Home Away From Home Childcare Center

10A NCAC 09 .0302 · Violation

Name of Operation: HOME AWAY FROM HOME CHILDCARE CENTER Facility ID: 21000067 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 1/7/2026 Number Present: 16 Completed Date: 1/7/2026 Age: From 1 To 3 Total Minutes: 265 Time In: 11:20 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. D. Long, Administrator assisted me with the visit upon arrival. You arrived shortly after and assisted. Your program currently operates with a four-star license, issued January 9, 2018, earning 37 points in the education component, 32 points in the program standards component (meeting enhanced space) and 1 quality point for having reduced group size by one in each group at the seven-point level as required in rule .2818(c). Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. You stated your program is currently using the Creative Curriculum and Letter Land. The last annual compliance visit was conducted on March 12, 2025. The sanitation inspection was completed April 10, 2025, with a “Superior” classification. The last fire inspection was conducted on January 1, 2026 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent as of January 7, 2026. NC Secretary of State website was reviewed on January 7, 2026, and Home Away from Home Childcare Center, Inc. was listed as current- active. I visited each indoor and outdoor space during my observation. Children enrolled in space #1 were eating lunch, completing toileting and hand-washing routines, interacting with caregivers, and napping. Children under twelve months old received care according to individual needs including diapering and bottle feeding. Proper hand-washing techniques and diaper changing procedures were observed. Lunch was observed and consisted of hot dogs, mashed potatoes, pineapple tidbits, and milk. The following violations were documented: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Departure times were not recorded for twelve children between the dates of December 1, 2025, and January 6, 2026. 10A NCAC 09 .0302(d)(4) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. One (1) caregiver was observed providing care to twelve (12) children ranging from ages one to three (3) years old for approximately three (3) to four (4) minutes in Space # 1A. GS 110-91(7);.0713(a-d) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Children ranging from ages one (1) to three (3) years old were grouped together in Space # 1A. 10A NCAC 09 .0713(a)(6) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in Space #3 for infant/toddler children. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. The bottle served to an infant during lunch was not labeled with the name and date. 15A NCAC 18A .2804(d) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. two bags of bean in plastic wrapping and a plastic grocery bag was in space accessible to children under age three (3) in Space #1B. .0604(q) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A health assessment was not on file for one preschool child enrolled on December 7, 2022. GS110-91(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. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before January 21, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Keshia Hayward, Child Care Consultant PO Box 13, 2026 Ahoskie, NC 27910 keshia.hayward@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 TECHNICAL ASSISTANCE: STAFF/CHILD RATIO & GROUPING OF CHILDREN: One caregiver was observed providing care for a group of twelve children ranging in age from one (1) to three (3) years old. During my observation, the second caregiver assigned to the classroom left both the class and the premises. You were currently in Space 3 at the time. You contacted the second caregiver and requested that she return to the classroom to continue assisting. I reminded you that staff/child ratio for each group of children must always be maintained. Additionally, I informed you that one (1) year old children could not be grouped with children who are three (3) and older. It was reported the two children identified would turn two years old at the end of the month. I explained they would need to remain separated from the older children until their second birthday. Appropriate staffing and age grouping must always be maintained, including during staff breaks, emergencies, and unexpected absences. Research indicates that group size and staff/child ratios are strong indicators of the quality of child care. Sufficient staff should be available to provide children with supervision, frequent personal contact, meaningful learning activities, and immediate care as needed. Smaller groups and lower staff to child ratios are related to positive outcomes for children, including increased adult-child interaction, less aggression and more cooperation among children. I recommend you monitor the number and ages of children throughout the day and adjust as needed to ensure staff/child ratio is maintained. You should continue to monitor and implement strategies that will help you and staff with maintaining staff/child ratios. FOLLOW-UP VISIT: An unannounced follow-up visit will be conducted to monitor staff/child ratio and grouping of children. SAFE ENVIRONMENT: We talked about ensuring the classrooms are checked daily to ensure potential hazards are identified and removed. It is best practice to remain aware of classroom age changes to ensure materials are adjusted for the age of children served. Item such as beans could pose a chocking hazard if ingested by younger children. Also, plastic should be stored in spaces inaccessible to children under the age of three. Materials that are broken and could injure children should immediately be removed. These items could be identified during outdoor play inspections and placed outside of the play area. You corrected this during the visit by removing the damaged materials from the playground. NUTRITION REQUIREMENTS: Bottles brough to the center by parents should be labeled with the child’s name and date. A bottle served to an infant during lunchtime did not include this information. I suggested creating a label with the required information and placing it on the bottle if parents forget to do so. This will help with maintaining compliance with nutrition requirements. Label could be prepared in advance and added upon arrival if missing. MEDICAL ASSESSMENT: The health assessment for one preschool child was missing. You contacted the child’s parent during the visit to request a copy of the health assessment. You stated the parent would be emailing the document to you as requested. I advised you to complete periodic file reviews to check and ensure all required documentation remains in the files. EMERGENCY PREPAREDNESS AND RESPONSE PLAN: You stated the EPR portal would not allow you to update the plan; therefore, you allowed staff to review information in the current plan and sign verify this. You also reported that technical support could not be retrieved; however, you would be permitted to create a new plan. I advised you to reach out to the Risk Management portal tech support for assistance. If the issue cannot be resolved, a new plan will need to be created to meet compliance requirements. STAFF/TRAINING WORKSHEET: I requested that you send me the staff and training worksheet by tomorrow, January 8, 2025. ABCMS PORTAL: I shared that the staff roster was not available on the ABCMS portal. You stated you are still trying to access the system to retrieve the code. Once received, you should provide the code to staff so they can add to their criminal background check to ensure they are linked to the program’s roster. You will need to return to the portal after staff have linked themselves to update the information required. This ensures staff can be viewed when the roster is checked. QRIS CONVERSATION: Today we discussed the three pathways available. We reviewed in detail and discussed the requirements of your anticipated pathway choice as well as the resources, and the support you may need to assist you with the application process. During the conversation, we talked about developing a plan to complete the application process within the next six months. You stated that Pathway 2, Classroom & Instructional Quality would be the best option for your program. We reviewed the requirements for this pathway and discussed a timeline to apply for a rated license. CONTINUOUS QUALITY IMPROVEMENT (CQI) PLAN AND PROFESSIONAL DEVELOPMENT PLAN: This plan is meant to be an intentional process that you will use to identify areas of growth and determine a path toward enhanced teaching, learning and practices that achieve better outcomes for children, staff, and programs. This process will build over time, using established goals to support both you in achieving and maintaining long term quality care within your program. All plans should identify a goal, what is needed to accomplish the goal, why the goal is needed, and an annual review of progress toward the goal. It is possible that a goal is achieved, and a new goal is set during your annual review. It is also possible that there were challenges in completing a goal that are documented during the annual review. Revising and changing goals is expected to be part of this process. FAMILY AND COMMUNITY ENGAGEMENT STANDARDS: These new rules require that a program offers engagement opportunities through foundational practices and engagement opportunities. It is up to each individual family to determine if and how they would like to participate in offered activities. At the 3-, 4- and 5-star levels, foundational practices continue but you will choose additional options that best fit the needs of your families. The number of choices increases as the star rating increases. We reviewed and discussed many of the options that you are already providing for your families. We discussed ways that you can document these options. APPROVED CURRICULUM: This pathway requires curriculum to be implemented for all ages served by the program, ensuring quality practices that are developmentally appropriate for each age group. Child-focused planning through observation of individual growth and development is included in this pathway. Your program utilizes the Creative Curriculum with Teaching Strategies along with Letter Land. EDUCATION STANDARDS: We reviewed the requirements in the education standard for staff role based on the selected star level. I request that you complete and submit the QRIS Staff Information and Education Worksheet and return it to me along with the application when the application is submitted. Be sure all current and updated education for staff is uploaded in the DCDEE WORKS system. Only evaluated education and experience will be included to determine your star level. SUPPORT AND RESOURCES: You share the following support, and resources would be needed to help ensure a smooth transition to the Pathway to the Star. -Training and Guidance from your local Partnership for Children -Support from your consultant with clarity if needed regarding requirements and guidance throughout the process regarding expected timeframes -Access and availability to training and CEU’s when needed -Continual Guidance from the Child Care Consultant At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. RAISE NC NEWSLETTER: The Raise NC Newsletter, sent directly to providers via email, contains valuable and up-to-date information about important updates and changes within the child care sector in North Carolina. I encourage you to set aside time to read each issue upon receipt to ensure you remain informed and updated on the latest developments, resources and guidance impacting child care programs. Staying connected helps support quality child care and compliance across the state. NCID CREDENTIALS: Please remember to use your NCID credential periodically to prevent your user ID and password from becoming inactive. If your NCID credentials are not used within a twelve (12) to fifteen (15) month period, access to your account may be restricted. due to inactivity. To avoid disruption, it is strongly recommended that you schedule regular logins to ensure your credentials remain active and valid. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. Contact me at Keshia Hayward, Child Craeareare Consultant, 252-214-2709, or email Keshia.hayward@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, or email jennifer.linhardt @dhhs.nc.gov) if you have questions. 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 .0713 · Violation

Name of Operation: HOME AWAY FROM HOME CHILDCARE CENTER Facility ID: 21000067 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 1/7/2026 Number Present: 16 Completed Date: 1/7/2026 Age: From 1 To 3 Total Minutes: 265 Time In: 11:20 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. D. Long, Administrator assisted me with the visit upon arrival. You arrived shortly after and assisted. Your program currently operates with a four-star license, issued January 9, 2018, earning 37 points in the education component, 32 points in the program standards component (meeting enhanced space) and 1 quality point for having reduced group size by one in each group at the seven-point level as required in rule .2818(c). Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. You stated your program is currently using the Creative Curriculum and Letter Land. The last annual compliance visit was conducted on March 12, 2025. The sanitation inspection was completed April 10, 2025, with a “Superior” classification. The last fire inspection was conducted on January 1, 2026 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent as of January 7, 2026. NC Secretary of State website was reviewed on January 7, 2026, and Home Away from Home Childcare Center, Inc. was listed as current- active. I visited each indoor and outdoor space during my observation. Children enrolled in space #1 were eating lunch, completing toileting and hand-washing routines, interacting with caregivers, and napping. Children under twelve months old received care according to individual needs including diapering and bottle feeding. Proper hand-washing techniques and diaper changing procedures were observed. Lunch was observed and consisted of hot dogs, mashed potatoes, pineapple tidbits, and milk. The following violations were documented: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Departure times were not recorded for twelve children between the dates of December 1, 2025, and January 6, 2026. 10A NCAC 09 .0302(d)(4) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. One (1) caregiver was observed providing care to twelve (12) children ranging from ages one to three (3) years old for approximately three (3) to four (4) minutes in Space # 1A. GS 110-91(7);.0713(a-d) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Children ranging from ages one (1) to three (3) years old were grouped together in Space # 1A. 10A NCAC 09 .0713(a)(6) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in Space #3 for infant/toddler children. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. The bottle served to an infant during lunch was not labeled with the name and date. 15A NCAC 18A .2804(d) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. two bags of bean in plastic wrapping and a plastic grocery bag was in space accessible to children under age three (3) in Space #1B. .0604(q) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A health assessment was not on file for one preschool child enrolled on December 7, 2022. GS110-91(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. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before January 21, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Keshia Hayward, Child Care Consultant PO Box 13, 2026 Ahoskie, NC 27910 keshia.hayward@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 TECHNICAL ASSISTANCE: STAFF/CHILD RATIO & GROUPING OF CHILDREN: One caregiver was observed providing care for a group of twelve children ranging in age from one (1) to three (3) years old. During my observation, the second caregiver assigned to the classroom left both the class and the premises. You were currently in Space 3 at the time. You contacted the second caregiver and requested that she return to the classroom to continue assisting. I reminded you that staff/child ratio for each group of children must always be maintained. Additionally, I informed you that one (1) year old children could not be grouped with children who are three (3) and older. It was reported the two children identified would turn two years old at the end of the month. I explained they would need to remain separated from the older children until their second birthday. Appropriate staffing and age grouping must always be maintained, including during staff breaks, emergencies, and unexpected absences. Research indicates that group size and staff/child ratios are strong indicators of the quality of child care. Sufficient staff should be available to provide children with supervision, frequent personal contact, meaningful learning activities, and immediate care as needed. Smaller groups and lower staff to child ratios are related to positive outcomes for children, including increased adult-child interaction, less aggression and more cooperation among children. I recommend you monitor the number and ages of children throughout the day and adjust as needed to ensure staff/child ratio is maintained. You should continue to monitor and implement strategies that will help you and staff with maintaining staff/child ratios. FOLLOW-UP VISIT: An unannounced follow-up visit will be conducted to monitor staff/child ratio and grouping of children. SAFE ENVIRONMENT: We talked about ensuring the classrooms are checked daily to ensure potential hazards are identified and removed. It is best practice to remain aware of classroom age changes to ensure materials are adjusted for the age of children served. Item such as beans could pose a chocking hazard if ingested by younger children. Also, plastic should be stored in spaces inaccessible to children under the age of three. Materials that are broken and could injure children should immediately be removed. These items could be identified during outdoor play inspections and placed outside of the play area. You corrected this during the visit by removing the damaged materials from the playground. NUTRITION REQUIREMENTS: Bottles brough to the center by parents should be labeled with the child’s name and date. A bottle served to an infant during lunchtime did not include this information. I suggested creating a label with the required information and placing it on the bottle if parents forget to do so. This will help with maintaining compliance with nutrition requirements. Label could be prepared in advance and added upon arrival if missing. MEDICAL ASSESSMENT: The health assessment for one preschool child was missing. You contacted the child’s parent during the visit to request a copy of the health assessment. You stated the parent would be emailing the document to you as requested. I advised you to complete periodic file reviews to check and ensure all required documentation remains in the files. EMERGENCY PREPAREDNESS AND RESPONSE PLAN: You stated the EPR portal would not allow you to update the plan; therefore, you allowed staff to review information in the current plan and sign verify this. You also reported that technical support could not be retrieved; however, you would be permitted to create a new plan. I advised you to reach out to the Risk Management portal tech support for assistance. If the issue cannot be resolved, a new plan will need to be created to meet compliance requirements. STAFF/TRAINING WORKSHEET: I requested that you send me the staff and training worksheet by tomorrow, January 8, 2025. ABCMS PORTAL: I shared that the staff roster was not available on the ABCMS portal. You stated you are still trying to access the system to retrieve the code. Once received, you should provide the code to staff so they can add to their criminal background check to ensure they are linked to the program’s roster. You will need to return to the portal after staff have linked themselves to update the information required. This ensures staff can be viewed when the roster is checked. QRIS CONVERSATION: Today we discussed the three pathways available. We reviewed in detail and discussed the requirements of your anticipated pathway choice as well as the resources, and the support you may need to assist you with the application process. During the conversation, we talked about developing a plan to complete the application process within the next six months. You stated that Pathway 2, Classroom & Instructional Quality would be the best option for your program. We reviewed the requirements for this pathway and discussed a timeline to apply for a rated license. CONTINUOUS QUALITY IMPROVEMENT (CQI) PLAN AND PROFESSIONAL DEVELOPMENT PLAN: This plan is meant to be an intentional process that you will use to identify areas of growth and determine a path toward enhanced teaching, learning and practices that achieve better outcomes for children, staff, and programs. This process will build over time, using established goals to support both you in achieving and maintaining long term quality care within your program. All plans should identify a goal, what is needed to accomplish the goal, why the goal is needed, and an annual review of progress toward the goal. It is possible that a goal is achieved, and a new goal is set during your annual review. It is also possible that there were challenges in completing a goal that are documented during the annual review. Revising and changing goals is expected to be part of this process. FAMILY AND COMMUNITY ENGAGEMENT STANDARDS: These new rules require that a program offers engagement opportunities through foundational practices and engagement opportunities. It is up to each individual family to determine if and how they would like to participate in offered activities. At the 3-, 4- and 5-star levels, foundational practices continue but you will choose additional options that best fit the needs of your families. The number of choices increases as the star rating increases. We reviewed and discussed many of the options that you are already providing for your families. We discussed ways that you can document these options. APPROVED CURRICULUM: This pathway requires curriculum to be implemented for all ages served by the program, ensuring quality practices that are developmentally appropriate for each age group. Child-focused planning through observation of individual growth and development is included in this pathway. Your program utilizes the Creative Curriculum with Teaching Strategies along with Letter Land. EDUCATION STANDARDS: We reviewed the requirements in the education standard for staff role based on the selected star level. I request that you complete and submit the QRIS Staff Information and Education Worksheet and return it to me along with the application when the application is submitted. Be sure all current and updated education for staff is uploaded in the DCDEE WORKS system. Only evaluated education and experience will be included to determine your star level. SUPPORT AND RESOURCES: You share the following support, and resources would be needed to help ensure a smooth transition to the Pathway to the Star. -Training and Guidance from your local Partnership for Children -Support from your consultant with clarity if needed regarding requirements and guidance throughout the process regarding expected timeframes -Access and availability to training and CEU’s when needed -Continual Guidance from the Child Care Consultant At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. RAISE NC NEWSLETTER: The Raise NC Newsletter, sent directly to providers via email, contains valuable and up-to-date information about important updates and changes within the child care sector in North Carolina. I encourage you to set aside time to read each issue upon receipt to ensure you remain informed and updated on the latest developments, resources and guidance impacting child care programs. Staying connected helps support quality child care and compliance across the state. NCID CREDENTIALS: Please remember to use your NCID credential periodically to prevent your user ID and password from becoming inactive. If your NCID credentials are not used within a twelve (12) to fifteen (15) month period, access to your account may be restricted. due to inactivity. To avoid disruption, it is strongly recommended that you schedule regular logins to ensure your credentials remain active and valid. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. Contact me at Keshia Hayward, Child Craeareare Consultant, 252-214-2709, or email Keshia.hayward@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, or email jennifer.linhardt @dhhs.nc.gov) if you have questions. 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: HOME AWAY FROM HOME CHILDCARE CENTER Facility ID: 21000067 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 1/7/2026 Number Present: 16 Completed Date: 1/7/2026 Age: From 1 To 3 Total Minutes: 265 Time In: 11:20 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. D. Long, Administrator assisted me with the visit upon arrival. You arrived shortly after and assisted. Your program currently operates with a four-star license, issued January 9, 2018, earning 37 points in the education component, 32 points in the program standards component (meeting enhanced space) and 1 quality point for having reduced group size by one in each group at the seven-point level as required in rule .2818(c). Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. You stated your program is currently using the Creative Curriculum and Letter Land. The last annual compliance visit was conducted on March 12, 2025. The sanitation inspection was completed April 10, 2025, with a “Superior” classification. The last fire inspection was conducted on January 1, 2026 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent as of January 7, 2026. NC Secretary of State website was reviewed on January 7, 2026, and Home Away from Home Childcare Center, Inc. was listed as current- active. I visited each indoor and outdoor space during my observation. Children enrolled in space #1 were eating lunch, completing toileting and hand-washing routines, interacting with caregivers, and napping. Children under twelve months old received care according to individual needs including diapering and bottle feeding. Proper hand-washing techniques and diaper changing procedures were observed. Lunch was observed and consisted of hot dogs, mashed potatoes, pineapple tidbits, and milk. The following violations were documented: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Departure times were not recorded for twelve children between the dates of December 1, 2025, and January 6, 2026. 10A NCAC 09 .0302(d)(4) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. One (1) caregiver was observed providing care to twelve (12) children ranging from ages one to three (3) years old for approximately three (3) to four (4) minutes in Space # 1A. GS 110-91(7);.0713(a-d) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Children ranging from ages one (1) to three (3) years old were grouped together in Space # 1A. 10A NCAC 09 .0713(a)(6) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in Space #3 for infant/toddler children. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. The bottle served to an infant during lunch was not labeled with the name and date. 15A NCAC 18A .2804(d) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. two bags of bean in plastic wrapping and a plastic grocery bag was in space accessible to children under age three (3) in Space #1B. .0604(q) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A health assessment was not on file for one preschool child enrolled on December 7, 2022. GS110-91(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. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before January 21, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Keshia Hayward, Child Care Consultant PO Box 13, 2026 Ahoskie, NC 27910 keshia.hayward@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 TECHNICAL ASSISTANCE: STAFF/CHILD RATIO & GROUPING OF CHILDREN: One caregiver was observed providing care for a group of twelve children ranging in age from one (1) to three (3) years old. During my observation, the second caregiver assigned to the classroom left both the class and the premises. You were currently in Space 3 at the time. You contacted the second caregiver and requested that she return to the classroom to continue assisting. I reminded you that staff/child ratio for each group of children must always be maintained. Additionally, I informed you that one (1) year old children could not be grouped with children who are three (3) and older. It was reported the two children identified would turn two years old at the end of the month. I explained they would need to remain separated from the older children until their second birthday. Appropriate staffing and age grouping must always be maintained, including during staff breaks, emergencies, and unexpected absences. Research indicates that group size and staff/child ratios are strong indicators of the quality of child care. Sufficient staff should be available to provide children with supervision, frequent personal contact, meaningful learning activities, and immediate care as needed. Smaller groups and lower staff to child ratios are related to positive outcomes for children, including increased adult-child interaction, less aggression and more cooperation among children. I recommend you monitor the number and ages of children throughout the day and adjust as needed to ensure staff/child ratio is maintained. You should continue to monitor and implement strategies that will help you and staff with maintaining staff/child ratios. FOLLOW-UP VISIT: An unannounced follow-up visit will be conducted to monitor staff/child ratio and grouping of children. SAFE ENVIRONMENT: We talked about ensuring the classrooms are checked daily to ensure potential hazards are identified and removed. It is best practice to remain aware of classroom age changes to ensure materials are adjusted for the age of children served. Item such as beans could pose a chocking hazard if ingested by younger children. Also, plastic should be stored in spaces inaccessible to children under the age of three. Materials that are broken and could injure children should immediately be removed. These items could be identified during outdoor play inspections and placed outside of the play area. You corrected this during the visit by removing the damaged materials from the playground. NUTRITION REQUIREMENTS: Bottles brough to the center by parents should be labeled with the child’s name and date. A bottle served to an infant during lunchtime did not include this information. I suggested creating a label with the required information and placing it on the bottle if parents forget to do so. This will help with maintaining compliance with nutrition requirements. Label could be prepared in advance and added upon arrival if missing. MEDICAL ASSESSMENT: The health assessment for one preschool child was missing. You contacted the child’s parent during the visit to request a copy of the health assessment. You stated the parent would be emailing the document to you as requested. I advised you to complete periodic file reviews to check and ensure all required documentation remains in the files. EMERGENCY PREPAREDNESS AND RESPONSE PLAN: You stated the EPR portal would not allow you to update the plan; therefore, you allowed staff to review information in the current plan and sign verify this. You also reported that technical support could not be retrieved; however, you would be permitted to create a new plan. I advised you to reach out to the Risk Management portal tech support for assistance. If the issue cannot be resolved, a new plan will need to be created to meet compliance requirements. STAFF/TRAINING WORKSHEET: I requested that you send me the staff and training worksheet by tomorrow, January 8, 2025. ABCMS PORTAL: I shared that the staff roster was not available on the ABCMS portal. You stated you are still trying to access the system to retrieve the code. Once received, you should provide the code to staff so they can add to their criminal background check to ensure they are linked to the program’s roster. You will need to return to the portal after staff have linked themselves to update the information required. This ensures staff can be viewed when the roster is checked. QRIS CONVERSATION: Today we discussed the three pathways available. We reviewed in detail and discussed the requirements of your anticipated pathway choice as well as the resources, and the support you may need to assist you with the application process. During the conversation, we talked about developing a plan to complete the application process within the next six months. You stated that Pathway 2, Classroom & Instructional Quality would be the best option for your program. We reviewed the requirements for this pathway and discussed a timeline to apply for a rated license. CONTINUOUS QUALITY IMPROVEMENT (CQI) PLAN AND PROFESSIONAL DEVELOPMENT PLAN: This plan is meant to be an intentional process that you will use to identify areas of growth and determine a path toward enhanced teaching, learning and practices that achieve better outcomes for children, staff, and programs. This process will build over time, using established goals to support both you in achieving and maintaining long term quality care within your program. All plans should identify a goal, what is needed to accomplish the goal, why the goal is needed, and an annual review of progress toward the goal. It is possible that a goal is achieved, and a new goal is set during your annual review. It is also possible that there were challenges in completing a goal that are documented during the annual review. Revising and changing goals is expected to be part of this process. FAMILY AND COMMUNITY ENGAGEMENT STANDARDS: These new rules require that a program offers engagement opportunities through foundational practices and engagement opportunities. It is up to each individual family to determine if and how they would like to participate in offered activities. At the 3-, 4- and 5-star levels, foundational practices continue but you will choose additional options that best fit the needs of your families. The number of choices increases as the star rating increases. We reviewed and discussed many of the options that you are already providing for your families. We discussed ways that you can document these options. APPROVED CURRICULUM: This pathway requires curriculum to be implemented for all ages served by the program, ensuring quality practices that are developmentally appropriate for each age group. Child-focused planning through observation of individual growth and development is included in this pathway. Your program utilizes the Creative Curriculum with Teaching Strategies along with Letter Land. EDUCATION STANDARDS: We reviewed the requirements in the education standard for staff role based on the selected star level. I request that you complete and submit the QRIS Staff Information and Education Worksheet and return it to me along with the application when the application is submitted. Be sure all current and updated education for staff is uploaded in the DCDEE WORKS system. Only evaluated education and experience will be included to determine your star level. SUPPORT AND RESOURCES: You share the following support, and resources would be needed to help ensure a smooth transition to the Pathway to the Star. -Training and Guidance from your local Partnership for Children -Support from your consultant with clarity if needed regarding requirements and guidance throughout the process regarding expected timeframes -Access and availability to training and CEU’s when needed -Continual Guidance from the Child Care Consultant At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. RAISE NC NEWSLETTER: The Raise NC Newsletter, sent directly to providers via email, contains valuable and up-to-date information about important updates and changes within the child care sector in North Carolina. I encourage you to set aside time to read each issue upon receipt to ensure you remain informed and updated on the latest developments, resources and guidance impacting child care programs. Staying connected helps support quality child care and compliance across the state. NCID CREDENTIALS: Please remember to use your NCID credential periodically to prevent your user ID and password from becoming inactive. If your NCID credentials are not used within a twelve (12) to fifteen (15) month period, access to your account may be restricted. due to inactivity. To avoid disruption, it is strongly recommended that you schedule regular logins to ensure your credentials remain active and valid. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. Contact me at Keshia Hayward, Child Craeareare Consultant, 252-214-2709, or email Keshia.hayward@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, or email jennifer.linhardt @dhhs.nc.gov) if you have questions. 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

GS110-91 · Violation

Name of Operation: HOME AWAY FROM HOME CHILDCARE CENTER Facility ID: 21000067 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 1/7/2026 Number Present: 16 Completed Date: 1/7/2026 Age: From 1 To 3 Total Minutes: 265 Time In: 11:20 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. D. Long, Administrator assisted me with the visit upon arrival. You arrived shortly after and assisted. Your program currently operates with a four-star license, issued January 9, 2018, earning 37 points in the education component, 32 points in the program standards component (meeting enhanced space) and 1 quality point for having reduced group size by one in each group at the seven-point level as required in rule .2818(c). Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. You stated your program is currently using the Creative Curriculum and Letter Land. The last annual compliance visit was conducted on March 12, 2025. The sanitation inspection was completed April 10, 2025, with a “Superior” classification. The last fire inspection was conducted on January 1, 2026 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent as of January 7, 2026. NC Secretary of State website was reviewed on January 7, 2026, and Home Away from Home Childcare Center, Inc. was listed as current- active. I visited each indoor and outdoor space during my observation. Children enrolled in space #1 were eating lunch, completing toileting and hand-washing routines, interacting with caregivers, and napping. Children under twelve months old received care according to individual needs including diapering and bottle feeding. Proper hand-washing techniques and diaper changing procedures were observed. Lunch was observed and consisted of hot dogs, mashed potatoes, pineapple tidbits, and milk. The following violations were documented: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Departure times were not recorded for twelve children between the dates of December 1, 2025, and January 6, 2026. 10A NCAC 09 .0302(d)(4) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. One (1) caregiver was observed providing care to twelve (12) children ranging from ages one to three (3) years old for approximately three (3) to four (4) minutes in Space # 1A. GS 110-91(7);.0713(a-d) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Children ranging from ages one (1) to three (3) years old were grouped together in Space # 1A. 10A NCAC 09 .0713(a)(6) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in Space #3 for infant/toddler children. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. The bottle served to an infant during lunch was not labeled with the name and date. 15A NCAC 18A .2804(d) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. two bags of bean in plastic wrapping and a plastic grocery bag was in space accessible to children under age three (3) in Space #1B. .0604(q) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A health assessment was not on file for one preschool child enrolled on December 7, 2022. GS110-91(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. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before January 21, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Keshia Hayward, Child Care Consultant PO Box 13, 2026 Ahoskie, NC 27910 keshia.hayward@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 TECHNICAL ASSISTANCE: STAFF/CHILD RATIO & GROUPING OF CHILDREN: One caregiver was observed providing care for a group of twelve children ranging in age from one (1) to three (3) years old. During my observation, the second caregiver assigned to the classroom left both the class and the premises. You were currently in Space 3 at the time. You contacted the second caregiver and requested that she return to the classroom to continue assisting. I reminded you that staff/child ratio for each group of children must always be maintained. Additionally, I informed you that one (1) year old children could not be grouped with children who are three (3) and older. It was reported the two children identified would turn two years old at the end of the month. I explained they would need to remain separated from the older children until their second birthday. Appropriate staffing and age grouping must always be maintained, including during staff breaks, emergencies, and unexpected absences. Research indicates that group size and staff/child ratios are strong indicators of the quality of child care. Sufficient staff should be available to provide children with supervision, frequent personal contact, meaningful learning activities, and immediate care as needed. Smaller groups and lower staff to child ratios are related to positive outcomes for children, including increased adult-child interaction, less aggression and more cooperation among children. I recommend you monitor the number and ages of children throughout the day and adjust as needed to ensure staff/child ratio is maintained. You should continue to monitor and implement strategies that will help you and staff with maintaining staff/child ratios. FOLLOW-UP VISIT: An unannounced follow-up visit will be conducted to monitor staff/child ratio and grouping of children. SAFE ENVIRONMENT: We talked about ensuring the classrooms are checked daily to ensure potential hazards are identified and removed. It is best practice to remain aware of classroom age changes to ensure materials are adjusted for the age of children served. Item such as beans could pose a chocking hazard if ingested by younger children. Also, plastic should be stored in spaces inaccessible to children under the age of three. Materials that are broken and could injure children should immediately be removed. These items could be identified during outdoor play inspections and placed outside of the play area. You corrected this during the visit by removing the damaged materials from the playground. NUTRITION REQUIREMENTS: Bottles brough to the center by parents should be labeled with the child’s name and date. A bottle served to an infant during lunchtime did not include this information. I suggested creating a label with the required information and placing it on the bottle if parents forget to do so. This will help with maintaining compliance with nutrition requirements. Label could be prepared in advance and added upon arrival if missing. MEDICAL ASSESSMENT: The health assessment for one preschool child was missing. You contacted the child’s parent during the visit to request a copy of the health assessment. You stated the parent would be emailing the document to you as requested. I advised you to complete periodic file reviews to check and ensure all required documentation remains in the files. EMERGENCY PREPAREDNESS AND RESPONSE PLAN: You stated the EPR portal would not allow you to update the plan; therefore, you allowed staff to review information in the current plan and sign verify this. You also reported that technical support could not be retrieved; however, you would be permitted to create a new plan. I advised you to reach out to the Risk Management portal tech support for assistance. If the issue cannot be resolved, a new plan will need to be created to meet compliance requirements. STAFF/TRAINING WORKSHEET: I requested that you send me the staff and training worksheet by tomorrow, January 8, 2025. ABCMS PORTAL: I shared that the staff roster was not available on the ABCMS portal. You stated you are still trying to access the system to retrieve the code. Once received, you should provide the code to staff so they can add to their criminal background check to ensure they are linked to the program’s roster. You will need to return to the portal after staff have linked themselves to update the information required. This ensures staff can be viewed when the roster is checked. QRIS CONVERSATION: Today we discussed the three pathways available. We reviewed in detail and discussed the requirements of your anticipated pathway choice as well as the resources, and the support you may need to assist you with the application process. During the conversation, we talked about developing a plan to complete the application process within the next six months. You stated that Pathway 2, Classroom & Instructional Quality would be the best option for your program. We reviewed the requirements for this pathway and discussed a timeline to apply for a rated license. CONTINUOUS QUALITY IMPROVEMENT (CQI) PLAN AND PROFESSIONAL DEVELOPMENT PLAN: This plan is meant to be an intentional process that you will use to identify areas of growth and determine a path toward enhanced teaching, learning and practices that achieve better outcomes for children, staff, and programs. This process will build over time, using established goals to support both you in achieving and maintaining long term quality care within your program. All plans should identify a goal, what is needed to accomplish the goal, why the goal is needed, and an annual review of progress toward the goal. It is possible that a goal is achieved, and a new goal is set during your annual review. It is also possible that there were challenges in completing a goal that are documented during the annual review. Revising and changing goals is expected to be part of this process. FAMILY AND COMMUNITY ENGAGEMENT STANDARDS: These new rules require that a program offers engagement opportunities through foundational practices and engagement opportunities. It is up to each individual family to determine if and how they would like to participate in offered activities. At the 3-, 4- and 5-star levels, foundational practices continue but you will choose additional options that best fit the needs of your families. The number of choices increases as the star rating increases. We reviewed and discussed many of the options that you are already providing for your families. We discussed ways that you can document these options. APPROVED CURRICULUM: This pathway requires curriculum to be implemented for all ages served by the program, ensuring quality practices that are developmentally appropriate for each age group. Child-focused planning through observation of individual growth and development is included in this pathway. Your program utilizes the Creative Curriculum with Teaching Strategies along with Letter Land. EDUCATION STANDARDS: We reviewed the requirements in the education standard for staff role based on the selected star level. I request that you complete and submit the QRIS Staff Information and Education Worksheet and return it to me along with the application when the application is submitted. Be sure all current and updated education for staff is uploaded in the DCDEE WORKS system. Only evaluated education and experience will be included to determine your star level. SUPPORT AND RESOURCES: You share the following support, and resources would be needed to help ensure a smooth transition to the Pathway to the Star. -Training and Guidance from your local Partnership for Children -Support from your consultant with clarity if needed regarding requirements and guidance throughout the process regarding expected timeframes -Access and availability to training and CEU’s when needed -Continual Guidance from the Child Care Consultant At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. RAISE NC NEWSLETTER: The Raise NC Newsletter, sent directly to providers via email, contains valuable and up-to-date information about important updates and changes within the child care sector in North Carolina. I encourage you to set aside time to read each issue upon receipt to ensure you remain informed and updated on the latest developments, resources and guidance impacting child care programs. Staying connected helps support quality child care and compliance across the state. NCID CREDENTIALS: Please remember to use your NCID credential periodically to prevent your user ID and password from becoming inactive. If your NCID credentials are not used within a twelve (12) to fifteen (15) month period, access to your account may be restricted. due to inactivity. To avoid disruption, it is strongly recommended that you schedule regular logins to ensure your credentials remain active and valid. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. Contact me at Keshia Hayward, Child Craeareare Consultant, 252-214-2709, or email Keshia.hayward@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, or email jennifer.linhardt @dhhs.nc.gov) if you have questions. 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: HOME AWAY FROM HOME CHILDCARE CENTER Facility ID: 21000067 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 1/7/2026 Number Present: 16 Completed Date: 1/7/2026 Age: From 1 To 3 Total Minutes: 265 Time In: 11:20 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. D. Long, Administrator assisted me with the visit upon arrival. You arrived shortly after and assisted. Your program currently operates with a four-star license, issued January 9, 2018, earning 37 points in the education component, 32 points in the program standards component (meeting enhanced space) and 1 quality point for having reduced group size by one in each group at the seven-point level as required in rule .2818(c). Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. You stated your program is currently using the Creative Curriculum and Letter Land. The last annual compliance visit was conducted on March 12, 2025. The sanitation inspection was completed April 10, 2025, with a “Superior” classification. The last fire inspection was conducted on January 1, 2026 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent as of January 7, 2026. NC Secretary of State website was reviewed on January 7, 2026, and Home Away from Home Childcare Center, Inc. was listed as current- active. I visited each indoor and outdoor space during my observation. Children enrolled in space #1 were eating lunch, completing toileting and hand-washing routines, interacting with caregivers, and napping. Children under twelve months old received care according to individual needs including diapering and bottle feeding. Proper hand-washing techniques and diaper changing procedures were observed. Lunch was observed and consisted of hot dogs, mashed potatoes, pineapple tidbits, and milk. The following violations were documented: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Departure times were not recorded for twelve children between the dates of December 1, 2025, and January 6, 2026. 10A NCAC 09 .0302(d)(4) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. One (1) caregiver was observed providing care to twelve (12) children ranging from ages one to three (3) years old for approximately three (3) to four (4) minutes in Space # 1A. GS 110-91(7);.0713(a-d) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Children ranging from ages one (1) to three (3) years old were grouped together in Space # 1A. 10A NCAC 09 .0713(a)(6) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in Space #3 for infant/toddler children. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. The bottle served to an infant during lunch was not labeled with the name and date. 15A NCAC 18A .2804(d) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. two bags of bean in plastic wrapping and a plastic grocery bag was in space accessible to children under age three (3) in Space #1B. .0604(q) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A health assessment was not on file for one preschool child enrolled on December 7, 2022. GS110-91(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. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before January 21, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Keshia Hayward, Child Care Consultant PO Box 13, 2026 Ahoskie, NC 27910 keshia.hayward@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 TECHNICAL ASSISTANCE: STAFF/CHILD RATIO & GROUPING OF CHILDREN: One caregiver was observed providing care for a group of twelve children ranging in age from one (1) to three (3) years old. During my observation, the second caregiver assigned to the classroom left both the class and the premises. You were currently in Space 3 at the time. You contacted the second caregiver and requested that she return to the classroom to continue assisting. I reminded you that staff/child ratio for each group of children must always be maintained. Additionally, I informed you that one (1) year old children could not be grouped with children who are three (3) and older. It was reported the two children identified would turn two years old at the end of the month. I explained they would need to remain separated from the older children until their second birthday. Appropriate staffing and age grouping must always be maintained, including during staff breaks, emergencies, and unexpected absences. Research indicates that group size and staff/child ratios are strong indicators of the quality of child care. Sufficient staff should be available to provide children with supervision, frequent personal contact, meaningful learning activities, and immediate care as needed. Smaller groups and lower staff to child ratios are related to positive outcomes for children, including increased adult-child interaction, less aggression and more cooperation among children. I recommend you monitor the number and ages of children throughout the day and adjust as needed to ensure staff/child ratio is maintained. You should continue to monitor and implement strategies that will help you and staff with maintaining staff/child ratios. FOLLOW-UP VISIT: An unannounced follow-up visit will be conducted to monitor staff/child ratio and grouping of children. SAFE ENVIRONMENT: We talked about ensuring the classrooms are checked daily to ensure potential hazards are identified and removed. It is best practice to remain aware of classroom age changes to ensure materials are adjusted for the age of children served. Item such as beans could pose a chocking hazard if ingested by younger children. Also, plastic should be stored in spaces inaccessible to children under the age of three. Materials that are broken and could injure children should immediately be removed. These items could be identified during outdoor play inspections and placed outside of the play area. You corrected this during the visit by removing the damaged materials from the playground. NUTRITION REQUIREMENTS: Bottles brough to the center by parents should be labeled with the child’s name and date. A bottle served to an infant during lunchtime did not include this information. I suggested creating a label with the required information and placing it on the bottle if parents forget to do so. This will help with maintaining compliance with nutrition requirements. Label could be prepared in advance and added upon arrival if missing. MEDICAL ASSESSMENT: The health assessment for one preschool child was missing. You contacted the child’s parent during the visit to request a copy of the health assessment. You stated the parent would be emailing the document to you as requested. I advised you to complete periodic file reviews to check and ensure all required documentation remains in the files. EMERGENCY PREPAREDNESS AND RESPONSE PLAN: You stated the EPR portal would not allow you to update the plan; therefore, you allowed staff to review information in the current plan and sign verify this. You also reported that technical support could not be retrieved; however, you would be permitted to create a new plan. I advised you to reach out to the Risk Management portal tech support for assistance. If the issue cannot be resolved, a new plan will need to be created to meet compliance requirements. STAFF/TRAINING WORKSHEET: I requested that you send me the staff and training worksheet by tomorrow, January 8, 2025. ABCMS PORTAL: I shared that the staff roster was not available on the ABCMS portal. You stated you are still trying to access the system to retrieve the code. Once received, you should provide the code to staff so they can add to their criminal background check to ensure they are linked to the program’s roster. You will need to return to the portal after staff have linked themselves to update the information required. This ensures staff can be viewed when the roster is checked. QRIS CONVERSATION: Today we discussed the three pathways available. We reviewed in detail and discussed the requirements of your anticipated pathway choice as well as the resources, and the support you may need to assist you with the application process. During the conversation, we talked about developing a plan to complete the application process within the next six months. You stated that Pathway 2, Classroom & Instructional Quality would be the best option for your program. We reviewed the requirements for this pathway and discussed a timeline to apply for a rated license. CONTINUOUS QUALITY IMPROVEMENT (CQI) PLAN AND PROFESSIONAL DEVELOPMENT PLAN: This plan is meant to be an intentional process that you will use to identify areas of growth and determine a path toward enhanced teaching, learning and practices that achieve better outcomes for children, staff, and programs. This process will build over time, using established goals to support both you in achieving and maintaining long term quality care within your program. All plans should identify a goal, what is needed to accomplish the goal, why the goal is needed, and an annual review of progress toward the goal. It is possible that a goal is achieved, and a new goal is set during your annual review. It is also possible that there were challenges in completing a goal that are documented during the annual review. Revising and changing goals is expected to be part of this process. FAMILY AND COMMUNITY ENGAGEMENT STANDARDS: These new rules require that a program offers engagement opportunities through foundational practices and engagement opportunities. It is up to each individual family to determine if and how they would like to participate in offered activities. At the 3-, 4- and 5-star levels, foundational practices continue but you will choose additional options that best fit the needs of your families. The number of choices increases as the star rating increases. We reviewed and discussed many of the options that you are already providing for your families. We discussed ways that you can document these options. APPROVED CURRICULUM: This pathway requires curriculum to be implemented for all ages served by the program, ensuring quality practices that are developmentally appropriate for each age group. Child-focused planning through observation of individual growth and development is included in this pathway. Your program utilizes the Creative Curriculum with Teaching Strategies along with Letter Land. EDUCATION STANDARDS: We reviewed the requirements in the education standard for staff role based on the selected star level. I request that you complete and submit the QRIS Staff Information and Education Worksheet and return it to me along with the application when the application is submitted. Be sure all current and updated education for staff is uploaded in the DCDEE WORKS system. Only evaluated education and experience will be included to determine your star level. SUPPORT AND RESOURCES: You share the following support, and resources would be needed to help ensure a smooth transition to the Pathway to the Star. -Training and Guidance from your local Partnership for Children -Support from your consultant with clarity if needed regarding requirements and guidance throughout the process regarding expected timeframes -Access and availability to training and CEU’s when needed -Continual Guidance from the Child Care Consultant At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. RAISE NC NEWSLETTER: The Raise NC Newsletter, sent directly to providers via email, contains valuable and up-to-date information about important updates and changes within the child care sector in North Carolina. I encourage you to set aside time to read each issue upon receipt to ensure you remain informed and updated on the latest developments, resources and guidance impacting child care programs. Staying connected helps support quality child care and compliance across the state. NCID CREDENTIALS: Please remember to use your NCID credential periodically to prevent your user ID and password from becoming inactive. If your NCID credentials are not used within a twelve (12) to fifteen (15) month period, access to your account may be restricted. due to inactivity. To avoid disruption, it is strongly recommended that you schedule regular logins to ensure your credentials remain active and valid. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. Contact me at Keshia Hayward, Child Craeareare Consultant, 252-214-2709, or email Keshia.hayward@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, or email jennifer.linhardt @dhhs.nc.gov) if you have questions. 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 .0601 · Violation

Name of Operation: HOME AWAY FROM HOME CHILDCARE CENTER Facility ID: 21000067 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 9/17/2025 Number Present: 11 Completed Date: 9/17/2025 Age: From 0 To 3 Total Minutes: 145 Time In: 08:50 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your facility for compliance with applicable child care requirements during a routine unannounced visit. C. Pierce, director, assisted with the visit. Eleven children ranging from ages zero to three years old were observed in care today. Upon arrival preschool children were sitting at the table waiting to transition into morning activities. Children were moved to the carpet and engaged in gross motor activities through songs. The caregiver lead children in singing “If You’re Happy and You Know It and Wheels on the Bus.” Children also participated in outdoor play using toy cars, tricycles, portable slides, a wagon, and a playhouse. Infants were observed having bottle feeding and engaged in floor play with caregivers. Currently this program operates with a three-star license earning seven points in staff education, two points in program standards, and one quality point for having a reduced group size by one in each group from the seven-point level as required in Rule .2818(c). The following violation was documented today. Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Departure times were not recorded for eight children between the dates of August 8, 2025 through September 4, 2025. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. The following play materials were cracked exposing sharp edges on the preschool playground: 2 little tike cars (steering wheels), a wagon in five locations, musical play toy, and a smiling face toy. Vines were protruding over the fence into the infant play area. Three nails e protruding from the wooden fence enclosing the aid conditioner unit in the preschool playground. 10A NCAC 09 .0601(a) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before October 1, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License, could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. COMPLIANCE HISTORY: The program's compliance history was reviewed with the operator. The program’s compliance history was 89% percent as of September 16, 2025. FACILITY PROFILE INFORMATION: You stated the mailing address, phone number and email address listed for your program are correct. If changes in your facility information occurs, please contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure the information is updated in the system. CORPORATION STATUS: Home Away from Home Childcare Center Inc. is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Home Away from Home Childcare Center, Inc. remains current and active. Prior to making any changes in the ownership status contact me to discuss the change of ownership procedures. Failure to comply could impact the program license status. SAFE OUTDOOR ENVIRONMENT: Toys and materials on the outdoor playground used by preschool children were cracked and exposed sharp edges, which could pose potential harm to children. I informed you that the materials and toys needed to be repaired or removed immediately. You stated that you had conducted a walk-through and removed several items prior to the visit meeting conducted. WE discussed conducting periodic safety check of the playground area and materials to identify any damaged materials and ensure they are removed prior to children accessing the play area. You stated the fence and vines on the infant playground belonged to the neighbors and, therefore, you would need to speak with them regarding removal. I explained the veins appear to contain thorns and posed potential hazards to children; therefore, a conversation should be conducted to address the removal of the vines. Be reminded that you are responsible for always maintaining a safe environment for children in care. PATHWAYS TO THE STARS: The Pathways to the Stars transition and implementation will begin soon. Rule roll-out modules have been added to the DCDEE e-learning Moodle platform. In September, child care consultants will host in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within 12 months based on the pathway chosen. ABCMS: We verified the ABCMS training had been taken for your program; however, staff have not been connected to your program yet. I advised you to provide staff with the code to enter their information into the criminal background check portal so they can be linked to your program. Once staff have included their information, you will need to return to the portal to complete the last step to ensure staff are linked in the portal to your facility and information can be verified in the system. SEX OFFENDER REGISTRY: North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. NCID CREDENTIALS: Please remember to use your NCID credential periodically to prevent your user ID and password from becoming inactive. If your NCID credentials are not used within a twelve (12) to fifteen (15) month period, access to your account may be restricted. due to inactivity. To avoid disruption, it is strongly recommended that you schedule regular logins to ensure your credentials remain active and valid. RAISE NC NEWSLETTER: The Raise NC Newsletter, sent directly to providers via email, contains valuable and up-to-date information about important updates and changes within the child care sector in North Carolina. I encourage you to set aside time to read each issue upon receipt to ensure you remain informed and updated on the latest developments, resources and guidance impacting child care programs. Staying connected helps support quality child care and compliance across the state. TECHNICAL ASSISTANCE AND RESOURCES: Your local Partnership for Children Smart Start (Chowan-Perquimans) can provide you with resources, training, technical assistance, and information on child care issues and trends. Their phone number is (252) 482-3035. You can also check their website at http://cp-smartstart.org/. At the conclusion of today’s visit, the visit summary report was completed, reviewed, and left with you. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, contact me using the information listed above. You may also contact Licensing Supervisor, Jennifer Lindhart at 252-373-4199 or email jennifer.linhard@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 .0302 · Violation

Name of Operation: HOME AWAY FROM HOME CHILDCARE CENTER Facility ID: 21000067 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 9/17/2025 Number Present: 11 Completed Date: 9/17/2025 Age: From 0 To 3 Total Minutes: 145 Time In: 08:50 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your facility for compliance with applicable child care requirements during a routine unannounced visit. C. Pierce, director, assisted with the visit. Eleven children ranging from ages zero to three years old were observed in care today. Upon arrival preschool children were sitting at the table waiting to transition into morning activities. Children were moved to the carpet and engaged in gross motor activities through songs. The caregiver lead children in singing “If You’re Happy and You Know It and Wheels on the Bus.” Children also participated in outdoor play using toy cars, tricycles, portable slides, a wagon, and a playhouse. Infants were observed having bottle feeding and engaged in floor play with caregivers. Currently this program operates with a three-star license earning seven points in staff education, two points in program standards, and one quality point for having a reduced group size by one in each group from the seven-point level as required in Rule .2818(c). The following violation was documented today. Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Departure times were not recorded for eight children between the dates of August 8, 2025 through September 4, 2025. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. The following play materials were cracked exposing sharp edges on the preschool playground: 2 little tike cars (steering wheels), a wagon in five locations, musical play toy, and a smiling face toy. Vines were protruding over the fence into the infant play area. Three nails e protruding from the wooden fence enclosing the aid conditioner unit in the preschool playground. 10A NCAC 09 .0601(a) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before October 1, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License, could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. COMPLIANCE HISTORY: The program's compliance history was reviewed with the operator. The program’s compliance history was 89% percent as of September 16, 2025. FACILITY PROFILE INFORMATION: You stated the mailing address, phone number and email address listed for your program are correct. If changes in your facility information occurs, please contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure the information is updated in the system. CORPORATION STATUS: Home Away from Home Childcare Center Inc. is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Home Away from Home Childcare Center, Inc. remains current and active. Prior to making any changes in the ownership status contact me to discuss the change of ownership procedures. Failure to comply could impact the program license status. SAFE OUTDOOR ENVIRONMENT: Toys and materials on the outdoor playground used by preschool children were cracked and exposed sharp edges, which could pose potential harm to children. I informed you that the materials and toys needed to be repaired or removed immediately. You stated that you had conducted a walk-through and removed several items prior to the visit meeting conducted. WE discussed conducting periodic safety check of the playground area and materials to identify any damaged materials and ensure they are removed prior to children accessing the play area. You stated the fence and vines on the infant playground belonged to the neighbors and, therefore, you would need to speak with them regarding removal. I explained the veins appear to contain thorns and posed potential hazards to children; therefore, a conversation should be conducted to address the removal of the vines. Be reminded that you are responsible for always maintaining a safe environment for children in care. PATHWAYS TO THE STARS: The Pathways to the Stars transition and implementation will begin soon. Rule roll-out modules have been added to the DCDEE e-learning Moodle platform. In September, child care consultants will host in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within 12 months based on the pathway chosen. ABCMS: We verified the ABCMS training had been taken for your program; however, staff have not been connected to your program yet. I advised you to provide staff with the code to enter their information into the criminal background check portal so they can be linked to your program. Once staff have included their information, you will need to return to the portal to complete the last step to ensure staff are linked in the portal to your facility and information can be verified in the system. SEX OFFENDER REGISTRY: North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. NCID CREDENTIALS: Please remember to use your NCID credential periodically to prevent your user ID and password from becoming inactive. If your NCID credentials are not used within a twelve (12) to fifteen (15) month period, access to your account may be restricted. due to inactivity. To avoid disruption, it is strongly recommended that you schedule regular logins to ensure your credentials remain active and valid. RAISE NC NEWSLETTER: The Raise NC Newsletter, sent directly to providers via email, contains valuable and up-to-date information about important updates and changes within the child care sector in North Carolina. I encourage you to set aside time to read each issue upon receipt to ensure you remain informed and updated on the latest developments, resources and guidance impacting child care programs. Staying connected helps support quality child care and compliance across the state. TECHNICAL ASSISTANCE AND RESOURCES: Your local Partnership for Children Smart Start (Chowan-Perquimans) can provide you with resources, training, technical assistance, and information on child care issues and trends. Their phone number is (252) 482-3035. You can also check their website at http://cp-smartstart.org/. At the conclusion of today’s visit, the visit summary report was completed, reviewed, and left with you. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, contact me using the information listed above. You may also contact Licensing Supervisor, Jennifer Lindhart at 252-373-4199 or email jennifer.linhard@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 .0606 · Violation

Name of Operation: HOME AWAY FROM HOME CHILDCARE CENTER Facility ID: 21000067 Consultant: MARJORIE WHITE Operation Type: Center Case Number: Visit Date: 3/12/2025 Number Present: 13 Completed Date: 3/12/2025 Age: From 0 To 4 Total Minutes: 345 Time In: 09:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s Annual Compliance visit was to monitor compliance with applicable child care requirements. Last Annual Compliance visit – 4/8/24 18-month compliance history from 9/8/23 – 3/7/25 = 88% Last Sanitation Inspection – 9/18/24 - Superior Last Fire Inspection – 9/24/25 – Satisfactory; Daytime and Overnight *Sanitation and fire inspections are required at least annually by the end of the month of the previous inspection. Send fire inspections to your child care consultant within seven (7) days of the inspection. Required Water, Lead Paint, and Asbestos Testing - The Clean Classrooms for Carolina Kids website reflects the following information about your center’s required three-year water testing and one-time lead paint testing, and asbestos testing: Three-year Water Testing – 6/27/24; due again 6/27/27 Lead Paint Testing – exempt 11/25/24 Asbestos Testing – waiting for on-site test results Maintain any paperwork received by mail or email in your Program Records file. *For more information check out the FAQ page at https://www.cleanwaterforuskids.org/en/carolina/ C. Pierce, Administrator, was present and assisted me with the visit. The facility currently operates with a Four-Star License, 1/9/2018, based on the following Program (2 PTS) + Education (7 PTS) + Quality Point (1 PT) = 10 Points = 4 Stars *Quality Point met and remains in effect: Has reduced group size by one in each group from the seven point level The next rated license assessment was due by 1/9/21, but legislation (Senate Bill 425) extended the “hold harmless” period until the new Quality Rating Improvement System (QRIS) is implemented. At this time, you may choose to complete a rated license assessment using the current rated license process or you may wait until the new QRIS is implemented. The proposed QRIS Modernization rules have been published and are open for public comments. I encourage you to review these and share any feedback you may have with the Child Care Commission. See Additional Comments for links for the proposed rules and contact information for the Commission. Note that the current program assessment tools are changing from the Early Childhood Environment Rating Scale – Revised (ECERS-R) to the Early Childhood Environment Rating Scale – 3 (ECERS-3) and ITERS-3. Information and training on the new program assessment tool is available on the NC Rating License Assessment Project website at https://ncrlap.org/. According to documents available in your file, this facility is a Sole Proprietorship owned by C. Pierce. Information on the NC Secretary of State website reflects that the center is owned by Home Away From Home Childcare Center Inc., effective 1/25/23. Today I provided you with a new Application – Facility Profile, Appendix E – Corporation, and Appendix I – Center Statements of Responsibility to complete so that ownership information can be updated. Mail the completed forms to me by 3/26/25. Please contact me prior to any information change regarding the ownership of this facility. License information was current. Contact me to make any changes to address, phone, or email or to request changes to the license. I monitored the classrooms and spaces used for child care and outdoor play area for applicable child care center requirements using the Child Care Center Requirements, effective 11/1/2024 and Item Numbers Listing, effective 3/2024. I monitored five staff records, four children’s records and all program records. The facility no longer offers transportation. The owner requested that I remove approval for transportation. Center Observations: Thirteen children, eleven months through four years of age, were present in two classrooms. Attendance records reflected that sixteen school-age children were present earlier for before care and were picked up by the bus. The librarian from the local library was doing story time with the preschool-age group. Later they transitioned to small group and free play. The infants and toddlers went outdoors to play on the fenced playground in the back. Because they were outside by themselves, they played on the playground for older children because the grass in the infant/toddler playground was still damp from the previous evening’s rain. They rode riding toys, played in the playhouses and played with portable gross motor toys. Lunch was cheese pizza, corn, pineapple and milk. The preschool-age children ate at a child-sized table. The older infants and toddlers ate in low chairs. Teachers supervised closely while children were eating. After lunch preschool children and older toddlers rested on linen-covered cots. Infants and young toddlers napped in cribs. Documentation of safe sleep checks was available. I observed and documented the following violations during today’s visit. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. In one of four children's files reviewed, documentation of receipt of the Summary of NC Child Care Law was not available. GS 110-102 847 Parent's medication authorization did not include required information. A medication form for topical ointments was signed and dated by the parent but did not include the name of the topical ointment and amount to be administered. The authorized time frame to administer was listed as March 11, 2024 to "Indef" instead of a twelve-month authorization period, and instructions to administer were vague. 10A NCAC 09 .0803(4)(6-9) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. In one of four children's files reviewed, documentation of receipt of the ITS/SIDS policy did not include the child's name and was not signed and dated by the parent. 10A NCAC 09 .0606(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. In one of four children's files reviewed, documentation of receipt of the discipline policy did not include child’s name, date of enrollment and was not signed and dated by parent. .1804(b) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. In two of four children's files reviewed, a statement of receipt of the Prevention of Shaken Baby Syndrome/Abusive Head Trauma Policy was not available. .0608(b)(1-6) * Child care programs are expected to achieve and always maintain compliance and are required by NC GS 110-90(4)(d) to achieve and maintain an 18-month compliance history score of at least 75%. Any violations documented may impact the compliance history score. I completed an electronic copy of the visit summary and provided a printed copy of it to you, C. Pierce. We reviewed the visit summary and violation(s) documented during today’s visit. Correct these immediately. Send evidence of correction to me so that I receive it no later than 3/26/25. Your compliance verification letter needs to state your facility name and license number and list each violation by Item # and describe in detail when and how each violation has been corrected. Do not include names of children in the compliance letter. Use their initials. Send compliance verification letter in an email from your center’s official email address, csc209@live.com, to my email address, Marjorie.White@dhhs.nc.gov. You may include the compliance verification as an attachment or in the body of the email. I will email a sample compliance verification letter to you. If sufficient information is not received by the due date, a follow-up visit may be conducted. Please be aware that any information submitted by you is legal documentation. If it is determined the information provided in the compliance letter is not true, this may be considered falsification of information. If I may be of further assistance, please contact me by phone at (252) 373-9385, by e-mail at Marjorie.White@dhhs.nc.gov. You may also call Jennifer Linhardt, Licensing Supervisor, at (252) 373-4199. Technical Assistance With Documented Violations: #847: Medication Permission Forms - All medications (prescription, OTC, non-medical topical ointment, lotion, or cream) for children enrolled at the center must have a current, completed medication permission form to ensure that staff are administering medication according to the parents’ or physician’s instructions. A child in Space 3 (MW) had a Permission to Administer Topical Ointment/Lotion Powder in her file that was signed and dated by the parent, but did not include the name of the topical ointment or amount to be used. In addition, the permission to administer was from 3/11/24 to Indef. These types of topical ointments can be authorized for up to twelve months and then must be reauthorized. The instructions to administer were also vague. Ms. Long stated that the center provides diaper creams and there are permission forms in the children’s files. I observed three tubes of diaper cream by the diapering table – two tubes of A&D Diaper Ointment and one tube of Phylo Silicone Cream. None were labeled as belonging to the center or to a specific child. If you choose to provide diaper cream or any other type of topical ointment, provide the parent with a completed medication permission form that includes the name of the topical ointment that you are providing and the instructions you are going to use to administer it. Have parents sign and date it. The form is good for up to 12 months when the parent would need to re-authorize if the ointment is still needed. You may want to maintain the permission forms where the ointment is applied or maintain them in the children’s files and post a list of children whose parents authorized you to use that particular ointment. Label the diaper creams or any other type of topical ointment with “center” or something that indicates this is the center-provided topical ointment. Review children’s files to verify that there are no other “vague”, incomplete medication forms. Either have the parents complete them and use the center-provided diaper cream or remove the permission forms if diaper cream is no longer needed. In your compliance letter, state the date when this is completed for MW. Children’s Records - Maintaining accurate records on the children in your care helps to ensure their health and safety, informs families of rules you are required to follow and your center’s policies, and provides a certain transfer of knowledge so that you can provide the best care possible for their children. The following children’s documents were missing or incomplete. #114: Summary of NC Child Care Law – signed statement of review and receipt was missing for MW (Space 3) #893: Safe Sleep Policy – policy in file for AR (Space 3) but did not include child’s name and was not signed and dated by parent #1325: Discipline Policy - policy in file for JB (Space 1/2) but did not include child’s name, date of enrollment and was not signed and dated by parent #1908: Prevention of Shaken Baby Syndrome/Abusive Head Trauma Policy – acknowledgement page in file for AR (Space 3) was staff acknowledgement statement instead of parent acknowledgment; no signed statement of receipt in file for JB (Space ½) You stated that you must have missed these items when enrolling new children and will not only check that forms are returned but that they are fully completed. I showed you a sample policy acknowledgement form and you asked if I could share that with you so that you could implement that form in your children’s files. For your compliance letter, state the date when each item above has been corrected. General Visit Information: As a licensed child care facility, it is your responsibility to be knowledgeable of the child care laws and rules and to teach your staff the rules to ensure your center remains in compliance. The most recent versions of laws and rules regarding child care facilities in North Carolina are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. You can also review the “What’s New” section and download a copy of the Items Number Listing which you can use as a checklist for your program. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. The Raise NC Newsletter, which is sent to your facility email almost weekly, provides the most current information and updates from the Division and available training opportunities. Consider creating an email folder for it so that you can refer back to it after you read it. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. Your local and regional Smart Start Partnerships and Child Care Resource and Referral Agencies and Child Care Health Consultants provide general training to meet on-going training hours, health and safety training requirements, Environment Rating Scale training and training specific to your center’s needs. They can also work with you to provide on-site technical assistance. *Chowan/Perquimans Smart Start Partnership: Phone - (252) 482-3035; website - http://cp-smartstart.org/ *Child Care Health Consultant – S. Rosser - Office: (252) 557-4208 or stacy_rosser@unc.edu *Albemarle Alliance for Children and Families (AACF) and Region 1 Child Care Resource and Referral: Phone – (252) 333-1233; website - www.aacfnc.org . *Healthy Behaviors Specialist: P. White – Phone (252) 333-1233; pam@aacfnc.org *Birth – 3 Quality Specialist: J. Davidson – Phone (252) 333-1233; joy@aacfnc.org *Southwestern Child Development Commission, www.swcdcinc.org - offers DCDEE approved, on-line, self-paced training with affordable annual packages allowing you to take as many courses as you need or want for one price. *NC Health and Safety Resource Center, https://healthychildcare.unc.edu/ - has trainers approved to offer Medication Administration, ITS/SIDS, Emergency Preparedness and Response, and required Health & Safety Trainings (in-person) and more. They also publish a quarterly E-Newsletter with an array of topics to help you provide a healthy and safe early learning and out of school environment. Reminders: Center Capacity – Remember that your overall center capacity is 26 children. At any time during the day, no more than 26 children can be present. Your enrollment sheets show 43 children attend either full-time or part-time. Many are school age who come either before or after school and are part-time. I did not observe any dates where more than 26 children were present at one time but be sure to monitor attendance so that parents do not drop off children on unscheduled days which could put you over your capacity. ABCMS Portal - The process of notifying the Division when you have new staff (or household members for family child care homes and centers licensed in a residence) has changed and is now captured in ABCMS, the new Criminal Background Check portal. You have completed the ABCMS Provider Portal Training and are now authorized to log in the ABCMS Provider Portal https://ncabcms.nc.gov/DCDEE/ using your Business NCID. I will send you instructions for the next steps to find your provider codes and assist staff with completing their connecting applications. • If you need assistance using the ABCMS Provider Portal, contact the Criminal Background Check Unit at (919) 814-6401 or DCDEE_ABCMS_Provider@dhhs.nc.gov and someone will assist you. • If you or your staff need assistance with completing a Criminal Background Check in the ABCMS Applicant Portal, contact the Criminal Background Check Unit at (919) 814-6401 or DHHS.CBC.Unit@dhhs.nc.gov and someone will assist you. • If you or your staff need assistance with your NCID, contact https://myNCID.nc.gov or (919) 754-6000. I will review your facility roster to verify that current staff are listed at your next visit. Staffing – Staff who are floaters or teacher’s aides are typically not assigned to a classroom to meet staff/child ratios but are there to assist the lead teacher and teacher with classroom duties and children. They can give breaks and if older than 18 years of age, they can be alone with children. They can be used as a substitute. If a classroom has enough children enrolled that it requires a second teacher to meet staff/child ratios, the second person in the classroom is a teacher and needs to meet teacher requirements and counts in the rated license. Staff Worksheets – We reviewed your staff worksheet. I highlighted items that were delinquent and items that are coming due in the next year. *C. Pierce – CPR/First Aid expires 3/31/25 Staff Medical Information File – Federal guidelines require that personal health care information for staff be stored in separate medical files from the rest of the employee’s staff record. This includes the staff medical report, documentation of a negative TB test or screening, and annual health questionnaire. Any other medical documentation such as doctors’ notes must be maintained in the staff medical file. Health and Safety Training and Five (5) Year Cycle Tracking Requirements – Review Row 17 on Staff Worksheet for initial and five-year H&S Training renewal dates. New staff need to complete Recognizing and Responding to Suspicions of Child Maltreatment and CPR/First Aid within three months of hire and the rest of the training modules within twelve months. *T. Leary has completed most of her H&S training. Her H&S Training Log shows that she has completed Medication Administration and Recognizing and Responding to Suspicions of Child Maltreatment, but copies of certificates were not available. Include a copy of RRSCM by 5/7/25 and a copy of Medication Administration by 2/7/26. On-going Training Hours – Review Row 18 (# hours to carry over) on the Staff Worksheets to determine how many on-going training hours returning staff will need by 4/8/25 (anniversary of last Annual Compliance visit) or by 3/12/26 (anniversary to today’s Annual Compliance visit). If they have not completed the required number of on-going training hours, they have until 4/8/25 to complete them and I will check at the next monitoring visit. *Use the On-going Training Log to document training annually. Attach copies of certificates. *C. Pierce – required to have 8 hrs; 2 hrs completed; needs 6 hrs by 4/8/25 (and complete On-going Training Log and attach certificates); you just finished your MS-ECE. Include a copy of your transcripts in your file and document any courses completed since 4/8/24. They will count towards training hours. Also, upload your final transcripts for your BS-ECE and/or MS/ECE into Works. This will earn you a NCECAC Level III. Then you will only need five hours of on-going training annually. *D. Long - required to have 5 hrs; 2 hrs completed; needs 3 hrs by 4/8/25 (and complete On-going Training Log and attach certificates) *S. Rome - required to have10 hrs; 0 hrs completed; needs 10 hrs by 4/8/25 (and complete On-going Training Log and attach certificates) *E. Capehart - required to have10 hrs; 0 hrs completed; needs 10 hrs by 4/8/25 (and complete On-going Training Log and attach certificates) ITS/SIDS Training – T. Leary was hired on 2/7/25. She floats in the infant room and needs ITS/SIDS training by 4/7/25. Until she has ITS/SIDS Training, she cannot be alone with infants. She has completed the safe sleep training on Moodle for H&S Training but needs the official ITS/SIDS training to meet North Carolina’s safe sleep training requirements. Fire and Emergency Drills – Add the year at the top of your Emergency Drill and Fire Drill Logs. Emergency Preparedness and Response (EPR) Requirements, Emergency Medical Care Plan (EMCP) and Ready-to-Go File – Your Emergency Preparedness and Response (EPR) Plan needs to be reviewed and updated annually in the NC Risk Management Portal. 1. Log into the Emergency Management Portal on the DCDEE website -> Provider tab -> Emergency Preparedness and Response 2. Scroll down to NC Risk Management Portal link under the Emergency Preparedness and Response Template heading. Log in at top right using NCID used to create or update EPR Plan. 3. Click Emergency Preparedness and Response Plan in bottom left corner. 4. Click “Get Started” 5. Review EPR Plan (listed by name on cover of most recent plan) and update as needed. 6. Document update/review date on page 28. If changes are needed, print the plan up to page 29. If no changes are needed, print new cover page and page 28 with the update/review date reflected. 7. Review annually with staff and during orientation with new staff. Use this time to review and update Emergency Medical Care Plan and review with staff also. * If you have questions, or need assistance with accessing your EPR Plan call 919-814-6365 or email dcdee.inservice.training@dhhs.nc.gov *Your EPR Plan was reviewed in March 2025 and reviewed with staff but you were not able to access it in the portal. Contact the above email to request assistance with accessing your EPR Plan. Playground – Spring is here. Power wash outdoor toys and playhouses to remove winter grime and mold. Maintain grass and weeds along the fence line. Because of the recent cold temperatures and snow this winter, check toys carefully for cracks. Remove from the play area and eventually the premises and replace them as needed. Kitchen – You keep your kitchen door locked but purchase a cabinet that you can safely lock cleaning supplies that are stored in the kitchen. Additional Comments: I shared information on the following topics and emailed the information to you after the visit: 1. Important! NCID Password Rule Changing and Tips to Keep NCID Updated 2. Update on QRIS Modernization – Proposed Rules Published, Open for Public Comments 3. Moodle Helpful Hints 4. Health & Safety Resource Center – E New- Winter, Water and Safety 5. Environment Rating Scales – Get Ready for the 3’s! Thank you for your time and assistance today. Refer to this visit summary for a refresher of our discussions today, and I encourage you to share with staff and use the information as a teaching tool. If you have any questions, do not hesitate to call or email me at the contact information listed above. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: HOME AWAY FROM HOME CHILDCARE CENTER Facility ID: 21000067 Consultant: MARJORIE WHITE Operation Type: Center Case Number: Visit Date: 3/12/2025 Number Present: 13 Completed Date: 3/12/2025 Age: From 0 To 4 Total Minutes: 345 Time In: 09:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s Annual Compliance visit was to monitor compliance with applicable child care requirements. Last Annual Compliance visit – 4/8/24 18-month compliance history from 9/8/23 – 3/7/25 = 88% Last Sanitation Inspection – 9/18/24 - Superior Last Fire Inspection – 9/24/25 – Satisfactory; Daytime and Overnight *Sanitation and fire inspections are required at least annually by the end of the month of the previous inspection. Send fire inspections to your child care consultant within seven (7) days of the inspection. Required Water, Lead Paint, and Asbestos Testing - The Clean Classrooms for Carolina Kids website reflects the following information about your center’s required three-year water testing and one-time lead paint testing, and asbestos testing: Three-year Water Testing – 6/27/24; due again 6/27/27 Lead Paint Testing – exempt 11/25/24 Asbestos Testing – waiting for on-site test results Maintain any paperwork received by mail or email in your Program Records file. *For more information check out the FAQ page at https://www.cleanwaterforuskids.org/en/carolina/ C. Pierce, Administrator, was present and assisted me with the visit. The facility currently operates with a Four-Star License, 1/9/2018, based on the following Program (2 PTS) + Education (7 PTS) + Quality Point (1 PT) = 10 Points = 4 Stars *Quality Point met and remains in effect: Has reduced group size by one in each group from the seven point level The next rated license assessment was due by 1/9/21, but legislation (Senate Bill 425) extended the “hold harmless” period until the new Quality Rating Improvement System (QRIS) is implemented. At this time, you may choose to complete a rated license assessment using the current rated license process or you may wait until the new QRIS is implemented. The proposed QRIS Modernization rules have been published and are open for public comments. I encourage you to review these and share any feedback you may have with the Child Care Commission. See Additional Comments for links for the proposed rules and contact information for the Commission. Note that the current program assessment tools are changing from the Early Childhood Environment Rating Scale – Revised (ECERS-R) to the Early Childhood Environment Rating Scale – 3 (ECERS-3) and ITERS-3. Information and training on the new program assessment tool is available on the NC Rating License Assessment Project website at https://ncrlap.org/. According to documents available in your file, this facility is a Sole Proprietorship owned by C. Pierce. Information on the NC Secretary of State website reflects that the center is owned by Home Away From Home Childcare Center Inc., effective 1/25/23. Today I provided you with a new Application – Facility Profile, Appendix E – Corporation, and Appendix I – Center Statements of Responsibility to complete so that ownership information can be updated. Mail the completed forms to me by 3/26/25. Please contact me prior to any information change regarding the ownership of this facility. License information was current. Contact me to make any changes to address, phone, or email or to request changes to the license. I monitored the classrooms and spaces used for child care and outdoor play area for applicable child care center requirements using the Child Care Center Requirements, effective 11/1/2024 and Item Numbers Listing, effective 3/2024. I monitored five staff records, four children’s records and all program records. The facility no longer offers transportation. The owner requested that I remove approval for transportation. Center Observations: Thirteen children, eleven months through four years of age, were present in two classrooms. Attendance records reflected that sixteen school-age children were present earlier for before care and were picked up by the bus. The librarian from the local library was doing story time with the preschool-age group. Later they transitioned to small group and free play. The infants and toddlers went outdoors to play on the fenced playground in the back. Because they were outside by themselves, they played on the playground for older children because the grass in the infant/toddler playground was still damp from the previous evening’s rain. They rode riding toys, played in the playhouses and played with portable gross motor toys. Lunch was cheese pizza, corn, pineapple and milk. The preschool-age children ate at a child-sized table. The older infants and toddlers ate in low chairs. Teachers supervised closely while children were eating. After lunch preschool children and older toddlers rested on linen-covered cots. Infants and young toddlers napped in cribs. Documentation of safe sleep checks was available. I observed and documented the following violations during today’s visit. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. In one of four children's files reviewed, documentation of receipt of the Summary of NC Child Care Law was not available. GS 110-102 847 Parent's medication authorization did not include required information. A medication form for topical ointments was signed and dated by the parent but did not include the name of the topical ointment and amount to be administered. The authorized time frame to administer was listed as March 11, 2024 to "Indef" instead of a twelve-month authorization period, and instructions to administer were vague. 10A NCAC 09 .0803(4)(6-9) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. In one of four children's files reviewed, documentation of receipt of the ITS/SIDS policy did not include the child's name and was not signed and dated by the parent. 10A NCAC 09 .0606(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. In one of four children's files reviewed, documentation of receipt of the discipline policy did not include child’s name, date of enrollment and was not signed and dated by parent. .1804(b) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. In two of four children's files reviewed, a statement of receipt of the Prevention of Shaken Baby Syndrome/Abusive Head Trauma Policy was not available. .0608(b)(1-6) * Child care programs are expected to achieve and always maintain compliance and are required by NC GS 110-90(4)(d) to achieve and maintain an 18-month compliance history score of at least 75%. Any violations documented may impact the compliance history score. I completed an electronic copy of the visit summary and provided a printed copy of it to you, C. Pierce. We reviewed the visit summary and violation(s) documented during today’s visit. Correct these immediately. Send evidence of correction to me so that I receive it no later than 3/26/25. Your compliance verification letter needs to state your facility name and license number and list each violation by Item # and describe in detail when and how each violation has been corrected. Do not include names of children in the compliance letter. Use their initials. Send compliance verification letter in an email from your center’s official email address, csc209@live.com, to my email address, Marjorie.White@dhhs.nc.gov. You may include the compliance verification as an attachment or in the body of the email. I will email a sample compliance verification letter to you. If sufficient information is not received by the due date, a follow-up visit may be conducted. Please be aware that any information submitted by you is legal documentation. If it is determined the information provided in the compliance letter is not true, this may be considered falsification of information. If I may be of further assistance, please contact me by phone at (252) 373-9385, by e-mail at Marjorie.White@dhhs.nc.gov. You may also call Jennifer Linhardt, Licensing Supervisor, at (252) 373-4199. Technical Assistance With Documented Violations: #847: Medication Permission Forms - All medications (prescription, OTC, non-medical topical ointment, lotion, or cream) for children enrolled at the center must have a current, completed medication permission form to ensure that staff are administering medication according to the parents’ or physician’s instructions. A child in Space 3 (MW) had a Permission to Administer Topical Ointment/Lotion Powder in her file that was signed and dated by the parent, but did not include the name of the topical ointment or amount to be used. In addition, the permission to administer was from 3/11/24 to Indef. These types of topical ointments can be authorized for up to twelve months and then must be reauthorized. The instructions to administer were also vague. Ms. Long stated that the center provides diaper creams and there are permission forms in the children’s files. I observed three tubes of diaper cream by the diapering table – two tubes of A&D Diaper Ointment and one tube of Phylo Silicone Cream. None were labeled as belonging to the center or to a specific child. If you choose to provide diaper cream or any other type of topical ointment, provide the parent with a completed medication permission form that includes the name of the topical ointment that you are providing and the instructions you are going to use to administer it. Have parents sign and date it. The form is good for up to 12 months when the parent would need to re-authorize if the ointment is still needed. You may want to maintain the permission forms where the ointment is applied or maintain them in the children’s files and post a list of children whose parents authorized you to use that particular ointment. Label the diaper creams or any other type of topical ointment with “center” or something that indicates this is the center-provided topical ointment. Review children’s files to verify that there are no other “vague”, incomplete medication forms. Either have the parents complete them and use the center-provided diaper cream or remove the permission forms if diaper cream is no longer needed. In your compliance letter, state the date when this is completed for MW. Children’s Records - Maintaining accurate records on the children in your care helps to ensure their health and safety, informs families of rules you are required to follow and your center’s policies, and provides a certain transfer of knowledge so that you can provide the best care possible for their children. The following children’s documents were missing or incomplete. #114: Summary of NC Child Care Law – signed statement of review and receipt was missing for MW (Space 3) #893: Safe Sleep Policy – policy in file for AR (Space 3) but did not include child’s name and was not signed and dated by parent #1325: Discipline Policy - policy in file for JB (Space 1/2) but did not include child’s name, date of enrollment and was not signed and dated by parent #1908: Prevention of Shaken Baby Syndrome/Abusive Head Trauma Policy – acknowledgement page in file for AR (Space 3) was staff acknowledgement statement instead of parent acknowledgment; no signed statement of receipt in file for JB (Space ½) You stated that you must have missed these items when enrolling new children and will not only check that forms are returned but that they are fully completed. I showed you a sample policy acknowledgement form and you asked if I could share that with you so that you could implement that form in your children’s files. For your compliance letter, state the date when each item above has been corrected. General Visit Information: As a licensed child care facility, it is your responsibility to be knowledgeable of the child care laws and rules and to teach your staff the rules to ensure your center remains in compliance. The most recent versions of laws and rules regarding child care facilities in North Carolina are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. You can also review the “What’s New” section and download a copy of the Items Number Listing which you can use as a checklist for your program. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. The Raise NC Newsletter, which is sent to your facility email almost weekly, provides the most current information and updates from the Division and available training opportunities. Consider creating an email folder for it so that you can refer back to it after you read it. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. Your local and regional Smart Start Partnerships and Child Care Resource and Referral Agencies and Child Care Health Consultants provide general training to meet on-going training hours, health and safety training requirements, Environment Rating Scale training and training specific to your center’s needs. They can also work with you to provide on-site technical assistance. *Chowan/Perquimans Smart Start Partnership: Phone - (252) 482-3035; website - http://cp-smartstart.org/ *Child Care Health Consultant – S. Rosser - Office: (252) 557-4208 or stacy_rosser@unc.edu *Albemarle Alliance for Children and Families (AACF) and Region 1 Child Care Resource and Referral: Phone – (252) 333-1233; website - www.aacfnc.org . *Healthy Behaviors Specialist: P. White – Phone (252) 333-1233; pam@aacfnc.org *Birth – 3 Quality Specialist: J. Davidson – Phone (252) 333-1233; joy@aacfnc.org *Southwestern Child Development Commission, www.swcdcinc.org - offers DCDEE approved, on-line, self-paced training with affordable annual packages allowing you to take as many courses as you need or want for one price. *NC Health and Safety Resource Center, https://healthychildcare.unc.edu/ - has trainers approved to offer Medication Administration, ITS/SIDS, Emergency Preparedness and Response, and required Health & Safety Trainings (in-person) and more. They also publish a quarterly E-Newsletter with an array of topics to help you provide a healthy and safe early learning and out of school environment. Reminders: Center Capacity – Remember that your overall center capacity is 26 children. At any time during the day, no more than 26 children can be present. Your enrollment sheets show 43 children attend either full-time or part-time. Many are school age who come either before or after school and are part-time. I did not observe any dates where more than 26 children were present at one time but be sure to monitor attendance so that parents do not drop off children on unscheduled days which could put you over your capacity. ABCMS Portal - The process of notifying the Division when you have new staff (or household members for family child care homes and centers licensed in a residence) has changed and is now captured in ABCMS, the new Criminal Background Check portal. You have completed the ABCMS Provider Portal Training and are now authorized to log in the ABCMS Provider Portal https://ncabcms.nc.gov/DCDEE/ using your Business NCID. I will send you instructions for the next steps to find your provider codes and assist staff with completing their connecting applications. • If you need assistance using the ABCMS Provider Portal, contact the Criminal Background Check Unit at (919) 814-6401 or DCDEE_ABCMS_Provider@dhhs.nc.gov and someone will assist you. • If you or your staff need assistance with completing a Criminal Background Check in the ABCMS Applicant Portal, contact the Criminal Background Check Unit at (919) 814-6401 or DHHS.CBC.Unit@dhhs.nc.gov and someone will assist you. • If you or your staff need assistance with your NCID, contact https://myNCID.nc.gov or (919) 754-6000. I will review your facility roster to verify that current staff are listed at your next visit. Staffing – Staff who are floaters or teacher’s aides are typically not assigned to a classroom to meet staff/child ratios but are there to assist the lead teacher and teacher with classroom duties and children. They can give breaks and if older than 18 years of age, they can be alone with children. They can be used as a substitute. If a classroom has enough children enrolled that it requires a second teacher to meet staff/child ratios, the second person in the classroom is a teacher and needs to meet teacher requirements and counts in the rated license. Staff Worksheets – We reviewed your staff worksheet. I highlighted items that were delinquent and items that are coming due in the next year. *C. Pierce – CPR/First Aid expires 3/31/25 Staff Medical Information File – Federal guidelines require that personal health care information for staff be stored in separate medical files from the rest of the employee’s staff record. This includes the staff medical report, documentation of a negative TB test or screening, and annual health questionnaire. Any other medical documentation such as doctors’ notes must be maintained in the staff medical file. Health and Safety Training and Five (5) Year Cycle Tracking Requirements – Review Row 17 on Staff Worksheet for initial and five-year H&S Training renewal dates. New staff need to complete Recognizing and Responding to Suspicions of Child Maltreatment and CPR/First Aid within three months of hire and the rest of the training modules within twelve months. *T. Leary has completed most of her H&S training. Her H&S Training Log shows that she has completed Medication Administration and Recognizing and Responding to Suspicions of Child Maltreatment, but copies of certificates were not available. Include a copy of RRSCM by 5/7/25 and a copy of Medication Administration by 2/7/26. On-going Training Hours – Review Row 18 (# hours to carry over) on the Staff Worksheets to determine how many on-going training hours returning staff will need by 4/8/25 (anniversary of last Annual Compliance visit) or by 3/12/26 (anniversary to today’s Annual Compliance visit). If they have not completed the required number of on-going training hours, they have until 4/8/25 to complete them and I will check at the next monitoring visit. *Use the On-going Training Log to document training annually. Attach copies of certificates. *C. Pierce – required to have 8 hrs; 2 hrs completed; needs 6 hrs by 4/8/25 (and complete On-going Training Log and attach certificates); you just finished your MS-ECE. Include a copy of your transcripts in your file and document any courses completed since 4/8/24. They will count towards training hours. Also, upload your final transcripts for your BS-ECE and/or MS/ECE into Works. This will earn you a NCECAC Level III. Then you will only need five hours of on-going training annually. *D. Long - required to have 5 hrs; 2 hrs completed; needs 3 hrs by 4/8/25 (and complete On-going Training Log and attach certificates) *S. Rome - required to have10 hrs; 0 hrs completed; needs 10 hrs by 4/8/25 (and complete On-going Training Log and attach certificates) *E. Capehart - required to have10 hrs; 0 hrs completed; needs 10 hrs by 4/8/25 (and complete On-going Training Log and attach certificates) ITS/SIDS Training – T. Leary was hired on 2/7/25. She floats in the infant room and needs ITS/SIDS training by 4/7/25. Until she has ITS/SIDS Training, she cannot be alone with infants. She has completed the safe sleep training on Moodle for H&S Training but needs the official ITS/SIDS training to meet North Carolina’s safe sleep training requirements. Fire and Emergency Drills – Add the year at the top of your Emergency Drill and Fire Drill Logs. Emergency Preparedness and Response (EPR) Requirements, Emergency Medical Care Plan (EMCP) and Ready-to-Go File – Your Emergency Preparedness and Response (EPR) Plan needs to be reviewed and updated annually in the NC Risk Management Portal. 1. Log into the Emergency Management Portal on the DCDEE website -> Provider tab -> Emergency Preparedness and Response 2. Scroll down to NC Risk Management Portal link under the Emergency Preparedness and Response Template heading. Log in at top right using NCID used to create or update EPR Plan. 3. Click Emergency Preparedness and Response Plan in bottom left corner. 4. Click “Get Started” 5. Review EPR Plan (listed by name on cover of most recent plan) and update as needed. 6. Document update/review date on page 28. If changes are needed, print the plan up to page 29. If no changes are needed, print new cover page and page 28 with the update/review date reflected. 7. Review annually with staff and during orientation with new staff. Use this time to review and update Emergency Medical Care Plan and review with staff also. * If you have questions, or need assistance with accessing your EPR Plan call 919-814-6365 or email dcdee.inservice.training@dhhs.nc.gov *Your EPR Plan was reviewed in March 2025 and reviewed with staff but you were not able to access it in the portal. Contact the above email to request assistance with accessing your EPR Plan. Playground – Spring is here. Power wash outdoor toys and playhouses to remove winter grime and mold. Maintain grass and weeds along the fence line. Because of the recent cold temperatures and snow this winter, check toys carefully for cracks. Remove from the play area and eventually the premises and replace them as needed. Kitchen – You keep your kitchen door locked but purchase a cabinet that you can safely lock cleaning supplies that are stored in the kitchen. Additional Comments: I shared information on the following topics and emailed the information to you after the visit: 1. Important! NCID Password Rule Changing and Tips to Keep NCID Updated 2. Update on QRIS Modernization – Proposed Rules Published, Open for Public Comments 3. Moodle Helpful Hints 4. Health & Safety Resource Center – E New- Winter, Water and Safety 5. Environment Rating Scales – Get Ready for the 3’s! Thank you for your time and assistance today. Refer to this visit summary for a refresher of our discussions today, and I encourage you to share with staff and use the information as a teaching tool. If you have any questions, do not hesitate to call or email me at the contact information listed above. 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 110-102 · Violation

Name of Operation: HOME AWAY FROM HOME CHILDCARE CENTER Facility ID: 21000067 Consultant: MARJORIE WHITE Operation Type: Center Case Number: Visit Date: 3/12/2025 Number Present: 13 Completed Date: 3/12/2025 Age: From 0 To 4 Total Minutes: 345 Time In: 09:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s Annual Compliance visit was to monitor compliance with applicable child care requirements. Last Annual Compliance visit – 4/8/24 18-month compliance history from 9/8/23 – 3/7/25 = 88% Last Sanitation Inspection – 9/18/24 - Superior Last Fire Inspection – 9/24/25 – Satisfactory; Daytime and Overnight *Sanitation and fire inspections are required at least annually by the end of the month of the previous inspection. Send fire inspections to your child care consultant within seven (7) days of the inspection. Required Water, Lead Paint, and Asbestos Testing - The Clean Classrooms for Carolina Kids website reflects the following information about your center’s required three-year water testing and one-time lead paint testing, and asbestos testing: Three-year Water Testing – 6/27/24; due again 6/27/27 Lead Paint Testing – exempt 11/25/24 Asbestos Testing – waiting for on-site test results Maintain any paperwork received by mail or email in your Program Records file. *For more information check out the FAQ page at https://www.cleanwaterforuskids.org/en/carolina/ C. Pierce, Administrator, was present and assisted me with the visit. The facility currently operates with a Four-Star License, 1/9/2018, based on the following Program (2 PTS) + Education (7 PTS) + Quality Point (1 PT) = 10 Points = 4 Stars *Quality Point met and remains in effect: Has reduced group size by one in each group from the seven point level The next rated license assessment was due by 1/9/21, but legislation (Senate Bill 425) extended the “hold harmless” period until the new Quality Rating Improvement System (QRIS) is implemented. At this time, you may choose to complete a rated license assessment using the current rated license process or you may wait until the new QRIS is implemented. The proposed QRIS Modernization rules have been published and are open for public comments. I encourage you to review these and share any feedback you may have with the Child Care Commission. See Additional Comments for links for the proposed rules and contact information for the Commission. Note that the current program assessment tools are changing from the Early Childhood Environment Rating Scale – Revised (ECERS-R) to the Early Childhood Environment Rating Scale – 3 (ECERS-3) and ITERS-3. Information and training on the new program assessment tool is available on the NC Rating License Assessment Project website at https://ncrlap.org/. According to documents available in your file, this facility is a Sole Proprietorship owned by C. Pierce. Information on the NC Secretary of State website reflects that the center is owned by Home Away From Home Childcare Center Inc., effective 1/25/23. Today I provided you with a new Application – Facility Profile, Appendix E – Corporation, and Appendix I – Center Statements of Responsibility to complete so that ownership information can be updated. Mail the completed forms to me by 3/26/25. Please contact me prior to any information change regarding the ownership of this facility. License information was current. Contact me to make any changes to address, phone, or email or to request changes to the license. I monitored the classrooms and spaces used for child care and outdoor play area for applicable child care center requirements using the Child Care Center Requirements, effective 11/1/2024 and Item Numbers Listing, effective 3/2024. I monitored five staff records, four children’s records and all program records. The facility no longer offers transportation. The owner requested that I remove approval for transportation. Center Observations: Thirteen children, eleven months through four years of age, were present in two classrooms. Attendance records reflected that sixteen school-age children were present earlier for before care and were picked up by the bus. The librarian from the local library was doing story time with the preschool-age group. Later they transitioned to small group and free play. The infants and toddlers went outdoors to play on the fenced playground in the back. Because they were outside by themselves, they played on the playground for older children because the grass in the infant/toddler playground was still damp from the previous evening’s rain. They rode riding toys, played in the playhouses and played with portable gross motor toys. Lunch was cheese pizza, corn, pineapple and milk. The preschool-age children ate at a child-sized table. The older infants and toddlers ate in low chairs. Teachers supervised closely while children were eating. After lunch preschool children and older toddlers rested on linen-covered cots. Infants and young toddlers napped in cribs. Documentation of safe sleep checks was available. I observed and documented the following violations during today’s visit. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. In one of four children's files reviewed, documentation of receipt of the Summary of NC Child Care Law was not available. GS 110-102 847 Parent's medication authorization did not include required information. A medication form for topical ointments was signed and dated by the parent but did not include the name of the topical ointment and amount to be administered. The authorized time frame to administer was listed as March 11, 2024 to "Indef" instead of a twelve-month authorization period, and instructions to administer were vague. 10A NCAC 09 .0803(4)(6-9) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. In one of four children's files reviewed, documentation of receipt of the ITS/SIDS policy did not include the child's name and was not signed and dated by the parent. 10A NCAC 09 .0606(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. In one of four children's files reviewed, documentation of receipt of the discipline policy did not include child’s name, date of enrollment and was not signed and dated by parent. .1804(b) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. In two of four children's files reviewed, a statement of receipt of the Prevention of Shaken Baby Syndrome/Abusive Head Trauma Policy was not available. .0608(b)(1-6) * Child care programs are expected to achieve and always maintain compliance and are required by NC GS 110-90(4)(d) to achieve and maintain an 18-month compliance history score of at least 75%. Any violations documented may impact the compliance history score. I completed an electronic copy of the visit summary and provided a printed copy of it to you, C. Pierce. We reviewed the visit summary and violation(s) documented during today’s visit. Correct these immediately. Send evidence of correction to me so that I receive it no later than 3/26/25. Your compliance verification letter needs to state your facility name and license number and list each violation by Item # and describe in detail when and how each violation has been corrected. Do not include names of children in the compliance letter. Use their initials. Send compliance verification letter in an email from your center’s official email address, csc209@live.com, to my email address, Marjorie.White@dhhs.nc.gov. You may include the compliance verification as an attachment or in the body of the email. I will email a sample compliance verification letter to you. If sufficient information is not received by the due date, a follow-up visit may be conducted. Please be aware that any information submitted by you is legal documentation. If it is determined the information provided in the compliance letter is not true, this may be considered falsification of information. If I may be of further assistance, please contact me by phone at (252) 373-9385, by e-mail at Marjorie.White@dhhs.nc.gov. You may also call Jennifer Linhardt, Licensing Supervisor, at (252) 373-4199. Technical Assistance With Documented Violations: #847: Medication Permission Forms - All medications (prescription, OTC, non-medical topical ointment, lotion, or cream) for children enrolled at the center must have a current, completed medication permission form to ensure that staff are administering medication according to the parents’ or physician’s instructions. A child in Space 3 (MW) had a Permission to Administer Topical Ointment/Lotion Powder in her file that was signed and dated by the parent, but did not include the name of the topical ointment or amount to be used. In addition, the permission to administer was from 3/11/24 to Indef. These types of topical ointments can be authorized for up to twelve months and then must be reauthorized. The instructions to administer were also vague. Ms. Long stated that the center provides diaper creams and there are permission forms in the children’s files. I observed three tubes of diaper cream by the diapering table – two tubes of A&D Diaper Ointment and one tube of Phylo Silicone Cream. None were labeled as belonging to the center or to a specific child. If you choose to provide diaper cream or any other type of topical ointment, provide the parent with a completed medication permission form that includes the name of the topical ointment that you are providing and the instructions you are going to use to administer it. Have parents sign and date it. The form is good for up to 12 months when the parent would need to re-authorize if the ointment is still needed. You may want to maintain the permission forms where the ointment is applied or maintain them in the children’s files and post a list of children whose parents authorized you to use that particular ointment. Label the diaper creams or any other type of topical ointment with “center” or something that indicates this is the center-provided topical ointment. Review children’s files to verify that there are no other “vague”, incomplete medication forms. Either have the parents complete them and use the center-provided diaper cream or remove the permission forms if diaper cream is no longer needed. In your compliance letter, state the date when this is completed for MW. Children’s Records - Maintaining accurate records on the children in your care helps to ensure their health and safety, informs families of rules you are required to follow and your center’s policies, and provides a certain transfer of knowledge so that you can provide the best care possible for their children. The following children’s documents were missing or incomplete. #114: Summary of NC Child Care Law – signed statement of review and receipt was missing for MW (Space 3) #893: Safe Sleep Policy – policy in file for AR (Space 3) but did not include child’s name and was not signed and dated by parent #1325: Discipline Policy - policy in file for JB (Space 1/2) but did not include child’s name, date of enrollment and was not signed and dated by parent #1908: Prevention of Shaken Baby Syndrome/Abusive Head Trauma Policy – acknowledgement page in file for AR (Space 3) was staff acknowledgement statement instead of parent acknowledgment; no signed statement of receipt in file for JB (Space ½) You stated that you must have missed these items when enrolling new children and will not only check that forms are returned but that they are fully completed. I showed you a sample policy acknowledgement form and you asked if I could share that with you so that you could implement that form in your children’s files. For your compliance letter, state the date when each item above has been corrected. General Visit Information: As a licensed child care facility, it is your responsibility to be knowledgeable of the child care laws and rules and to teach your staff the rules to ensure your center remains in compliance. The most recent versions of laws and rules regarding child care facilities in North Carolina are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. You can also review the “What’s New” section and download a copy of the Items Number Listing which you can use as a checklist for your program. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. The Raise NC Newsletter, which is sent to your facility email almost weekly, provides the most current information and updates from the Division and available training opportunities. Consider creating an email folder for it so that you can refer back to it after you read it. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. Your local and regional Smart Start Partnerships and Child Care Resource and Referral Agencies and Child Care Health Consultants provide general training to meet on-going training hours, health and safety training requirements, Environment Rating Scale training and training specific to your center’s needs. They can also work with you to provide on-site technical assistance. *Chowan/Perquimans Smart Start Partnership: Phone - (252) 482-3035; website - http://cp-smartstart.org/ *Child Care Health Consultant – S. Rosser - Office: (252) 557-4208 or stacy_rosser@unc.edu *Albemarle Alliance for Children and Families (AACF) and Region 1 Child Care Resource and Referral: Phone – (252) 333-1233; website - www.aacfnc.org . *Healthy Behaviors Specialist: P. White – Phone (252) 333-1233; pam@aacfnc.org *Birth – 3 Quality Specialist: J. Davidson – Phone (252) 333-1233; joy@aacfnc.org *Southwestern Child Development Commission, www.swcdcinc.org - offers DCDEE approved, on-line, self-paced training with affordable annual packages allowing you to take as many courses as you need or want for one price. *NC Health and Safety Resource Center, https://healthychildcare.unc.edu/ - has trainers approved to offer Medication Administration, ITS/SIDS, Emergency Preparedness and Response, and required Health & Safety Trainings (in-person) and more. They also publish a quarterly E-Newsletter with an array of topics to help you provide a healthy and safe early learning and out of school environment. Reminders: Center Capacity – Remember that your overall center capacity is 26 children. At any time during the day, no more than 26 children can be present. Your enrollment sheets show 43 children attend either full-time or part-time. Many are school age who come either before or after school and are part-time. I did not observe any dates where more than 26 children were present at one time but be sure to monitor attendance so that parents do not drop off children on unscheduled days which could put you over your capacity. ABCMS Portal - The process of notifying the Division when you have new staff (or household members for family child care homes and centers licensed in a residence) has changed and is now captured in ABCMS, the new Criminal Background Check portal. You have completed the ABCMS Provider Portal Training and are now authorized to log in the ABCMS Provider Portal https://ncabcms.nc.gov/DCDEE/ using your Business NCID. I will send you instructions for the next steps to find your provider codes and assist staff with completing their connecting applications. • If you need assistance using the ABCMS Provider Portal, contact the Criminal Background Check Unit at (919) 814-6401 or DCDEE_ABCMS_Provider@dhhs.nc.gov and someone will assist you. • If you or your staff need assistance with completing a Criminal Background Check in the ABCMS Applicant Portal, contact the Criminal Background Check Unit at (919) 814-6401 or DHHS.CBC.Unit@dhhs.nc.gov and someone will assist you. • If you or your staff need assistance with your NCID, contact https://myNCID.nc.gov or (919) 754-6000. I will review your facility roster to verify that current staff are listed at your next visit. Staffing – Staff who are floaters or teacher’s aides are typically not assigned to a classroom to meet staff/child ratios but are there to assist the lead teacher and teacher with classroom duties and children. They can give breaks and if older than 18 years of age, they can be alone with children. They can be used as a substitute. If a classroom has enough children enrolled that it requires a second teacher to meet staff/child ratios, the second person in the classroom is a teacher and needs to meet teacher requirements and counts in the rated license. Staff Worksheets – We reviewed your staff worksheet. I highlighted items that were delinquent and items that are coming due in the next year. *C. Pierce – CPR/First Aid expires 3/31/25 Staff Medical Information File – Federal guidelines require that personal health care information for staff be stored in separate medical files from the rest of the employee’s staff record. This includes the staff medical report, documentation of a negative TB test or screening, and annual health questionnaire. Any other medical documentation such as doctors’ notes must be maintained in the staff medical file. Health and Safety Training and Five (5) Year Cycle Tracking Requirements – Review Row 17 on Staff Worksheet for initial and five-year H&S Training renewal dates. New staff need to complete Recognizing and Responding to Suspicions of Child Maltreatment and CPR/First Aid within three months of hire and the rest of the training modules within twelve months. *T. Leary has completed most of her H&S training. Her H&S Training Log shows that she has completed Medication Administration and Recognizing and Responding to Suspicions of Child Maltreatment, but copies of certificates were not available. Include a copy of RRSCM by 5/7/25 and a copy of Medication Administration by 2/7/26. On-going Training Hours – Review Row 18 (# hours to carry over) on the Staff Worksheets to determine how many on-going training hours returning staff will need by 4/8/25 (anniversary of last Annual Compliance visit) or by 3/12/26 (anniversary to today’s Annual Compliance visit). If they have not completed the required number of on-going training hours, they have until 4/8/25 to complete them and I will check at the next monitoring visit. *Use the On-going Training Log to document training annually. Attach copies of certificates. *C. Pierce – required to have 8 hrs; 2 hrs completed; needs 6 hrs by 4/8/25 (and complete On-going Training Log and attach certificates); you just finished your MS-ECE. Include a copy of your transcripts in your file and document any courses completed since 4/8/24. They will count towards training hours. Also, upload your final transcripts for your BS-ECE and/or MS/ECE into Works. This will earn you a NCECAC Level III. Then you will only need five hours of on-going training annually. *D. Long - required to have 5 hrs; 2 hrs completed; needs 3 hrs by 4/8/25 (and complete On-going Training Log and attach certificates) *S. Rome - required to have10 hrs; 0 hrs completed; needs 10 hrs by 4/8/25 (and complete On-going Training Log and attach certificates) *E. Capehart - required to have10 hrs; 0 hrs completed; needs 10 hrs by 4/8/25 (and complete On-going Training Log and attach certificates) ITS/SIDS Training – T. Leary was hired on 2/7/25. She floats in the infant room and needs ITS/SIDS training by 4/7/25. Until she has ITS/SIDS Training, she cannot be alone with infants. She has completed the safe sleep training on Moodle for H&S Training but needs the official ITS/SIDS training to meet North Carolina’s safe sleep training requirements. Fire and Emergency Drills – Add the year at the top of your Emergency Drill and Fire Drill Logs. Emergency Preparedness and Response (EPR) Requirements, Emergency Medical Care Plan (EMCP) and Ready-to-Go File – Your Emergency Preparedness and Response (EPR) Plan needs to be reviewed and updated annually in the NC Risk Management Portal. 1. Log into the Emergency Management Portal on the DCDEE website -> Provider tab -> Emergency Preparedness and Response 2. Scroll down to NC Risk Management Portal link under the Emergency Preparedness and Response Template heading. Log in at top right using NCID used to create or update EPR Plan. 3. Click Emergency Preparedness and Response Plan in bottom left corner. 4. Click “Get Started” 5. Review EPR Plan (listed by name on cover of most recent plan) and update as needed. 6. Document update/review date on page 28. If changes are needed, print the plan up to page 29. If no changes are needed, print new cover page and page 28 with the update/review date reflected. 7. Review annually with staff and during orientation with new staff. Use this time to review and update Emergency Medical Care Plan and review with staff also. * If you have questions, or need assistance with accessing your EPR Plan call 919-814-6365 or email dcdee.inservice.training@dhhs.nc.gov *Your EPR Plan was reviewed in March 2025 and reviewed with staff but you were not able to access it in the portal. Contact the above email to request assistance with accessing your EPR Plan. Playground – Spring is here. Power wash outdoor toys and playhouses to remove winter grime and mold. Maintain grass and weeds along the fence line. Because of the recent cold temperatures and snow this winter, check toys carefully for cracks. Remove from the play area and eventually the premises and replace them as needed. Kitchen – You keep your kitchen door locked but purchase a cabinet that you can safely lock cleaning supplies that are stored in the kitchen. Additional Comments: I shared information on the following topics and emailed the information to you after the visit: 1. Important! NCID Password Rule Changing and Tips to Keep NCID Updated 2. Update on QRIS Modernization – Proposed Rules Published, Open for Public Comments 3. Moodle Helpful Hints 4. Health & Safety Resource Center – E New- Winter, Water and Safety 5. Environment Rating Scales – Get Ready for the 3’s! Thank you for your time and assistance today. Refer to this visit summary for a refresher of our discussions today, and I encourage you to share with staff and use the information as a teaching tool. If you have any questions, do not hesitate to call or email me at the contact information listed above. 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: HOME AWAY FROM HOME CHILDCARE CENTER Facility ID: 21000067 Consultant: MARJORIE WHITE Operation Type: Center Case Number: Visit Date: 3/12/2025 Number Present: 13 Completed Date: 3/12/2025 Age: From 0 To 4 Total Minutes: 345 Time In: 09:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s Annual Compliance visit was to monitor compliance with applicable child care requirements. Last Annual Compliance visit – 4/8/24 18-month compliance history from 9/8/23 – 3/7/25 = 88% Last Sanitation Inspection – 9/18/24 - Superior Last Fire Inspection – 9/24/25 – Satisfactory; Daytime and Overnight *Sanitation and fire inspections are required at least annually by the end of the month of the previous inspection. Send fire inspections to your child care consultant within seven (7) days of the inspection. Required Water, Lead Paint, and Asbestos Testing - The Clean Classrooms for Carolina Kids website reflects the following information about your center’s required three-year water testing and one-time lead paint testing, and asbestos testing: Three-year Water Testing – 6/27/24; due again 6/27/27 Lead Paint Testing – exempt 11/25/24 Asbestos Testing – waiting for on-site test results Maintain any paperwork received by mail or email in your Program Records file. *For more information check out the FAQ page at https://www.cleanwaterforuskids.org/en/carolina/ C. Pierce, Administrator, was present and assisted me with the visit. The facility currently operates with a Four-Star License, 1/9/2018, based on the following Program (2 PTS) + Education (7 PTS) + Quality Point (1 PT) = 10 Points = 4 Stars *Quality Point met and remains in effect: Has reduced group size by one in each group from the seven point level The next rated license assessment was due by 1/9/21, but legislation (Senate Bill 425) extended the “hold harmless” period until the new Quality Rating Improvement System (QRIS) is implemented. At this time, you may choose to complete a rated license assessment using the current rated license process or you may wait until the new QRIS is implemented. The proposed QRIS Modernization rules have been published and are open for public comments. I encourage you to review these and share any feedback you may have with the Child Care Commission. See Additional Comments for links for the proposed rules and contact information for the Commission. Note that the current program assessment tools are changing from the Early Childhood Environment Rating Scale – Revised (ECERS-R) to the Early Childhood Environment Rating Scale – 3 (ECERS-3) and ITERS-3. Information and training on the new program assessment tool is available on the NC Rating License Assessment Project website at https://ncrlap.org/. According to documents available in your file, this facility is a Sole Proprietorship owned by C. Pierce. Information on the NC Secretary of State website reflects that the center is owned by Home Away From Home Childcare Center Inc., effective 1/25/23. Today I provided you with a new Application – Facility Profile, Appendix E – Corporation, and Appendix I – Center Statements of Responsibility to complete so that ownership information can be updated. Mail the completed forms to me by 3/26/25. Please contact me prior to any information change regarding the ownership of this facility. License information was current. Contact me to make any changes to address, phone, or email or to request changes to the license. I monitored the classrooms and spaces used for child care and outdoor play area for applicable child care center requirements using the Child Care Center Requirements, effective 11/1/2024 and Item Numbers Listing, effective 3/2024. I monitored five staff records, four children’s records and all program records. The facility no longer offers transportation. The owner requested that I remove approval for transportation. Center Observations: Thirteen children, eleven months through four years of age, were present in two classrooms. Attendance records reflected that sixteen school-age children were present earlier for before care and were picked up by the bus. The librarian from the local library was doing story time with the preschool-age group. Later they transitioned to small group and free play. The infants and toddlers went outdoors to play on the fenced playground in the back. Because they were outside by themselves, they played on the playground for older children because the grass in the infant/toddler playground was still damp from the previous evening’s rain. They rode riding toys, played in the playhouses and played with portable gross motor toys. Lunch was cheese pizza, corn, pineapple and milk. The preschool-age children ate at a child-sized table. The older infants and toddlers ate in low chairs. Teachers supervised closely while children were eating. After lunch preschool children and older toddlers rested on linen-covered cots. Infants and young toddlers napped in cribs. Documentation of safe sleep checks was available. I observed and documented the following violations during today’s visit. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. In one of four children's files reviewed, documentation of receipt of the Summary of NC Child Care Law was not available. GS 110-102 847 Parent's medication authorization did not include required information. A medication form for topical ointments was signed and dated by the parent but did not include the name of the topical ointment and amount to be administered. The authorized time frame to administer was listed as March 11, 2024 to "Indef" instead of a twelve-month authorization period, and instructions to administer were vague. 10A NCAC 09 .0803(4)(6-9) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. In one of four children's files reviewed, documentation of receipt of the ITS/SIDS policy did not include the child's name and was not signed and dated by the parent. 10A NCAC 09 .0606(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. In one of four children's files reviewed, documentation of receipt of the discipline policy did not include child’s name, date of enrollment and was not signed and dated by parent. .1804(b) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. In two of four children's files reviewed, a statement of receipt of the Prevention of Shaken Baby Syndrome/Abusive Head Trauma Policy was not available. .0608(b)(1-6) * Child care programs are expected to achieve and always maintain compliance and are required by NC GS 110-90(4)(d) to achieve and maintain an 18-month compliance history score of at least 75%. Any violations documented may impact the compliance history score. I completed an electronic copy of the visit summary and provided a printed copy of it to you, C. Pierce. We reviewed the visit summary and violation(s) documented during today’s visit. Correct these immediately. Send evidence of correction to me so that I receive it no later than 3/26/25. Your compliance verification letter needs to state your facility name and license number and list each violation by Item # and describe in detail when and how each violation has been corrected. Do not include names of children in the compliance letter. Use their initials. Send compliance verification letter in an email from your center’s official email address, csc209@live.com, to my email address, Marjorie.White@dhhs.nc.gov. You may include the compliance verification as an attachment or in the body of the email. I will email a sample compliance verification letter to you. If sufficient information is not received by the due date, a follow-up visit may be conducted. Please be aware that any information submitted by you is legal documentation. If it is determined the information provided in the compliance letter is not true, this may be considered falsification of information. If I may be of further assistance, please contact me by phone at (252) 373-9385, by e-mail at Marjorie.White@dhhs.nc.gov. You may also call Jennifer Linhardt, Licensing Supervisor, at (252) 373-4199. Technical Assistance With Documented Violations: #847: Medication Permission Forms - All medications (prescription, OTC, non-medical topical ointment, lotion, or cream) for children enrolled at the center must have a current, completed medication permission form to ensure that staff are administering medication according to the parents’ or physician’s instructions. A child in Space 3 (MW) had a Permission to Administer Topical Ointment/Lotion Powder in her file that was signed and dated by the parent, but did not include the name of the topical ointment or amount to be used. In addition, the permission to administer was from 3/11/24 to Indef. These types of topical ointments can be authorized for up to twelve months and then must be reauthorized. The instructions to administer were also vague. Ms. Long stated that the center provides diaper creams and there are permission forms in the children’s files. I observed three tubes of diaper cream by the diapering table – two tubes of A&D Diaper Ointment and one tube of Phylo Silicone Cream. None were labeled as belonging to the center or to a specific child. If you choose to provide diaper cream or any other type of topical ointment, provide the parent with a completed medication permission form that includes the name of the topical ointment that you are providing and the instructions you are going to use to administer it. Have parents sign and date it. The form is good for up to 12 months when the parent would need to re-authorize if the ointment is still needed. You may want to maintain the permission forms where the ointment is applied or maintain them in the children’s files and post a list of children whose parents authorized you to use that particular ointment. Label the diaper creams or any other type of topical ointment with “center” or something that indicates this is the center-provided topical ointment. Review children’s files to verify that there are no other “vague”, incomplete medication forms. Either have the parents complete them and use the center-provided diaper cream or remove the permission forms if diaper cream is no longer needed. In your compliance letter, state the date when this is completed for MW. Children’s Records - Maintaining accurate records on the children in your care helps to ensure their health and safety, informs families of rules you are required to follow and your center’s policies, and provides a certain transfer of knowledge so that you can provide the best care possible for their children. The following children’s documents were missing or incomplete. #114: Summary of NC Child Care Law – signed statement of review and receipt was missing for MW (Space 3) #893: Safe Sleep Policy – policy in file for AR (Space 3) but did not include child’s name and was not signed and dated by parent #1325: Discipline Policy - policy in file for JB (Space 1/2) but did not include child’s name, date of enrollment and was not signed and dated by parent #1908: Prevention of Shaken Baby Syndrome/Abusive Head Trauma Policy – acknowledgement page in file for AR (Space 3) was staff acknowledgement statement instead of parent acknowledgment; no signed statement of receipt in file for JB (Space ½) You stated that you must have missed these items when enrolling new children and will not only check that forms are returned but that they are fully completed. I showed you a sample policy acknowledgement form and you asked if I could share that with you so that you could implement that form in your children’s files. For your compliance letter, state the date when each item above has been corrected. General Visit Information: As a licensed child care facility, it is your responsibility to be knowledgeable of the child care laws and rules and to teach your staff the rules to ensure your center remains in compliance. The most recent versions of laws and rules regarding child care facilities in North Carolina are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. You can also review the “What’s New” section and download a copy of the Items Number Listing which you can use as a checklist for your program. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. The Raise NC Newsletter, which is sent to your facility email almost weekly, provides the most current information and updates from the Division and available training opportunities. Consider creating an email folder for it so that you can refer back to it after you read it. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. Your local and regional Smart Start Partnerships and Child Care Resource and Referral Agencies and Child Care Health Consultants provide general training to meet on-going training hours, health and safety training requirements, Environment Rating Scale training and training specific to your center’s needs. They can also work with you to provide on-site technical assistance. *Chowan/Perquimans Smart Start Partnership: Phone - (252) 482-3035; website - http://cp-smartstart.org/ *Child Care Health Consultant – S. Rosser - Office: (252) 557-4208 or stacy_rosser@unc.edu *Albemarle Alliance for Children and Families (AACF) and Region 1 Child Care Resource and Referral: Phone – (252) 333-1233; website - www.aacfnc.org . *Healthy Behaviors Specialist: P. White – Phone (252) 333-1233; pam@aacfnc.org *Birth – 3 Quality Specialist: J. Davidson – Phone (252) 333-1233; joy@aacfnc.org *Southwestern Child Development Commission, www.swcdcinc.org - offers DCDEE approved, on-line, self-paced training with affordable annual packages allowing you to take as many courses as you need or want for one price. *NC Health and Safety Resource Center, https://healthychildcare.unc.edu/ - has trainers approved to offer Medication Administration, ITS/SIDS, Emergency Preparedness and Response, and required Health & Safety Trainings (in-person) and more. They also publish a quarterly E-Newsletter with an array of topics to help you provide a healthy and safe early learning and out of school environment. Reminders: Center Capacity – Remember that your overall center capacity is 26 children. At any time during the day, no more than 26 children can be present. Your enrollment sheets show 43 children attend either full-time or part-time. Many are school age who come either before or after school and are part-time. I did not observe any dates where more than 26 children were present at one time but be sure to monitor attendance so that parents do not drop off children on unscheduled days which could put you over your capacity. ABCMS Portal - The process of notifying the Division when you have new staff (or household members for family child care homes and centers licensed in a residence) has changed and is now captured in ABCMS, the new Criminal Background Check portal. You have completed the ABCMS Provider Portal Training and are now authorized to log in the ABCMS Provider Portal https://ncabcms.nc.gov/DCDEE/ using your Business NCID. I will send you instructions for the next steps to find your provider codes and assist staff with completing their connecting applications. • If you need assistance using the ABCMS Provider Portal, contact the Criminal Background Check Unit at (919) 814-6401 or DCDEE_ABCMS_Provider@dhhs.nc.gov and someone will assist you. • If you or your staff need assistance with completing a Criminal Background Check in the ABCMS Applicant Portal, contact the Criminal Background Check Unit at (919) 814-6401 or DHHS.CBC.Unit@dhhs.nc.gov and someone will assist you. • If you or your staff need assistance with your NCID, contact https://myNCID.nc.gov or (919) 754-6000. I will review your facility roster to verify that current staff are listed at your next visit. Staffing – Staff who are floaters or teacher’s aides are typically not assigned to a classroom to meet staff/child ratios but are there to assist the lead teacher and teacher with classroom duties and children. They can give breaks and if older than 18 years of age, they can be alone with children. They can be used as a substitute. If a classroom has enough children enrolled that it requires a second teacher to meet staff/child ratios, the second person in the classroom is a teacher and needs to meet teacher requirements and counts in the rated license. Staff Worksheets – We reviewed your staff worksheet. I highlighted items that were delinquent and items that are coming due in the next year. *C. Pierce – CPR/First Aid expires 3/31/25 Staff Medical Information File – Federal guidelines require that personal health care information for staff be stored in separate medical files from the rest of the employee’s staff record. This includes the staff medical report, documentation of a negative TB test or screening, and annual health questionnaire. Any other medical documentation such as doctors’ notes must be maintained in the staff medical file. Health and Safety Training and Five (5) Year Cycle Tracking Requirements – Review Row 17 on Staff Worksheet for initial and five-year H&S Training renewal dates. New staff need to complete Recognizing and Responding to Suspicions of Child Maltreatment and CPR/First Aid within three months of hire and the rest of the training modules within twelve months. *T. Leary has completed most of her H&S training. Her H&S Training Log shows that she has completed Medication Administration and Recognizing and Responding to Suspicions of Child Maltreatment, but copies of certificates were not available. Include a copy of RRSCM by 5/7/25 and a copy of Medication Administration by 2/7/26. On-going Training Hours – Review Row 18 (# hours to carry over) on the Staff Worksheets to determine how many on-going training hours returning staff will need by 4/8/25 (anniversary of last Annual Compliance visit) or by 3/12/26 (anniversary to today’s Annual Compliance visit). If they have not completed the required number of on-going training hours, they have until 4/8/25 to complete them and I will check at the next monitoring visit. *Use the On-going Training Log to document training annually. Attach copies of certificates. *C. Pierce – required to have 8 hrs; 2 hrs completed; needs 6 hrs by 4/8/25 (and complete On-going Training Log and attach certificates); you just finished your MS-ECE. Include a copy of your transcripts in your file and document any courses completed since 4/8/24. They will count towards training hours. Also, upload your final transcripts for your BS-ECE and/or MS/ECE into Works. This will earn you a NCECAC Level III. Then you will only need five hours of on-going training annually. *D. Long - required to have 5 hrs; 2 hrs completed; needs 3 hrs by 4/8/25 (and complete On-going Training Log and attach certificates) *S. Rome - required to have10 hrs; 0 hrs completed; needs 10 hrs by 4/8/25 (and complete On-going Training Log and attach certificates) *E. Capehart - required to have10 hrs; 0 hrs completed; needs 10 hrs by 4/8/25 (and complete On-going Training Log and attach certificates) ITS/SIDS Training – T. Leary was hired on 2/7/25. She floats in the infant room and needs ITS/SIDS training by 4/7/25. Until she has ITS/SIDS Training, she cannot be alone with infants. She has completed the safe sleep training on Moodle for H&S Training but needs the official ITS/SIDS training to meet North Carolina’s safe sleep training requirements. Fire and Emergency Drills – Add the year at the top of your Emergency Drill and Fire Drill Logs. Emergency Preparedness and Response (EPR) Requirements, Emergency Medical Care Plan (EMCP) and Ready-to-Go File – Your Emergency Preparedness and Response (EPR) Plan needs to be reviewed and updated annually in the NC Risk Management Portal. 1. Log into the Emergency Management Portal on the DCDEE website -> Provider tab -> Emergency Preparedness and Response 2. Scroll down to NC Risk Management Portal link under the Emergency Preparedness and Response Template heading. Log in at top right using NCID used to create or update EPR Plan. 3. Click Emergency Preparedness and Response Plan in bottom left corner. 4. Click “Get Started” 5. Review EPR Plan (listed by name on cover of most recent plan) and update as needed. 6. Document update/review date on page 28. If changes are needed, print the plan up to page 29. If no changes are needed, print new cover page and page 28 with the update/review date reflected. 7. Review annually with staff and during orientation with new staff. Use this time to review and update Emergency Medical Care Plan and review with staff also. * If you have questions, or need assistance with accessing your EPR Plan call 919-814-6365 or email dcdee.inservice.training@dhhs.nc.gov *Your EPR Plan was reviewed in March 2025 and reviewed with staff but you were not able to access it in the portal. Contact the above email to request assistance with accessing your EPR Plan. Playground – Spring is here. Power wash outdoor toys and playhouses to remove winter grime and mold. Maintain grass and weeds along the fence line. Because of the recent cold temperatures and snow this winter, check toys carefully for cracks. Remove from the play area and eventually the premises and replace them as needed. Kitchen – You keep your kitchen door locked but purchase a cabinet that you can safely lock cleaning supplies that are stored in the kitchen. Additional Comments: I shared information on the following topics and emailed the information to you after the visit: 1. Important! NCID Password Rule Changing and Tips to Keep NCID Updated 2. Update on QRIS Modernization – Proposed Rules Published, Open for Public Comments 3. Moodle Helpful Hints 4. Health & Safety Resource Center – E New- Winter, Water and Safety 5. Environment Rating Scales – Get Ready for the 3’s! Thank you for your time and assistance today. Refer to this visit summary for a refresher of our discussions today, and I encourage you to share with staff and use the information as a teaching tool. If you have any questions, do not hesitate to call or email me at the contact information listed above. 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 .0601 · Violation

Name of Operation: HOME AWAY FROM HOME CHILDCARE CENTER Facility ID: 21000067 Consultant: TAMARIA WILLIAMS Operation Type: Center Case Number: Visit Date: 8/29/2024 Number Present: 24 Completed Date: 8/29/2024 Age: From 0 To 4 Total Minutes: 165 Time In: 09:45 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a Routine Unannounced visit. C. Pierce, administrator assisted me as needed during the visit. Your program currently operates with a four-star license, issued 1/9/2018, earning 7 points in the education component, 2 points in the program standards component (meeting enhanced space) and 1 quality point for reducing the group size by one in each group from the seven-point level. The last annual compliance visit was 4/8/2024. The sanitation inspection was completed on 3/6/2024 with a “Superior” classification. The last fire inspection was conducted 5/9/2023 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent as 8/27/24. The facility is currently owned by Home Away From Home Childcare Center INC and is current-active as of 8/27/24. Please contact me prior to any information changing regarding the owner of this facility. The contact information on the Division of Child Development & Early Education (DCDEE) website was reviewed. It is important to frequently check your email to remain informed about any new changes that have or may occur. Upon arrival children were engaged in outdoor free play. The outdoor play area contained portable slides, push/pull toys, tricycles, playhouse, and a variety of balls. Trees were located around the playground and provided shaded areas. After outdoor play children transitioned to personal care routines and ate lunch. Lunch consisted of meatballs, mixed vegetables, mixed fruit, bread and milk. The children rested on linen-covered cots after lunch was completed. The following violations were documented Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was on 5/9/23. 10A NCAC 09 .0304(a) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. One staff person was present on the playground with seventeen children that ranged from two(2) to four(4) years of age. GS 110-91(7);.0713(a-d) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not recorded for the month of July 2024. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. The grass on the playground is overgrown. 10A NCAC 09 .0601(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. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 9/12/2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: Tamaria.williams@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Minimum Staff/Child Ratios – Research has verified that staff-child ratios and group sizes are essential for providing a safe and healthy environment for young children. Today upon arrival while on the outside playground, I observed one teacher on the playground with seventeen (17) children from ages two (2)-four (4) years old. You stated that two of your teachers were out sick with Covid-19 virus and that you knew that you were out of compliance. Having substitute staff available in times of emergency could help prevent this from re-occurring. A follow-up visit will be made. Outdoor Environment- The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. Proper maintenance is a key factor when trying to ensure a safe play environment for children. Outdoor areas should be kept free of excessive high grass. During today’s inspection of the outdoor learning environment, grass is overgrown. Emergency Drills- Fire drills are required to be conducted at least monthly to ensure that the operator and children are aware of what actions to take in the event of a life-threatening emergency. It is important that you use the pull station that is installed in your facility as the source of notification. In addition, you must conduct either a shelter-in-place or a lockdown drill every three months. You were aware that you did not conduct a fire drill for the month of July 2024. Set a reminder on your phone and calendar for the remainder of the year at a frequency of once a month to ensure that you conduct your fire drills. Fire Inspection - Each operator must schedule a fire inspection within 12 months of the center's previous fire inspection. The last fire inspection was completed at the center on 5/9/23. You stated that the fire inspection has been completed but you have misplaced onthe completed form. There is a folder on the wall for completed fire inspections. Placing the completed fire inspections in the folder will allow you to keep them in a designated space and readily available when needed. Additional Information: The Chowan/Perquimans Smart Start Child Care Resource & Referral is able to provide you with resources and information, training opportunities, and technical assistance on child care issues and the Environment Rating Scales virtually. Their phone number is (252) 482-3035 or check out their website at www.cp-smartstart.org. Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules (updated 1/1/24) and environmental health rules (updated 7/1/23) in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor contact 1-888-600-1685 option 1. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Tamaria Williams, Child Care Consultant, 252-508-5621, Tamaria.Williams@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: HOME AWAY FROM HOME CHILDCARE CENTER Facility ID: 21000067 Consultant: TAMARIA WILLIAMS Operation Type: Center Case Number: Visit Date: 8/29/2024 Number Present: 24 Completed Date: 8/29/2024 Age: From 0 To 4 Total Minutes: 165 Time In: 09:45 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a Routine Unannounced visit. C. Pierce, administrator assisted me as needed during the visit. Your program currently operates with a four-star license, issued 1/9/2018, earning 7 points in the education component, 2 points in the program standards component (meeting enhanced space) and 1 quality point for reducing the group size by one in each group from the seven-point level. The last annual compliance visit was 4/8/2024. The sanitation inspection was completed on 3/6/2024 with a “Superior” classification. The last fire inspection was conducted 5/9/2023 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent as 8/27/24. The facility is currently owned by Home Away From Home Childcare Center INC and is current-active as of 8/27/24. Please contact me prior to any information changing regarding the owner of this facility. The contact information on the Division of Child Development & Early Education (DCDEE) website was reviewed. It is important to frequently check your email to remain informed about any new changes that have or may occur. Upon arrival children were engaged in outdoor free play. The outdoor play area contained portable slides, push/pull toys, tricycles, playhouse, and a variety of balls. Trees were located around the playground and provided shaded areas. After outdoor play children transitioned to personal care routines and ate lunch. Lunch consisted of meatballs, mixed vegetables, mixed fruit, bread and milk. The children rested on linen-covered cots after lunch was completed. The following violations were documented Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was on 5/9/23. 10A NCAC 09 .0304(a) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. One staff person was present on the playground with seventeen children that ranged from two(2) to four(4) years of age. GS 110-91(7);.0713(a-d) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not recorded for the month of July 2024. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. The grass on the playground is overgrown. 10A NCAC 09 .0601(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. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 9/12/2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: Tamaria.williams@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Minimum Staff/Child Ratios – Research has verified that staff-child ratios and group sizes are essential for providing a safe and healthy environment for young children. Today upon arrival while on the outside playground, I observed one teacher on the playground with seventeen (17) children from ages two (2)-four (4) years old. You stated that two of your teachers were out sick with Covid-19 virus and that you knew that you were out of compliance. Having substitute staff available in times of emergency could help prevent this from re-occurring. A follow-up visit will be made. Outdoor Environment- The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. Proper maintenance is a key factor when trying to ensure a safe play environment for children. Outdoor areas should be kept free of excessive high grass. During today’s inspection of the outdoor learning environment, grass is overgrown. Emergency Drills- Fire drills are required to be conducted at least monthly to ensure that the operator and children are aware of what actions to take in the event of a life-threatening emergency. It is important that you use the pull station that is installed in your facility as the source of notification. In addition, you must conduct either a shelter-in-place or a lockdown drill every three months. You were aware that you did not conduct a fire drill for the month of July 2024. Set a reminder on your phone and calendar for the remainder of the year at a frequency of once a month to ensure that you conduct your fire drills. Fire Inspection - Each operator must schedule a fire inspection within 12 months of the center's previous fire inspection. The last fire inspection was completed at the center on 5/9/23. You stated that the fire inspection has been completed but you have misplaced onthe completed form. There is a folder on the wall for completed fire inspections. Placing the completed fire inspections in the folder will allow you to keep them in a designated space and readily available when needed. Additional Information: The Chowan/Perquimans Smart Start Child Care Resource & Referral is able to provide you with resources and information, training opportunities, and technical assistance on child care issues and the Environment Rating Scales virtually. Their phone number is (252) 482-3035 or check out their website at www.cp-smartstart.org. Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules (updated 1/1/24) and environmental health rules (updated 7/1/23) in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor contact 1-888-600-1685 option 1. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Tamaria Williams, Child Care Consultant, 252-508-5621, Tamaria.Williams@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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: HOME AWAY FROM HOME CHILDCARE CENTER Facility ID: 21000067 Consultant: TAMARIA WILLIAMS Operation Type: Center Case Number: Visit Date: 8/29/2024 Number Present: 24 Completed Date: 8/29/2024 Age: From 0 To 4 Total Minutes: 165 Time In: 09:45 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a Routine Unannounced visit. C. Pierce, administrator assisted me as needed during the visit. Your program currently operates with a four-star license, issued 1/9/2018, earning 7 points in the education component, 2 points in the program standards component (meeting enhanced space) and 1 quality point for reducing the group size by one in each group from the seven-point level. The last annual compliance visit was 4/8/2024. The sanitation inspection was completed on 3/6/2024 with a “Superior” classification. The last fire inspection was conducted 5/9/2023 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent as 8/27/24. The facility is currently owned by Home Away From Home Childcare Center INC and is current-active as of 8/27/24. Please contact me prior to any information changing regarding the owner of this facility. The contact information on the Division of Child Development & Early Education (DCDEE) website was reviewed. It is important to frequently check your email to remain informed about any new changes that have or may occur. Upon arrival children were engaged in outdoor free play. The outdoor play area contained portable slides, push/pull toys, tricycles, playhouse, and a variety of balls. Trees were located around the playground and provided shaded areas. After outdoor play children transitioned to personal care routines and ate lunch. Lunch consisted of meatballs, mixed vegetables, mixed fruit, bread and milk. The children rested on linen-covered cots after lunch was completed. The following violations were documented Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was on 5/9/23. 10A NCAC 09 .0304(a) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. One staff person was present on the playground with seventeen children that ranged from two(2) to four(4) years of age. GS 110-91(7);.0713(a-d) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not recorded for the month of July 2024. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. The grass on the playground is overgrown. 10A NCAC 09 .0601(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. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 9/12/2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: Tamaria.williams@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Minimum Staff/Child Ratios – Research has verified that staff-child ratios and group sizes are essential for providing a safe and healthy environment for young children. Today upon arrival while on the outside playground, I observed one teacher on the playground with seventeen (17) children from ages two (2)-four (4) years old. You stated that two of your teachers were out sick with Covid-19 virus and that you knew that you were out of compliance. Having substitute staff available in times of emergency could help prevent this from re-occurring. A follow-up visit will be made. Outdoor Environment- The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. Proper maintenance is a key factor when trying to ensure a safe play environment for children. Outdoor areas should be kept free of excessive high grass. During today’s inspection of the outdoor learning environment, grass is overgrown. Emergency Drills- Fire drills are required to be conducted at least monthly to ensure that the operator and children are aware of what actions to take in the event of a life-threatening emergency. It is important that you use the pull station that is installed in your facility as the source of notification. In addition, you must conduct either a shelter-in-place or a lockdown drill every three months. You were aware that you did not conduct a fire drill for the month of July 2024. Set a reminder on your phone and calendar for the remainder of the year at a frequency of once a month to ensure that you conduct your fire drills. Fire Inspection - Each operator must schedule a fire inspection within 12 months of the center's previous fire inspection. The last fire inspection was completed at the center on 5/9/23. You stated that the fire inspection has been completed but you have misplaced onthe completed form. There is a folder on the wall for completed fire inspections. Placing the completed fire inspections in the folder will allow you to keep them in a designated space and readily available when needed. Additional Information: The Chowan/Perquimans Smart Start Child Care Resource & Referral is able to provide you with resources and information, training opportunities, and technical assistance on child care issues and the Environment Rating Scales virtually. Their phone number is (252) 482-3035 or check out their website at www.cp-smartstart.org. Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules (updated 1/1/24) and environmental health rules (updated 7/1/23) in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor contact 1-888-600-1685 option 1. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Tamaria Williams, Child Care Consultant, 252-508-5621, Tamaria.Williams@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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: HOME AWAY FROM HOME CHILDCARE CENTER Facility ID: 21000067 Consultant: TAMARIA WILLIAMS Operation Type: Center Case Number: Visit Date: 8/29/2024 Number Present: 24 Completed Date: 8/29/2024 Age: From 0 To 4 Total Minutes: 165 Time In: 09:45 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a Routine Unannounced visit. C. Pierce, administrator assisted me as needed during the visit. Your program currently operates with a four-star license, issued 1/9/2018, earning 7 points in the education component, 2 points in the program standards component (meeting enhanced space) and 1 quality point for reducing the group size by one in each group from the seven-point level. The last annual compliance visit was 4/8/2024. The sanitation inspection was completed on 3/6/2024 with a “Superior” classification. The last fire inspection was conducted 5/9/2023 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent as 8/27/24. The facility is currently owned by Home Away From Home Childcare Center INC and is current-active as of 8/27/24. Please contact me prior to any information changing regarding the owner of this facility. The contact information on the Division of Child Development & Early Education (DCDEE) website was reviewed. It is important to frequently check your email to remain informed about any new changes that have or may occur. Upon arrival children were engaged in outdoor free play. The outdoor play area contained portable slides, push/pull toys, tricycles, playhouse, and a variety of balls. Trees were located around the playground and provided shaded areas. After outdoor play children transitioned to personal care routines and ate lunch. Lunch consisted of meatballs, mixed vegetables, mixed fruit, bread and milk. The children rested on linen-covered cots after lunch was completed. The following violations were documented Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was on 5/9/23. 10A NCAC 09 .0304(a) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. One staff person was present on the playground with seventeen children that ranged from two(2) to four(4) years of age. GS 110-91(7);.0713(a-d) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not recorded for the month of July 2024. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. The grass on the playground is overgrown. 10A NCAC 09 .0601(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. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 9/12/2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: Tamaria.williams@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Minimum Staff/Child Ratios – Research has verified that staff-child ratios and group sizes are essential for providing a safe and healthy environment for young children. Today upon arrival while on the outside playground, I observed one teacher on the playground with seventeen (17) children from ages two (2)-four (4) years old. You stated that two of your teachers were out sick with Covid-19 virus and that you knew that you were out of compliance. Having substitute staff available in times of emergency could help prevent this from re-occurring. A follow-up visit will be made. Outdoor Environment- The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. Proper maintenance is a key factor when trying to ensure a safe play environment for children. Outdoor areas should be kept free of excessive high grass. During today’s inspection of the outdoor learning environment, grass is overgrown. Emergency Drills- Fire drills are required to be conducted at least monthly to ensure that the operator and children are aware of what actions to take in the event of a life-threatening emergency. It is important that you use the pull station that is installed in your facility as the source of notification. In addition, you must conduct either a shelter-in-place or a lockdown drill every three months. You were aware that you did not conduct a fire drill for the month of July 2024. Set a reminder on your phone and calendar for the remainder of the year at a frequency of once a month to ensure that you conduct your fire drills. Fire Inspection - Each operator must schedule a fire inspection within 12 months of the center's previous fire inspection. The last fire inspection was completed at the center on 5/9/23. You stated that the fire inspection has been completed but you have misplaced onthe completed form. There is a folder on the wall for completed fire inspections. Placing the completed fire inspections in the folder will allow you to keep them in a designated space and readily available when needed. Additional Information: The Chowan/Perquimans Smart Start Child Care Resource & Referral is able to provide you with resources and information, training opportunities, and technical assistance on child care issues and the Environment Rating Scales virtually. Their phone number is (252) 482-3035 or check out their website at www.cp-smartstart.org. Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules (updated 1/1/24) and environmental health rules (updated 7/1/23) in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor contact 1-888-600-1685 option 1. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Tamaria Williams, Child Care Consultant, 252-508-5621, Tamaria.Williams@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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 .0601 · Violation

Name of Operation: HOME AWAY FROM HOME CHILDCARE CENTER Facility ID: 21000067 Consultant: TAMARIA WILLIAMS Operation Type: Center Case Number: Visit Date: 4/8/2024 Number Present: 14 Completed Date: 4/8/2024 Age: From 0 To 4 Total Minutes: 250 Time In: 08:50 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an Annual Compliance visit. C. Pierce, administrator assisted me as needed during the visit. Your program currently operates with a four-star license, issued 1/9/2018, earning 7 points in the education component, 2 points in the program standards component (meeting enhanced space) and 1 quality point for reducing the group size by one in each group from the seven-point level. The last annual compliance visit was 4/13/2023. The sanitation inspection was completed on 3/6/2024 with a “Superior” classification. The last fire inspection was conducted 5/9/2023 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-four percent as of 4/5/24. The facility is currently owned by Home Away From Home Childcare Center INC and is current-active as of 4/5/24. Please contact me prior to any information changing regarding the owner of this facility. The contact information on the Division of Child Development & Early Education (DCDEE) website was reviewed. It is important to frequently check your email to remain informed about any new changes that have or may occur. A walk-through of the facility was completed today. I visited each indoor and outdoor space. Two groups of children were observed today. The children and caregivers were engaged in group time/reading activities, songs, and free play activities. The classrooms contained developmentally appropriate materials stored on low-lying shelves. The outdoor play area contained stationary and portable materials. Trees were located around the playground and provided shaded areas. Lunch was served and consisted of chicken nuggets, mixed fruit, corn, bread, and milk. The following violations were documented. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Excessive high grass was located on the outdoor play area. 10A NCAC 09 .0601(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags were located below the changing table. .0604(q) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. In one(1) out of four(4) files reviewed a staff did not have the most current CPR/First Aid certification available for review today. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. In one(1) out of four(4) files reviewed a staff did not have the most current CPR/First Aid certification available for review today. .1102(d) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Substitute staff hired on 9/22/23 did not have this acknowledgement available for review on file. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff hired on 9/22/23 did not complete by required due date. .1102(g) 9995 A violation was found for which there is no item number. A staff purse was located in a chair in space two(2) below five feet and not in accordance with Sanitation Rule 15A NCAC 18A .2820(f). This was corrected during the visit. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 4/22/2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: Tamaria.williams@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance Employee Purses- Employee purses and other personal effects must be kept out of reach of children. A purse was on a chair at the front entrance to the facility. The owner relocated the purse to the office area. It is important to remember that purses may contain items that can be potentially hazardous to young children. Storing purses and personal effects five feet from the finished floor protects children from potential injury. This was corrected during the visit. Outdoor Environment: The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. Proper maintenance is a key factor when trying to ensure a safe play environment for children. Outdoor areas should be kept free of excessive high grass. During today’s inspection of the outdoor learning environment, grass is overgrown. Plastic Bags - Plastic bags have been recognized for many years as a suffocation hazard. According to Caring for Our Children, 3rd edition, the U.S. Consumer Product Safety Commission (CPSC) has received average annual reports of twenty-five deaths per year to children due to suffocation from plastic bags. In child care facilities, plastic bags should be made inaccessible to children less than three years of age. In the hallway leading to the bathrooms plastic bags used to store extra changing clothes were located under the unlocked changing table. To make plastic bags inaccessible to children less than three years old, store them above five feet from the finished floor. There are cabinets above the changing table where you can store your diapers and extra clothing. Post a reminder in the hallway to remind teachers of this child care requirement. Recognizing and Responding to Suspicions of Child Maltreatment Training - Recognizing and Responding to Suspicions of Child Maltreatment Training was due by December 22, 2023 or within three months of hire. It can be completed on the Prevent Child Abuse NC website. Substitute staff hired on 9/22/23 did not have this acknowledgement available for review on file. CPR/ First Aid - To ensure the health and safety of children in a child care setting, staff qualified to respond to life-threatening emergencies must be in attendance at all times. All staff must be trained in pediatric first aid, including pediatric CPR, coupled with a facility that has been designed to ensure the safety of children, can mitigate the consequences of injury, and reduce the potential for death from life-threatening conditions. Knowledge of pediatric first aid, including pediatric CPR which addresses management of a blocked airway and rescue breathing, and the confidence to use these skills, are critically important to the outcome of an emergency situation. New hires have 90 days to complete the training, while existing staff must re-certify on or before the expiration date of the previous certification. Today in one(1) out of four(4) files reviewed a staff did not have the most current CPR/First Aid certification available for review today. Consider creating a tracking system to ensure trainings are completed within the required timeframes. Shaken Baby and Abusive Head Trauma Policy Acknowledgement– Each child care center licensed to care for children up to five years of age was required to develop and adopt policies to prevent shaken baby syndrome and abusive head trauma prior to September 1, 2018. Substitute staff hired on 9/22/23 did not have this acknowledgement available for review on file. We discussed that the policy covers children up to five years of age and must also be reviewed with all staff. This would include substitute providers. You stated that you would share the policy with all of the required parents and the substitute. Additional Information: The Chowan/Perquimans Smart Start Child Care Resource & Referral is able to provide you with resources and information, training opportunities, and technical assistance on child care issues and the Environment Rating Scales virtually. Their phone number is (252) 482-3035 or check out their website at www.cp-smartstart.org. Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules (updated 1/1/24) and environmental health rules (updated 7/1/23) in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor contact 1-888-600-1685 option 1. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Tamaria Williams, Child Care Consultant, 252-508-5621, Tamaria.Williams@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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: HOME AWAY FROM HOME CHILDCARE CENTER Facility ID: 21000067 Consultant: TAMARIA WILLIAMS Operation Type: Center Case Number: Visit Date: 4/8/2024 Number Present: 14 Completed Date: 4/8/2024 Age: From 0 To 4 Total Minutes: 250 Time In: 08:50 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an Annual Compliance visit. C. Pierce, administrator assisted me as needed during the visit. Your program currently operates with a four-star license, issued 1/9/2018, earning 7 points in the education component, 2 points in the program standards component (meeting enhanced space) and 1 quality point for reducing the group size by one in each group from the seven-point level. The last annual compliance visit was 4/13/2023. The sanitation inspection was completed on 3/6/2024 with a “Superior” classification. The last fire inspection was conducted 5/9/2023 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-four percent as of 4/5/24. The facility is currently owned by Home Away From Home Childcare Center INC and is current-active as of 4/5/24. Please contact me prior to any information changing regarding the owner of this facility. The contact information on the Division of Child Development & Early Education (DCDEE) website was reviewed. It is important to frequently check your email to remain informed about any new changes that have or may occur. A walk-through of the facility was completed today. I visited each indoor and outdoor space. Two groups of children were observed today. The children and caregivers were engaged in group time/reading activities, songs, and free play activities. The classrooms contained developmentally appropriate materials stored on low-lying shelves. The outdoor play area contained stationary and portable materials. Trees were located around the playground and provided shaded areas. Lunch was served and consisted of chicken nuggets, mixed fruit, corn, bread, and milk. The following violations were documented. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Excessive high grass was located on the outdoor play area. 10A NCAC 09 .0601(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags were located below the changing table. .0604(q) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. In one(1) out of four(4) files reviewed a staff did not have the most current CPR/First Aid certification available for review today. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. In one(1) out of four(4) files reviewed a staff did not have the most current CPR/First Aid certification available for review today. .1102(d) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Substitute staff hired on 9/22/23 did not have this acknowledgement available for review on file. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff hired on 9/22/23 did not complete by required due date. .1102(g) 9995 A violation was found for which there is no item number. A staff purse was located in a chair in space two(2) below five feet and not in accordance with Sanitation Rule 15A NCAC 18A .2820(f). This was corrected during the visit. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 4/22/2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: Tamaria.williams@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance Employee Purses- Employee purses and other personal effects must be kept out of reach of children. A purse was on a chair at the front entrance to the facility. The owner relocated the purse to the office area. It is important to remember that purses may contain items that can be potentially hazardous to young children. Storing purses and personal effects five feet from the finished floor protects children from potential injury. This was corrected during the visit. Outdoor Environment: The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. Proper maintenance is a key factor when trying to ensure a safe play environment for children. Outdoor areas should be kept free of excessive high grass. During today’s inspection of the outdoor learning environment, grass is overgrown. Plastic Bags - Plastic bags have been recognized for many years as a suffocation hazard. According to Caring for Our Children, 3rd edition, the U.S. Consumer Product Safety Commission (CPSC) has received average annual reports of twenty-five deaths per year to children due to suffocation from plastic bags. In child care facilities, plastic bags should be made inaccessible to children less than three years of age. In the hallway leading to the bathrooms plastic bags used to store extra changing clothes were located under the unlocked changing table. To make plastic bags inaccessible to children less than three years old, store them above five feet from the finished floor. There are cabinets above the changing table where you can store your diapers and extra clothing. Post a reminder in the hallway to remind teachers of this child care requirement. Recognizing and Responding to Suspicions of Child Maltreatment Training - Recognizing and Responding to Suspicions of Child Maltreatment Training was due by December 22, 2023 or within three months of hire. It can be completed on the Prevent Child Abuse NC website. Substitute staff hired on 9/22/23 did not have this acknowledgement available for review on file. CPR/ First Aid - To ensure the health and safety of children in a child care setting, staff qualified to respond to life-threatening emergencies must be in attendance at all times. All staff must be trained in pediatric first aid, including pediatric CPR, coupled with a facility that has been designed to ensure the safety of children, can mitigate the consequences of injury, and reduce the potential for death from life-threatening conditions. Knowledge of pediatric first aid, including pediatric CPR which addresses management of a blocked airway and rescue breathing, and the confidence to use these skills, are critically important to the outcome of an emergency situation. New hires have 90 days to complete the training, while existing staff must re-certify on or before the expiration date of the previous certification. Today in one(1) out of four(4) files reviewed a staff did not have the most current CPR/First Aid certification available for review today. Consider creating a tracking system to ensure trainings are completed within the required timeframes. Shaken Baby and Abusive Head Trauma Policy Acknowledgement– Each child care center licensed to care for children up to five years of age was required to develop and adopt policies to prevent shaken baby syndrome and abusive head trauma prior to September 1, 2018. Substitute staff hired on 9/22/23 did not have this acknowledgement available for review on file. We discussed that the policy covers children up to five years of age and must also be reviewed with all staff. This would include substitute providers. You stated that you would share the policy with all of the required parents and the substitute. Additional Information: The Chowan/Perquimans Smart Start Child Care Resource & Referral is able to provide you with resources and information, training opportunities, and technical assistance on child care issues and the Environment Rating Scales virtually. Their phone number is (252) 482-3035 or check out their website at www.cp-smartstart.org. Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules (updated 1/1/24) and environmental health rules (updated 7/1/23) in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor contact 1-888-600-1685 option 1. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Tamaria Williams, Child Care Consultant, 252-508-5621, Tamaria.Williams@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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 .0601 · Violation

Name of Operation: HOME AWAY FROM HOME CHILDCARE CENTER Facility ID: 21000067 Consultant: TAMARIA WILLIAMS Operation Type: Center Case Number: Visit Date: 8/7/2023 Number Present: 19 Completed Date: 8/7/2023 Age: From 0 To 4 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a Routine Unannounced visit. C. Pierce, administrator assisted me as needed during the visit. Your program currently operates with a four-star license, issued 1/9/2018, earning 7 points in the education component, 2 points in the program standards component (meeting enhanced space) and 1 quality point for reducing the group size by one in each group from the seven-point level. The last annual compliance visit was 4/27/2023. The sanitation inspection was completed on 2/22/2023 with a “Superior” classification. The last fire inspection was conducted 5/9/2023 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent as of 8/4/23. The facility is currently owned by Home Away From Home Childcare Center INC and is current-active as of 8/4/2023. Please contact me prior to any information changing regarding the owner of this facility. The contact information on the Division of Child Development & Early Education (DCDEE) website was reviewed. It is important to frequently check your email to remain informed about any new changes that have or may occur. A walk-through of the facility was completed today. I visited each indoor space. Children under twelve months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. Toys were available on low-lying open shelves. Lunch was served and consisted of chicken patty, green beans, apple sauce, and milk. The following violations were documented. Violation Number Comment Rule 303 Children were not adequately supervised at all times. A child was left unattended in the bathroom. .1801(a)(1-5) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not recorded for the months of April, May, June, and July. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. . The kitchen door was left open when the cook was not in the kitchen. 10A NCAC 09 .0601(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. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 8/21/2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Tamaria Williams PO Box 1002 Williamston, NC 27892 Tamaria.williams@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance Supervision - Supervision is basic to safety and the prevention of injury and maintaining quality child care. Parents and guardians have a contract with childcare staff to supervise their children. To be available for supervision or rescue in an emergency, an adult must be able to hear and see the children. A child’s risk-taking behavior must be noticed and managed. Primary caregiving systems, small group sizes, and low child: staff ratios support staff in properly supervising all children in care. In space one after transitioning from personal care routines to outdoor free play a child was left alone in the bathroom as the teachers and children went outside for outdoor free play. Keeping an accurate daily attendance roster and counting your children will help ensure that all children are in your care. A final check of the child care spaces should also be done at all times to ensure that no child is left behind. Prohibiting Access to Potentially Dangerous Areas – Spaces in the center that could be dangerous to children need to be locked to avoid accidents. Lock the kitchen when not in use. Even if cleaning supplies are locked within the kitchen, children cannot have access to the stove or the hot water that is maintained at a higher temperature. The kitchen door was left unlocked when the cook was not in the kitchen. Placing a sign on the door will help as a reminder to keep the kitchen door locked when not in use. This will ensure the health and safety of the children in our care at all times. Emergency Drills: Fire drills are required to be conducted at least monthly to ensure that the operator and children are aware of what actions to take in the event of a life-threatening emergency. It is important that you use the pull station that is installed in your facility as the source of notification. In addition, you must conduct either a shelter-in-place or a lockdown drill every three months. You were aware that you did not conduct a fire drills for the months of April, May, June, and July 2023. Set a reminder on your phone and calendar for the remainder of the year at a frequency of once a month to ensure that you conduct your fire drills. Additional Information: The Chowan/Perquimans Smart Start Child Care Resource & Referral is able to provide you with resources and information, training opportunities, and technical assistance on child care issues and the Environment Rating Scales virtually. Their phone number is (252) 482-3035 or check out their website at www.cp-smartstart.org. NITTO - The Birth-to-Three Quality Initiative and DCDEE are offering a New Infant Toddler Teacher Orientation(NITTO). * Free online format, with 14 credit hours upon completion * Comprehensive training completed in 7 weeks * Practical knowledge that you can apply in a birth-to-three classroom Understand your value as a birth-to-three teacher and ways to care for yourself while caring for our youngest. Find the course at dcdee.moodle.nc.gov. Individuals will need to have an NCID to access the Moodle site. Public Health Toolkit Updates - The ChildCareStrongNC Public Health Toolkit for Child Care (updated 7/2022) available on the DHHS website, and sent to your facility contact email, provides guidance on requirements and recommendations to reduce the spread of COVID-19 in child care facilities. If you have questions about COVID-19, an exposure, or exclusion policies, contact the Child Care Health Consultant assigned to your county and/or your local health department. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Tamaria Williams, Child Care Consultant, 252-508-5621, Tamaria.Williams@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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: HOME AWAY FROM HOME CHILDCARE CENTER Facility ID: 21000067 Consultant: TAMARIA WILLIAMS Operation Type: Center Case Number: Visit Date: 8/7/2023 Number Present: 19 Completed Date: 8/7/2023 Age: From 0 To 4 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a Routine Unannounced visit. C. Pierce, administrator assisted me as needed during the visit. Your program currently operates with a four-star license, issued 1/9/2018, earning 7 points in the education component, 2 points in the program standards component (meeting enhanced space) and 1 quality point for reducing the group size by one in each group from the seven-point level. The last annual compliance visit was 4/27/2023. The sanitation inspection was completed on 2/22/2023 with a “Superior” classification. The last fire inspection was conducted 5/9/2023 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent as of 8/4/23. The facility is currently owned by Home Away From Home Childcare Center INC and is current-active as of 8/4/2023. Please contact me prior to any information changing regarding the owner of this facility. The contact information on the Division of Child Development & Early Education (DCDEE) website was reviewed. It is important to frequently check your email to remain informed about any new changes that have or may occur. A walk-through of the facility was completed today. I visited each indoor space. Children under twelve months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. Toys were available on low-lying open shelves. Lunch was served and consisted of chicken patty, green beans, apple sauce, and milk. The following violations were documented. Violation Number Comment Rule 303 Children were not adequately supervised at all times. A child was left unattended in the bathroom. .1801(a)(1-5) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not recorded for the months of April, May, June, and July. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. . The kitchen door was left open when the cook was not in the kitchen. 10A NCAC 09 .0601(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. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 8/21/2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Tamaria Williams PO Box 1002 Williamston, NC 27892 Tamaria.williams@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance Supervision - Supervision is basic to safety and the prevention of injury and maintaining quality child care. Parents and guardians have a contract with childcare staff to supervise their children. To be available for supervision or rescue in an emergency, an adult must be able to hear and see the children. A child’s risk-taking behavior must be noticed and managed. Primary caregiving systems, small group sizes, and low child: staff ratios support staff in properly supervising all children in care. In space one after transitioning from personal care routines to outdoor free play a child was left alone in the bathroom as the teachers and children went outside for outdoor free play. Keeping an accurate daily attendance roster and counting your children will help ensure that all children are in your care. A final check of the child care spaces should also be done at all times to ensure that no child is left behind. Prohibiting Access to Potentially Dangerous Areas – Spaces in the center that could be dangerous to children need to be locked to avoid accidents. Lock the kitchen when not in use. Even if cleaning supplies are locked within the kitchen, children cannot have access to the stove or the hot water that is maintained at a higher temperature. The kitchen door was left unlocked when the cook was not in the kitchen. Placing a sign on the door will help as a reminder to keep the kitchen door locked when not in use. This will ensure the health and safety of the children in our care at all times. Emergency Drills: Fire drills are required to be conducted at least monthly to ensure that the operator and children are aware of what actions to take in the event of a life-threatening emergency. It is important that you use the pull station that is installed in your facility as the source of notification. In addition, you must conduct either a shelter-in-place or a lockdown drill every three months. You were aware that you did not conduct a fire drills for the months of April, May, June, and July 2023. Set a reminder on your phone and calendar for the remainder of the year at a frequency of once a month to ensure that you conduct your fire drills. Additional Information: The Chowan/Perquimans Smart Start Child Care Resource & Referral is able to provide you with resources and information, training opportunities, and technical assistance on child care issues and the Environment Rating Scales virtually. Their phone number is (252) 482-3035 or check out their website at www.cp-smartstart.org. NITTO - The Birth-to-Three Quality Initiative and DCDEE are offering a New Infant Toddler Teacher Orientation(NITTO). * Free online format, with 14 credit hours upon completion * Comprehensive training completed in 7 weeks * Practical knowledge that you can apply in a birth-to-three classroom Understand your value as a birth-to-three teacher and ways to care for yourself while caring for our youngest. Find the course at dcdee.moodle.nc.gov. Individuals will need to have an NCID to access the Moodle site. Public Health Toolkit Updates - The ChildCareStrongNC Public Health Toolkit for Child Care (updated 7/2022) available on the DHHS website, and sent to your facility contact email, provides guidance on requirements and recommendations to reduce the spread of COVID-19 in child care facilities. If you have questions about COVID-19, an exposure, or exclusion policies, contact the Child Care Health Consultant assigned to your county and/or your local health department. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Tamaria Williams, Child Care Consultant, 252-508-5621, Tamaria.Williams@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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