compliance history was reviewed with the operator. The program’s compliance history was ninety-eight percent (98%) as of 2/1/2024. The program’s annual compliance visit was conducted on 6/7/2023. The following items were monitored today: Supervision Capacity CPR / First Aid ITS-SIDS CBC Qualification General Health Administering of Medication Storage of Hazardous Products Storage of Medication General Safety General License Requirements Program Records License Posted Fire Safety Sanitation During today’s visit, I observed the children ages infant to four years old, two (2) were engaged in finishing lunch, one (1) was asleep in the pack n play, one (1) was in the activity seat, and one (1) was sitting on the floor beside the child in the activity seat looking at a book. After finishing lunch, the children transitioned to wash hands and prepared to return back to play. The provider read a story to the children. The child that was asleep woke up and became engaged with the story. When the children became uninterested in the story, the children transitioned to free art. After free art, the children used the restroom and washed hands to prepare for nap time. The provider put out the cots, dimed the lights, and turned on the calming music. All provider interactions were loving, nurturing and positive and children were happy and engaged in developmentally appropriate activities. Toys were ample in quantity, in good condition and developmentally appropriate for the children in care. The children in care were well adjusted to the daily routine, happy and secure with their care provider. Limited staff file monitoring was conducted to review trainings First Aid and CPR, and valid qualification letters. First Aid and CPR card is current and expires 1/27/2026. Valid qualification letters are on file and current for you, your husband, and son. The last fire drill was practiced on 1/8/2024. The last emergency drill, lockdown drill, was practiced on 11/10/2023. The Emergency Medical Care Plan is posted and current. Currently, you, your husband, and son (20 years old) live in the residence. You do not provide transportation while the children are in care. Only emergency transportation is provided in the event of an emergency. You keep children from going into un-used areas of the home through the use of gates and closed locked doors. The program has no medications for the children enrolled. I used the Division of Child Development and Early Education Family Child Care Home Item Number Listing as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. The following violations were documented during today’s visit Violation Number Comment Rule 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification. BM first aid training was not renewed on or before the expiration of the certification. The card on file was dated 11/2023. The new certification was completed on 1/27/2024. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. BM CPR training was not renewed on or before the expiration of the certification. The card on file was dated 11/2023. The new certification was completed on 1/27/2024. .1703(a)(3) 714 Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division. Monthly check for hazards on the outdoor play areas was not completed for January. The last monthly outdoor check was completed on 12/16/2023. 10A NCAC .1721(e)(5)(A-F) 1986 Breast milk, formula, and other bottled beverages sent from home were not fully prepared, dated, and labeled with individual child's names. An unlabeled bottle was observed sitting on the couch. When I asked the provider about it she said it was the child that was a sleeps bottle and she forgot to label it. The provider corrected this during the visit. .1706(l) Technical assistance was provided as follows: Item #508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2). First aid training was not renewed on or before the expiration of the certification. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (2) Renew First Aid training on or before expiration of the certification appropriate for the ages of children in care; -BM first aid training was not renewed on or before the expiration of the certification. The card on file was dated 11/2023. The new certification was completed on 1/27/2024. I suggest adding the expiration date to your calendar to notify you when to register for training. Item #511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2). CPR training was not renewed on or before the expiration of the certification. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (3) Renew CPR course on or before the expiration of the certification appropriate for the ages of children in care; -BM CPR training was not renewed on or before the expiration of the certification. The card on file was dated 11/2023. The new certification was completed on 1/27/2024. I suggest adding the expiration date to your calendar to notify you when to register for training. Item #714 Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division. 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (e) The family child care home operator shall complete and maintain other records that include: (5) documentation that a monthly check for hazards on the outdoor play area is completed. This form shall be supplied by the Division and shall be maintained in the family child care home for review by the Division. The form shall include the following information: (A) Name of facility, time and date the form was completed; (B) Signature of individual completing form; (C) General inspection items; (D) Surfacing; (E) General hazard items; and (F) Deterioration of equipment. For items on the checklist the operator has to check if pass or fail, if fail identify the problem and solution. A copy of the form can be found of the Division's website. -Monthly check for hazards on the outdoor play areas was not completed for January. The last monthly outdoor check was completed on 12/16/2023. I suggest pre-planning and adding to your calendar a date to complete the monthly outdoor check to remind you to complete the check. Item #1986 Breast milk, formula, and other bottled beverages sent from home were not fully prepared, dated, and labeled with individual child's names. 10A NCAC 09 .1706 NUTRITION STANDARDS (l) Breast milk, formula, and other bottled beverages sent from home shall be fully prepared, dated, and labeled with individual child names. All beverages shall be returned to the child's parent or discarded at the end of each day. -An unlabeled bottle was observed sitting on the couch. When I asked the provider about it she said it was the child that was a sleeps bottle and she forgot to label it. The provider corrected this during the visit. I suggest looking at the bottles brought from home when the children arrive and add a label when you are putting the bottles in the refrigerator. Corrective Action Plan: 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. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/15/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: - Resuming Rated License- The facility is in cohort 3 with a year of preparation beginning 7/1/2025 and ending 6/30/2026. Then a year for the assessments to be conducted beginning 7/1/2026 and ending 6/30/2027. - Lead water testing is now effective for family child care homes as of January, 2024. You have until May 2024 to apply and receive funding to remediate any lead/asbestos hazards. 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: (2) collect and submit samples of water from each water outlet used for drinking or food preparation for lead analysis to the local health department or a laboratory certified to analyze for lead in drinking water by the North Carolina State Laboratory of Public Health. Results of the analysis shall be on file in the home. For operators that submit an application for licensure after the effective date of this Rule, water samples shall be collected by the operator and tested during the application process. For all other family child care homes, water samples shall be collected by the operator and tested within 12 months of the effective date of this Rule; - Funding Opportunity for Lead Paint and Asbestos training is on February 5th 7:00p-8:00p via Zoom. - Family Child Care Home provider meeting is scheduled for February 19th 6:00p-8:00pp via TEAMS meeting. A invite will be shared with you soon. - Sign-in and Out should be completed daily when children arrive and depart. - Attendance should be completed daily and checked when the children arrive. - An emergency drill is due to be conducted by the end of February. - Challenging behaviors can be reached at 1-888-600-1685 Option 1. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is your responsibility to make sure you are registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or (828) 200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1725 · Violation

Name of Operation: THE PLAY AND LEARNING CENTER Facility ID: 45000420 Consultant: KARLA TERRY Operation Type: Family CC Home Case Number: Visit Date: 2/1/2024 Number Present: 5 Completed Date: 2/1/2024 Age: From 0 To 4 Total Minutes: 142 Time In: 11:08 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Brandi Mills, Owner/Operator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I was greeted Brandi Mills, Owner/Operator. I reviewed the purpose of today’s visit with you. Ms. Mills was available to assist with questions. The program currently operates with a Four (4) Star Rated License effective 12/20/2022. The permit restrictions were in compliance including first shift (daytime care), maximum of five (5) preschool children at any time, children in care on ground level, serves no more than two (2) infants under one year of age, fireplace/woodstove not used during operating hours. The family child care home’s compliance history was reviewed with the operator. The program’s compliance history was ninety-eight percent (98%) as of 2/1/2024. The program’s annual compliance visit was conducted on 6/7/2023. The following items were monitored today: Supervision Capacity CPR / First Aid ITS-SIDS CBC Qualification General Health Administering of Medication Storage of Hazardous Products Storage of Medication General Safety General License Requirements Program Records License Posted Fire Safety Sanitation During today’s visit, I observed the children ages infant to four years old, two (2) were engaged in finishing lunch, one (1) was asleep in the pack n play, one (1) was in the activity seat, and one (1) was sitting on the floor beside the child in the activity seat looking at a book. After finishing lunch, the children transitioned to wash hands and prepared to return back to play. The provider read a story to the children. The child that was asleep woke up and became engaged with the story. When the children became uninterested in the story, the children transitioned to free art. After free art, the children used the restroom and washed hands to prepare for nap time. The provider put out the cots, dimed the lights, and turned on the calming music. All provider interactions were loving, nurturing and positive and children were happy and engaged in developmentally appropriate activities. Toys were ample in quantity, in good condition and developmentally appropriate for the children in care. The children in care were well adjusted to the daily routine, happy and secure with their care provider. Limited staff file monitoring was conducted to review trainings First Aid and CPR, and valid qualification letters. First Aid and CPR card is current and expires 1/27/2026. Valid qualification letters are on file and current for you, your husband, and son. The last fire drill was practiced on 1/8/2024. The last emergency drill, lockdown drill, was practiced on 11/10/2023. The Emergency Medical Care Plan is posted and current. Currently, you, your husband, and son (20 years old) live in the residence. You do not provide transportation while the children are in care. Only emergency transportation is provided in the event of an emergency. You keep children from going into un-used areas of the home through the use of gates and closed locked doors. The program has no medications for the children enrolled. I used the Division of Child Development and Early Education Family Child Care Home Item Number Listing as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. The following violations were documented during today’s visit Violation Number Comment Rule 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification. BM first aid training was not renewed on or before the expiration of the certification. The card on file was dated 11/2023. The new certification was completed on 1/27/2024. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. BM CPR training was not renewed on or before the expiration of the certification. The card on file was dated 11/2023. The new certification was completed on 1/27/2024. .1703(a)(3) 714 Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division. Monthly check for hazards on the outdoor play areas was not completed for January. The last monthly outdoor check was completed on 12/16/2023. 10A NCAC .1721(e)(5)(A-F) 1986 Breast milk, formula, and other bottled beverages sent from home were not fully prepared, dated, and labeled with individual child's names. An unlabeled bottle was observed sitting on the couch. When I asked the provider about it she said it was the child that was a sleeps bottle and she forgot to label it. The provider corrected this during the visit. .1706(l) Technical assistance was provided as follows: Item #508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2). First aid training was not renewed on or before the expiration of the certification. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (2) Renew First Aid training on or before expiration of the certification appropriate for the ages of children in care; -BM first aid training was not renewed on or before the expiration of the certification. The card on file was dated 11/2023. The new certification was completed on 1/27/2024. I suggest adding the expiration date to your calendar to notify you when to register for training. Item #511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2). CPR training was not renewed on or before the expiration of the certification. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (3) Renew CPR course on or before the expiration of the certification appropriate for the ages of children in care; -BM CPR training was not renewed on or before the expiration of the certification. The card on file was dated 11/2023. The new certification was completed on 1/27/2024. I suggest adding the expiration date to your calendar to notify you when to register for training. Item #714 Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division. 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (e) The family child care home operator shall complete and maintain other records that include: (5) documentation that a monthly check for hazards on the outdoor play area is completed. This form shall be supplied by the Division and shall be maintained in the family child care home for review by the Division. The form shall include the following information: (A) Name of facility, time and date the form was completed; (B) Signature of individual completing form; (C) General inspection items; (D) Surfacing; (E) General hazard items; and (F) Deterioration of equipment. For items on the checklist the operator has to check if pass or fail, if fail identify the problem and solution. A copy of the form can be found of the Division's website. -Monthly check for hazards on the outdoor play areas was not completed for January. The last monthly outdoor check was completed on 12/16/2023. I suggest pre-planning and adding to your calendar a date to complete the monthly outdoor check to remind you to complete the check. Item #1986 Breast milk, formula, and other bottled beverages sent from home were not fully prepared, dated, and labeled with individual child's names. 10A NCAC 09 .1706 NUTRITION STANDARDS (l) Breast milk, formula, and other bottled beverages sent from home shall be fully prepared, dated, and labeled with individual child names. All beverages shall be returned to the child's parent or discarded at the end of each day. -An unlabeled bottle was observed sitting on the couch. When I asked the provider about it she said it was the child that was a sleeps bottle and she forgot to label it. The provider corrected this during the visit. I suggest looking at the bottles brought from home when the children arrive and add a label when you are putting the bottles in the refrigerator. Corrective Action Plan: 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. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/15/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: - Resuming Rated License- The facility is in cohort 3 with a year of preparation beginning 7/1/2025 and ending 6/30/2026. Then a year for the assessments to be conducted beginning 7/1/2026 and ending 6/30/2027. - Lead water testing is now effective for family child care homes as of January, 2024. You have until May 2024 to apply and receive funding to remediate any lead/asbestos hazards. 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: (2) collect and submit samples of water from each water outlet used for drinking or food preparation for lead analysis to the local health department or a laboratory certified to analyze for lead in drinking water by the North Carolina State Laboratory of Public Health. Results of the analysis shall be on file in the home. For operators that submit an application for licensure after the effective date of this Rule, water samples shall be collected by the operator and tested during the application process. For all other family child care homes, water samples shall be collected by the operator and tested within 12 months of the effective date of this Rule; - Funding Opportunity for Lead Paint and Asbestos training is on February 5th 7:00p-8:00p via Zoom. - Family Child Care Home provider meeting is scheduled for February 19th 6:00p-8:00pp via TEAMS meeting. A invite will be shared with you soon. - Sign-in and Out should be completed daily when children arrive and depart. - Attendance should be completed daily and checked when the children arrive. - An emergency drill is due to be conducted by the end of February. - Challenging behaviors can be reached at 1-888-600-1685 Option 1. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is your responsibility to make sure you are registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or (828) 200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: THE PLAY AND LEARNING CENTER Facility ID: 45000420 Consultant: KARLA TERRY Operation Type: Family CC Home Case Number: Visit Date: 2/1/2024 Number Present: 5 Completed Date: 2/1/2024 Age: From 0 To 4 Total Minutes: 142 Time In: 11:08 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Brandi Mills, Owner/Operator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I was greeted Brandi Mills, Owner/Operator. I reviewed the purpose of today’s visit with you. Ms. Mills was available to assist with questions. The program currently operates with a Four (4) Star Rated License effective 12/20/2022. The permit restrictions were in compliance including first shift (daytime care), maximum of five (5) preschool children at any time, children in care on ground level, serves no more than two (2) infants under one year of age, fireplace/woodstove not used during operating hours. The family child care home’s compliance history was reviewed with the operator. The program’s compliance history was ninety-eight percent (98%) as of 2/1/2024. The program’s annual compliance visit was conducted on 6/7/2023. The following items were monitored today: Supervision Capacity CPR / First Aid ITS-SIDS CBC Qualification General Health Administering of Medication Storage of Hazardous Products Storage of Medication General Safety General License Requirements Program Records License Posted Fire Safety Sanitation During today’s visit, I observed the children ages infant to four years old, two (2) were engaged in finishing lunch, one (1) was asleep in the pack n play, one (1) was in the activity seat, and one (1) was sitting on the floor beside the child in the activity seat looking at a book. After finishing lunch, the children transitioned to wash hands and prepared to return back to play. The provider read a story to the children. The child that was asleep woke up and became engaged with the story. When the children became uninterested in the story, the children transitioned to free art. After free art, the children used the restroom and washed hands to prepare for nap time. The provider put out the cots, dimed the lights, and turned on the calming music. All provider interactions were loving, nurturing and positive and children were happy and engaged in developmentally appropriate activities. Toys were ample in quantity, in good condition and developmentally appropriate for the children in care. The children in care were well adjusted to the daily routine, happy and secure with their care provider. Limited staff file monitoring was conducted to review trainings First Aid and CPR, and valid qualification letters. First Aid and CPR card is current and expires 1/27/2026. Valid qualification letters are on file and current for you, your husband, and son. The last fire drill was practiced on 1/8/2024. The last emergency drill, lockdown drill, was practiced on 11/10/2023. The Emergency Medical Care Plan is posted and current. Currently, you, your husband, and son (20 years old) live in the residence. You do not provide transportation while the children are in care. Only emergency transportation is provided in the event of an emergency. You keep children from going into un-used areas of the home through the use of gates and closed locked doors. The program has no medications for the children enrolled. I used the Division of Child Development and Early Education Family Child Care Home Item Number Listing as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. The following violations were documented during today’s visit Violation Number Comment Rule 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification. BM first aid training was not renewed on or before the expiration of the certification. The card on file was dated 11/2023. The new certification was completed on 1/27/2024. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. BM CPR training was not renewed on or before the expiration of the certification. The card on file was dated 11/2023. The new certification was completed on 1/27/2024. .1703(a)(3) 714 Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division. Monthly check for hazards on the outdoor play areas was not completed for January. The last monthly outdoor check was completed on 12/16/2023. 10A NCAC .1721(e)(5)(A-F) 1986 Breast milk, formula, and other bottled beverages sent from home were not fully prepared, dated, and labeled with individual child's names. An unlabeled bottle was observed sitting on the couch. When I asked the provider about it she said it was the child that was a sleeps bottle and she forgot to label it. The provider corrected this during the visit. .1706(l) Technical assistance was provided as follows: Item #508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2). First aid training was not renewed on or before the expiration of the certification. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (2) Renew First Aid training on or before expiration of the certification appropriate for the ages of children in care; -BM first aid training was not renewed on or before the expiration of the certification. The card on file was dated 11/2023. The new certification was completed on 1/27/2024. I suggest adding the expiration date to your calendar to notify you when to register for training. Item #511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2). CPR training was not renewed on or before the expiration of the certification. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (3) Renew CPR course on or before the expiration of the certification appropriate for the ages of children in care; -BM CPR training was not renewed on or before the expiration of the certification. The card on file was dated 11/2023. The new certification was completed on 1/27/2024. I suggest adding the expiration date to your calendar to notify you when to register for training. Item #714 Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division. 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (e) The family child care home operator shall complete and maintain other records that include: (5) documentation that a monthly check for hazards on the outdoor play area is completed. This form shall be supplied by the Division and shall be maintained in the family child care home for review by the Division. The form shall include the following information: (A) Name of facility, time and date the form was completed; (B) Signature of individual completing form; (C) General inspection items; (D) Surfacing; (E) General hazard items; and (F) Deterioration of equipment. For items on the checklist the operator has to check if pass or fail, if fail identify the problem and solution. A copy of the form can be found of the Division's website. -Monthly check for hazards on the outdoor play areas was not completed for January. The last monthly outdoor check was completed on 12/16/2023. I suggest pre-planning and adding to your calendar a date to complete the monthly outdoor check to remind you to complete the check. Item #1986 Breast milk, formula, and other bottled beverages sent from home were not fully prepared, dated, and labeled with individual child's names. 10A NCAC 09 .1706 NUTRITION STANDARDS (l) Breast milk, formula, and other bottled beverages sent from home shall be fully prepared, dated, and labeled with individual child names. All beverages shall be returned to the child's parent or discarded at the end of each day. -An unlabeled bottle was observed sitting on the couch. When I asked the provider about it she said it was the child that was a sleeps bottle and she forgot to label it. The provider corrected this during the visit. I suggest looking at the bottles brought from home when the children arrive and add a label when you are putting the bottles in the refrigerator. Corrective Action Plan: 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. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/15/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: - Resuming Rated License- The facility is in cohort 3 with a year of preparation beginning 7/1/2025 and ending 6/30/2026. Then a year for the assessments to be conducted beginning 7/1/2026 and ending 6/30/2027. - Lead water testing is now effective for family child care homes as of January, 2024. You have until May 2024 to apply and receive funding to remediate any lead/asbestos hazards. 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: (2) collect and submit samples of water from each water outlet used for drinking or food preparation for lead analysis to the local health department or a laboratory certified to analyze for lead in drinking water by the North Carolina State Laboratory of Public Health. Results of the analysis shall be on file in the home. For operators that submit an application for licensure after the effective date of this Rule, water samples shall be collected by the operator and tested during the application process. For all other family child care homes, water samples shall be collected by the operator and tested within 12 months of the effective date of this Rule; - Funding Opportunity for Lead Paint and Asbestos training is on February 5th 7:00p-8:00p via Zoom. - Family Child Care Home provider meeting is scheduled for February 19th 6:00p-8:00pp via TEAMS meeting. A invite will be shared with you soon. - Sign-in and Out should be completed daily when children arrive and depart. - Attendance should be completed daily and checked when the children arrive. - An emergency drill is due to be conducted by the end of February. - Challenging behaviors can be reached at 1-888-600-1685 Option 1. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is your responsibility to make sure you are registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or (828) 200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: THE PLAY AND LEARNING CENTER Facility ID: 45000420 Consultant: KARLA TERRY Operation Type: Family CC Home Case Number: Visit Date: 2/1/2024 Number Present: 5 Completed Date: 2/1/2024 Age: From 0 To 4 Total Minutes: 142 Time In: 11:08 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Brandi Mills, Owner/Operator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I was greeted Brandi Mills, Owner/Operator. I reviewed the purpose of today’s visit with you. Ms. Mills was available to assist with questions. The program currently operates with a Four (4) Star Rated License effective 12/20/2022. The permit restrictions were in compliance including first shift (daytime care), maximum of five (5) preschool children at any time, children in care on ground level, serves no more than two (2) infants under one year of age, fireplace/woodstove not used during operating hours. The family child care home’s compliance history was reviewed with the operator. The program’s compliance history was ninety-eight percent (98%) as of 2/1/2024. The program’s annual compliance visit was conducted on 6/7/2023. The following items were monitored today: Supervision Capacity CPR / First Aid ITS-SIDS CBC Qualification General Health Administering of Medication Storage of Hazardous Products Storage of Medication General Safety General License Requirements Program Records License Posted Fire Safety Sanitation During today’s visit, I observed the children ages infant to four years old, two (2) were engaged in finishing lunch, one (1) was asleep in the pack n play, one (1) was in the activity seat, and one (1) was sitting on the floor beside the child in the activity seat looking at a book. After finishing lunch, the children transitioned to wash hands and prepared to return back to play. The provider read a story to the children. The child that was asleep woke up and became engaged with the story. When the children became uninterested in the story, the children transitioned to free art. After free art, the children used the restroom and washed hands to prepare for nap time. The provider put out the cots, dimed the lights, and turned on the calming music. All provider interactions were loving, nurturing and positive and children were happy and engaged in developmentally appropriate activities. Toys were ample in quantity, in good condition and developmentally appropriate for the children in care. The children in care were well adjusted to the daily routine, happy and secure with their care provider. Limited staff file monitoring was conducted to review trainings First Aid and CPR, and valid qualification letters. First Aid and CPR card is current and expires 1/27/2026. Valid qualification letters are on file and current for you, your husband, and son. The last fire drill was practiced on 1/8/2024. The last emergency drill, lockdown drill, was practiced on 11/10/2023. The Emergency Medical Care Plan is posted and current. Currently, you, your husband, and son (20 years old) live in the residence. You do not provide transportation while the children are in care. Only emergency transportation is provided in the event of an emergency. You keep children from going into un-used areas of the home through the use of gates and closed locked doors. The program has no medications for the children enrolled. I used the Division of Child Development and Early Education Family Child Care Home Item Number Listing as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. The following violations were documented during today’s visit Violation Number Comment Rule 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification. BM first aid training was not renewed on or before the expiration of the certification. The card on file was dated 11/2023. The new certification was completed on 1/27/2024. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. BM CPR training was not renewed on or before the expiration of the certification. The card on file was dated 11/2023. The new certification was completed on 1/27/2024. .1703(a)(3) 714 Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division. Monthly check for hazards on the outdoor play areas was not completed for January. The last monthly outdoor check was completed on 12/16/2023. 10A NCAC .1721(e)(5)(A-F) 1986 Breast milk, formula, and other bottled beverages sent from home were not fully prepared, dated, and labeled with individual child's names. An unlabeled bottle was observed sitting on the couch. When I asked the provider about it she said it was the child that was a sleeps bottle and she forgot to label it. The provider corrected this during the visit. .1706(l) Technical assistance was provided as follows: Item #508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2). First aid training was not renewed on or before the expiration of the certification. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (2) Renew First Aid training on or before expiration of the certification appropriate for the ages of children in care; -BM first aid training was not renewed on or before the expiration of the certification. The card on file was dated 11/2023. The new certification was completed on 1/27/2024. I suggest adding the expiration date to your calendar to notify you when to register for training. Item #511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2). CPR training was not renewed on or before the expiration of the certification. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (3) Renew CPR course on or before the expiration of the certification appropriate for the ages of children in care; -BM CPR training was not renewed on or before the expiration of the certification. The card on file was dated 11/2023. The new certification was completed on 1/27/2024. I suggest adding the expiration date to your calendar to notify you when to register for training. Item #714 Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division. 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (e) The family child care home operator shall complete and maintain other records that include: (5) documentation that a monthly check for hazards on the outdoor play area is completed. This form shall be supplied by the Division and shall be maintained in the family child care home for review by the Division. The form shall include the following information: (A) Name of facility, time and date the form was completed; (B) Signature of individual completing form; (C) General inspection items; (D) Surfacing; (E) General hazard items; and (F) Deterioration of equipment. For items on the checklist the operator has to check if pass or fail, if fail identify the problem and solution. A copy of the form can be found of the Division's website. -Monthly check for hazards on the outdoor play areas was not completed for January. The last monthly outdoor check was completed on 12/16/2023. I suggest pre-planning and adding to your calendar a date to complete the monthly outdoor check to remind you to complete the check. Item #1986 Breast milk, formula, and other bottled beverages sent from home were not fully prepared, dated, and labeled with individual child's names. 10A NCAC 09 .1706 NUTRITION STANDARDS (l) Breast milk, formula, and other bottled beverages sent from home shall be fully prepared, dated, and labeled with individual child names. All beverages shall be returned to the child's parent or discarded at the end of each day. -An unlabeled bottle was observed sitting on the couch. When I asked the provider about it she said it was the child that was a sleeps bottle and she forgot to label it. The provider corrected this during the visit. I suggest looking at the bottles brought from home when the children arrive and add a label when you are putting the bottles in the refrigerator. Corrective Action Plan: 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. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/15/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: - Resuming Rated License- The facility is in cohort 3 with a year of preparation beginning 7/1/2025 and ending 6/30/2026. Then a year for the assessments to be conducted beginning 7/1/2026 and ending 6/30/2027. - Lead water testing is now effective for family child care homes as of January, 2024. You have until May 2024 to apply and receive funding to remediate any lead/asbestos hazards. 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) To assure the health of children through proper sanitation, the family child care home operator shall: (2) collect and submit samples of water from each water outlet used for drinking or food preparation for lead analysis to the local health department or a laboratory certified to analyze for lead in drinking water by the North Carolina State Laboratory of Public Health. Results of the analysis shall be on file in the home. For operators that submit an application for licensure after the effective date of this Rule, water samples shall be collected by the operator and tested during the application process. For all other family child care homes, water samples shall be collected by the operator and tested within 12 months of the effective date of this Rule; - Funding Opportunity for Lead Paint and Asbestos training is on February 5th 7:00p-8:00p via Zoom. - Family Child Care Home provider meeting is scheduled for February 19th 6:00p-8:00pp via TEAMS meeting. A invite will be shared with you soon. - Sign-in and Out should be completed daily when children arrive and depart. - Attendance should be completed daily and checked when the children arrive. - An emergency drill is due to be conducted by the end of February. - Challenging behaviors can be reached at 1-888-600-1685 Option 1. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is your responsibility to make sure you are registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or (828) 200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times