10A NCAC 09 .1703 · Violation

Name of Operation: KISHA'S LITTLE LAMB Facility ID: 26002553 Consultant: TIFFANY REED Operation Type: Family CC Home Case Number: Visit Date: 9/23/2025 Number Present: 4 Completed Date: 9/23/2025 Age: From 0 To 3 Total Minutes: 240 Time In: 09:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to an Annual Compliance visit, including Health and Safety Training. The previous Annual Compliance visit was completed on October 01, 2024, and prior to today’s visit, the eighteen-month compliance history score was 96% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued June 22, 2023. The license was based on the program earning 3 points in education standards, 7 points in program standards, and one quality point by choosing to meet a programmatic option of restricting infant capacity to no more than two children under one year of age. The information on record was verified as correct by Nakisha Fisher, Legal Designee, and the owner's status was verified as administrative-dissolved on the secretary of state's website. Current Inspections are as follows: Sanitation Classification of Superior was completed on May 02, 2025. M. McEachin, Operator, and N. Fisher were present while I observed the indoor and outdoor areas. Four (4) children were present upon my arrival. Children were observed participating in free-choice indoor and outdoor activities. Children had access to blocks, fine motor, literacy, dramatic-play, music and creative-art materials. The outdoor learning environment was monitored for health and safety requirements. In the outdoor learning environment, children had access to riding toys, balls, hula hoops, swing sets, and a merry-go-round. Routine care and handwashing practices were observed. Lunch consisted of fish sticks, sweet peas, mandarin oranges, bread, and milk. Two staff files were reviewed. The operator and additional lead teacher did not complete the required ITS-SIDS training within three years of the previous training. The operator and additional lead teacher did not complete the required amount of annual ongoing training hours, based on their education and experience. The operator did not complete an annual health questionnaire within the past year. One child’s record was reviewed, and all documentation was in compliance with applicable child care rules. Program files, including the EPR Plan, were reviewed. The most recent fire drill was completed on August 19, 2025. The most recent quarterly drill was completed on September 12, 2025. The most recent outdoor inspection was completed on September 17, 2025. Transportation requirements were monitored. Two bottles of hand sanitizer were observed stored in cup holders attached to the center console. At the completion of the visit, the Visit Summary was reviewed with N. Fisher. The following violations were observed: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. Two bottles of hand sanitizer were stored in cup holders of the center console of the vehicle used to transport children. When this was brought to the operator's attention, she immediately removed the bottles of hand sanitizer from the vehicle and took them inside the residence, in a space not used for childcare. .1719 (a)(7) 908 Health questionnaire was not completed annually. The operator did not complete a health questionnaire at least annually. The operator completed an updated health questionnaire during today's visit. .1703(a)(1) 1301 Operator did not complete the required number of on-going training hours as specified in rule. The operator and additional lead teacher did not complete the required amount of annual ongoing training hours, based on their education and experience. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1306 Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training. The operator and additional lead teacher did not complete ITS-SIDS training within three years of the previous training. .1703(a)(4) 1544 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. The facility's corporation's status on the secretary of state's website was listed as administrative dissolved. The facility did not maintain a current and active status. GS 110-91 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. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on October 07, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA ITS-SIDS Training Requirements A violation was cited today for staff members not taking an ITS-SIDS course within the past three years. Most SIDS deaths in child care occur within the first week of child care due to unaccustomed prone (on the stomach) sleeping; the risk of SIDS increases eighteen times when an infant who sleeps supine (on the back) at home is placed in the prone position in child care. Use of safe sleep policies, training of caregivers, continued education of parents/guardians, expanded training efforts for child care professionals, statewide regulations and mandates, and increased monitoring and observation of infants while they are sleeping are critical to reduce the risk of SIDS in child care. More information about ITS-SIDS training requirements can be found in child care rule 10A NCAC 09 .1703(a)(4). On-Going Training Requirements A violation was cited today for staff members not meeting their required annual on-going training hours. After the first year of employment, the family child care home operator, and staff who work with children shall complete on-going training activities as follows: • 4-Year Degree or Higher in a child care related field: 5 Clock Hours • 2-Year Degree in a child care related field: 8 Clock Hours • NC Early Childhood Administration Credential: 8 Clock Hours • NC Early Childhood Credential or equivalent certificate: 10 Clock Hours • 10 Years of Documented Child Care Work Experience: 15 Clock Hours • No Other Criteria: 20 Clock Hours The operator and legal designee stated that they will contact the local Partnership for Children to ask for a transcript or letter, listing the courses they have taken and the hours they have earned. For more information about on-going training requirements, refer to child care rule 10A NCAC 09 .1703(d)(1). Corporation Status According to the secretary of state's website, your corporation's status was listed as administrative-dissolved. I encouraged the operator to contact the NC Secretary of State to ask about the steps that will be necessary to reinstate the corporation's current-active status. The operator called the NC Secretary of State's office at (919)814-5400. A representative directed her to file an annual report, complete a reinstatement application, and pay a fee. Reminders NC Foundations of Early Learning & Development (NCFELD) During today’s visit, I discussed access and use of the NCFELD book in the development of activity planning as required by NC Child Care Rule 10A NCAC .0508 regarding activity schedules and plans. Your program already had a copy of the publication. An extra copy was left with you. Additionally, the publication is available on-line, free of charge, at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/N/NC_Foundations.pdf. Training on use of the publication is available through our Partnership for Children, so please encourage Lead Teachers to visit their website ( https://ccpfc.org/ ) and complete the training. Infant and Early Childhood Mental Health Infant and early childhood mental health supports the development in young children of key social and emotional skills, like empathy, self-regulation and communication, which are vital for building healthy relationships and going through life. A new webpage by the Division of Child and Family Well-Being (DCFW) shares information and resources about infant and early childhood mental health in family-friendly language. To learn how DCFW and others address the social and emotional health of young children and families, visit https://www.ncdhhs.gov/divisions/child-and-family-well-being/whole-child-health-section/child-behavioral-health/infant-and-early-childhood-mental-health. Where Will You Go on the Pathways to the Stars? DCDEE is actively planning for the implementation of new QRIS requirements. We want to know more about your interest in the new options so that we can plan for training, technical assistance and resources that will assist you in achieving your Two- through Five- Star Rated License. You are not required to choose a specific licensure pathway right now, but please use the operator interest survey to help us understand what information and support you’ll need to choose and navigate your own pathway. More information about the pathways to stars, including informational videos, are available online at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. As always, DCDEE licensing consultants are ready and able to assist you. DCDEE Child Care Consultant Contact Info Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 if you have any questions, comments, or concerns. 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: ratio. Open / not marked corrected.

10A NCAC 09 .1705 · Violation

Name of Operation: KISHA'S LITTLE LAMB Facility ID: 26002553 Consultant: TIFFANY REED Operation Type: Family CC Home Case Number: Visit Date: 9/23/2025 Number Present: 4 Completed Date: 9/23/2025 Age: From 0 To 3 Total Minutes: 240 Time In: 09:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to an Annual Compliance visit, including Health and Safety Training. The previous Annual Compliance visit was completed on October 01, 2024, and prior to today’s visit, the eighteen-month compliance history score was 96% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued June 22, 2023. The license was based on the program earning 3 points in education standards, 7 points in program standards, and one quality point by choosing to meet a programmatic option of restricting infant capacity to no more than two children under one year of age. The information on record was verified as correct by Nakisha Fisher, Legal Designee, and the owner's status was verified as administrative-dissolved on the secretary of state's website. Current Inspections are as follows: Sanitation Classification of Superior was completed on May 02, 2025. M. McEachin, Operator, and N. Fisher were present while I observed the indoor and outdoor areas. Four (4) children were present upon my arrival. Children were observed participating in free-choice indoor and outdoor activities. Children had access to blocks, fine motor, literacy, dramatic-play, music and creative-art materials. The outdoor learning environment was monitored for health and safety requirements. In the outdoor learning environment, children had access to riding toys, balls, hula hoops, swing sets, and a merry-go-round. Routine care and handwashing practices were observed. Lunch consisted of fish sticks, sweet peas, mandarin oranges, bread, and milk. Two staff files were reviewed. The operator and additional lead teacher did not complete the required ITS-SIDS training within three years of the previous training. The operator and additional lead teacher did not complete the required amount of annual ongoing training hours, based on their education and experience. The operator did not complete an annual health questionnaire within the past year. One child’s record was reviewed, and all documentation was in compliance with applicable child care rules. Program files, including the EPR Plan, were reviewed. The most recent fire drill was completed on August 19, 2025. The most recent quarterly drill was completed on September 12, 2025. The most recent outdoor inspection was completed on September 17, 2025. Transportation requirements were monitored. Two bottles of hand sanitizer were observed stored in cup holders attached to the center console. At the completion of the visit, the Visit Summary was reviewed with N. Fisher. The following violations were observed: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. Two bottles of hand sanitizer were stored in cup holders of the center console of the vehicle used to transport children. When this was brought to the operator's attention, she immediately removed the bottles of hand sanitizer from the vehicle and took them inside the residence, in a space not used for childcare. .1719 (a)(7) 908 Health questionnaire was not completed annually. The operator did not complete a health questionnaire at least annually. The operator completed an updated health questionnaire during today's visit. .1703(a)(1) 1301 Operator did not complete the required number of on-going training hours as specified in rule. The operator and additional lead teacher did not complete the required amount of annual ongoing training hours, based on their education and experience. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1306 Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training. The operator and additional lead teacher did not complete ITS-SIDS training within three years of the previous training. .1703(a)(4) 1544 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. The facility's corporation's status on the secretary of state's website was listed as administrative dissolved. The facility did not maintain a current and active status. GS 110-91 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. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on October 07, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA ITS-SIDS Training Requirements A violation was cited today for staff members not taking an ITS-SIDS course within the past three years. Most SIDS deaths in child care occur within the first week of child care due to unaccustomed prone (on the stomach) sleeping; the risk of SIDS increases eighteen times when an infant who sleeps supine (on the back) at home is placed in the prone position in child care. Use of safe sleep policies, training of caregivers, continued education of parents/guardians, expanded training efforts for child care professionals, statewide regulations and mandates, and increased monitoring and observation of infants while they are sleeping are critical to reduce the risk of SIDS in child care. More information about ITS-SIDS training requirements can be found in child care rule 10A NCAC 09 .1703(a)(4). On-Going Training Requirements A violation was cited today for staff members not meeting their required annual on-going training hours. After the first year of employment, the family child care home operator, and staff who work with children shall complete on-going training activities as follows: • 4-Year Degree or Higher in a child care related field: 5 Clock Hours • 2-Year Degree in a child care related field: 8 Clock Hours • NC Early Childhood Administration Credential: 8 Clock Hours • NC Early Childhood Credential or equivalent certificate: 10 Clock Hours • 10 Years of Documented Child Care Work Experience: 15 Clock Hours • No Other Criteria: 20 Clock Hours The operator and legal designee stated that they will contact the local Partnership for Children to ask for a transcript or letter, listing the courses they have taken and the hours they have earned. For more information about on-going training requirements, refer to child care rule 10A NCAC 09 .1703(d)(1). Corporation Status According to the secretary of state's website, your corporation's status was listed as administrative-dissolved. I encouraged the operator to contact the NC Secretary of State to ask about the steps that will be necessary to reinstate the corporation's current-active status. The operator called the NC Secretary of State's office at (919)814-5400. A representative directed her to file an annual report, complete a reinstatement application, and pay a fee. Reminders NC Foundations of Early Learning & Development (NCFELD) During today’s visit, I discussed access and use of the NCFELD book in the development of activity planning as required by NC Child Care Rule 10A NCAC .0508 regarding activity schedules and plans. Your program already had a copy of the publication. An extra copy was left with you. Additionally, the publication is available on-line, free of charge, at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/N/NC_Foundations.pdf. Training on use of the publication is available through our Partnership for Children, so please encourage Lead Teachers to visit their website ( https://ccpfc.org/ ) and complete the training. Infant and Early Childhood Mental Health Infant and early childhood mental health supports the development in young children of key social and emotional skills, like empathy, self-regulation and communication, which are vital for building healthy relationships and going through life. A new webpage by the Division of Child and Family Well-Being (DCFW) shares information and resources about infant and early childhood mental health in family-friendly language. To learn how DCFW and others address the social and emotional health of young children and families, visit https://www.ncdhhs.gov/divisions/child-and-family-well-being/whole-child-health-section/child-behavioral-health/infant-and-early-childhood-mental-health. Where Will You Go on the Pathways to the Stars? DCDEE is actively planning for the implementation of new QRIS requirements. We want to know more about your interest in the new options so that we can plan for training, technical assistance and resources that will assist you in achieving your Two- through Five- Star Rated License. You are not required to choose a specific licensure pathway right now, but please use the operator interest survey to help us understand what information and support you’ll need to choose and navigate your own pathway. More information about the pathways to stars, including informational videos, are available online at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. As always, DCDEE licensing consultants are ready and able to assist you. DCDEE Child Care Consultant Contact Info Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: KISHA'S LITTLE LAMB Facility ID: 26002553 Consultant: TIFFANY REED Operation Type: Family CC Home Case Number: Visit Date: 9/23/2025 Number Present: 4 Completed Date: 9/23/2025 Age: From 0 To 3 Total Minutes: 240 Time In: 09:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to an Annual Compliance visit, including Health and Safety Training. The previous Annual Compliance visit was completed on October 01, 2024, and prior to today’s visit, the eighteen-month compliance history score was 96% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued June 22, 2023. The license was based on the program earning 3 points in education standards, 7 points in program standards, and one quality point by choosing to meet a programmatic option of restricting infant capacity to no more than two children under one year of age. The information on record was verified as correct by Nakisha Fisher, Legal Designee, and the owner's status was verified as administrative-dissolved on the secretary of state's website. Current Inspections are as follows: Sanitation Classification of Superior was completed on May 02, 2025. M. McEachin, Operator, and N. Fisher were present while I observed the indoor and outdoor areas. Four (4) children were present upon my arrival. Children were observed participating in free-choice indoor and outdoor activities. Children had access to blocks, fine motor, literacy, dramatic-play, music and creative-art materials. The outdoor learning environment was monitored for health and safety requirements. In the outdoor learning environment, children had access to riding toys, balls, hula hoops, swing sets, and a merry-go-round. Routine care and handwashing practices were observed. Lunch consisted of fish sticks, sweet peas, mandarin oranges, bread, and milk. Two staff files were reviewed. The operator and additional lead teacher did not complete the required ITS-SIDS training within three years of the previous training. The operator and additional lead teacher did not complete the required amount of annual ongoing training hours, based on their education and experience. The operator did not complete an annual health questionnaire within the past year. One child’s record was reviewed, and all documentation was in compliance with applicable child care rules. Program files, including the EPR Plan, were reviewed. The most recent fire drill was completed on August 19, 2025. The most recent quarterly drill was completed on September 12, 2025. The most recent outdoor inspection was completed on September 17, 2025. Transportation requirements were monitored. Two bottles of hand sanitizer were observed stored in cup holders attached to the center console. At the completion of the visit, the Visit Summary was reviewed with N. Fisher. The following violations were observed: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. Two bottles of hand sanitizer were stored in cup holders of the center console of the vehicle used to transport children. When this was brought to the operator's attention, she immediately removed the bottles of hand sanitizer from the vehicle and took them inside the residence, in a space not used for childcare. .1719 (a)(7) 908 Health questionnaire was not completed annually. The operator did not complete a health questionnaire at least annually. The operator completed an updated health questionnaire during today's visit. .1703(a)(1) 1301 Operator did not complete the required number of on-going training hours as specified in rule. The operator and additional lead teacher did not complete the required amount of annual ongoing training hours, based on their education and experience. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1306 Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training. The operator and additional lead teacher did not complete ITS-SIDS training within three years of the previous training. .1703(a)(4) 1544 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. The facility's corporation's status on the secretary of state's website was listed as administrative dissolved. The facility did not maintain a current and active status. GS 110-91 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. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on October 07, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA ITS-SIDS Training Requirements A violation was cited today for staff members not taking an ITS-SIDS course within the past three years. Most SIDS deaths in child care occur within the first week of child care due to unaccustomed prone (on the stomach) sleeping; the risk of SIDS increases eighteen times when an infant who sleeps supine (on the back) at home is placed in the prone position in child care. Use of safe sleep policies, training of caregivers, continued education of parents/guardians, expanded training efforts for child care professionals, statewide regulations and mandates, and increased monitoring and observation of infants while they are sleeping are critical to reduce the risk of SIDS in child care. More information about ITS-SIDS training requirements can be found in child care rule 10A NCAC 09 .1703(a)(4). On-Going Training Requirements A violation was cited today for staff members not meeting their required annual on-going training hours. After the first year of employment, the family child care home operator, and staff who work with children shall complete on-going training activities as follows: • 4-Year Degree or Higher in a child care related field: 5 Clock Hours • 2-Year Degree in a child care related field: 8 Clock Hours • NC Early Childhood Administration Credential: 8 Clock Hours • NC Early Childhood Credential or equivalent certificate: 10 Clock Hours • 10 Years of Documented Child Care Work Experience: 15 Clock Hours • No Other Criteria: 20 Clock Hours The operator and legal designee stated that they will contact the local Partnership for Children to ask for a transcript or letter, listing the courses they have taken and the hours they have earned. For more information about on-going training requirements, refer to child care rule 10A NCAC 09 .1703(d)(1). Corporation Status According to the secretary of state's website, your corporation's status was listed as administrative-dissolved. I encouraged the operator to contact the NC Secretary of State to ask about the steps that will be necessary to reinstate the corporation's current-active status. The operator called the NC Secretary of State's office at (919)814-5400. A representative directed her to file an annual report, complete a reinstatement application, and pay a fee. Reminders NC Foundations of Early Learning & Development (NCFELD) During today’s visit, I discussed access and use of the NCFELD book in the development of activity planning as required by NC Child Care Rule 10A NCAC .0508 regarding activity schedules and plans. Your program already had a copy of the publication. An extra copy was left with you. Additionally, the publication is available on-line, free of charge, at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/N/NC_Foundations.pdf. Training on use of the publication is available through our Partnership for Children, so please encourage Lead Teachers to visit their website ( https://ccpfc.org/ ) and complete the training. Infant and Early Childhood Mental Health Infant and early childhood mental health supports the development in young children of key social and emotional skills, like empathy, self-regulation and communication, which are vital for building healthy relationships and going through life. A new webpage by the Division of Child and Family Well-Being (DCFW) shares information and resources about infant and early childhood mental health in family-friendly language. To learn how DCFW and others address the social and emotional health of young children and families, visit https://www.ncdhhs.gov/divisions/child-and-family-well-being/whole-child-health-section/child-behavioral-health/infant-and-early-childhood-mental-health. Where Will You Go on the Pathways to the Stars? DCDEE is actively planning for the implementation of new QRIS requirements. We want to know more about your interest in the new options so that we can plan for training, technical assistance and resources that will assist you in achieving your Two- through Five- Star Rated License. You are not required to choose a specific licensure pathway right now, but please use the operator interest survey to help us understand what information and support you’ll need to choose and navigate your own pathway. More information about the pathways to stars, including informational videos, are available online at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. As always, DCDEE licensing consultants are ready and able to assist you. DCDEE Child Care Consultant Contact Info Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 if you have any questions, comments, or concerns. 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: KISHA'S LITTLE LAMB Facility ID: 26002553 Consultant: TIFFANY REED Operation Type: Family CC Home Case Number: Visit Date: 9/23/2025 Number Present: 4 Completed Date: 9/23/2025 Age: From 0 To 3 Total Minutes: 240 Time In: 09:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to an Annual Compliance visit, including Health and Safety Training. The previous Annual Compliance visit was completed on October 01, 2024, and prior to today’s visit, the eighteen-month compliance history score was 96% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued June 22, 2023. The license was based on the program earning 3 points in education standards, 7 points in program standards, and one quality point by choosing to meet a programmatic option of restricting infant capacity to no more than two children under one year of age. The information on record was verified as correct by Nakisha Fisher, Legal Designee, and the owner's status was verified as administrative-dissolved on the secretary of state's website. Current Inspections are as follows: Sanitation Classification of Superior was completed on May 02, 2025. M. McEachin, Operator, and N. Fisher were present while I observed the indoor and outdoor areas. Four (4) children were present upon my arrival. Children were observed participating in free-choice indoor and outdoor activities. Children had access to blocks, fine motor, literacy, dramatic-play, music and creative-art materials. The outdoor learning environment was monitored for health and safety requirements. In the outdoor learning environment, children had access to riding toys, balls, hula hoops, swing sets, and a merry-go-round. Routine care and handwashing practices were observed. Lunch consisted of fish sticks, sweet peas, mandarin oranges, bread, and milk. Two staff files were reviewed. The operator and additional lead teacher did not complete the required ITS-SIDS training within three years of the previous training. The operator and additional lead teacher did not complete the required amount of annual ongoing training hours, based on their education and experience. The operator did not complete an annual health questionnaire within the past year. One child’s record was reviewed, and all documentation was in compliance with applicable child care rules. Program files, including the EPR Plan, were reviewed. The most recent fire drill was completed on August 19, 2025. The most recent quarterly drill was completed on September 12, 2025. The most recent outdoor inspection was completed on September 17, 2025. Transportation requirements were monitored. Two bottles of hand sanitizer were observed stored in cup holders attached to the center console. At the completion of the visit, the Visit Summary was reviewed with N. Fisher. The following violations were observed: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. Two bottles of hand sanitizer were stored in cup holders of the center console of the vehicle used to transport children. When this was brought to the operator's attention, she immediately removed the bottles of hand sanitizer from the vehicle and took them inside the residence, in a space not used for childcare. .1719 (a)(7) 908 Health questionnaire was not completed annually. The operator did not complete a health questionnaire at least annually. The operator completed an updated health questionnaire during today's visit. .1703(a)(1) 1301 Operator did not complete the required number of on-going training hours as specified in rule. The operator and additional lead teacher did not complete the required amount of annual ongoing training hours, based on their education and experience. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1306 Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training. The operator and additional lead teacher did not complete ITS-SIDS training within three years of the previous training. .1703(a)(4) 1544 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. The facility's corporation's status on the secretary of state's website was listed as administrative dissolved. The facility did not maintain a current and active status. GS 110-91 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. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on October 07, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA ITS-SIDS Training Requirements A violation was cited today for staff members not taking an ITS-SIDS course within the past three years. Most SIDS deaths in child care occur within the first week of child care due to unaccustomed prone (on the stomach) sleeping; the risk of SIDS increases eighteen times when an infant who sleeps supine (on the back) at home is placed in the prone position in child care. Use of safe sleep policies, training of caregivers, continued education of parents/guardians, expanded training efforts for child care professionals, statewide regulations and mandates, and increased monitoring and observation of infants while they are sleeping are critical to reduce the risk of SIDS in child care. More information about ITS-SIDS training requirements can be found in child care rule 10A NCAC 09 .1703(a)(4). On-Going Training Requirements A violation was cited today for staff members not meeting their required annual on-going training hours. After the first year of employment, the family child care home operator, and staff who work with children shall complete on-going training activities as follows: • 4-Year Degree or Higher in a child care related field: 5 Clock Hours • 2-Year Degree in a child care related field: 8 Clock Hours • NC Early Childhood Administration Credential: 8 Clock Hours • NC Early Childhood Credential or equivalent certificate: 10 Clock Hours • 10 Years of Documented Child Care Work Experience: 15 Clock Hours • No Other Criteria: 20 Clock Hours The operator and legal designee stated that they will contact the local Partnership for Children to ask for a transcript or letter, listing the courses they have taken and the hours they have earned. For more information about on-going training requirements, refer to child care rule 10A NCAC 09 .1703(d)(1). Corporation Status According to the secretary of state's website, your corporation's status was listed as administrative-dissolved. I encouraged the operator to contact the NC Secretary of State to ask about the steps that will be necessary to reinstate the corporation's current-active status. The operator called the NC Secretary of State's office at (919)814-5400. A representative directed her to file an annual report, complete a reinstatement application, and pay a fee. Reminders NC Foundations of Early Learning & Development (NCFELD) During today’s visit, I discussed access and use of the NCFELD book in the development of activity planning as required by NC Child Care Rule 10A NCAC .0508 regarding activity schedules and plans. Your program already had a copy of the publication. An extra copy was left with you. Additionally, the publication is available on-line, free of charge, at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/N/NC_Foundations.pdf. Training on use of the publication is available through our Partnership for Children, so please encourage Lead Teachers to visit their website ( https://ccpfc.org/ ) and complete the training. Infant and Early Childhood Mental Health Infant and early childhood mental health supports the development in young children of key social and emotional skills, like empathy, self-regulation and communication, which are vital for building healthy relationships and going through life. A new webpage by the Division of Child and Family Well-Being (DCFW) shares information and resources about infant and early childhood mental health in family-friendly language. To learn how DCFW and others address the social and emotional health of young children and families, visit https://www.ncdhhs.gov/divisions/child-and-family-well-being/whole-child-health-section/child-behavioral-health/infant-and-early-childhood-mental-health. Where Will You Go on the Pathways to the Stars? DCDEE is actively planning for the implementation of new QRIS requirements. We want to know more about your interest in the new options so that we can plan for training, technical assistance and resources that will assist you in achieving your Two- through Five- Star Rated License. You are not required to choose a specific licensure pathway right now, but please use the operator interest survey to help us understand what information and support you’ll need to choose and navigate your own pathway. More information about the pathways to stars, including informational videos, are available online at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. As always, DCDEE licensing consultants are ready and able to assist you. DCDEE Child Care Consultant Contact Info Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: KISHA'S LITTLE LAMB Facility ID: 26002553 Consultant: TIFFANY REED Operation Type: Family CC Home Case Number: Visit Date: 4/16/2025 Number Present: 3 Completed Date: 4/16/2025 Age: From 0 To 3 Total Minutes: 165 Time In: 09:30 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a Routine Unannounced visit. The previous Annual Compliance visit was completed October 01, 2024 and prior to today’s visit, the eighteen-month compliance history score was 97% which is at or above 75%, as required by North Carolina General Statute 110-90(4) (c-d). This program currently operates with a Four-Star License issued June 22, 2023. The license was based on the program earning 3 points in education standards, 7 points in program standards, and one quality point by choosing to meet a programmatic option of restricting infant capacity to no more than two children under one year of age. The information on record was verified as correct by Nakisha Fisher, Lead Teacher/Designee. Current Inspections are as follows: Sanitation Classification of Superior was completed on February 26, 2024. N. Fisher, Lead Teacher, was present while I observed the indoor and outdoor areas. Upon my arrival, three (3) children were present. In the designated caregiving space, children were observed participating in free choice activities. The children had access to blocks, fine motor, dramatic play, creative art, science, math, and literacy materials. One child was observed sitting at a table while building structures with magnetic tiles. Another child was observed walking around with a toy magnifying glass, while pretending to be a police officer. The child went to the teacher and said, “You’re a bad guy. You’re under arrest!” The teacher responded by saying, “What did I do?” The child smiled and walked away, looking at objects through the magnifying glass. The teacher sat in a carpeted area with an infant, while she participated in tummy time activities. The teacher sang to the infant and counted the infant’s fingers and toes. In the caregiving space, near the door that exits to the outdoor learning environment, seven ceiling tiles were observed misaligned with the grid. Five of the ceiling tiles were observed with holes and/or tears. Program records were reviewed. The most recent fire drill was completed on March 20, 2025. The most recent lockdown drill was completed on March 10, 2025. The most recent outdoor inspection was completed on March 17, 2025. Routine care and handwashing practices were observed. Lunch consisted of pepperoni pizza rolls, peas, blueberries, sliced wheat bread, and milk. At the completion of the visit, the Visit Summary was reviewed with N. Fisher. The following violation was observed: Violation Number Comment Rule 1544 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. The most recent sanitation inspection was completed on 2/26/24. In the caregiving space, near the door that exits to the outdoor learning environment, seven ceiling tiles were observed misaligned with the grid. Five of the ceiling tiles were observed with holes and/or tears. GS 110-91 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. . The violation observed and documented today may impact the compliance history score. The violation observed and documented today must be corrected immediately. Additionally, by 5:00pm on April 30, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 TA/Consultation: Local Ordinances A violation was cited today for not complying with all state laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by NC General Statue 110-91. A sanitation inspection has not been scheduled and obtained within 12 months of the previous inspection. The ceiling was not observed in good repair. I encouraged the operator to contact the Cumberland County Environmental Health Department at (910)433-3618 to schedule and obtain an updated sanitation inspection as soon as possible. The operator stated that she will schedule an appointment to have the ceiling tiles repaired or replaced. Infant/Toddler Classroom Observation I discussed the results of my observation of the infant age group with N. Fisher. I encouraged the operator to continue being available to provide comfort to infants and respond to their individual needs by listening and watching for their verbal and physical cues. This is important because when infants can trust you to meet their needs and consistently feel safe and secure, they have lower levels of stress and are more willing to try new things, explore and learn. Preschool Classroom Observation I discussed the results of my observation of the preschool age group with N. Fisher. I encouraged the operator to continue providing positive interactions, through which children are engaged and encouraged to seek out and try new things. These actions lead to deeper engagement with their environment and more meaningful interactions with those around them. They also promote increased creativity and exploration, which are the building blocks for higher-order thinking. Reminders: Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and School-Aged Children This free course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). This course is approved by the Division of Child Development and Early Education for 3 contact hours. For more information about the course, please visit https://bhs.unc.edu/teaching-whole-child-supporting-social-emotional-wellness-preschool-and-elementary-school-aged. Darkness to Light Darkness to Light is a nonprofit organization with a mission to equip and empower adults to build safe environments that protect children from sexual abuse. Darkness to Light’s flagship program, Stewards of Children®, is a trauma and evidence-informed training that teaches adults to prevent, recognize, and react responsibly to child sexual abuse. More than 2.2 million adults have been trained using the program. To learn more about child sexual abuse prevention training or to enroll your organization in Darkness to Light’s “Partner in Prevention” program, please visit www.D2L.org/education/partner-in-prevention. DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@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: ratio. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: KISHA'S LITTLE LAMB Facility ID: 26002553 Consultant: TIFFANY REED Operation Type: Family CC Home Case Number: Visit Date: 4/16/2025 Number Present: 3 Completed Date: 4/16/2025 Age: From 0 To 3 Total Minutes: 165 Time In: 09:30 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a Routine Unannounced visit. The previous Annual Compliance visit was completed October 01, 2024 and prior to today’s visit, the eighteen-month compliance history score was 97% which is at or above 75%, as required by North Carolina General Statute 110-90(4) (c-d). This program currently operates with a Four-Star License issued June 22, 2023. The license was based on the program earning 3 points in education standards, 7 points in program standards, and one quality point by choosing to meet a programmatic option of restricting infant capacity to no more than two children under one year of age. The information on record was verified as correct by Nakisha Fisher, Lead Teacher/Designee. Current Inspections are as follows: Sanitation Classification of Superior was completed on February 26, 2024. N. Fisher, Lead Teacher, was present while I observed the indoor and outdoor areas. Upon my arrival, three (3) children were present. In the designated caregiving space, children were observed participating in free choice activities. The children had access to blocks, fine motor, dramatic play, creative art, science, math, and literacy materials. One child was observed sitting at a table while building structures with magnetic tiles. Another child was observed walking around with a toy magnifying glass, while pretending to be a police officer. The child went to the teacher and said, “You’re a bad guy. You’re under arrest!” The teacher responded by saying, “What did I do?” The child smiled and walked away, looking at objects through the magnifying glass. The teacher sat in a carpeted area with an infant, while she participated in tummy time activities. The teacher sang to the infant and counted the infant’s fingers and toes. In the caregiving space, near the door that exits to the outdoor learning environment, seven ceiling tiles were observed misaligned with the grid. Five of the ceiling tiles were observed with holes and/or tears. Program records were reviewed. The most recent fire drill was completed on March 20, 2025. The most recent lockdown drill was completed on March 10, 2025. The most recent outdoor inspection was completed on March 17, 2025. Routine care and handwashing practices were observed. Lunch consisted of pepperoni pizza rolls, peas, blueberries, sliced wheat bread, and milk. At the completion of the visit, the Visit Summary was reviewed with N. Fisher. The following violation was observed: Violation Number Comment Rule 1544 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. The most recent sanitation inspection was completed on 2/26/24. In the caregiving space, near the door that exits to the outdoor learning environment, seven ceiling tiles were observed misaligned with the grid. Five of the ceiling tiles were observed with holes and/or tears. GS 110-91 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. . The violation observed and documented today may impact the compliance history score. The violation observed and documented today must be corrected immediately. Additionally, by 5:00pm on April 30, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 TA/Consultation: Local Ordinances A violation was cited today for not complying with all state laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by NC General Statue 110-91. A sanitation inspection has not been scheduled and obtained within 12 months of the previous inspection. The ceiling was not observed in good repair. I encouraged the operator to contact the Cumberland County Environmental Health Department at (910)433-3618 to schedule and obtain an updated sanitation inspection as soon as possible. The operator stated that she will schedule an appointment to have the ceiling tiles repaired or replaced. Infant/Toddler Classroom Observation I discussed the results of my observation of the infant age group with N. Fisher. I encouraged the operator to continue being available to provide comfort to infants and respond to their individual needs by listening and watching for their verbal and physical cues. This is important because when infants can trust you to meet their needs and consistently feel safe and secure, they have lower levels of stress and are more willing to try new things, explore and learn. Preschool Classroom Observation I discussed the results of my observation of the preschool age group with N. Fisher. I encouraged the operator to continue providing positive interactions, through which children are engaged and encouraged to seek out and try new things. These actions lead to deeper engagement with their environment and more meaningful interactions with those around them. They also promote increased creativity and exploration, which are the building blocks for higher-order thinking. Reminders: Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and School-Aged Children This free course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). This course is approved by the Division of Child Development and Early Education for 3 contact hours. For more information about the course, please visit https://bhs.unc.edu/teaching-whole-child-supporting-social-emotional-wellness-preschool-and-elementary-school-aged. Darkness to Light Darkness to Light is a nonprofit organization with a mission to equip and empower adults to build safe environments that protect children from sexual abuse. Darkness to Light’s flagship program, Stewards of Children®, is a trauma and evidence-informed training that teaches adults to prevent, recognize, and react responsibly to child sexual abuse. More than 2.2 million adults have been trained using the program. To learn more about child sexual abuse prevention training or to enroll your organization in Darkness to Light’s “Partner in Prevention” program, please visit www.D2L.org/education/partner-in-prevention. DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@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 .0901 · Violation

Name of Operation: KISHA'S LITTLE LAMB Facility ID: 26002553 Consultant: TIFFANY REED Operation Type: Family CC Home Case Number: Visit Date: 10/1/2024 Number Present: 2 Completed Date: 10/1/2024 Age: From 2 To 2 Total Minutes: 315 Time In: 09:00 AM Time Out: 02:15 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 with applicable child care requirements pertinent to an Annual Compliance visit, including Health and Safety Training. The previous Annual Compliance visit was completed on October 19, 2023, and prior to today’s visit, the eighteen-month compliance history score was 100% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued June 22, 2023. The license was based on the program earning 3 points in education standards, 7 points in program standards, and one quality point by choosing to meet a programmatic option of restricting infant capacity to no more than two children under one year of age. The information on record was verified as correct by Nakisha Fisher, Legal Designee. Current Inspections are as follows: Sanitation Classification of Superior was completed on February 26, 2024. M. McEachin, Operator, and N. Fisher were present while I observed the indoor and outdoor areas. Two (2) children were present upon my arrival. Children were observed participating in free-choice activities. Children had access to fine motor, blocks, literacy, dramatic-play, music and creative-art materials. A first aid kit was not accessible to staff in the caregiving space. M. McEachin had to leave the facility at 11:30am. Routine care and handwashing practices were observed. Lunch consisted of Salisbury steak with gravy, diced potatoes, broccoli, pineapple chunks, and milk. Two staff members’ files were reviewed. Two staff members had expired CPR certifications on file. One child’s record was reviewed, and all documentation was in compliance with applicable child care rules. Program files were reviewed, and all documentation was in compliance with applicable child care rules. The most recent sanitation inspection report was received during today’s visit. Transportation requirements were monitored and observed in compliance with applicable child care rules. At the completion of the visit, the Visit Summary was reviewed with N. Fisher. The following violations were observed: Violation Number Comment Rule 510 First-aid supplies were not kept in a place accessible to the operator. A first aid kit was not located in the designated caregiving space. The operator found a first aid kit in a non-caregiving space in the home, and put it in the designated caregiving space. 10 A NCAC 09 .1719(a )(9) 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. M. McEachin, Operator, and N. Fisher, Lead Teacher, did not renew CPR certification before it expired on 4/30/2024. .1703(a)(3) 601 Nutritious meals and snacks served did not meet Meal Patterns for Children in Child Care Programs. For lunch, children were served Salisbury steak, diced potatoes, broccoli, pineapple chunks, and milk. A grain component was not served with lunch. 10A NCAC 09. 1706(a) 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. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on October 15, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA CPR Requirements A violation was cited today for staff not having current CPR certification. According to child care rule 10A NCAC 09 .1703(a)(3), after receiving a license, the family child care home operator and additional caregivers shall renew CPR certification by completing a CPR course on or before the expiration of the certification appropriate for the ages of children in care. The lead teacher/legal designee registered for an upcoming CPR course during today’s visit. First Aid Supplies A violation was cited today for not having first aid supplies located in the designated caregiving space. According to child care rule .1719(a)(3), 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 keeping First Aid supplies in a place accessible to the operator. The operator found a first aid kit in a non-caregiving space in the home, and put it in the designated caregiving space. Nutrition Standards: A violation was cited today for missing food components on the menu and in the lunch served. According to 10A NCAC 09 .0901, Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. A copy of the Meal Patterns for Children in Child Care Programs was left with N. Fisher. Reminders Staff Medical Requirements According to your records, the health questionnaires for both staff are due to expire on October 19, 2024. To remain in compliance with child care rules, please ensure that an updated health questionnaire is completed and placed in each staff member’s file prior to the expiration date. Natural Outdoor Learning Initiative The DCDEE has a new initiative – Natural Outdoor Learning Initiative. Through this initiative, we hope to: increase knowledge and confidence for everyone in developing and implementing best practices to support the creation, programming, and safe use of naturalized outdoor spaces in child care facilities. You can learn more by visiting the NLI website, where you will also find many resources, including an updated Toolkit designed to help you enhance your outdoor learning environment. The downloadable NLI Toolkit is available at: https://naturalearning.org/preschool-outdoor-toolkit. Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and Elementary School-Aged Children This free course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). This course is approved by the Division of Child Development and Early Education for 3 contact hours. For more information about the course, please visit https://bhs.unc.edu/teaching-whole-child-supporting-social-emotional-wellness-preschool-and-elementary-school-aged DCDEE Child Care Consultant Contact Information Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 if you have any questions, comments, or concerns. 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: ratio. Open / not marked corrected.

10A NCAC 09 .1703 · Violation

Name of Operation: KISHA'S LITTLE LAMB Facility ID: 26002553 Consultant: TIFFANY REED Operation Type: Family CC Home Case Number: Visit Date: 10/1/2024 Number Present: 2 Completed Date: 10/1/2024 Age: From 2 To 2 Total Minutes: 315 Time In: 09:00 AM Time Out: 02:15 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 with applicable child care requirements pertinent to an Annual Compliance visit, including Health and Safety Training. The previous Annual Compliance visit was completed on October 19, 2023, and prior to today’s visit, the eighteen-month compliance history score was 100% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued June 22, 2023. The license was based on the program earning 3 points in education standards, 7 points in program standards, and one quality point by choosing to meet a programmatic option of restricting infant capacity to no more than two children under one year of age. The information on record was verified as correct by Nakisha Fisher, Legal Designee. Current Inspections are as follows: Sanitation Classification of Superior was completed on February 26, 2024. M. McEachin, Operator, and N. Fisher were present while I observed the indoor and outdoor areas. Two (2) children were present upon my arrival. Children were observed participating in free-choice activities. Children had access to fine motor, blocks, literacy, dramatic-play, music and creative-art materials. A first aid kit was not accessible to staff in the caregiving space. M. McEachin had to leave the facility at 11:30am. Routine care and handwashing practices were observed. Lunch consisted of Salisbury steak with gravy, diced potatoes, broccoli, pineapple chunks, and milk. Two staff members’ files were reviewed. Two staff members had expired CPR certifications on file. One child’s record was reviewed, and all documentation was in compliance with applicable child care rules. Program files were reviewed, and all documentation was in compliance with applicable child care rules. The most recent sanitation inspection report was received during today’s visit. Transportation requirements were monitored and observed in compliance with applicable child care rules. At the completion of the visit, the Visit Summary was reviewed with N. Fisher. The following violations were observed: Violation Number Comment Rule 510 First-aid supplies were not kept in a place accessible to the operator. A first aid kit was not located in the designated caregiving space. The operator found a first aid kit in a non-caregiving space in the home, and put it in the designated caregiving space. 10 A NCAC 09 .1719(a )(9) 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. M. McEachin, Operator, and N. Fisher, Lead Teacher, did not renew CPR certification before it expired on 4/30/2024. .1703(a)(3) 601 Nutritious meals and snacks served did not meet Meal Patterns for Children in Child Care Programs. For lunch, children were served Salisbury steak, diced potatoes, broccoli, pineapple chunks, and milk. A grain component was not served with lunch. 10A NCAC 09. 1706(a) 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. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on October 15, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA CPR Requirements A violation was cited today for staff not having current CPR certification. According to child care rule 10A NCAC 09 .1703(a)(3), after receiving a license, the family child care home operator and additional caregivers shall renew CPR certification by completing a CPR course on or before the expiration of the certification appropriate for the ages of children in care. The lead teacher/legal designee registered for an upcoming CPR course during today’s visit. First Aid Supplies A violation was cited today for not having first aid supplies located in the designated caregiving space. According to child care rule .1719(a)(3), 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 keeping First Aid supplies in a place accessible to the operator. The operator found a first aid kit in a non-caregiving space in the home, and put it in the designated caregiving space. Nutrition Standards: A violation was cited today for missing food components on the menu and in the lunch served. According to 10A NCAC 09 .0901, Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. A copy of the Meal Patterns for Children in Child Care Programs was left with N. Fisher. Reminders Staff Medical Requirements According to your records, the health questionnaires for both staff are due to expire on October 19, 2024. To remain in compliance with child care rules, please ensure that an updated health questionnaire is completed and placed in each staff member’s file prior to the expiration date. Natural Outdoor Learning Initiative The DCDEE has a new initiative – Natural Outdoor Learning Initiative. Through this initiative, we hope to: increase knowledge and confidence for everyone in developing and implementing best practices to support the creation, programming, and safe use of naturalized outdoor spaces in child care facilities. You can learn more by visiting the NLI website, where you will also find many resources, including an updated Toolkit designed to help you enhance your outdoor learning environment. The downloadable NLI Toolkit is available at: https://naturalearning.org/preschool-outdoor-toolkit. Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and Elementary School-Aged Children This free course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). This course is approved by the Division of Child Development and Early Education for 3 contact hours. For more information about the course, please visit https://bhs.unc.edu/teaching-whole-child-supporting-social-emotional-wellness-preschool-and-elementary-school-aged DCDEE Child Care Consultant Contact Information Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 if you have any questions, comments, or concerns. 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: KISHA'S LITTLE LAMB Facility ID: 26002553 Consultant: TIFFANY REED Operation Type: Family CC Home Case Number: Visit Date: 10/1/2024 Number Present: 2 Completed Date: 10/1/2024 Age: From 2 To 2 Total Minutes: 315 Time In: 09:00 AM Time Out: 02:15 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 with applicable child care requirements pertinent to an Annual Compliance visit, including Health and Safety Training. The previous Annual Compliance visit was completed on October 19, 2023, and prior to today’s visit, the eighteen-month compliance history score was 100% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued June 22, 2023. The license was based on the program earning 3 points in education standards, 7 points in program standards, and one quality point by choosing to meet a programmatic option of restricting infant capacity to no more than two children under one year of age. The information on record was verified as correct by Nakisha Fisher, Legal Designee. Current Inspections are as follows: Sanitation Classification of Superior was completed on February 26, 2024. M. McEachin, Operator, and N. Fisher were present while I observed the indoor and outdoor areas. Two (2) children were present upon my arrival. Children were observed participating in free-choice activities. Children had access to fine motor, blocks, literacy, dramatic-play, music and creative-art materials. A first aid kit was not accessible to staff in the caregiving space. M. McEachin had to leave the facility at 11:30am. Routine care and handwashing practices were observed. Lunch consisted of Salisbury steak with gravy, diced potatoes, broccoli, pineapple chunks, and milk. Two staff members’ files were reviewed. Two staff members had expired CPR certifications on file. One child’s record was reviewed, and all documentation was in compliance with applicable child care rules. Program files were reviewed, and all documentation was in compliance with applicable child care rules. The most recent sanitation inspection report was received during today’s visit. Transportation requirements were monitored and observed in compliance with applicable child care rules. At the completion of the visit, the Visit Summary was reviewed with N. Fisher. The following violations were observed: Violation Number Comment Rule 510 First-aid supplies were not kept in a place accessible to the operator. A first aid kit was not located in the designated caregiving space. The operator found a first aid kit in a non-caregiving space in the home, and put it in the designated caregiving space. 10 A NCAC 09 .1719(a )(9) 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. M. McEachin, Operator, and N. Fisher, Lead Teacher, did not renew CPR certification before it expired on 4/30/2024. .1703(a)(3) 601 Nutritious meals and snacks served did not meet Meal Patterns for Children in Child Care Programs. For lunch, children were served Salisbury steak, diced potatoes, broccoli, pineapple chunks, and milk. A grain component was not served with lunch. 10A NCAC 09. 1706(a) 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. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on October 15, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA CPR Requirements A violation was cited today for staff not having current CPR certification. According to child care rule 10A NCAC 09 .1703(a)(3), after receiving a license, the family child care home operator and additional caregivers shall renew CPR certification by completing a CPR course on or before the expiration of the certification appropriate for the ages of children in care. The lead teacher/legal designee registered for an upcoming CPR course during today’s visit. First Aid Supplies A violation was cited today for not having first aid supplies located in the designated caregiving space. According to child care rule .1719(a)(3), 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 keeping First Aid supplies in a place accessible to the operator. The operator found a first aid kit in a non-caregiving space in the home, and put it in the designated caregiving space. Nutrition Standards: A violation was cited today for missing food components on the menu and in the lunch served. According to 10A NCAC 09 .0901, Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. A copy of the Meal Patterns for Children in Child Care Programs was left with N. Fisher. Reminders Staff Medical Requirements According to your records, the health questionnaires for both staff are due to expire on October 19, 2024. To remain in compliance with child care rules, please ensure that an updated health questionnaire is completed and placed in each staff member’s file prior to the expiration date. Natural Outdoor Learning Initiative The DCDEE has a new initiative – Natural Outdoor Learning Initiative. Through this initiative, we hope to: increase knowledge and confidence for everyone in developing and implementing best practices to support the creation, programming, and safe use of naturalized outdoor spaces in child care facilities. You can learn more by visiting the NLI website, where you will also find many resources, including an updated Toolkit designed to help you enhance your outdoor learning environment. The downloadable NLI Toolkit is available at: https://naturalearning.org/preschool-outdoor-toolkit. Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and Elementary School-Aged Children This free course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). This course is approved by the Division of Child Development and Early Education for 3 contact hours. For more information about the course, please visit https://bhs.unc.edu/teaching-whole-child-supporting-social-emotional-wellness-preschool-and-elementary-school-aged DCDEE Child Care Consultant Contact Information Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 if you have any questions, comments, or concerns. 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: KISHA'S LITTLE LAMB Facility ID: 26002553 Consultant: TIFFANY REED Operation Type: Family CC Home Case Number: Visit Date: 10/1/2024 Number Present: 2 Completed Date: 10/1/2024 Age: From 2 To 2 Total Minutes: 315 Time In: 09:00 AM Time Out: 02:15 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 with applicable child care requirements pertinent to an Annual Compliance visit, including Health and Safety Training. The previous Annual Compliance visit was completed on October 19, 2023, and prior to today’s visit, the eighteen-month compliance history score was 100% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued June 22, 2023. The license was based on the program earning 3 points in education standards, 7 points in program standards, and one quality point by choosing to meet a programmatic option of restricting infant capacity to no more than two children under one year of age. The information on record was verified as correct by Nakisha Fisher, Legal Designee. Current Inspections are as follows: Sanitation Classification of Superior was completed on February 26, 2024. M. McEachin, Operator, and N. Fisher were present while I observed the indoor and outdoor areas. Two (2) children were present upon my arrival. Children were observed participating in free-choice activities. Children had access to fine motor, blocks, literacy, dramatic-play, music and creative-art materials. A first aid kit was not accessible to staff in the caregiving space. M. McEachin had to leave the facility at 11:30am. Routine care and handwashing practices were observed. Lunch consisted of Salisbury steak with gravy, diced potatoes, broccoli, pineapple chunks, and milk. Two staff members’ files were reviewed. Two staff members had expired CPR certifications on file. One child’s record was reviewed, and all documentation was in compliance with applicable child care rules. Program files were reviewed, and all documentation was in compliance with applicable child care rules. The most recent sanitation inspection report was received during today’s visit. Transportation requirements were monitored and observed in compliance with applicable child care rules. At the completion of the visit, the Visit Summary was reviewed with N. Fisher. The following violations were observed: Violation Number Comment Rule 510 First-aid supplies were not kept in a place accessible to the operator. A first aid kit was not located in the designated caregiving space. The operator found a first aid kit in a non-caregiving space in the home, and put it in the designated caregiving space. 10 A NCAC 09 .1719(a )(9) 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. M. McEachin, Operator, and N. Fisher, Lead Teacher, did not renew CPR certification before it expired on 4/30/2024. .1703(a)(3) 601 Nutritious meals and snacks served did not meet Meal Patterns for Children in Child Care Programs. For lunch, children were served Salisbury steak, diced potatoes, broccoli, pineapple chunks, and milk. A grain component was not served with lunch. 10A NCAC 09. 1706(a) 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. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on October 15, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA CPR Requirements A violation was cited today for staff not having current CPR certification. According to child care rule 10A NCAC 09 .1703(a)(3), after receiving a license, the family child care home operator and additional caregivers shall renew CPR certification by completing a CPR course on or before the expiration of the certification appropriate for the ages of children in care. The lead teacher/legal designee registered for an upcoming CPR course during today’s visit. First Aid Supplies A violation was cited today for not having first aid supplies located in the designated caregiving space. According to child care rule .1719(a)(3), 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 keeping First Aid supplies in a place accessible to the operator. The operator found a first aid kit in a non-caregiving space in the home, and put it in the designated caregiving space. Nutrition Standards: A violation was cited today for missing food components on the menu and in the lunch served. According to 10A NCAC 09 .0901, Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. A copy of the Meal Patterns for Children in Child Care Programs was left with N. Fisher. Reminders Staff Medical Requirements According to your records, the health questionnaires for both staff are due to expire on October 19, 2024. To remain in compliance with child care rules, please ensure that an updated health questionnaire is completed and placed in each staff member’s file prior to the expiration date. Natural Outdoor Learning Initiative The DCDEE has a new initiative – Natural Outdoor Learning Initiative. Through this initiative, we hope to: increase knowledge and confidence for everyone in developing and implementing best practices to support the creation, programming, and safe use of naturalized outdoor spaces in child care facilities. You can learn more by visiting the NLI website, where you will also find many resources, including an updated Toolkit designed to help you enhance your outdoor learning environment. The downloadable NLI Toolkit is available at: https://naturalearning.org/preschool-outdoor-toolkit. Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and Elementary School-Aged Children This free course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). This course is approved by the Division of Child Development and Early Education for 3 contact hours. For more information about the course, please visit https://bhs.unc.edu/teaching-whole-child-supporting-social-emotional-wellness-preschool-and-elementary-school-aged DCDEE Child Care Consultant Contact Information Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 if you have any questions, comments, or concerns. 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: KISHA'S LITTLE LAMB Facility ID: 26002553 Consultant: TIFFANY REED Operation Type: Family CC Home Case Number: Visit Date: 10/19/2023 Number Present: 3 Completed Date: 10/19/2023 Age: From 2 To 3 Total Minutes: 255 Time In: 09:00 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous Initial Assessment visit was completed on October 20, 2022, and prior to today’s visit, the eighteen-month compliance history score was 96% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued June 22, 2023. The license was based on the program earning 3 points in education standards, 7 points in program standards, and one quality point by choosing to meet a programmatic option of restricting infant capacity to no more than two children under one year of age. The information on record was verified as correct by Mary McEachin, Operator. Current Inspections are as follows: Sanitation Classification of Superior was completed on September 11, 2023. Fire Classification of Approved was completed on July 11, 2023. M. McEachin, Operator, and Nakisha Fisher, Lead Teacher, were present while I observed the indoor and outdoor areas. Three (3) children were present upon my arrival. Children were observed participating in free-choice activities. Children had access to the following activity areas: fine motor, blocks, literacy, dramatic-play, and music and movement. One child sat at a child-sized table, putting together an animal puzzle. One child sat on the floor with the teacher, putting together a jumbo dinosaur puzzle. One child came up to the teacher with a magnetic block. The teacher asked the child, “What shape do you have?” The child responded by saying, “Triangle!” The teacher asked the child, “What color is your triangle?” The child answered by saying, “Blue!” Lunch consisted of chicken nuggets, green beans, applesauce, whole wheat bread and milk. Routine care and handwashing practices were observed. Two staff files were reviewed. Two staff did not complete a staff health questionnaire before the expiration date. Two children’s records were reviewed, and all documentation was in compliance. Program files were reviewed. The most recent sanitation inspection report was received during today’s visit. Transportation requirements were monitored and in compliance. At the completion of the visit, the Visit Summary was reviewed with N. Fisher. The following violations were observed: Violation Number Comment Rule 908 Health questionnaire was not completed annually. Two staff members did not complete a health questionnaire before the previous questionnaire's expiration date. Health questionnaires were updated during today's visit. .1703(a)(1) 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. Violations observed and documented today may impact the compliance history score. Facility Specific TA Staff Record Keeping Requirements A violation was cited today for staff members not having a current staff health questionnaire on file. According to Child Care Rule .1703(a)(1), family child care home operators shall update the health questionnaire annually. The Division may request an evaluation of the operator's emotional and physical fitness to care for children when there is reason to believe that there has been a deterioration in the operator's emotional or physical fitness to care for children. This request may be based upon factors such as observations by the director or center staff, reports of concern from family, reports from law enforcement or reports from medical personnel. The operator stated that she will make a note to remind her to complete them before they expire next year. Reminders July 2023 Child Care Rule Changes The DCDEE is excited to share information about the July 2023 child care rule changes. The NC Child Care Commission revised rules related to staff/child ratios for multi-age groups; cooperative arrangements; and enhanced space requirements. These rule changes may or may not impact your facility. The multi-age group staff/child ratio changes support a previous rule change submitted by Early Head Start and the new rule for defining cooperative arrangements provides clarification to a previous change in statute. July 2023 New Child Care Rule Rollout A New Rule Amendments Overview module has been added to the Child Care Rules Training on DCDEE Moodle. If you are unfamiliar with the Child Care Rule Rollout within Moodle, learn how to navigate Moodle. To access Moodle, you will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, register for an individual NCID at https://ncid.nc.gov/ncidsspr/. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814- 6326. Challenging Behaviors Hotline: Do you have children who bite? Do children struggle to focus during circle time? Do challenging behaviors cause difficult transitions? Do you spend all day managing behavior? Are you at your wits' end? Help is available for these and other behavior challenges! The Challenging Behaviors Hotline has opened and is provided for Free. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 if you have any questions, comments, or concerns. 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: ratio. Open / not marked corrected.