Loving Hearts Daycare

10A NCAC 09 .0304 · Violation

Name of Operation: LOVING HEARTS DAYCARE Facility ID: 21000036 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 2/25/2026 Number Present: 38 Completed Date: 2/25/2026 Age: From 0 To 4 Total Minutes: 150 Time In: 10:00 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. Upon arrival D. Knotts, Cook assisted with the visit. You, L. Knotts, Administrator, arrived shortly after and assisted me with the visit. Your program currently operates with a Notice of Compliance effective September 13, 2022. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent as of February 25, 2026. The NC Secretary of State website was reviewed on February 25, 2026, and First Assembly of God of the City of Edenton was listed as current- active. The Notice of Compliance was posted, and the restrictions were in compliance. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. You also allowed me to observe interactions in classrooms, from the video footage in your office. I observed children engaged in activities in the indoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in free play in activity areas, transitions and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. Infants were engaged in tummy time, napping, and diapering routines. Sleep checks were completed, recorded, and maintained as required. Lunch was observed and consisted of ham and cheese sandwiches, cucumbers, strawberries and milk. Fire and sanitation inspections have not occurred since the last visit. The sanitation inspection remains current; however, the fire inspection expired on October 29, 2025. Five violations were observed today. Two were corrected during the visit and the other must be corrected immediately. The violations are as follows: 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 center's fire inspection expired on October 29, 2025. 10A NCAC 09 .0304(a) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. One child's hands were not washed after a diaper change in Space #2. 15A NCAC 18A .2803(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two cans of Lysol spray in aerosol dispensed container were observed in an unlocked cabinet beneath the diaper changing table. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A bottle of Mylicon gas drops were not return to the parent or discarded after the authorization and medication had expired. .0803(12) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A caregiver was observed drinking a Welches fruit drink in the presence of children in Space #2. .0901(i) 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 March 11, 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 that any information submitted by you is considered 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 may be completed. Mail or email the information to: Keshia Hayward, Child Care Consultant PO Box 13 Ahoskie, NC zip keshia.hayward@dhhs.nc.gov@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: FIRE INSPECTION: The current fire inspection on file had expired. You stated communication has occurred with the fire inspector regarding getting an inspection for your program. You stated you would reach back out today to inquire about the inspection. I suggested tracking and scheduling fire inspections in advance to avoid expiration and noncompliance. A copy of the fire inspection report must be submitted to me within one week from the date of the inspection. SAFE INDOOR ENVIRONMENT: During my observation, while checking cabinets to ensure they were secured properly, I observed two cans of Lysol spray in aerosol dispensed containers and cleaning wipes stored under an unlocked diaper changing table in Space #2. One of the staff members indicated she was planning to re-lock the cabinet, as items had been previously removed. I informed you that any item in an aerosol dispensing container must remain locked in a space with an approved locking mechanism when not in use. I encouraged you to remind staff to ensure all cabinets and closets are properly secured when items are not actively accessed. Additionally, I notified you that an approved locking mechanism must be installed on the cabinet located in the bathroom of Space #1, as supplies and aerosol cans are stored in that cabinet. You stated a lock has already been order for that particular cabinet and would be added when received. MODELING APPROPRIATE EATING BEHAVIORS: One caregiver was observed drinking Welch’s fruit juice in the presence of children. I notified you that child care requirements state staff must model appropriate eating behavior while in the presences of children which includes drinks. Therefore, only foods and beverages that meet USDA nutritional guidelines may be consumed in front of children. I explained that staff can be permitted to have personal beverages; however, this should be done outside of the classroom or in an area where children are not able to visually observe. Best practice would be to consume food and drinks that are nutritional and possibly using those items to implement a lesson on healthy lifestyles with children. HANDWASHING: One child’s hands were not washed after a diaper change. The child was placed on the floor and allowed to resume playing with materials prior to hand washing. After you were notified, you went into the classroom, spoke with the teacher and ensured the child’s hands were properly washed to meet requirements. Please be reminded that hand washing is essential in maintaining a safe and healthy environment and plays a critical role in reducing the spread of germs. QRIS PATHWAY TO THE STARS: I shared the Division has changed the quality rating improvement system. I explained that the transition for licensed programs to the new QRIS system will be completed on or before December 2026. When asked, you stated you were not interested in obtaining star rating permit and would like to remain a religious sponsored program (GS-110). 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 Keshia Hayward, Child Care Consultant, 252-214-2709, or emailkeshia.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: LOVING HEARTS DAYCARE Facility ID: 21000036 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 2/25/2026 Number Present: 38 Completed Date: 2/25/2026 Age: From 0 To 4 Total Minutes: 150 Time In: 10:00 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. Upon arrival D. Knotts, Cook assisted with the visit. You, L. Knotts, Administrator, arrived shortly after and assisted me with the visit. Your program currently operates with a Notice of Compliance effective September 13, 2022. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent as of February 25, 2026. The NC Secretary of State website was reviewed on February 25, 2026, and First Assembly of God of the City of Edenton was listed as current- active. The Notice of Compliance was posted, and the restrictions were in compliance. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. You also allowed me to observe interactions in classrooms, from the video footage in your office. I observed children engaged in activities in the indoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in free play in activity areas, transitions and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. Infants were engaged in tummy time, napping, and diapering routines. Sleep checks were completed, recorded, and maintained as required. Lunch was observed and consisted of ham and cheese sandwiches, cucumbers, strawberries and milk. Fire and sanitation inspections have not occurred since the last visit. The sanitation inspection remains current; however, the fire inspection expired on October 29, 2025. Five violations were observed today. Two were corrected during the visit and the other must be corrected immediately. The violations are as follows: 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 center's fire inspection expired on October 29, 2025. 10A NCAC 09 .0304(a) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. One child's hands were not washed after a diaper change in Space #2. 15A NCAC 18A .2803(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two cans of Lysol spray in aerosol dispensed container were observed in an unlocked cabinet beneath the diaper changing table. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A bottle of Mylicon gas drops were not return to the parent or discarded after the authorization and medication had expired. .0803(12) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A caregiver was observed drinking a Welches fruit drink in the presence of children in Space #2. .0901(i) 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 March 11, 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 that any information submitted by you is considered 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 may be completed. Mail or email the information to: Keshia Hayward, Child Care Consultant PO Box 13 Ahoskie, NC zip keshia.hayward@dhhs.nc.gov@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: FIRE INSPECTION: The current fire inspection on file had expired. You stated communication has occurred with the fire inspector regarding getting an inspection for your program. You stated you would reach back out today to inquire about the inspection. I suggested tracking and scheduling fire inspections in advance to avoid expiration and noncompliance. A copy of the fire inspection report must be submitted to me within one week from the date of the inspection. SAFE INDOOR ENVIRONMENT: During my observation, while checking cabinets to ensure they were secured properly, I observed two cans of Lysol spray in aerosol dispensed containers and cleaning wipes stored under an unlocked diaper changing table in Space #2. One of the staff members indicated she was planning to re-lock the cabinet, as items had been previously removed. I informed you that any item in an aerosol dispensing container must remain locked in a space with an approved locking mechanism when not in use. I encouraged you to remind staff to ensure all cabinets and closets are properly secured when items are not actively accessed. Additionally, I notified you that an approved locking mechanism must be installed on the cabinet located in the bathroom of Space #1, as supplies and aerosol cans are stored in that cabinet. You stated a lock has already been order for that particular cabinet and would be added when received. MODELING APPROPRIATE EATING BEHAVIORS: One caregiver was observed drinking Welch’s fruit juice in the presence of children. I notified you that child care requirements state staff must model appropriate eating behavior while in the presences of children which includes drinks. Therefore, only foods and beverages that meet USDA nutritional guidelines may be consumed in front of children. I explained that staff can be permitted to have personal beverages; however, this should be done outside of the classroom or in an area where children are not able to visually observe. Best practice would be to consume food and drinks that are nutritional and possibly using those items to implement a lesson on healthy lifestyles with children. HANDWASHING: One child’s hands were not washed after a diaper change. The child was placed on the floor and allowed to resume playing with materials prior to hand washing. After you were notified, you went into the classroom, spoke with the teacher and ensured the child’s hands were properly washed to meet requirements. Please be reminded that hand washing is essential in maintaining a safe and healthy environment and plays a critical role in reducing the spread of germs. QRIS PATHWAY TO THE STARS: I shared the Division has changed the quality rating improvement system. I explained that the transition for licensed programs to the new QRIS system will be completed on or before December 2026. When asked, you stated you were not interested in obtaining star rating permit and would like to remain a religious sponsored program (GS-110). 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 Keshia Hayward, Child Care Consultant, 252-214-2709, or emailkeshia.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: LOVING HEARTS DAYCARE Facility ID: 21000036 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 10/8/2025 Number Present: 28 Completed Date: 10/8/2025 Age: From 0 To 4 Total Minutes: 205 Time In: 08:35 AM Time Out: 12:00 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 during an annual compliance visit. Upon arrival, M. Pate, Teacher, assisted with the visit. You arrived shortly after and assisted. Your program currently operates with a Notice of Compliance, issued September 13, 2022. The last annual compliance visit was conducted on November 14, 2024. The sanitation inspection was completed on July 17, 2024, with a “Superior” classification. The last fire inspection was completed on October 29, 2024, and your facility was approved for daytime care only. During my walk-through, twenty-eight children were observed in care today. Children were engaged in free-choice play, eating breakfast, completing toilet and hand washing routines, napping and with teachers. Breakfast consisted of toast, scrambled eggs, sliced apples, and milk. The following violations were documented: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Cement footing anchoring three wooden poles on the shade port were protruding above ground posing tripping hazards. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A can of Scentsy air spray in an aerosol dispensed container was on the cubby above the diaper changing table in space #1. A bottle of MiraLAX was observed in an unlocked file cabinet in Space #4. Lysol spray, Clorox wipes and other items in aerosol dispensed containers were stored in a cabinet with a child protective lock. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Sunscreen in Space 2, for one preschool child enrolled did not have a permission form to accompany it. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. A tube of Aquaphor diaper cream in Space 2 for one preschool child expired in August 2025. 10A NCAC 09 .0803(1)(d) 871 Center staff did not comply with the safe sleep policy. An infant was observed asleep in a rocking swing in Space #1 upon arrival into the classroom. 10A NCAC 09 .0606(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 13 Ahoskie NC 27910, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before October 22, 2024. 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 information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Notice of Compliance could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. COMPLIANCE HISTORY: The center’s compliance history score was reviewed with the operator. The center’s compliance history score was 88% as of October 7, 2025. CORPORATION STATUS: First Assembly of God of the City of Edenton is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, First Assembly of God of the City of Edenton remains Current and Active. Prior to making any changes in the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. FACILITY PROFILE INFORMATION: You verified the contact information listed for your program was correct. If changes in your facility’s information occurs in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure the information is updated in our system. SAFE INDOOR ENVIRONMENT: We discussed the potentially hazardous items observed during the walk-through. I recommend having caregivers conduct safety checks of their classrooms to ensure any potential hazards are removed and made inaccessible to children. Be reminded that any item in an aerosol dispensed container must be stored in a locked cabinet or closet. Additionally, child safety locks are not considered approved locks according to the child care requirements. Approved locks are a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. It was also suggested you encourage the staff to reference the storage of hazardous items flyers posted on the walls in their classrooms to assist with determining how items should be stored. You acknowledged awareness of the cement footings protruding above ground on the preschool playground and stated that the process of having them removed has already been initiated. I advised you to develop and implement a safety plan to ensure children do not have access to the cement footing to avoid potential tripping while playing. I also observed that the presence of the cement footing was noted on the playground inspection forms for the months of August and September. You should ensure that any safety concerns identified are addressed and corrected immediately to prevent children from being exposed to potential safety hazards. We also discussed ensuring electrical outlets not in use always be covered with safety caps. Safety caps could be placed in visual spaces as a reminder to reinsert once the outlet is no longer used. MEDICATION REQUIREMENTS: A tube of Aquaphor diaper cream expired in August 2025. In addition, a container of sunscreen did not have the required permission to administer medication form. I advised you to have staff periodically check all medications and topical ointments for expiration dates and to ensure the required permission forms are current and on file prior to administering he medication to children. ANNUAL IMMUNIZATION REPORT: The annual immunization report will be due soon. North Carolina immunization law requires all schools providing Pre-K and all licensed childcare facilities (as defined in G.S. 110-86(3) to file an annual immunization report on children aged newborn through preschool (G.S. 130A155(c). The North Carolina Immunization Program (NCIP) will host a webinar on October 16, 2025, at 1:00pm ET to provide instructions on completing the report, information on immunization requirements, and a forum to answer any questions regarding immunization reporting. Register here in advance to attend. If you are unable to join the webinar on a computer, you can dial in at +1 669 254 5252. Meeting ID: 160 647 2412, Passcode: 022566 NEW OFFICE LOCATION: The North Carolina Department of Health & Human Services, including the Division of Child Development and Early Education, has moved to a new location. The DCDEE mailing address will remain 2201 Mail Service Center, Raleigh, NC 27699-2200. If you are visiting the new building, the paid parking deck for our headquarters is immediately beside the building at 1910 Human Services Lane. All guests will check in at the front desk and be escorted by a DHHS staff member to the appropriate floor for their meeting. Getting Here: For GPS and map apps, use 3905 Reedy Creek Rd, Raleigh NC 27607 to get directions. 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. 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. You can also access complete training modules located in the MOODLE platform, access provider's documents, and the child care rules and laws. At the conclusion of this visit, the visit summary report was completed, reviewed, and left with you. CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Jennifer Linhardt at 252-373-4199 or email jennifer.linhardt@dhhsnc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: LOVING HEARTS DAYCARE Facility ID: 21000036 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 10/8/2025 Number Present: 28 Completed Date: 10/8/2025 Age: From 0 To 4 Total Minutes: 205 Time In: 08:35 AM Time Out: 12:00 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 during an annual compliance visit. Upon arrival, M. Pate, Teacher, assisted with the visit. You arrived shortly after and assisted. Your program currently operates with a Notice of Compliance, issued September 13, 2022. The last annual compliance visit was conducted on November 14, 2024. The sanitation inspection was completed on July 17, 2024, with a “Superior” classification. The last fire inspection was completed on October 29, 2024, and your facility was approved for daytime care only. During my walk-through, twenty-eight children were observed in care today. Children were engaged in free-choice play, eating breakfast, completing toilet and hand washing routines, napping and with teachers. Breakfast consisted of toast, scrambled eggs, sliced apples, and milk. The following violations were documented: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Cement footing anchoring three wooden poles on the shade port were protruding above ground posing tripping hazards. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A can of Scentsy air spray in an aerosol dispensed container was on the cubby above the diaper changing table in space #1. A bottle of MiraLAX was observed in an unlocked file cabinet in Space #4. Lysol spray, Clorox wipes and other items in aerosol dispensed containers were stored in a cabinet with a child protective lock. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Sunscreen in Space 2, for one preschool child enrolled did not have a permission form to accompany it. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. A tube of Aquaphor diaper cream in Space 2 for one preschool child expired in August 2025. 10A NCAC 09 .0803(1)(d) 871 Center staff did not comply with the safe sleep policy. An infant was observed asleep in a rocking swing in Space #1 upon arrival into the classroom. 10A NCAC 09 .0606(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 13 Ahoskie NC 27910, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before October 22, 2024. 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 information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Notice of Compliance could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. COMPLIANCE HISTORY: The center’s compliance history score was reviewed with the operator. The center’s compliance history score was 88% as of October 7, 2025. CORPORATION STATUS: First Assembly of God of the City of Edenton is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, First Assembly of God of the City of Edenton remains Current and Active. Prior to making any changes in the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. FACILITY PROFILE INFORMATION: You verified the contact information listed for your program was correct. If changes in your facility’s information occurs in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure the information is updated in our system. SAFE INDOOR ENVIRONMENT: We discussed the potentially hazardous items observed during the walk-through. I recommend having caregivers conduct safety checks of their classrooms to ensure any potential hazards are removed and made inaccessible to children. Be reminded that any item in an aerosol dispensed container must be stored in a locked cabinet or closet. Additionally, child safety locks are not considered approved locks according to the child care requirements. Approved locks are a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. It was also suggested you encourage the staff to reference the storage of hazardous items flyers posted on the walls in their classrooms to assist with determining how items should be stored. You acknowledged awareness of the cement footings protruding above ground on the preschool playground and stated that the process of having them removed has already been initiated. I advised you to develop and implement a safety plan to ensure children do not have access to the cement footing to avoid potential tripping while playing. I also observed that the presence of the cement footing was noted on the playground inspection forms for the months of August and September. You should ensure that any safety concerns identified are addressed and corrected immediately to prevent children from being exposed to potential safety hazards. We also discussed ensuring electrical outlets not in use always be covered with safety caps. Safety caps could be placed in visual spaces as a reminder to reinsert once the outlet is no longer used. MEDICATION REQUIREMENTS: A tube of Aquaphor diaper cream expired in August 2025. In addition, a container of sunscreen did not have the required permission to administer medication form. I advised you to have staff periodically check all medications and topical ointments for expiration dates and to ensure the required permission forms are current and on file prior to administering he medication to children. ANNUAL IMMUNIZATION REPORT: The annual immunization report will be due soon. North Carolina immunization law requires all schools providing Pre-K and all licensed childcare facilities (as defined in G.S. 110-86(3) to file an annual immunization report on children aged newborn through preschool (G.S. 130A155(c). The North Carolina Immunization Program (NCIP) will host a webinar on October 16, 2025, at 1:00pm ET to provide instructions on completing the report, information on immunization requirements, and a forum to answer any questions regarding immunization reporting. Register here in advance to attend. If you are unable to join the webinar on a computer, you can dial in at +1 669 254 5252. Meeting ID: 160 647 2412, Passcode: 022566 NEW OFFICE LOCATION: The North Carolina Department of Health & Human Services, including the Division of Child Development and Early Education, has moved to a new location. The DCDEE mailing address will remain 2201 Mail Service Center, Raleigh, NC 27699-2200. If you are visiting the new building, the paid parking deck for our headquarters is immediately beside the building at 1910 Human Services Lane. All guests will check in at the front desk and be escorted by a DHHS staff member to the appropriate floor for their meeting. Getting Here: For GPS and map apps, use 3905 Reedy Creek Rd, Raleigh NC 27607 to get directions. 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. 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. You can also access complete training modules located in the MOODLE platform, access provider's documents, and the child care rules and laws. At the conclusion of this visit, the visit summary report was completed, reviewed, and left with you. CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Jennifer Linhardt at 252-373-4199 or email jennifer.linhardt@dhhsnc.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: LOVING HEARTS DAYCARE Facility ID: 21000036 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 10/8/2025 Number Present: 28 Completed Date: 10/8/2025 Age: From 0 To 4 Total Minutes: 205 Time In: 08:35 AM Time Out: 12:00 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 during an annual compliance visit. Upon arrival, M. Pate, Teacher, assisted with the visit. You arrived shortly after and assisted. Your program currently operates with a Notice of Compliance, issued September 13, 2022. The last annual compliance visit was conducted on November 14, 2024. The sanitation inspection was completed on July 17, 2024, with a “Superior” classification. The last fire inspection was completed on October 29, 2024, and your facility was approved for daytime care only. During my walk-through, twenty-eight children were observed in care today. Children were engaged in free-choice play, eating breakfast, completing toilet and hand washing routines, napping and with teachers. Breakfast consisted of toast, scrambled eggs, sliced apples, and milk. The following violations were documented: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Cement footing anchoring three wooden poles on the shade port were protruding above ground posing tripping hazards. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A can of Scentsy air spray in an aerosol dispensed container was on the cubby above the diaper changing table in space #1. A bottle of MiraLAX was observed in an unlocked file cabinet in Space #4. Lysol spray, Clorox wipes and other items in aerosol dispensed containers were stored in a cabinet with a child protective lock. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Sunscreen in Space 2, for one preschool child enrolled did not have a permission form to accompany it. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. A tube of Aquaphor diaper cream in Space 2 for one preschool child expired in August 2025. 10A NCAC 09 .0803(1)(d) 871 Center staff did not comply with the safe sleep policy. An infant was observed asleep in a rocking swing in Space #1 upon arrival into the classroom. 10A NCAC 09 .0606(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 13 Ahoskie NC 27910, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before October 22, 2024. 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 information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Notice of Compliance could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. COMPLIANCE HISTORY: The center’s compliance history score was reviewed with the operator. The center’s compliance history score was 88% as of October 7, 2025. CORPORATION STATUS: First Assembly of God of the City of Edenton is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, First Assembly of God of the City of Edenton remains Current and Active. Prior to making any changes in the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. FACILITY PROFILE INFORMATION: You verified the contact information listed for your program was correct. If changes in your facility’s information occurs in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure the information is updated in our system. SAFE INDOOR ENVIRONMENT: We discussed the potentially hazardous items observed during the walk-through. I recommend having caregivers conduct safety checks of their classrooms to ensure any potential hazards are removed and made inaccessible to children. Be reminded that any item in an aerosol dispensed container must be stored in a locked cabinet or closet. Additionally, child safety locks are not considered approved locks according to the child care requirements. Approved locks are a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. It was also suggested you encourage the staff to reference the storage of hazardous items flyers posted on the walls in their classrooms to assist with determining how items should be stored. You acknowledged awareness of the cement footings protruding above ground on the preschool playground and stated that the process of having them removed has already been initiated. I advised you to develop and implement a safety plan to ensure children do not have access to the cement footing to avoid potential tripping while playing. I also observed that the presence of the cement footing was noted on the playground inspection forms for the months of August and September. You should ensure that any safety concerns identified are addressed and corrected immediately to prevent children from being exposed to potential safety hazards. We also discussed ensuring electrical outlets not in use always be covered with safety caps. Safety caps could be placed in visual spaces as a reminder to reinsert once the outlet is no longer used. MEDICATION REQUIREMENTS: A tube of Aquaphor diaper cream expired in August 2025. In addition, a container of sunscreen did not have the required permission to administer medication form. I advised you to have staff periodically check all medications and topical ointments for expiration dates and to ensure the required permission forms are current and on file prior to administering he medication to children. ANNUAL IMMUNIZATION REPORT: The annual immunization report will be due soon. North Carolina immunization law requires all schools providing Pre-K and all licensed childcare facilities (as defined in G.S. 110-86(3) to file an annual immunization report on children aged newborn through preschool (G.S. 130A155(c). The North Carolina Immunization Program (NCIP) will host a webinar on October 16, 2025, at 1:00pm ET to provide instructions on completing the report, information on immunization requirements, and a forum to answer any questions regarding immunization reporting. Register here in advance to attend. If you are unable to join the webinar on a computer, you can dial in at +1 669 254 5252. Meeting ID: 160 647 2412, Passcode: 022566 NEW OFFICE LOCATION: The North Carolina Department of Health & Human Services, including the Division of Child Development and Early Education, has moved to a new location. The DCDEE mailing address will remain 2201 Mail Service Center, Raleigh, NC 27699-2200. If you are visiting the new building, the paid parking deck for our headquarters is immediately beside the building at 1910 Human Services Lane. All guests will check in at the front desk and be escorted by a DHHS staff member to the appropriate floor for their meeting. Getting Here: For GPS and map apps, use 3905 Reedy Creek Rd, Raleigh NC 27607 to get directions. 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. 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. You can also access complete training modules located in the MOODLE platform, access provider's documents, and the child care rules and laws. At the conclusion of this visit, the visit summary report was completed, reviewed, and left with you. CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Jennifer Linhardt at 252-373-4199 or email jennifer.linhardt@dhhsnc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: LOVING HEARTS DAYCARE Facility ID: 21000036 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 10/8/2025 Number Present: 28 Completed Date: 10/8/2025 Age: From 0 To 4 Total Minutes: 205 Time In: 08:35 AM Time Out: 12:00 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 during an annual compliance visit. Upon arrival, M. Pate, Teacher, assisted with the visit. You arrived shortly after and assisted. Your program currently operates with a Notice of Compliance, issued September 13, 2022. The last annual compliance visit was conducted on November 14, 2024. The sanitation inspection was completed on July 17, 2024, with a “Superior” classification. The last fire inspection was completed on October 29, 2024, and your facility was approved for daytime care only. During my walk-through, twenty-eight children were observed in care today. Children were engaged in free-choice play, eating breakfast, completing toilet and hand washing routines, napping and with teachers. Breakfast consisted of toast, scrambled eggs, sliced apples, and milk. The following violations were documented: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Cement footing anchoring three wooden poles on the shade port were protruding above ground posing tripping hazards. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A can of Scentsy air spray in an aerosol dispensed container was on the cubby above the diaper changing table in space #1. A bottle of MiraLAX was observed in an unlocked file cabinet in Space #4. Lysol spray, Clorox wipes and other items in aerosol dispensed containers were stored in a cabinet with a child protective lock. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Sunscreen in Space 2, for one preschool child enrolled did not have a permission form to accompany it. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. A tube of Aquaphor diaper cream in Space 2 for one preschool child expired in August 2025. 10A NCAC 09 .0803(1)(d) 871 Center staff did not comply with the safe sleep policy. An infant was observed asleep in a rocking swing in Space #1 upon arrival into the classroom. 10A NCAC 09 .0606(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 13 Ahoskie NC 27910, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before October 22, 2024. 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 information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Notice of Compliance could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. COMPLIANCE HISTORY: The center’s compliance history score was reviewed with the operator. The center’s compliance history score was 88% as of October 7, 2025. CORPORATION STATUS: First Assembly of God of the City of Edenton is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, First Assembly of God of the City of Edenton remains Current and Active. Prior to making any changes in the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. FACILITY PROFILE INFORMATION: You verified the contact information listed for your program was correct. If changes in your facility’s information occurs in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure the information is updated in our system. SAFE INDOOR ENVIRONMENT: We discussed the potentially hazardous items observed during the walk-through. I recommend having caregivers conduct safety checks of their classrooms to ensure any potential hazards are removed and made inaccessible to children. Be reminded that any item in an aerosol dispensed container must be stored in a locked cabinet or closet. Additionally, child safety locks are not considered approved locks according to the child care requirements. Approved locks are a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. It was also suggested you encourage the staff to reference the storage of hazardous items flyers posted on the walls in their classrooms to assist with determining how items should be stored. You acknowledged awareness of the cement footings protruding above ground on the preschool playground and stated that the process of having them removed has already been initiated. I advised you to develop and implement a safety plan to ensure children do not have access to the cement footing to avoid potential tripping while playing. I also observed that the presence of the cement footing was noted on the playground inspection forms for the months of August and September. You should ensure that any safety concerns identified are addressed and corrected immediately to prevent children from being exposed to potential safety hazards. We also discussed ensuring electrical outlets not in use always be covered with safety caps. Safety caps could be placed in visual spaces as a reminder to reinsert once the outlet is no longer used. MEDICATION REQUIREMENTS: A tube of Aquaphor diaper cream expired in August 2025. In addition, a container of sunscreen did not have the required permission to administer medication form. I advised you to have staff periodically check all medications and topical ointments for expiration dates and to ensure the required permission forms are current and on file prior to administering he medication to children. ANNUAL IMMUNIZATION REPORT: The annual immunization report will be due soon. North Carolina immunization law requires all schools providing Pre-K and all licensed childcare facilities (as defined in G.S. 110-86(3) to file an annual immunization report on children aged newborn through preschool (G.S. 130A155(c). The North Carolina Immunization Program (NCIP) will host a webinar on October 16, 2025, at 1:00pm ET to provide instructions on completing the report, information on immunization requirements, and a forum to answer any questions regarding immunization reporting. Register here in advance to attend. If you are unable to join the webinar on a computer, you can dial in at +1 669 254 5252. Meeting ID: 160 647 2412, Passcode: 022566 NEW OFFICE LOCATION: The North Carolina Department of Health & Human Services, including the Division of Child Development and Early Education, has moved to a new location. The DCDEE mailing address will remain 2201 Mail Service Center, Raleigh, NC 27699-2200. If you are visiting the new building, the paid parking deck for our headquarters is immediately beside the building at 1910 Human Services Lane. All guests will check in at the front desk and be escorted by a DHHS staff member to the appropriate floor for their meeting. Getting Here: For GPS and map apps, use 3905 Reedy Creek Rd, Raleigh NC 27607 to get directions. 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. 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. You can also access complete training modules located in the MOODLE platform, access provider's documents, and the child care rules and laws. At the conclusion of this visit, the visit summary report was completed, reviewed, and left with you. CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Jennifer Linhardt at 252-373-4199 or email jennifer.linhardt@dhhsnc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-86 · Violation

Name of Operation: LOVING HEARTS DAYCARE Facility ID: 21000036 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 10/8/2025 Number Present: 28 Completed Date: 10/8/2025 Age: From 0 To 4 Total Minutes: 205 Time In: 08:35 AM Time Out: 12:00 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 during an annual compliance visit. Upon arrival, M. Pate, Teacher, assisted with the visit. You arrived shortly after and assisted. Your program currently operates with a Notice of Compliance, issued September 13, 2022. The last annual compliance visit was conducted on November 14, 2024. The sanitation inspection was completed on July 17, 2024, with a “Superior” classification. The last fire inspection was completed on October 29, 2024, and your facility was approved for daytime care only. During my walk-through, twenty-eight children were observed in care today. Children were engaged in free-choice play, eating breakfast, completing toilet and hand washing routines, napping and with teachers. Breakfast consisted of toast, scrambled eggs, sliced apples, and milk. The following violations were documented: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Cement footing anchoring three wooden poles on the shade port were protruding above ground posing tripping hazards. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A can of Scentsy air spray in an aerosol dispensed container was on the cubby above the diaper changing table in space #1. A bottle of MiraLAX was observed in an unlocked file cabinet in Space #4. Lysol spray, Clorox wipes and other items in aerosol dispensed containers were stored in a cabinet with a child protective lock. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Sunscreen in Space 2, for one preschool child enrolled did not have a permission form to accompany it. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. A tube of Aquaphor diaper cream in Space 2 for one preschool child expired in August 2025. 10A NCAC 09 .0803(1)(d) 871 Center staff did not comply with the safe sleep policy. An infant was observed asleep in a rocking swing in Space #1 upon arrival into the classroom. 10A NCAC 09 .0606(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 13 Ahoskie NC 27910, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before October 22, 2024. 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 information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Notice of Compliance could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. COMPLIANCE HISTORY: The center’s compliance history score was reviewed with the operator. The center’s compliance history score was 88% as of October 7, 2025. CORPORATION STATUS: First Assembly of God of the City of Edenton is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, First Assembly of God of the City of Edenton remains Current and Active. Prior to making any changes in the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. FACILITY PROFILE INFORMATION: You verified the contact information listed for your program was correct. If changes in your facility’s information occurs in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure the information is updated in our system. SAFE INDOOR ENVIRONMENT: We discussed the potentially hazardous items observed during the walk-through. I recommend having caregivers conduct safety checks of their classrooms to ensure any potential hazards are removed and made inaccessible to children. Be reminded that any item in an aerosol dispensed container must be stored in a locked cabinet or closet. Additionally, child safety locks are not considered approved locks according to the child care requirements. Approved locks are a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. It was also suggested you encourage the staff to reference the storage of hazardous items flyers posted on the walls in their classrooms to assist with determining how items should be stored. You acknowledged awareness of the cement footings protruding above ground on the preschool playground and stated that the process of having them removed has already been initiated. I advised you to develop and implement a safety plan to ensure children do not have access to the cement footing to avoid potential tripping while playing. I also observed that the presence of the cement footing was noted on the playground inspection forms for the months of August and September. You should ensure that any safety concerns identified are addressed and corrected immediately to prevent children from being exposed to potential safety hazards. We also discussed ensuring electrical outlets not in use always be covered with safety caps. Safety caps could be placed in visual spaces as a reminder to reinsert once the outlet is no longer used. MEDICATION REQUIREMENTS: A tube of Aquaphor diaper cream expired in August 2025. In addition, a container of sunscreen did not have the required permission to administer medication form. I advised you to have staff periodically check all medications and topical ointments for expiration dates and to ensure the required permission forms are current and on file prior to administering he medication to children. ANNUAL IMMUNIZATION REPORT: The annual immunization report will be due soon. North Carolina immunization law requires all schools providing Pre-K and all licensed childcare facilities (as defined in G.S. 110-86(3) to file an annual immunization report on children aged newborn through preschool (G.S. 130A155(c). The North Carolina Immunization Program (NCIP) will host a webinar on October 16, 2025, at 1:00pm ET to provide instructions on completing the report, information on immunization requirements, and a forum to answer any questions regarding immunization reporting. Register here in advance to attend. If you are unable to join the webinar on a computer, you can dial in at +1 669 254 5252. Meeting ID: 160 647 2412, Passcode: 022566 NEW OFFICE LOCATION: The North Carolina Department of Health & Human Services, including the Division of Child Development and Early Education, has moved to a new location. The DCDEE mailing address will remain 2201 Mail Service Center, Raleigh, NC 27699-2200. If you are visiting the new building, the paid parking deck for our headquarters is immediately beside the building at 1910 Human Services Lane. All guests will check in at the front desk and be escorted by a DHHS staff member to the appropriate floor for their meeting. Getting Here: For GPS and map apps, use 3905 Reedy Creek Rd, Raleigh NC 27607 to get directions. 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. 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. You can also access complete training modules located in the MOODLE platform, access provider's documents, and the child care rules and laws. At the conclusion of this visit, the visit summary report was completed, reviewed, and left with you. CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Jennifer Linhardt at 252-373-4199 or email jennifer.linhardt@dhhsnc.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 .0713 · Violation

Name of Operation: LOVING HEARTS DAYCARE Facility ID: 21000036 Consultant: HOLLY LASSITER Operation Type: Center Case Number: 0725-180A Visit Date: 8/22/2025 Number Present: 21 Completed Date: 8/22/2025 Age: From 3 To 9 Total Minutes: 115 Time In: 12:10 PM Time Out: 02:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of this unannounced visit was to follow-up regarding allegations of violations of child care requirements at this child care facility. I was accompanied by Corrie Davenport, Northeastern Investigations Supervisor. I conducted a walk-through accompanied by Alexa Mahone, Staff Member. During the visit, I spoke with Linda Knott, Administrator and one additional staff member. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. On July 3, 2025, a staff member left the classroom to escort another child down the hallway to a different classroom, leaving a group of four-year-old children unsupervised for one to two minutes. .1801(a)(1-5) 316 Children under one year of age were not kept separate from children two years and older. On July 3, 2025, a staff member cared for a four year old child while caring for infant to one year old children. 10A NCAC 09 .0713(a)(5) 904 A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. On July 3, 2025, a staff member grabbed a child by the upper arm and roughly lifted the child off the cot, and led the child down the hallway to another classroom. .1803(a)(1) 1876 A child was yelled at, shamed, humiliated, frightened, threatened or bullied. A staff member frightened and threatened a four-year-old child by using her body to intimidate and control the child. .1803(a)(9) You may contact me at Holly Lassiter, Investigations Consultant, (252)820-2367, holly.lassiter@dhhs.nc.gov or Corrie Davenport, Investigations Supervisor, corrie.davenport@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: LOVING HEARTS DAYCARE Facility ID: 21000036 Consultant: MARJORIE WHITE Operation Type: Center Case Number: Visit Date: 6/18/2025 Number Present: 46 Completed Date: 6/18/2025 Age: From 0 To 9 Total Minutes: 290 Time In: 08:40 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced * The purpose of today’s Routine Unannounced visit was to monitor compliance with applicable child care requirements. Annual Compliance visit – 11/14/24 18-month compliance history from 12/13/23 – 6/12/25 = 88% Last Sanitation Inspection – 4/9/25 - Superior (attached to visit summary) Last Fire Inspection – 10/9/24 – Satisfactory; Daytime Care Only *Sanitation and fire inspections are required at least annually by the end of the month of the previous inspection. Send fire inspections to me 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 – 5/7/24; due again 5/7/27 Lead Paint Testing – 5/13/25; exempt 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/ L. Knott, Administrator, was present and assisted me with the visit. The facility currently operates with a Notice of Compliance, issued 9/13/2022. This facility is owned by First Assembly of God of the City of Edenton. According to the NC Secretary of State's website, this non-profit corporation is current and active as of 6/12/25. Please contact me prior to any information change regarding the ownership of this facility. License and contact information were current, but we added the administrator’s cell phone. Contact me to make any changes to address, phone, or email or to request changes to the license. Today, we updated the Legal Designee Information form to reflect the administrator and assistant administrator positions as legal designees. 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 4/2025. I monitored seven staff records and all program records. The facility does not offer transportation. Center Observations: Children in all classrooms were engaged with teachers in developmentally appropriate free play and teacher directed play. Infants ate, played and slept on their own schedules. Documentation of safe sleep checks and feeding plans were available. Bottles were dated and labeled and stored in the refrigerator. Staff provided time for tummy time on the floor. The toddlers were using paint dabbers to decorate their frog head bands. The children, two years of age, were busy with free play with materials accessible on low shelves. The children, three years of age, in Space 4 were building with magnetic blocks at the table and playing make believe “phone”. In the large space in the back, the preschool-age children were decorating lady bug head bands on the right while the school-age children were working on arts and crafts in their assigned space on the left. Lunch was ham and cheese wrap on a tortilla, cucumbers, strawberries, and milk. The cook cut up the wrap into small pieces for the younger children. After lunch, the children rested on linen-covered cots. I observed and documented the following violations during today’s visit. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An outlet behind a crib in Space 1 was not in use or protected with an outlet cover. 10A NCAC 09 .0604(c) 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. Three staff members did not complete Recognizing and Responding to Suspicions of Child Maltreatment or documentation of completion was not available. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Six staff did not complete the required health and safety training within one year of employment or documentation of completion was not available. .1102(a) * 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, L. Knott. 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 7/2/25. 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. Also include the following documents/pictures to verify compliance; H&S training logs and certificates including Recognizing and Responding to Suspicions of Child Maltreatment (RRCSM). Send compliance verification letter in an email from your center’s official email address, 1201efa@gmail.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: Outlets - Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. The majority of these injuries involve children under the age of six. An outlet behind a crib in Space 1 was not protected. You stated that it probably got overlooked after vacuuming. You replaced it immediately and will remind staff to cover outlets when not in use. Recognizing and Responding to Suspicions of Child Maltreatment – Recognizing and Responding to Suspicions of Child Maltreatment teaches citizens and professionals the signs and symptoms to look out for with child abuse and neglect, what to do when they suspect it is happening, NC’s reporting law, and what happens after a report is made. The following staff have not complete Recognizing and Responding to Suspicions of Child Maltreatment (RRCSM) or documentation of completion was not available in their files: H. McNeely – hired 4/1/24; due 4/1/25; documentation not available C. Leary – hired 11/30/23; due 11/30/24; documentation not available M. Pate – hired 2/14/24; due 2/14/25; completed 4/26/25 (corrected). You stated that H&S deadlines just got away from you. Use the super helpful chart in your office to remind staff to sign up and complete the training required by their initial due dates or renewal dates. Remind them to provide a copy of their training certificate to you. I will email a list of required trainings/tasks that need to be completed at hire and throughout a new employee’s first year. Health & Safety Training – Health & Safety (H&S) Training includes training in 9 topic areas plus Recognizing and Responding to Suspicions of Child Maltreatment and CPR/First Aid. These topic areas provide a foundation for maintaining a safe and healthy environment for children and staff. The following staff have not completed H&S Training or documentation was not available in their file: A. Duvant – hired 5/11/22; due 5/11/23; documentation not available A. Reichle – hired 3/14/22; due 3/14/23; documentation not available H. McNeely – hired 4/1/24; due 4/1/25; documentation not available C. Leary – hired 11/30/23; due 11/30/24; documentation not available A. Mahone – hired 5/16/24; due 5/16/25; documentation not available M. Pate – hired 2/14/24; due 2/14/25; documentation not available You stated that H&S deadlines just got away from you. Consider helping staff use the H&S Training Log as a tracking chart with a goal of completing one training topic area a week until they have completed all the modules. New staff are required to complete H&S Training within one year of hire (CPR/First Aid and Recognizing and Responding to Suspicions of Child Maltreatment within 3 months of hire). Proposed rules related to federal funding will require religious-sponsored centers that accept subsidy to also renew H&S Training every five years Free H&S Training developed specifically for North Carolina is available in Moodle on the DCDEE website. Child Care Health Consultants can also offer approved H&S Training in person. Other options may be used if they are approved by DCDEE. Complete Recognizing and Responding to Suspicions of Child Maltreatment at https://positivechildhoodalliancenc.org/ (Any approved training related to Child Maltreatment can be used to meet this topic area for the five-year cycle.) Use the Health & Safety Training Log to document and track all H&S Training and attach the certificate for each training topic area to log. Consider assigning them a topic area weekly as they are hired to ensure they are completed by the twelve-month due date. *J. Rome – hired 9/30/24; H&S due 9/30/25 For your compliance letter, state the date when all staff have completed H&S Training. Scan and email the completed H&S Training Log and each certificate for the six staff listed above. This is due on 7/2/25. 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. 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 . *Child Care Health Consultant – C. Smith - (252) 340-0212 or cindy@aacfnc.org *Healthy Behaviors Specialist: P. White – Phone (252) 333-1233; pam@aacfnc.org *Birth to 3 Quality Specialist: J. Davidson – Phone (252) 333-1233; joy@aacfnc.org Reminders: ABCMS Portal – You have completed the ABCMS Provider Portal Training and have successfully hired each staff person to your roster. Thank you for taking care of this. Moving forward staff can link when they are completing their initial CBC or their five-year CBC renewal. ITS/SIDS Training – Anyone who works in the room for infants must have current ITS/SIDS training. When they are new, they have two months to complete but may not be left alone. A floater who works in the infant room has a recently expired ITS/SIDS certificate. She is not currently at the center but must complete it before she returns to the infant classroom. 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. Centers Operating with a Notice of Compliance – Church-sponsored centers that operate with a Notice of Compliance and do not accept subsidy are exempt from rules related to new staff orientation, playground safety training, Health & Safety Training, and Recognizing and Responding to Suspicions of Child Maltreatment. They are required to maintain CPR/First Aid training and ITS/SIDS training (if licensed for infant care). If they elect to receive subsidy, subsidy rules require them to meet child care rules related to new staff orientation (10A NCAC 09 .1101), Health & Safety Training, Recognizing and Responding to Suspicions of Child Maltreatment, and playground safety training, along with CPR/FA and ITS/SIDS (10A NCAC 09 .1102). For more details see Subsidized Child Care Rules: Participation in the Subsidized Child Care Assistance Program - 10A NCAC 10 .0602 (f). Emergency Preparedness and Response (EPR) Requirements - Your EPR Plan was reviewed and updated in the NC Risk Management Portal in April 2025. You reviewed it with staff as documented by a signature page in the notebook. The Ready-to-Go File was complete. Review in the NC Risk Management Portal and update or document date of review in April 2026. Additional Comments: Raise NC Newsletter – If you are not receiving and reading the Raise NC Newsletter, you are missing out on current relevant information about early childhood issues in North Carolina, information about proposed rules, available trainings and other information that may be of interest to you and your staff. The Raise NC Newsletter is typically sent out weekly to all facility contact email addresses, but if your email is not the facility contact email address, you can go to the DCDEE Website, https://ncchildcare.ncdhhs.gov/ and click on the “What’s New” tab. Click on “What’s New” and enter your email address and name under “Sign Up for Updates”. As an early learning professional, you need to stay in the know about issues in North Carolina that affect you and your business. Share with your staff so they can be in the know too! NCID Password Rule to Change - If you have a MYNCID or NCID account, when you change your current password after Feb. 23, you will be required to create a new one that must: • Be a minimum of 14 characters. • It consists of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. Keep Your NCID Active - Did you know that if you do not login on to any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. *Pro Tip: Set your calendar to remind you, your staff and your household members (CLIAR only) every 6 months to log in and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. *For assistance with NCID, contact ncid.nc.gov or 919.754.6000. I shared information on the following topics and emailed the information to you after the visit: 1. Healthy social Behaviors Webinar – Transitions – tonight at 7pm 2. Public Notice: Proposed Rules Amendment to Orientation, H&S Training, Religious-Sponsored 3. Pathway to the Stars – Where Quality and Choice Meet (QRIS Rules Adopted), Survey available 4. Moodle Helpful Hints 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 .1101 · Violation

Name of Operation: LOVING HEARTS DAYCARE Facility ID: 21000036 Consultant: MARJORIE WHITE Operation Type: Center Case Number: Visit Date: 6/18/2025 Number Present: 46 Completed Date: 6/18/2025 Age: From 0 To 9 Total Minutes: 290 Time In: 08:40 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced * The purpose of today’s Routine Unannounced visit was to monitor compliance with applicable child care requirements. Annual Compliance visit – 11/14/24 18-month compliance history from 12/13/23 – 6/12/25 = 88% Last Sanitation Inspection – 4/9/25 - Superior (attached to visit summary) Last Fire Inspection – 10/9/24 – Satisfactory; Daytime Care Only *Sanitation and fire inspections are required at least annually by the end of the month of the previous inspection. Send fire inspections to me 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 – 5/7/24; due again 5/7/27 Lead Paint Testing – 5/13/25; exempt 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/ L. Knott, Administrator, was present and assisted me with the visit. The facility currently operates with a Notice of Compliance, issued 9/13/2022. This facility is owned by First Assembly of God of the City of Edenton. According to the NC Secretary of State's website, this non-profit corporation is current and active as of 6/12/25. Please contact me prior to any information change regarding the ownership of this facility. License and contact information were current, but we added the administrator’s cell phone. Contact me to make any changes to address, phone, or email or to request changes to the license. Today, we updated the Legal Designee Information form to reflect the administrator and assistant administrator positions as legal designees. 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 4/2025. I monitored seven staff records and all program records. The facility does not offer transportation. Center Observations: Children in all classrooms were engaged with teachers in developmentally appropriate free play and teacher directed play. Infants ate, played and slept on their own schedules. Documentation of safe sleep checks and feeding plans were available. Bottles were dated and labeled and stored in the refrigerator. Staff provided time for tummy time on the floor. The toddlers were using paint dabbers to decorate their frog head bands. The children, two years of age, were busy with free play with materials accessible on low shelves. The children, three years of age, in Space 4 were building with magnetic blocks at the table and playing make believe “phone”. In the large space in the back, the preschool-age children were decorating lady bug head bands on the right while the school-age children were working on arts and crafts in their assigned space on the left. Lunch was ham and cheese wrap on a tortilla, cucumbers, strawberries, and milk. The cook cut up the wrap into small pieces for the younger children. After lunch, the children rested on linen-covered cots. I observed and documented the following violations during today’s visit. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An outlet behind a crib in Space 1 was not in use or protected with an outlet cover. 10A NCAC 09 .0604(c) 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. Three staff members did not complete Recognizing and Responding to Suspicions of Child Maltreatment or documentation of completion was not available. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Six staff did not complete the required health and safety training within one year of employment or documentation of completion was not available. .1102(a) * 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, L. Knott. 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 7/2/25. 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. Also include the following documents/pictures to verify compliance; H&S training logs and certificates including Recognizing and Responding to Suspicions of Child Maltreatment (RRCSM). Send compliance verification letter in an email from your center’s official email address, 1201efa@gmail.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: Outlets - Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. The majority of these injuries involve children under the age of six. An outlet behind a crib in Space 1 was not protected. You stated that it probably got overlooked after vacuuming. You replaced it immediately and will remind staff to cover outlets when not in use. Recognizing and Responding to Suspicions of Child Maltreatment – Recognizing and Responding to Suspicions of Child Maltreatment teaches citizens and professionals the signs and symptoms to look out for with child abuse and neglect, what to do when they suspect it is happening, NC’s reporting law, and what happens after a report is made. The following staff have not complete Recognizing and Responding to Suspicions of Child Maltreatment (RRCSM) or documentation of completion was not available in their files: H. McNeely – hired 4/1/24; due 4/1/25; documentation not available C. Leary – hired 11/30/23; due 11/30/24; documentation not available M. Pate – hired 2/14/24; due 2/14/25; completed 4/26/25 (corrected). You stated that H&S deadlines just got away from you. Use the super helpful chart in your office to remind staff to sign up and complete the training required by their initial due dates or renewal dates. Remind them to provide a copy of their training certificate to you. I will email a list of required trainings/tasks that need to be completed at hire and throughout a new employee’s first year. Health & Safety Training – Health & Safety (H&S) Training includes training in 9 topic areas plus Recognizing and Responding to Suspicions of Child Maltreatment and CPR/First Aid. These topic areas provide a foundation for maintaining a safe and healthy environment for children and staff. The following staff have not completed H&S Training or documentation was not available in their file: A. Duvant – hired 5/11/22; due 5/11/23; documentation not available A. Reichle – hired 3/14/22; due 3/14/23; documentation not available H. McNeely – hired 4/1/24; due 4/1/25; documentation not available C. Leary – hired 11/30/23; due 11/30/24; documentation not available A. Mahone – hired 5/16/24; due 5/16/25; documentation not available M. Pate – hired 2/14/24; due 2/14/25; documentation not available You stated that H&S deadlines just got away from you. Consider helping staff use the H&S Training Log as a tracking chart with a goal of completing one training topic area a week until they have completed all the modules. New staff are required to complete H&S Training within one year of hire (CPR/First Aid and Recognizing and Responding to Suspicions of Child Maltreatment within 3 months of hire). Proposed rules related to federal funding will require religious-sponsored centers that accept subsidy to also renew H&S Training every five years Free H&S Training developed specifically for North Carolina is available in Moodle on the DCDEE website. Child Care Health Consultants can also offer approved H&S Training in person. Other options may be used if they are approved by DCDEE. Complete Recognizing and Responding to Suspicions of Child Maltreatment at https://positivechildhoodalliancenc.org/ (Any approved training related to Child Maltreatment can be used to meet this topic area for the five-year cycle.) Use the Health & Safety Training Log to document and track all H&S Training and attach the certificate for each training topic area to log. Consider assigning them a topic area weekly as they are hired to ensure they are completed by the twelve-month due date. *J. Rome – hired 9/30/24; H&S due 9/30/25 For your compliance letter, state the date when all staff have completed H&S Training. Scan and email the completed H&S Training Log and each certificate for the six staff listed above. This is due on 7/2/25. 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. 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 . *Child Care Health Consultant – C. Smith - (252) 340-0212 or cindy@aacfnc.org *Healthy Behaviors Specialist: P. White – Phone (252) 333-1233; pam@aacfnc.org *Birth to 3 Quality Specialist: J. Davidson – Phone (252) 333-1233; joy@aacfnc.org Reminders: ABCMS Portal – You have completed the ABCMS Provider Portal Training and have successfully hired each staff person to your roster. Thank you for taking care of this. Moving forward staff can link when they are completing their initial CBC or their five-year CBC renewal. ITS/SIDS Training – Anyone who works in the room for infants must have current ITS/SIDS training. When they are new, they have two months to complete but may not be left alone. A floater who works in the infant room has a recently expired ITS/SIDS certificate. She is not currently at the center but must complete it before she returns to the infant classroom. 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. Centers Operating with a Notice of Compliance – Church-sponsored centers that operate with a Notice of Compliance and do not accept subsidy are exempt from rules related to new staff orientation, playground safety training, Health & Safety Training, and Recognizing and Responding to Suspicions of Child Maltreatment. They are required to maintain CPR/First Aid training and ITS/SIDS training (if licensed for infant care). If they elect to receive subsidy, subsidy rules require them to meet child care rules related to new staff orientation (10A NCAC 09 .1101), Health & Safety Training, Recognizing and Responding to Suspicions of Child Maltreatment, and playground safety training, along with CPR/FA and ITS/SIDS (10A NCAC 09 .1102). For more details see Subsidized Child Care Rules: Participation in the Subsidized Child Care Assistance Program - 10A NCAC 10 .0602 (f). Emergency Preparedness and Response (EPR) Requirements - Your EPR Plan was reviewed and updated in the NC Risk Management Portal in April 2025. You reviewed it with staff as documented by a signature page in the notebook. The Ready-to-Go File was complete. Review in the NC Risk Management Portal and update or document date of review in April 2026. Additional Comments: Raise NC Newsletter – If you are not receiving and reading the Raise NC Newsletter, you are missing out on current relevant information about early childhood issues in North Carolina, information about proposed rules, available trainings and other information that may be of interest to you and your staff. The Raise NC Newsletter is typically sent out weekly to all facility contact email addresses, but if your email is not the facility contact email address, you can go to the DCDEE Website, https://ncchildcare.ncdhhs.gov/ and click on the “What’s New” tab. Click on “What’s New” and enter your email address and name under “Sign Up for Updates”. As an early learning professional, you need to stay in the know about issues in North Carolina that affect you and your business. Share with your staff so they can be in the know too! NCID Password Rule to Change - If you have a MYNCID or NCID account, when you change your current password after Feb. 23, you will be required to create a new one that must: • Be a minimum of 14 characters. • It consists of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. Keep Your NCID Active - Did you know that if you do not login on to any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. *Pro Tip: Set your calendar to remind you, your staff and your household members (CLIAR only) every 6 months to log in and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. *For assistance with NCID, contact ncid.nc.gov or 919.754.6000. I shared information on the following topics and emailed the information to you after the visit: 1. Healthy social Behaviors Webinar – Transitions – tonight at 7pm 2. Public Notice: Proposed Rules Amendment to Orientation, H&S Training, Religious-Sponsored 3. Pathway to the Stars – Where Quality and Choice Meet (QRIS Rules Adopted), Survey available 4. Moodle Helpful Hints 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 .1102 · Violation

Name of Operation: LOVING HEARTS DAYCARE Facility ID: 21000036 Consultant: MARJORIE WHITE Operation Type: Center Case Number: Visit Date: 6/18/2025 Number Present: 46 Completed Date: 6/18/2025 Age: From 0 To 9 Total Minutes: 290 Time In: 08:40 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced * The purpose of today’s Routine Unannounced visit was to monitor compliance with applicable child care requirements. Annual Compliance visit – 11/14/24 18-month compliance history from 12/13/23 – 6/12/25 = 88% Last Sanitation Inspection – 4/9/25 - Superior (attached to visit summary) Last Fire Inspection – 10/9/24 – Satisfactory; Daytime Care Only *Sanitation and fire inspections are required at least annually by the end of the month of the previous inspection. Send fire inspections to me 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 – 5/7/24; due again 5/7/27 Lead Paint Testing – 5/13/25; exempt 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/ L. Knott, Administrator, was present and assisted me with the visit. The facility currently operates with a Notice of Compliance, issued 9/13/2022. This facility is owned by First Assembly of God of the City of Edenton. According to the NC Secretary of State's website, this non-profit corporation is current and active as of 6/12/25. Please contact me prior to any information change regarding the ownership of this facility. License and contact information were current, but we added the administrator’s cell phone. Contact me to make any changes to address, phone, or email or to request changes to the license. Today, we updated the Legal Designee Information form to reflect the administrator and assistant administrator positions as legal designees. 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 4/2025. I monitored seven staff records and all program records. The facility does not offer transportation. Center Observations: Children in all classrooms were engaged with teachers in developmentally appropriate free play and teacher directed play. Infants ate, played and slept on their own schedules. Documentation of safe sleep checks and feeding plans were available. Bottles were dated and labeled and stored in the refrigerator. Staff provided time for tummy time on the floor. The toddlers were using paint dabbers to decorate their frog head bands. The children, two years of age, were busy with free play with materials accessible on low shelves. The children, three years of age, in Space 4 were building with magnetic blocks at the table and playing make believe “phone”. In the large space in the back, the preschool-age children were decorating lady bug head bands on the right while the school-age children were working on arts and crafts in their assigned space on the left. Lunch was ham and cheese wrap on a tortilla, cucumbers, strawberries, and milk. The cook cut up the wrap into small pieces for the younger children. After lunch, the children rested on linen-covered cots. I observed and documented the following violations during today’s visit. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An outlet behind a crib in Space 1 was not in use or protected with an outlet cover. 10A NCAC 09 .0604(c) 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. Three staff members did not complete Recognizing and Responding to Suspicions of Child Maltreatment or documentation of completion was not available. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Six staff did not complete the required health and safety training within one year of employment or documentation of completion was not available. .1102(a) * 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, L. Knott. 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 7/2/25. 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. Also include the following documents/pictures to verify compliance; H&S training logs and certificates including Recognizing and Responding to Suspicions of Child Maltreatment (RRCSM). Send compliance verification letter in an email from your center’s official email address, 1201efa@gmail.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: Outlets - Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. The majority of these injuries involve children under the age of six. An outlet behind a crib in Space 1 was not protected. You stated that it probably got overlooked after vacuuming. You replaced it immediately and will remind staff to cover outlets when not in use. Recognizing and Responding to Suspicions of Child Maltreatment – Recognizing and Responding to Suspicions of Child Maltreatment teaches citizens and professionals the signs and symptoms to look out for with child abuse and neglect, what to do when they suspect it is happening, NC’s reporting law, and what happens after a report is made. The following staff have not complete Recognizing and Responding to Suspicions of Child Maltreatment (RRCSM) or documentation of completion was not available in their files: H. McNeely – hired 4/1/24; due 4/1/25; documentation not available C. Leary – hired 11/30/23; due 11/30/24; documentation not available M. Pate – hired 2/14/24; due 2/14/25; completed 4/26/25 (corrected). You stated that H&S deadlines just got away from you. Use the super helpful chart in your office to remind staff to sign up and complete the training required by their initial due dates or renewal dates. Remind them to provide a copy of their training certificate to you. I will email a list of required trainings/tasks that need to be completed at hire and throughout a new employee’s first year. Health & Safety Training – Health & Safety (H&S) Training includes training in 9 topic areas plus Recognizing and Responding to Suspicions of Child Maltreatment and CPR/First Aid. These topic areas provide a foundation for maintaining a safe and healthy environment for children and staff. The following staff have not completed H&S Training or documentation was not available in their file: A. Duvant – hired 5/11/22; due 5/11/23; documentation not available A. Reichle – hired 3/14/22; due 3/14/23; documentation not available H. McNeely – hired 4/1/24; due 4/1/25; documentation not available C. Leary – hired 11/30/23; due 11/30/24; documentation not available A. Mahone – hired 5/16/24; due 5/16/25; documentation not available M. Pate – hired 2/14/24; due 2/14/25; documentation not available You stated that H&S deadlines just got away from you. Consider helping staff use the H&S Training Log as a tracking chart with a goal of completing one training topic area a week until they have completed all the modules. New staff are required to complete H&S Training within one year of hire (CPR/First Aid and Recognizing and Responding to Suspicions of Child Maltreatment within 3 months of hire). Proposed rules related to federal funding will require religious-sponsored centers that accept subsidy to also renew H&S Training every five years Free H&S Training developed specifically for North Carolina is available in Moodle on the DCDEE website. Child Care Health Consultants can also offer approved H&S Training in person. Other options may be used if they are approved by DCDEE. Complete Recognizing and Responding to Suspicions of Child Maltreatment at https://positivechildhoodalliancenc.org/ (Any approved training related to Child Maltreatment can be used to meet this topic area for the five-year cycle.) Use the Health & Safety Training Log to document and track all H&S Training and attach the certificate for each training topic area to log. Consider assigning them a topic area weekly as they are hired to ensure they are completed by the twelve-month due date. *J. Rome – hired 9/30/24; H&S due 9/30/25 For your compliance letter, state the date when all staff have completed H&S Training. Scan and email the completed H&S Training Log and each certificate for the six staff listed above. This is due on 7/2/25. 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. 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 . *Child Care Health Consultant – C. Smith - (252) 340-0212 or cindy@aacfnc.org *Healthy Behaviors Specialist: P. White – Phone (252) 333-1233; pam@aacfnc.org *Birth to 3 Quality Specialist: J. Davidson – Phone (252) 333-1233; joy@aacfnc.org Reminders: ABCMS Portal – You have completed the ABCMS Provider Portal Training and have successfully hired each staff person to your roster. Thank you for taking care of this. Moving forward staff can link when they are completing their initial CBC or their five-year CBC renewal. ITS/SIDS Training – Anyone who works in the room for infants must have current ITS/SIDS training. When they are new, they have two months to complete but may not be left alone. A floater who works in the infant room has a recently expired ITS/SIDS certificate. She is not currently at the center but must complete it before she returns to the infant classroom. 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. Centers Operating with a Notice of Compliance – Church-sponsored centers that operate with a Notice of Compliance and do not accept subsidy are exempt from rules related to new staff orientation, playground safety training, Health & Safety Training, and Recognizing and Responding to Suspicions of Child Maltreatment. They are required to maintain CPR/First Aid training and ITS/SIDS training (if licensed for infant care). If they elect to receive subsidy, subsidy rules require them to meet child care rules related to new staff orientation (10A NCAC 09 .1101), Health & Safety Training, Recognizing and Responding to Suspicions of Child Maltreatment, and playground safety training, along with CPR/FA and ITS/SIDS (10A NCAC 09 .1102). For more details see Subsidized Child Care Rules: Participation in the Subsidized Child Care Assistance Program - 10A NCAC 10 .0602 (f). Emergency Preparedness and Response (EPR) Requirements - Your EPR Plan was reviewed and updated in the NC Risk Management Portal in April 2025. You reviewed it with staff as documented by a signature page in the notebook. The Ready-to-Go File was complete. Review in the NC Risk Management Portal and update or document date of review in April 2026. Additional Comments: Raise NC Newsletter – If you are not receiving and reading the Raise NC Newsletter, you are missing out on current relevant information about early childhood issues in North Carolina, information about proposed rules, available trainings and other information that may be of interest to you and your staff. The Raise NC Newsletter is typically sent out weekly to all facility contact email addresses, but if your email is not the facility contact email address, you can go to the DCDEE Website, https://ncchildcare.ncdhhs.gov/ and click on the “What’s New” tab. Click on “What’s New” and enter your email address and name under “Sign Up for Updates”. As an early learning professional, you need to stay in the know about issues in North Carolina that affect you and your business. Share with your staff so they can be in the know too! NCID Password Rule to Change - If you have a MYNCID or NCID account, when you change your current password after Feb. 23, you will be required to create a new one that must: • Be a minimum of 14 characters. • It consists of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. Keep Your NCID Active - Did you know that if you do not login on to any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. *Pro Tip: Set your calendar to remind you, your staff and your household members (CLIAR only) every 6 months to log in and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. *For assistance with NCID, contact ncid.nc.gov or 919.754.6000. I shared information on the following topics and emailed the information to you after the visit: 1. Healthy social Behaviors Webinar – Transitions – tonight at 7pm 2. Public Notice: Proposed Rules Amendment to Orientation, H&S Training, Religious-Sponsored 3. Pathway to the Stars – Where Quality and Choice Meet (QRIS Rules Adopted), Survey available 4. Moodle Helpful Hints 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: LOVING HEARTS DAYCARE Facility ID: 21000036 Consultant: MARJORIE WHITE Operation Type: Center Case Number: Visit Date: 6/18/2025 Number Present: 46 Completed Date: 6/18/2025 Age: From 0 To 9 Total Minutes: 290 Time In: 08:40 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced * The purpose of today’s Routine Unannounced visit was to monitor compliance with applicable child care requirements. Annual Compliance visit – 11/14/24 18-month compliance history from 12/13/23 – 6/12/25 = 88% Last Sanitation Inspection – 4/9/25 - Superior (attached to visit summary) Last Fire Inspection – 10/9/24 – Satisfactory; Daytime Care Only *Sanitation and fire inspections are required at least annually by the end of the month of the previous inspection. Send fire inspections to me 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 – 5/7/24; due again 5/7/27 Lead Paint Testing – 5/13/25; exempt 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/ L. Knott, Administrator, was present and assisted me with the visit. The facility currently operates with a Notice of Compliance, issued 9/13/2022. This facility is owned by First Assembly of God of the City of Edenton. According to the NC Secretary of State's website, this non-profit corporation is current and active as of 6/12/25. Please contact me prior to any information change regarding the ownership of this facility. License and contact information were current, but we added the administrator’s cell phone. Contact me to make any changes to address, phone, or email or to request changes to the license. Today, we updated the Legal Designee Information form to reflect the administrator and assistant administrator positions as legal designees. 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 4/2025. I monitored seven staff records and all program records. The facility does not offer transportation. Center Observations: Children in all classrooms were engaged with teachers in developmentally appropriate free play and teacher directed play. Infants ate, played and slept on their own schedules. Documentation of safe sleep checks and feeding plans were available. Bottles were dated and labeled and stored in the refrigerator. Staff provided time for tummy time on the floor. The toddlers were using paint dabbers to decorate their frog head bands. The children, two years of age, were busy with free play with materials accessible on low shelves. The children, three years of age, in Space 4 were building with magnetic blocks at the table and playing make believe “phone”. In the large space in the back, the preschool-age children were decorating lady bug head bands on the right while the school-age children were working on arts and crafts in their assigned space on the left. Lunch was ham and cheese wrap on a tortilla, cucumbers, strawberries, and milk. The cook cut up the wrap into small pieces for the younger children. After lunch, the children rested on linen-covered cots. I observed and documented the following violations during today’s visit. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An outlet behind a crib in Space 1 was not in use or protected with an outlet cover. 10A NCAC 09 .0604(c) 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. Three staff members did not complete Recognizing and Responding to Suspicions of Child Maltreatment or documentation of completion was not available. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Six staff did not complete the required health and safety training within one year of employment or documentation of completion was not available. .1102(a) * 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, L. Knott. 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 7/2/25. 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. Also include the following documents/pictures to verify compliance; H&S training logs and certificates including Recognizing and Responding to Suspicions of Child Maltreatment (RRCSM). Send compliance verification letter in an email from your center’s official email address, 1201efa@gmail.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: Outlets - Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. The majority of these injuries involve children under the age of six. An outlet behind a crib in Space 1 was not protected. You stated that it probably got overlooked after vacuuming. You replaced it immediately and will remind staff to cover outlets when not in use. Recognizing and Responding to Suspicions of Child Maltreatment – Recognizing and Responding to Suspicions of Child Maltreatment teaches citizens and professionals the signs and symptoms to look out for with child abuse and neglect, what to do when they suspect it is happening, NC’s reporting law, and what happens after a report is made. The following staff have not complete Recognizing and Responding to Suspicions of Child Maltreatment (RRCSM) or documentation of completion was not available in their files: H. McNeely – hired 4/1/24; due 4/1/25; documentation not available C. Leary – hired 11/30/23; due 11/30/24; documentation not available M. Pate – hired 2/14/24; due 2/14/25; completed 4/26/25 (corrected). You stated that H&S deadlines just got away from you. Use the super helpful chart in your office to remind staff to sign up and complete the training required by their initial due dates or renewal dates. Remind them to provide a copy of their training certificate to you. I will email a list of required trainings/tasks that need to be completed at hire and throughout a new employee’s first year. Health & Safety Training – Health & Safety (H&S) Training includes training in 9 topic areas plus Recognizing and Responding to Suspicions of Child Maltreatment and CPR/First Aid. These topic areas provide a foundation for maintaining a safe and healthy environment for children and staff. The following staff have not completed H&S Training or documentation was not available in their file: A. Duvant – hired 5/11/22; due 5/11/23; documentation not available A. Reichle – hired 3/14/22; due 3/14/23; documentation not available H. McNeely – hired 4/1/24; due 4/1/25; documentation not available C. Leary – hired 11/30/23; due 11/30/24; documentation not available A. Mahone – hired 5/16/24; due 5/16/25; documentation not available M. Pate – hired 2/14/24; due 2/14/25; documentation not available You stated that H&S deadlines just got away from you. Consider helping staff use the H&S Training Log as a tracking chart with a goal of completing one training topic area a week until they have completed all the modules. New staff are required to complete H&S Training within one year of hire (CPR/First Aid and Recognizing and Responding to Suspicions of Child Maltreatment within 3 months of hire). Proposed rules related to federal funding will require religious-sponsored centers that accept subsidy to also renew H&S Training every five years Free H&S Training developed specifically for North Carolina is available in Moodle on the DCDEE website. Child Care Health Consultants can also offer approved H&S Training in person. Other options may be used if they are approved by DCDEE. Complete Recognizing and Responding to Suspicions of Child Maltreatment at https://positivechildhoodalliancenc.org/ (Any approved training related to Child Maltreatment can be used to meet this topic area for the five-year cycle.) Use the Health & Safety Training Log to document and track all H&S Training and attach the certificate for each training topic area to log. Consider assigning them a topic area weekly as they are hired to ensure they are completed by the twelve-month due date. *J. Rome – hired 9/30/24; H&S due 9/30/25 For your compliance letter, state the date when all staff have completed H&S Training. Scan and email the completed H&S Training Log and each certificate for the six staff listed above. This is due on 7/2/25. 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. 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 . *Child Care Health Consultant – C. Smith - (252) 340-0212 or cindy@aacfnc.org *Healthy Behaviors Specialist: P. White – Phone (252) 333-1233; pam@aacfnc.org *Birth to 3 Quality Specialist: J. Davidson – Phone (252) 333-1233; joy@aacfnc.org Reminders: ABCMS Portal – You have completed the ABCMS Provider Portal Training and have successfully hired each staff person to your roster. Thank you for taking care of this. Moving forward staff can link when they are completing their initial CBC or their five-year CBC renewal. ITS/SIDS Training – Anyone who works in the room for infants must have current ITS/SIDS training. When they are new, they have two months to complete but may not be left alone. A floater who works in the infant room has a recently expired ITS/SIDS certificate. She is not currently at the center but must complete it before she returns to the infant classroom. 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. Centers Operating with a Notice of Compliance – Church-sponsored centers that operate with a Notice of Compliance and do not accept subsidy are exempt from rules related to new staff orientation, playground safety training, Health & Safety Training, and Recognizing and Responding to Suspicions of Child Maltreatment. They are required to maintain CPR/First Aid training and ITS/SIDS training (if licensed for infant care). If they elect to receive subsidy, subsidy rules require them to meet child care rules related to new staff orientation (10A NCAC 09 .1101), Health & Safety Training, Recognizing and Responding to Suspicions of Child Maltreatment, and playground safety training, along with CPR/FA and ITS/SIDS (10A NCAC 09 .1102). For more details see Subsidized Child Care Rules: Participation in the Subsidized Child Care Assistance Program - 10A NCAC 10 .0602 (f). Emergency Preparedness and Response (EPR) Requirements - Your EPR Plan was reviewed and updated in the NC Risk Management Portal in April 2025. You reviewed it with staff as documented by a signature page in the notebook. The Ready-to-Go File was complete. Review in the NC Risk Management Portal and update or document date of review in April 2026. Additional Comments: Raise NC Newsletter – If you are not receiving and reading the Raise NC Newsletter, you are missing out on current relevant information about early childhood issues in North Carolina, information about proposed rules, available trainings and other information that may be of interest to you and your staff. The Raise NC Newsletter is typically sent out weekly to all facility contact email addresses, but if your email is not the facility contact email address, you can go to the DCDEE Website, https://ncchildcare.ncdhhs.gov/ and click on the “What’s New” tab. Click on “What’s New” and enter your email address and name under “Sign Up for Updates”. As an early learning professional, you need to stay in the know about issues in North Carolina that affect you and your business. Share with your staff so they can be in the know too! NCID Password Rule to Change - If you have a MYNCID or NCID account, when you change your current password after Feb. 23, you will be required to create a new one that must: • Be a minimum of 14 characters. • It consists of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. Keep Your NCID Active - Did you know that if you do not login on to any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. *Pro Tip: Set your calendar to remind you, your staff and your household members (CLIAR only) every 6 months to log in and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. *For assistance with NCID, contact ncid.nc.gov or 919.754.6000. I shared information on the following topics and emailed the information to you after the visit: 1. Healthy social Behaviors Webinar – Transitions – tonight at 7pm 2. Public Notice: Proposed Rules Amendment to Orientation, H&S Training, Religious-Sponsored 3. Pathway to the Stars – Where Quality and Choice Meet (QRIS Rules Adopted), Survey available 4. Moodle Helpful Hints 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 .0304 · Violation

Name of Operation: LOVING HEARTS DAYCARE Facility ID: 21000036 Consultant: TAMARIA WILLIAMS Operation Type: Center Case Number: Visit Date: 11/14/2024 Number Present: 38 Completed Date: 11/14/2024 Age: From 0 To 4 Total Minutes: 224 Time In: 12:16 PM Time Out: 04:00 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. L. Knott, administrator, arrived on-site and assisted me as needed with the visit. Your facility currently operates with a Notice of Compliance issued 9/13/2022. The last annual compliance visit was conducted 12/7/2023. The sanitation inspection was conducted on 7/17/24 with a “Superior” classification. The last fire inspection was conducted 10/29/24and your facility was approved for daytime care only. The program’s compliance history was ninety-four percent as of 11/8/2024. This facility is owned by First Assembly Of God Of The City Of Edenton according to the NC Secretary of State's website, this non-profit corporation is current and active as of 11/8/2024. Please contact your child care consultant or DCDEE prior to any information changing regarding the ownership of this facility. A walk-through of the facility was completed today. I observed children during nap time resting on linen-covered cots. After nap time children transitioned to personal care routines and were offered snack. Snack consisted of strawberry and banana flavored yogurt, crackers, and water. The two fenced outdoor play areas consisted of a variety of push and pull toys, assortment of balls, benches, picnic tables, and areas for shade. There 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 previous inspection was conducted on 7/14/23 and the current inspection was conducted on 10/29/24. 10A NCAC 09 .0304(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 3 an aerosol can of Lysol spray was on top of the shelf above the changing table. In space one an aerosol can of Scentsy Very Snowy Spruce room spray was on the shelf beside the sink, an aerosol can of Wizard Morning Mist was on the shelf behind the door, and lavender, lemon, and orange essential oils were in the unlocked cabinet behind the entrance door. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space three a Ventolin HFA inhaler that expired on October 2024 had not been discarded. .0803(12) 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 one out of seven files reviewed a statement acknowledging receipt was not available for review. .0608(b)(1-6) 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 November 28, 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. 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: Expired Medications - Any medication remaining after the course of treatment is completed, after authorization is withdrawn, or the child withdraws from care, must be returned to the child's parent or discarded. In space three a Ventolin HFA inhaler that expired on October 2024 had not been discarded. The label stated to discard the medication on October 2024, therefore it should have been discarded or returned to the parent within 72 hours. The pharmacy label must be followed as instructed. Teachers should check their medications each month and return any unused medication to the children's parent/guardians. Any medication that is not picked up by the parents should be thrown away. You took the medication out of the classroom and discarded it. This was corrected during the visit. Storage of hazardous products - There are over two million human poison exposures reported to poison centers every year. Children under six years of age account for over half of those potential poisonings. Any product under pressure and any product that includes more than one warning must be in locked storage. In space 3 an aerosol can of Lysol spray was on top of the shelf above the changing table. In space one an aerosol can of Scentsy Very Snowy Spruce room spray was on the shelf beside the sink, an aerosol can of Wizard Morning Mist was on the shelf behind the door, and lavender, lemon, and orange essential oils were in the unlocked cabinet behind the entrance door. These items are required to be kept in locked storage. Locked storage rooms and cabinets include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices must be kept out of the reach of a child and must not be stored in the lock. This was corrected during the visit. Fire Inspection: Each operator must schedule a fire inspection within 12 months of the center's previous fire inspection. The previous inspection was conducted on 7/14/23 and the current inspection was conducted on 10/29/24. You stated that you thought that the interim-administrator had taken care of it. Setting a reminder on your calendar at least one month in advance of the due date will allow time for the inspection to be completed without becoming delinquent. 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. We discussed Clean Classrooms for Carolina Kids and you have completed lead in water, lead-based paint, and asbestos testing and no further action is needed at this time. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Moodle Support – The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle Support. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay updated with changes and new rule updates by visiting the DCDEE 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

G.S. 110-90 · Violation

Name of Operation: LOVING HEARTS DAYCARE Facility ID: 21000036 Consultant: TAMARIA WILLIAMS Operation Type: Center Case Number: Visit Date: 11/14/2024 Number Present: 38 Completed Date: 11/14/2024 Age: From 0 To 4 Total Minutes: 224 Time In: 12:16 PM Time Out: 04:00 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. L. Knott, administrator, arrived on-site and assisted me as needed with the visit. Your facility currently operates with a Notice of Compliance issued 9/13/2022. The last annual compliance visit was conducted 12/7/2023. The sanitation inspection was conducted on 7/17/24 with a “Superior” classification. The last fire inspection was conducted 10/29/24and your facility was approved for daytime care only. The program’s compliance history was ninety-four percent as of 11/8/2024. This facility is owned by First Assembly Of God Of The City Of Edenton according to the NC Secretary of State's website, this non-profit corporation is current and active as of 11/8/2024. Please contact your child care consultant or DCDEE prior to any information changing regarding the ownership of this facility. A walk-through of the facility was completed today. I observed children during nap time resting on linen-covered cots. After nap time children transitioned to personal care routines and were offered snack. Snack consisted of strawberry and banana flavored yogurt, crackers, and water. The two fenced outdoor play areas consisted of a variety of push and pull toys, assortment of balls, benches, picnic tables, and areas for shade. There 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 previous inspection was conducted on 7/14/23 and the current inspection was conducted on 10/29/24. 10A NCAC 09 .0304(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 3 an aerosol can of Lysol spray was on top of the shelf above the changing table. In space one an aerosol can of Scentsy Very Snowy Spruce room spray was on the shelf beside the sink, an aerosol can of Wizard Morning Mist was on the shelf behind the door, and lavender, lemon, and orange essential oils were in the unlocked cabinet behind the entrance door. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space three a Ventolin HFA inhaler that expired on October 2024 had not been discarded. .0803(12) 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 one out of seven files reviewed a statement acknowledging receipt was not available for review. .0608(b)(1-6) 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 November 28, 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. 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: Expired Medications - Any medication remaining after the course of treatment is completed, after authorization is withdrawn, or the child withdraws from care, must be returned to the child's parent or discarded. In space three a Ventolin HFA inhaler that expired on October 2024 had not been discarded. The label stated to discard the medication on October 2024, therefore it should have been discarded or returned to the parent within 72 hours. The pharmacy label must be followed as instructed. Teachers should check their medications each month and return any unused medication to the children's parent/guardians. Any medication that is not picked up by the parents should be thrown away. You took the medication out of the classroom and discarded it. This was corrected during the visit. Storage of hazardous products - There are over two million human poison exposures reported to poison centers every year. Children under six years of age account for over half of those potential poisonings. Any product under pressure and any product that includes more than one warning must be in locked storage. In space 3 an aerosol can of Lysol spray was on top of the shelf above the changing table. In space one an aerosol can of Scentsy Very Snowy Spruce room spray was on the shelf beside the sink, an aerosol can of Wizard Morning Mist was on the shelf behind the door, and lavender, lemon, and orange essential oils were in the unlocked cabinet behind the entrance door. These items are required to be kept in locked storage. Locked storage rooms and cabinets include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices must be kept out of the reach of a child and must not be stored in the lock. This was corrected during the visit. Fire Inspection: Each operator must schedule a fire inspection within 12 months of the center's previous fire inspection. The previous inspection was conducted on 7/14/23 and the current inspection was conducted on 10/29/24. You stated that you thought that the interim-administrator had taken care of it. Setting a reminder on your calendar at least one month in advance of the due date will allow time for the inspection to be completed without becoming delinquent. 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. We discussed Clean Classrooms for Carolina Kids and you have completed lead in water, lead-based paint, and asbestos testing and no further action is needed at this time. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Moodle Support – The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle Support. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay updated with changes and new rule updates by visiting the DCDEE 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: LOVING HEARTS DAYCARE Facility ID: 21000036 Consultant: TAMARIA WILLIAMS Operation Type: Center Case Number: Visit Date: 11/14/2024 Number Present: 38 Completed Date: 11/14/2024 Age: From 0 To 4 Total Minutes: 224 Time In: 12:16 PM Time Out: 04:00 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. L. Knott, administrator, arrived on-site and assisted me as needed with the visit. Your facility currently operates with a Notice of Compliance issued 9/13/2022. The last annual compliance visit was conducted 12/7/2023. The sanitation inspection was conducted on 7/17/24 with a “Superior” classification. The last fire inspection was conducted 10/29/24and your facility was approved for daytime care only. The program’s compliance history was ninety-four percent as of 11/8/2024. This facility is owned by First Assembly Of God Of The City Of Edenton according to the NC Secretary of State's website, this non-profit corporation is current and active as of 11/8/2024. Please contact your child care consultant or DCDEE prior to any information changing regarding the ownership of this facility. A walk-through of the facility was completed today. I observed children during nap time resting on linen-covered cots. After nap time children transitioned to personal care routines and were offered snack. Snack consisted of strawberry and banana flavored yogurt, crackers, and water. The two fenced outdoor play areas consisted of a variety of push and pull toys, assortment of balls, benches, picnic tables, and areas for shade. There 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 previous inspection was conducted on 7/14/23 and the current inspection was conducted on 10/29/24. 10A NCAC 09 .0304(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 3 an aerosol can of Lysol spray was on top of the shelf above the changing table. In space one an aerosol can of Scentsy Very Snowy Spruce room spray was on the shelf beside the sink, an aerosol can of Wizard Morning Mist was on the shelf behind the door, and lavender, lemon, and orange essential oils were in the unlocked cabinet behind the entrance door. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space three a Ventolin HFA inhaler that expired on October 2024 had not been discarded. .0803(12) 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 one out of seven files reviewed a statement acknowledging receipt was not available for review. .0608(b)(1-6) 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 November 28, 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. 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: Expired Medications - Any medication remaining after the course of treatment is completed, after authorization is withdrawn, or the child withdraws from care, must be returned to the child's parent or discarded. In space three a Ventolin HFA inhaler that expired on October 2024 had not been discarded. The label stated to discard the medication on October 2024, therefore it should have been discarded or returned to the parent within 72 hours. The pharmacy label must be followed as instructed. Teachers should check their medications each month and return any unused medication to the children's parent/guardians. Any medication that is not picked up by the parents should be thrown away. You took the medication out of the classroom and discarded it. This was corrected during the visit. Storage of hazardous products - There are over two million human poison exposures reported to poison centers every year. Children under six years of age account for over half of those potential poisonings. Any product under pressure and any product that includes more than one warning must be in locked storage. In space 3 an aerosol can of Lysol spray was on top of the shelf above the changing table. In space one an aerosol can of Scentsy Very Snowy Spruce room spray was on the shelf beside the sink, an aerosol can of Wizard Morning Mist was on the shelf behind the door, and lavender, lemon, and orange essential oils were in the unlocked cabinet behind the entrance door. These items are required to be kept in locked storage. Locked storage rooms and cabinets include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices must be kept out of the reach of a child and must not be stored in the lock. This was corrected during the visit. Fire Inspection: Each operator must schedule a fire inspection within 12 months of the center's previous fire inspection. The previous inspection was conducted on 7/14/23 and the current inspection was conducted on 10/29/24. You stated that you thought that the interim-administrator had taken care of it. Setting a reminder on your calendar at least one month in advance of the due date will allow time for the inspection to be completed without becoming delinquent. 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. We discussed Clean Classrooms for Carolina Kids and you have completed lead in water, lead-based paint, and asbestos testing and no further action is needed at this time. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Moodle Support – The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle Support. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay updated with changes and new rule updates by visiting the DCDEE 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

G.S. 110-91 · Violation

Name of Operation: LOVING HEARTS DAYCARE Facility ID: 21000036 Consultant: HOLLY LASSITER Operation Type: Center Case Number: 0824-032A Visit Date: 8/9/2024 Number Present: 42 Completed Date: 8/9/2024 Age: From 0 To 10 Total Minutes: 140 Time In: 10:20 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. I conducted a walk-through of the facility accompanied by Tina Braddy, Staff Member. During the visit, I discussed the allegations with Linda Knott, Administrator and five additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. On August 11, 2024, staff members failed to adequately supervise a two year old child and the child's finger was injured in a gate and required medical attention. .1801(a)(1-5) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. During the week of July 21, 2024, two staff members engaged in a verbal altercation in the presence of preschool-aged children, waking at least two of the children that were sleeping. G.S. 110-91(10) You may contact me at Holly Lassiter, Investigations Consultant, (252)820-2367, holly.lassiter@dhhs.nc.gov or Corrie Davenport, Investigations Supervisor, Corrie.Davenport@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: LOVING HEARTS DAYCARE Facility ID: 21000036 Consultant: TAMARIA WILLIAMS Operation Type: Center Case Number: Visit Date: 12/7/2023 Number Present: 29 Completed Date: 12/7/2023 Age: From 0 To 4 Total Minutes: 323 Time In: 09:07 AM Time Out: 02:30 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. L. Knotts, Administrator, assisted me as needed with the visit until she had to leave. Your facility currently operates with a Notice of Compliance issued 9/13/2022. The last annual compliance visit was conducted 1/4/2023. The sanitation inspection received – 9/1/2023 with a “Superior” classification. The last fire inspection was conducted 7/14/2023 and your facility was approved for daytime care only. The program’s compliance history was ninety-one percent as of 12/1/2023. This facility is owned by First Assembly Of God Of The City Of Edenton according to the NC Secretary of State's website, this non-profit corporation is current and active as of 12/1/2023. Please contact your child care consultant or DCDEE prior to any information changing regarding the ownership of this facility. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environments and found children throughout the facility were participating in free play, transitions and personal care routines. The two fenced outdoor play areas consisted of a variety of push and pull toys, assortment of balls, benches, picnic tables, and areas for shade. Lunch was served and consisted of peanut butter and jelly sandwiches, mandarin oranges, potatoes, and milk. The following violations were documented. 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. A child enrolled on 7/31/23 did not have documentation available for review. GS 110-102 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An outlet in the hallway did not have safety cover. Two outlets in the school-age space did not have safety covers. 10A NCAC 09 .0604(c) 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. A child enrolled on 7/31/23 did not have documentation available for review. 10A NCAC 09 .0606(c) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child enrolled on 7/31/23 did not have a medical exam on file until 9/13/23. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A child enrolled on 7/31/23 did not have an immunization record available for review today. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. A child enrolled on 7/31/23 did not have documentation available for review today. .1804(c) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. A child enrolled on 7/31/23 did not have documentation available for review today. .0604(j) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #2 medical authorization for two(2) Ventolin HFA inhalers was expired. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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. A child enrolled on 7/31/23 did not have documentation available for review today. .0608(b)(1-6) 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. On or before 12/21/2023, 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 considered 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 may be completed. 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: Summary of NC Child Care Law - Operators of child care centers must provide a copy of a summary of the child care law to each child’s parent, guardian, and full-time custodian before the child is enrolled in the center. Each parent, guardian, or full-time custodian must sign a statement acknowledging that he or she received a copy of the summary before the child’s enrollment. A child enrolled on 7/31/2023 did not have documentation available for review. A signature form could simplify your enrollment process for parents and at the same time, ensure you have on file what is required. Electrical Outlets - Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. Two electrical outlets located near the television in the school-age space did not have safety covers. All electrical outlets not in use that are in areas accessible to children must be protected with an outlet cover. This includes unused outlets on power strips. Daily checks should be done to replace outlet safety covers. Safe Sleep- Place babies, 12 months of age or younger, to sleep on their back. A waiver may apply under certain circumstances. Childcare providers must have a written safe sleep policy and must explain it to parents before the baby is enrolled. Today a child enrolled on 7/31/23 did not have documentation available for review. Permission to Administer Medication - Any medication remaining after the course of treatment is completed, after authorization had expired, or the child withdraws from care, must be returned to the child's parent. Today, the permission to administer medication forms for a Ventolin HFA inhaler in space #2 expired on November 8, 2023 and a Ventolin HFA inhaler in space #2 expired on 7/19/23. Teachers should be reminded to check their medications each month to ensure that all permission forms are complete and current. If the medication is no longer needed, it must be returned to the parent within 72 hours or discarded. You will need to create a procedure to track that your staff are monitoring medications at least monthly and include this tracking plan in your letter of compliance. Children's Records(Medical and Immunization) -Children are required to have a medical exam by a doctor and a copy of their immunization record no later than 30 days from their first day of attendance. Immunization records are required for all children; however, a medical exam is required for all children from birth to five, that have not started Kindergarten. A medical exam can be accepted if completed within the last 12 months prior to enrollment. A child enrolled on 7/31/23 did not have a medical report on file until 9/13/23, immunization documentation was not available for review. Review children’s records periodically to ensure that the required documentation is on file by the intended due date. Discipline Policy - Maintaining accurate documentation at the child care center is important because it demonstrates compliance with the child care rules and ensures the health and safety of each child. A discipline policy must be reviewed with each parent prior to enrollment and they must sign the form showing this was completed. A child enrolled on 7/31/2023 did not have documentation available for review. Review your children’s files on a regular basis to ensure all information is on file, as required. Smoking and Tobacco Policy- Maintaining accurate documentation at the child care center is important because it demonstrates compliance with the child care rules and ensures the health and safety of each child. Notification of you smoking and tobacco restriction must be in writing and given to each parent prior to enrollment. A child enrolled on 7/31/2023 did not have documentation available for review. Review your children’s files on a regular basis to ensure all information is on file, as required. Permission to Administer Medication - Any medication remaining after the course of treatment is completed, after authorization had expired, or the child withdraws from care, must be returned to the child's parent. Today, the permission to administer medication forms for a Ventolin HFA inhaler in space #2 expired on November 8, 2023 and a Ventolin HFA inhaler in space #2 expired on 7/19/23. Teachers should be reminded to check their medications each month to ensure that all permission forms are complete and current. If the medication is no longer needed, it must be returned to the parent within 72 hours or discarded. You will need to create a procedure to track that your staff are monitoring medications at least monthly and include this tracking plan in your letter of compliance. Shaken Baby Syndrome and Abusive Head Trauma: Educating parents is a key part of being a provider. Reviewing the policy helps parents to better understand the dangers of Shaken Baby Syndrome and the effects of head trauma. Per our discussion, you use a policy signature page when reviewing policies with your parents. Signed acknowledgements must be placed in each child’s file. Additional Information: Record keeping is one of the most time-consuming tasks associated with managing a child care business. Maintaining complete and accurate records for the program, staff and children is a vital part of being a licensed child care provider. Setting aside regularly scheduled times each week to review records can assist you in maintaining accurate licensing records. A tracking and reminder system is also essential to keep track of tasks, due dates and expiration dates for maintaining compliance with child care requirements. Being proactive with an organized approach for record-keeping helps you ensure easy access to information when needed, especially in emergency situations. 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. New Criminal Background Check Changes – Legislative changes approved on 7/11/2022 made two important changes to Criminal Background Checks required for child care professionals: 1. The period for background check qualification renewals was changed from every 3 years to every 5 years 2. The provisional qualification period was reduced to 45 days The Division intends to implement these changes as soon as possible. An individual’s current Qualification Letter (QL) will be extended 2 years for a total of 5 years. Updated letters will not be generated. Individuals with a Provisional Qualification Letter due to an out-of-state check will received a qualifying letter on the 45th day. Letters are generated in the CBC Portal. 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. COVID Signage – On August 15, 2022, the governor lifted the “State of Emergency” status for North Carolina. As a result, you are no longer required to post the CORONA Virus Information Sheet on your main entrance door or the Health and Safety Certificate which verified that you agreed to meet the additional health and safety requirements during the pandemic. At the completion of the visit, this visit summary was printed, and I also emailed a copy to you. Please respond to my email to let me know that you have received it. 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 .0302 · Violation

Name of Operation: LOVING HEARTS DAYCARE Facility ID: 21000036 Consultant: TAMARIA WILLIAMS Operation Type: Center Case Number: Visit Date: 12/7/2023 Number Present: 29 Completed Date: 12/7/2023 Age: From 0 To 4 Total Minutes: 323 Time In: 09:07 AM Time Out: 02:30 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. L. Knotts, Administrator, assisted me as needed with the visit until she had to leave. Your facility currently operates with a Notice of Compliance issued 9/13/2022. The last annual compliance visit was conducted 1/4/2023. The sanitation inspection received – 9/1/2023 with a “Superior” classification. The last fire inspection was conducted 7/14/2023 and your facility was approved for daytime care only. The program’s compliance history was ninety-one percent as of 12/1/2023. This facility is owned by First Assembly Of God Of The City Of Edenton according to the NC Secretary of State's website, this non-profit corporation is current and active as of 12/1/2023. Please contact your child care consultant or DCDEE prior to any information changing regarding the ownership of this facility. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environments and found children throughout the facility were participating in free play, transitions and personal care routines. The two fenced outdoor play areas consisted of a variety of push and pull toys, assortment of balls, benches, picnic tables, and areas for shade. Lunch was served and consisted of peanut butter and jelly sandwiches, mandarin oranges, potatoes, and milk. The following violations were documented. 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. A child enrolled on 7/31/23 did not have documentation available for review. GS 110-102 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An outlet in the hallway did not have safety cover. Two outlets in the school-age space did not have safety covers. 10A NCAC 09 .0604(c) 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. A child enrolled on 7/31/23 did not have documentation available for review. 10A NCAC 09 .0606(c) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child enrolled on 7/31/23 did not have a medical exam on file until 9/13/23. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A child enrolled on 7/31/23 did not have an immunization record available for review today. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. A child enrolled on 7/31/23 did not have documentation available for review today. .1804(c) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. A child enrolled on 7/31/23 did not have documentation available for review today. .0604(j) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #2 medical authorization for two(2) Ventolin HFA inhalers was expired. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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. A child enrolled on 7/31/23 did not have documentation available for review today. .0608(b)(1-6) 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. On or before 12/21/2023, 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 considered 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 may be completed. 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: Summary of NC Child Care Law - Operators of child care centers must provide a copy of a summary of the child care law to each child’s parent, guardian, and full-time custodian before the child is enrolled in the center. Each parent, guardian, or full-time custodian must sign a statement acknowledging that he or she received a copy of the summary before the child’s enrollment. A child enrolled on 7/31/2023 did not have documentation available for review. A signature form could simplify your enrollment process for parents and at the same time, ensure you have on file what is required. Electrical Outlets - Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. Two electrical outlets located near the television in the school-age space did not have safety covers. All electrical outlets not in use that are in areas accessible to children must be protected with an outlet cover. This includes unused outlets on power strips. Daily checks should be done to replace outlet safety covers. Safe Sleep- Place babies, 12 months of age or younger, to sleep on their back. A waiver may apply under certain circumstances. Childcare providers must have a written safe sleep policy and must explain it to parents before the baby is enrolled. Today a child enrolled on 7/31/23 did not have documentation available for review. Permission to Administer Medication - Any medication remaining after the course of treatment is completed, after authorization had expired, or the child withdraws from care, must be returned to the child's parent. Today, the permission to administer medication forms for a Ventolin HFA inhaler in space #2 expired on November 8, 2023 and a Ventolin HFA inhaler in space #2 expired on 7/19/23. Teachers should be reminded to check their medications each month to ensure that all permission forms are complete and current. If the medication is no longer needed, it must be returned to the parent within 72 hours or discarded. You will need to create a procedure to track that your staff are monitoring medications at least monthly and include this tracking plan in your letter of compliance. Children's Records(Medical and Immunization) -Children are required to have a medical exam by a doctor and a copy of their immunization record no later than 30 days from their first day of attendance. Immunization records are required for all children; however, a medical exam is required for all children from birth to five, that have not started Kindergarten. A medical exam can be accepted if completed within the last 12 months prior to enrollment. A child enrolled on 7/31/23 did not have a medical report on file until 9/13/23, immunization documentation was not available for review. Review children’s records periodically to ensure that the required documentation is on file by the intended due date. Discipline Policy - Maintaining accurate documentation at the child care center is important because it demonstrates compliance with the child care rules and ensures the health and safety of each child. A discipline policy must be reviewed with each parent prior to enrollment and they must sign the form showing this was completed. A child enrolled on 7/31/2023 did not have documentation available for review. Review your children’s files on a regular basis to ensure all information is on file, as required. Smoking and Tobacco Policy- Maintaining accurate documentation at the child care center is important because it demonstrates compliance with the child care rules and ensures the health and safety of each child. Notification of you smoking and tobacco restriction must be in writing and given to each parent prior to enrollment. A child enrolled on 7/31/2023 did not have documentation available for review. Review your children’s files on a regular basis to ensure all information is on file, as required. Permission to Administer Medication - Any medication remaining after the course of treatment is completed, after authorization had expired, or the child withdraws from care, must be returned to the child's parent. Today, the permission to administer medication forms for a Ventolin HFA inhaler in space #2 expired on November 8, 2023 and a Ventolin HFA inhaler in space #2 expired on 7/19/23. Teachers should be reminded to check their medications each month to ensure that all permission forms are complete and current. If the medication is no longer needed, it must be returned to the parent within 72 hours or discarded. You will need to create a procedure to track that your staff are monitoring medications at least monthly and include this tracking plan in your letter of compliance. Shaken Baby Syndrome and Abusive Head Trauma: Educating parents is a key part of being a provider. Reviewing the policy helps parents to better understand the dangers of Shaken Baby Syndrome and the effects of head trauma. Per our discussion, you use a policy signature page when reviewing policies with your parents. Signed acknowledgements must be placed in each child’s file. Additional Information: Record keeping is one of the most time-consuming tasks associated with managing a child care business. Maintaining complete and accurate records for the program, staff and children is a vital part of being a licensed child care provider. Setting aside regularly scheduled times each week to review records can assist you in maintaining accurate licensing records. A tracking and reminder system is also essential to keep track of tasks, due dates and expiration dates for maintaining compliance with child care requirements. Being proactive with an organized approach for record-keeping helps you ensure easy access to information when needed, especially in emergency situations. 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. New Criminal Background Check Changes – Legislative changes approved on 7/11/2022 made two important changes to Criminal Background Checks required for child care professionals: 1. The period for background check qualification renewals was changed from every 3 years to every 5 years 2. The provisional qualification period was reduced to 45 days The Division intends to implement these changes as soon as possible. An individual’s current Qualification Letter (QL) will be extended 2 years for a total of 5 years. Updated letters will not be generated. Individuals with a Provisional Qualification Letter due to an out-of-state check will received a qualifying letter on the 45th day. Letters are generated in the CBC Portal. 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. COVID Signage – On August 15, 2022, the governor lifted the “State of Emergency” status for North Carolina. As a result, you are no longer required to post the CORONA Virus Information Sheet on your main entrance door or the Health and Safety Certificate which verified that you agreed to meet the additional health and safety requirements during the pandemic. At the completion of the visit, this visit summary was printed, and I also emailed a copy to you. Please respond to my email to let me know that you have received it. 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 .0606 · Violation

Name of Operation: LOVING HEARTS DAYCARE Facility ID: 21000036 Consultant: TAMARIA WILLIAMS Operation Type: Center Case Number: Visit Date: 12/7/2023 Number Present: 29 Completed Date: 12/7/2023 Age: From 0 To 4 Total Minutes: 323 Time In: 09:07 AM Time Out: 02:30 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. L. Knotts, Administrator, assisted me as needed with the visit until she had to leave. Your facility currently operates with a Notice of Compliance issued 9/13/2022. The last annual compliance visit was conducted 1/4/2023. The sanitation inspection received – 9/1/2023 with a “Superior” classification. The last fire inspection was conducted 7/14/2023 and your facility was approved for daytime care only. The program’s compliance history was ninety-one percent as of 12/1/2023. This facility is owned by First Assembly Of God Of The City Of Edenton according to the NC Secretary of State's website, this non-profit corporation is current and active as of 12/1/2023. Please contact your child care consultant or DCDEE prior to any information changing regarding the ownership of this facility. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environments and found children throughout the facility were participating in free play, transitions and personal care routines. The two fenced outdoor play areas consisted of a variety of push and pull toys, assortment of balls, benches, picnic tables, and areas for shade. Lunch was served and consisted of peanut butter and jelly sandwiches, mandarin oranges, potatoes, and milk. The following violations were documented. 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. A child enrolled on 7/31/23 did not have documentation available for review. GS 110-102 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An outlet in the hallway did not have safety cover. Two outlets in the school-age space did not have safety covers. 10A NCAC 09 .0604(c) 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. A child enrolled on 7/31/23 did not have documentation available for review. 10A NCAC 09 .0606(c) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child enrolled on 7/31/23 did not have a medical exam on file until 9/13/23. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A child enrolled on 7/31/23 did not have an immunization record available for review today. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. A child enrolled on 7/31/23 did not have documentation available for review today. .1804(c) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. A child enrolled on 7/31/23 did not have documentation available for review today. .0604(j) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #2 medical authorization for two(2) Ventolin HFA inhalers was expired. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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. A child enrolled on 7/31/23 did not have documentation available for review today. .0608(b)(1-6) 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. On or before 12/21/2023, 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 considered 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 may be completed. 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: Summary of NC Child Care Law - Operators of child care centers must provide a copy of a summary of the child care law to each child’s parent, guardian, and full-time custodian before the child is enrolled in the center. Each parent, guardian, or full-time custodian must sign a statement acknowledging that he or she received a copy of the summary before the child’s enrollment. A child enrolled on 7/31/2023 did not have documentation available for review. A signature form could simplify your enrollment process for parents and at the same time, ensure you have on file what is required. Electrical Outlets - Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. Two electrical outlets located near the television in the school-age space did not have safety covers. All electrical outlets not in use that are in areas accessible to children must be protected with an outlet cover. This includes unused outlets on power strips. Daily checks should be done to replace outlet safety covers. Safe Sleep- Place babies, 12 months of age or younger, to sleep on their back. A waiver may apply under certain circumstances. Childcare providers must have a written safe sleep policy and must explain it to parents before the baby is enrolled. Today a child enrolled on 7/31/23 did not have documentation available for review. Permission to Administer Medication - Any medication remaining after the course of treatment is completed, after authorization had expired, or the child withdraws from care, must be returned to the child's parent. Today, the permission to administer medication forms for a Ventolin HFA inhaler in space #2 expired on November 8, 2023 and a Ventolin HFA inhaler in space #2 expired on 7/19/23. Teachers should be reminded to check their medications each month to ensure that all permission forms are complete and current. If the medication is no longer needed, it must be returned to the parent within 72 hours or discarded. You will need to create a procedure to track that your staff are monitoring medications at least monthly and include this tracking plan in your letter of compliance. Children's Records(Medical and Immunization) -Children are required to have a medical exam by a doctor and a copy of their immunization record no later than 30 days from their first day of attendance. Immunization records are required for all children; however, a medical exam is required for all children from birth to five, that have not started Kindergarten. A medical exam can be accepted if completed within the last 12 months prior to enrollment. A child enrolled on 7/31/23 did not have a medical report on file until 9/13/23, immunization documentation was not available for review. Review children’s records periodically to ensure that the required documentation is on file by the intended due date. Discipline Policy - Maintaining accurate documentation at the child care center is important because it demonstrates compliance with the child care rules and ensures the health and safety of each child. A discipline policy must be reviewed with each parent prior to enrollment and they must sign the form showing this was completed. A child enrolled on 7/31/2023 did not have documentation available for review. Review your children’s files on a regular basis to ensure all information is on file, as required. Smoking and Tobacco Policy- Maintaining accurate documentation at the child care center is important because it demonstrates compliance with the child care rules and ensures the health and safety of each child. Notification of you smoking and tobacco restriction must be in writing and given to each parent prior to enrollment. A child enrolled on 7/31/2023 did not have documentation available for review. Review your children’s files on a regular basis to ensure all information is on file, as required. Permission to Administer Medication - Any medication remaining after the course of treatment is completed, after authorization had expired, or the child withdraws from care, must be returned to the child's parent. Today, the permission to administer medication forms for a Ventolin HFA inhaler in space #2 expired on November 8, 2023 and a Ventolin HFA inhaler in space #2 expired on 7/19/23. Teachers should be reminded to check their medications each month to ensure that all permission forms are complete and current. If the medication is no longer needed, it must be returned to the parent within 72 hours or discarded. You will need to create a procedure to track that your staff are monitoring medications at least monthly and include this tracking plan in your letter of compliance. Shaken Baby Syndrome and Abusive Head Trauma: Educating parents is a key part of being a provider. Reviewing the policy helps parents to better understand the dangers of Shaken Baby Syndrome and the effects of head trauma. Per our discussion, you use a policy signature page when reviewing policies with your parents. Signed acknowledgements must be placed in each child’s file. Additional Information: Record keeping is one of the most time-consuming tasks associated with managing a child care business. Maintaining complete and accurate records for the program, staff and children is a vital part of being a licensed child care provider. Setting aside regularly scheduled times each week to review records can assist you in maintaining accurate licensing records. A tracking and reminder system is also essential to keep track of tasks, due dates and expiration dates for maintaining compliance with child care requirements. Being proactive with an organized approach for record-keeping helps you ensure easy access to information when needed, especially in emergency situations. 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. New Criminal Background Check Changes – Legislative changes approved on 7/11/2022 made two important changes to Criminal Background Checks required for child care professionals: 1. The period for background check qualification renewals was changed from every 3 years to every 5 years 2. The provisional qualification period was reduced to 45 days The Division intends to implement these changes as soon as possible. An individual’s current Qualification Letter (QL) will be extended 2 years for a total of 5 years. Updated letters will not be generated. Individuals with a Provisional Qualification Letter due to an out-of-state check will received a qualifying letter on the 45th day. Letters are generated in the CBC Portal. 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. COVID Signage – On August 15, 2022, the governor lifted the “State of Emergency” status for North Carolina. As a result, you are no longer required to post the CORONA Virus Information Sheet on your main entrance door or the Health and Safety Certificate which verified that you agreed to meet the additional health and safety requirements during the pandemic. At the completion of the visit, this visit summary was printed, and I also emailed a copy to you. Please respond to my email to let me know that you have received it. 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 110-102 · Violation

Name of Operation: LOVING HEARTS DAYCARE Facility ID: 21000036 Consultant: TAMARIA WILLIAMS Operation Type: Center Case Number: Visit Date: 12/7/2023 Number Present: 29 Completed Date: 12/7/2023 Age: From 0 To 4 Total Minutes: 323 Time In: 09:07 AM Time Out: 02:30 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. L. Knotts, Administrator, assisted me as needed with the visit until she had to leave. Your facility currently operates with a Notice of Compliance issued 9/13/2022. The last annual compliance visit was conducted 1/4/2023. The sanitation inspection received – 9/1/2023 with a “Superior” classification. The last fire inspection was conducted 7/14/2023 and your facility was approved for daytime care only. The program’s compliance history was ninety-one percent as of 12/1/2023. This facility is owned by First Assembly Of God Of The City Of Edenton according to the NC Secretary of State's website, this non-profit corporation is current and active as of 12/1/2023. Please contact your child care consultant or DCDEE prior to any information changing regarding the ownership of this facility. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environments and found children throughout the facility were participating in free play, transitions and personal care routines. The two fenced outdoor play areas consisted of a variety of push and pull toys, assortment of balls, benches, picnic tables, and areas for shade. Lunch was served and consisted of peanut butter and jelly sandwiches, mandarin oranges, potatoes, and milk. The following violations were documented. 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. A child enrolled on 7/31/23 did not have documentation available for review. GS 110-102 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An outlet in the hallway did not have safety cover. Two outlets in the school-age space did not have safety covers. 10A NCAC 09 .0604(c) 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. A child enrolled on 7/31/23 did not have documentation available for review. 10A NCAC 09 .0606(c) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child enrolled on 7/31/23 did not have a medical exam on file until 9/13/23. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A child enrolled on 7/31/23 did not have an immunization record available for review today. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. A child enrolled on 7/31/23 did not have documentation available for review today. .1804(c) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. A child enrolled on 7/31/23 did not have documentation available for review today. .0604(j) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #2 medical authorization for two(2) Ventolin HFA inhalers was expired. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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. A child enrolled on 7/31/23 did not have documentation available for review today. .0608(b)(1-6) 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. On or before 12/21/2023, 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 considered 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 may be completed. 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: Summary of NC Child Care Law - Operators of child care centers must provide a copy of a summary of the child care law to each child’s parent, guardian, and full-time custodian before the child is enrolled in the center. Each parent, guardian, or full-time custodian must sign a statement acknowledging that he or she received a copy of the summary before the child’s enrollment. A child enrolled on 7/31/2023 did not have documentation available for review. A signature form could simplify your enrollment process for parents and at the same time, ensure you have on file what is required. Electrical Outlets - Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. Two electrical outlets located near the television in the school-age space did not have safety covers. All electrical outlets not in use that are in areas accessible to children must be protected with an outlet cover. This includes unused outlets on power strips. Daily checks should be done to replace outlet safety covers. Safe Sleep- Place babies, 12 months of age or younger, to sleep on their back. A waiver may apply under certain circumstances. Childcare providers must have a written safe sleep policy and must explain it to parents before the baby is enrolled. Today a child enrolled on 7/31/23 did not have documentation available for review. Permission to Administer Medication - Any medication remaining after the course of treatment is completed, after authorization had expired, or the child withdraws from care, must be returned to the child's parent. Today, the permission to administer medication forms for a Ventolin HFA inhaler in space #2 expired on November 8, 2023 and a Ventolin HFA inhaler in space #2 expired on 7/19/23. Teachers should be reminded to check their medications each month to ensure that all permission forms are complete and current. If the medication is no longer needed, it must be returned to the parent within 72 hours or discarded. You will need to create a procedure to track that your staff are monitoring medications at least monthly and include this tracking plan in your letter of compliance. Children's Records(Medical and Immunization) -Children are required to have a medical exam by a doctor and a copy of their immunization record no later than 30 days from their first day of attendance. Immunization records are required for all children; however, a medical exam is required for all children from birth to five, that have not started Kindergarten. A medical exam can be accepted if completed within the last 12 months prior to enrollment. A child enrolled on 7/31/23 did not have a medical report on file until 9/13/23, immunization documentation was not available for review. Review children’s records periodically to ensure that the required documentation is on file by the intended due date. Discipline Policy - Maintaining accurate documentation at the child care center is important because it demonstrates compliance with the child care rules and ensures the health and safety of each child. A discipline policy must be reviewed with each parent prior to enrollment and they must sign the form showing this was completed. A child enrolled on 7/31/2023 did not have documentation available for review. Review your children’s files on a regular basis to ensure all information is on file, as required. Smoking and Tobacco Policy- Maintaining accurate documentation at the child care center is important because it demonstrates compliance with the child care rules and ensures the health and safety of each child. Notification of you smoking and tobacco restriction must be in writing and given to each parent prior to enrollment. A child enrolled on 7/31/2023 did not have documentation available for review. Review your children’s files on a regular basis to ensure all information is on file, as required. Permission to Administer Medication - Any medication remaining after the course of treatment is completed, after authorization had expired, or the child withdraws from care, must be returned to the child's parent. Today, the permission to administer medication forms for a Ventolin HFA inhaler in space #2 expired on November 8, 2023 and a Ventolin HFA inhaler in space #2 expired on 7/19/23. Teachers should be reminded to check their medications each month to ensure that all permission forms are complete and current. If the medication is no longer needed, it must be returned to the parent within 72 hours or discarded. You will need to create a procedure to track that your staff are monitoring medications at least monthly and include this tracking plan in your letter of compliance. Shaken Baby Syndrome and Abusive Head Trauma: Educating parents is a key part of being a provider. Reviewing the policy helps parents to better understand the dangers of Shaken Baby Syndrome and the effects of head trauma. Per our discussion, you use a policy signature page when reviewing policies with your parents. Signed acknowledgements must be placed in each child’s file. Additional Information: Record keeping is one of the most time-consuming tasks associated with managing a child care business. Maintaining complete and accurate records for the program, staff and children is a vital part of being a licensed child care provider. Setting aside regularly scheduled times each week to review records can assist you in maintaining accurate licensing records. A tracking and reminder system is also essential to keep track of tasks, due dates and expiration dates for maintaining compliance with child care requirements. Being proactive with an organized approach for record-keeping helps you ensure easy access to information when needed, especially in emergency situations. 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. New Criminal Background Check Changes – Legislative changes approved on 7/11/2022 made two important changes to Criminal Background Checks required for child care professionals: 1. The period for background check qualification renewals was changed from every 3 years to every 5 years 2. The provisional qualification period was reduced to 45 days The Division intends to implement these changes as soon as possible. An individual’s current Qualification Letter (QL) will be extended 2 years for a total of 5 years. Updated letters will not be generated. Individuals with a Provisional Qualification Letter due to an out-of-state check will received a qualifying letter on the 45th day. Letters are generated in the CBC Portal. 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. COVID Signage – On August 15, 2022, the governor lifted the “State of Emergency” status for North Carolina. As a result, you are no longer required to post the CORONA Virus Information Sheet on your main entrance door or the Health and Safety Certificate which verified that you agreed to meet the additional health and safety requirements during the pandemic. At the completion of the visit, this visit summary was printed, and I also emailed a copy to you. Please respond to my email to let me know that you have received it. 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

GS110-91 · Violation

Name of Operation: LOVING HEARTS DAYCARE Facility ID: 21000036 Consultant: TAMARIA WILLIAMS Operation Type: Center Case Number: Visit Date: 12/7/2023 Number Present: 29 Completed Date: 12/7/2023 Age: From 0 To 4 Total Minutes: 323 Time In: 09:07 AM Time Out: 02:30 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. L. Knotts, Administrator, assisted me as needed with the visit until she had to leave. Your facility currently operates with a Notice of Compliance issued 9/13/2022. The last annual compliance visit was conducted 1/4/2023. The sanitation inspection received – 9/1/2023 with a “Superior” classification. The last fire inspection was conducted 7/14/2023 and your facility was approved for daytime care only. The program’s compliance history was ninety-one percent as of 12/1/2023. This facility is owned by First Assembly Of God Of The City Of Edenton according to the NC Secretary of State's website, this non-profit corporation is current and active as of 12/1/2023. Please contact your child care consultant or DCDEE prior to any information changing regarding the ownership of this facility. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environments and found children throughout the facility were participating in free play, transitions and personal care routines. The two fenced outdoor play areas consisted of a variety of push and pull toys, assortment of balls, benches, picnic tables, and areas for shade. Lunch was served and consisted of peanut butter and jelly sandwiches, mandarin oranges, potatoes, and milk. The following violations were documented. 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. A child enrolled on 7/31/23 did not have documentation available for review. GS 110-102 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An outlet in the hallway did not have safety cover. Two outlets in the school-age space did not have safety covers. 10A NCAC 09 .0604(c) 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. A child enrolled on 7/31/23 did not have documentation available for review. 10A NCAC 09 .0606(c) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child enrolled on 7/31/23 did not have a medical exam on file until 9/13/23. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A child enrolled on 7/31/23 did not have an immunization record available for review today. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. A child enrolled on 7/31/23 did not have documentation available for review today. .1804(c) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. A child enrolled on 7/31/23 did not have documentation available for review today. .0604(j) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #2 medical authorization for two(2) Ventolin HFA inhalers was expired. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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. A child enrolled on 7/31/23 did not have documentation available for review today. .0608(b)(1-6) 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. On or before 12/21/2023, 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 considered 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 may be completed. 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: Summary of NC Child Care Law - Operators of child care centers must provide a copy of a summary of the child care law to each child’s parent, guardian, and full-time custodian before the child is enrolled in the center. Each parent, guardian, or full-time custodian must sign a statement acknowledging that he or she received a copy of the summary before the child’s enrollment. A child enrolled on 7/31/2023 did not have documentation available for review. A signature form could simplify your enrollment process for parents and at the same time, ensure you have on file what is required. Electrical Outlets - Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. Two electrical outlets located near the television in the school-age space did not have safety covers. All electrical outlets not in use that are in areas accessible to children must be protected with an outlet cover. This includes unused outlets on power strips. Daily checks should be done to replace outlet safety covers. Safe Sleep- Place babies, 12 months of age or younger, to sleep on their back. A waiver may apply under certain circumstances. Childcare providers must have a written safe sleep policy and must explain it to parents before the baby is enrolled. Today a child enrolled on 7/31/23 did not have documentation available for review. Permission to Administer Medication - Any medication remaining after the course of treatment is completed, after authorization had expired, or the child withdraws from care, must be returned to the child's parent. Today, the permission to administer medication forms for a Ventolin HFA inhaler in space #2 expired on November 8, 2023 and a Ventolin HFA inhaler in space #2 expired on 7/19/23. Teachers should be reminded to check their medications each month to ensure that all permission forms are complete and current. If the medication is no longer needed, it must be returned to the parent within 72 hours or discarded. You will need to create a procedure to track that your staff are monitoring medications at least monthly and include this tracking plan in your letter of compliance. Children's Records(Medical and Immunization) -Children are required to have a medical exam by a doctor and a copy of their immunization record no later than 30 days from their first day of attendance. Immunization records are required for all children; however, a medical exam is required for all children from birth to five, that have not started Kindergarten. A medical exam can be accepted if completed within the last 12 months prior to enrollment. A child enrolled on 7/31/23 did not have a medical report on file until 9/13/23, immunization documentation was not available for review. Review children’s records periodically to ensure that the required documentation is on file by the intended due date. Discipline Policy - Maintaining accurate documentation at the child care center is important because it demonstrates compliance with the child care rules and ensures the health and safety of each child. A discipline policy must be reviewed with each parent prior to enrollment and they must sign the form showing this was completed. A child enrolled on 7/31/2023 did not have documentation available for review. Review your children’s files on a regular basis to ensure all information is on file, as required. Smoking and Tobacco Policy- Maintaining accurate documentation at the child care center is important because it demonstrates compliance with the child care rules and ensures the health and safety of each child. Notification of you smoking and tobacco restriction must be in writing and given to each parent prior to enrollment. A child enrolled on 7/31/2023 did not have documentation available for review. Review your children’s files on a regular basis to ensure all information is on file, as required. Permission to Administer Medication - Any medication remaining after the course of treatment is completed, after authorization had expired, or the child withdraws from care, must be returned to the child's parent. Today, the permission to administer medication forms for a Ventolin HFA inhaler in space #2 expired on November 8, 2023 and a Ventolin HFA inhaler in space #2 expired on 7/19/23. Teachers should be reminded to check their medications each month to ensure that all permission forms are complete and current. If the medication is no longer needed, it must be returned to the parent within 72 hours or discarded. You will need to create a procedure to track that your staff are monitoring medications at least monthly and include this tracking plan in your letter of compliance. Shaken Baby Syndrome and Abusive Head Trauma: Educating parents is a key part of being a provider. Reviewing the policy helps parents to better understand the dangers of Shaken Baby Syndrome and the effects of head trauma. Per our discussion, you use a policy signature page when reviewing policies with your parents. Signed acknowledgements must be placed in each child’s file. Additional Information: Record keeping is one of the most time-consuming tasks associated with managing a child care business. Maintaining complete and accurate records for the program, staff and children is a vital part of being a licensed child care provider. Setting aside regularly scheduled times each week to review records can assist you in maintaining accurate licensing records. A tracking and reminder system is also essential to keep track of tasks, due dates and expiration dates for maintaining compliance with child care requirements. Being proactive with an organized approach for record-keeping helps you ensure easy access to information when needed, especially in emergency situations. 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. New Criminal Background Check Changes – Legislative changes approved on 7/11/2022 made two important changes to Criminal Background Checks required for child care professionals: 1. The period for background check qualification renewals was changed from every 3 years to every 5 years 2. The provisional qualification period was reduced to 45 days The Division intends to implement these changes as soon as possible. An individual’s current Qualification Letter (QL) will be extended 2 years for a total of 5 years. Updated letters will not be generated. Individuals with a Provisional Qualification Letter due to an out-of-state check will received a qualifying letter on the 45th day. Letters are generated in the CBC Portal. 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. COVID Signage – On August 15, 2022, the governor lifted the “State of Emergency” status for North Carolina. As a result, you are no longer required to post the CORONA Virus Information Sheet on your main entrance door or the Health and Safety Certificate which verified that you agreed to meet the additional health and safety requirements during the pandemic. At the completion of the visit, this visit summary was printed, and I also emailed a copy to you. Please respond to my email to let me know that you have received it. 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: LOVING HEARTS DAYCARE Facility ID: 21000036 Consultant: TAMARIA WILLIAMS Operation Type: Center Case Number: Visit Date: 12/7/2023 Number Present: 29 Completed Date: 12/7/2023 Age: From 0 To 4 Total Minutes: 323 Time In: 09:07 AM Time Out: 02:30 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. L. Knotts, Administrator, assisted me as needed with the visit until she had to leave. Your facility currently operates with a Notice of Compliance issued 9/13/2022. The last annual compliance visit was conducted 1/4/2023. The sanitation inspection received – 9/1/2023 with a “Superior” classification. The last fire inspection was conducted 7/14/2023 and your facility was approved for daytime care only. The program’s compliance history was ninety-one percent as of 12/1/2023. This facility is owned by First Assembly Of God Of The City Of Edenton according to the NC Secretary of State's website, this non-profit corporation is current and active as of 12/1/2023. Please contact your child care consultant or DCDEE prior to any information changing regarding the ownership of this facility. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environments and found children throughout the facility were participating in free play, transitions and personal care routines. The two fenced outdoor play areas consisted of a variety of push and pull toys, assortment of balls, benches, picnic tables, and areas for shade. Lunch was served and consisted of peanut butter and jelly sandwiches, mandarin oranges, potatoes, and milk. The following violations were documented. 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. A child enrolled on 7/31/23 did not have documentation available for review. GS 110-102 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An outlet in the hallway did not have safety cover. Two outlets in the school-age space did not have safety covers. 10A NCAC 09 .0604(c) 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. A child enrolled on 7/31/23 did not have documentation available for review. 10A NCAC 09 .0606(c) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child enrolled on 7/31/23 did not have a medical exam on file until 9/13/23. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A child enrolled on 7/31/23 did not have an immunization record available for review today. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. A child enrolled on 7/31/23 did not have documentation available for review today. .1804(c) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. A child enrolled on 7/31/23 did not have documentation available for review today. .0604(j) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #2 medical authorization for two(2) Ventolin HFA inhalers was expired. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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. A child enrolled on 7/31/23 did not have documentation available for review today. .0608(b)(1-6) 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. On or before 12/21/2023, 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 considered 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 may be completed. 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: Summary of NC Child Care Law - Operators of child care centers must provide a copy of a summary of the child care law to each child’s parent, guardian, and full-time custodian before the child is enrolled in the center. Each parent, guardian, or full-time custodian must sign a statement acknowledging that he or she received a copy of the summary before the child’s enrollment. A child enrolled on 7/31/2023 did not have documentation available for review. A signature form could simplify your enrollment process for parents and at the same time, ensure you have on file what is required. Electrical Outlets - Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. Two electrical outlets located near the television in the school-age space did not have safety covers. All electrical outlets not in use that are in areas accessible to children must be protected with an outlet cover. This includes unused outlets on power strips. Daily checks should be done to replace outlet safety covers. Safe Sleep- Place babies, 12 months of age or younger, to sleep on their back. A waiver may apply under certain circumstances. Childcare providers must have a written safe sleep policy and must explain it to parents before the baby is enrolled. Today a child enrolled on 7/31/23 did not have documentation available for review. Permission to Administer Medication - Any medication remaining after the course of treatment is completed, after authorization had expired, or the child withdraws from care, must be returned to the child's parent. Today, the permission to administer medication forms for a Ventolin HFA inhaler in space #2 expired on November 8, 2023 and a Ventolin HFA inhaler in space #2 expired on 7/19/23. Teachers should be reminded to check their medications each month to ensure that all permission forms are complete and current. If the medication is no longer needed, it must be returned to the parent within 72 hours or discarded. You will need to create a procedure to track that your staff are monitoring medications at least monthly and include this tracking plan in your letter of compliance. Children's Records(Medical and Immunization) -Children are required to have a medical exam by a doctor and a copy of their immunization record no later than 30 days from their first day of attendance. Immunization records are required for all children; however, a medical exam is required for all children from birth to five, that have not started Kindergarten. A medical exam can be accepted if completed within the last 12 months prior to enrollment. A child enrolled on 7/31/23 did not have a medical report on file until 9/13/23, immunization documentation was not available for review. Review children’s records periodically to ensure that the required documentation is on file by the intended due date. Discipline Policy - Maintaining accurate documentation at the child care center is important because it demonstrates compliance with the child care rules and ensures the health and safety of each child. A discipline policy must be reviewed with each parent prior to enrollment and they must sign the form showing this was completed. A child enrolled on 7/31/2023 did not have documentation available for review. Review your children’s files on a regular basis to ensure all information is on file, as required. Smoking and Tobacco Policy- Maintaining accurate documentation at the child care center is important because it demonstrates compliance with the child care rules and ensures the health and safety of each child. Notification of you smoking and tobacco restriction must be in writing and given to each parent prior to enrollment. A child enrolled on 7/31/2023 did not have documentation available for review. Review your children’s files on a regular basis to ensure all information is on file, as required. Permission to Administer Medication - Any medication remaining after the course of treatment is completed, after authorization had expired, or the child withdraws from care, must be returned to the child's parent. Today, the permission to administer medication forms for a Ventolin HFA inhaler in space #2 expired on November 8, 2023 and a Ventolin HFA inhaler in space #2 expired on 7/19/23. Teachers should be reminded to check their medications each month to ensure that all permission forms are complete and current. If the medication is no longer needed, it must be returned to the parent within 72 hours or discarded. You will need to create a procedure to track that your staff are monitoring medications at least monthly and include this tracking plan in your letter of compliance. Shaken Baby Syndrome and Abusive Head Trauma: Educating parents is a key part of being a provider. Reviewing the policy helps parents to better understand the dangers of Shaken Baby Syndrome and the effects of head trauma. Per our discussion, you use a policy signature page when reviewing policies with your parents. Signed acknowledgements must be placed in each child’s file. Additional Information: Record keeping is one of the most time-consuming tasks associated with managing a child care business. Maintaining complete and accurate records for the program, staff and children is a vital part of being a licensed child care provider. Setting aside regularly scheduled times each week to review records can assist you in maintaining accurate licensing records. A tracking and reminder system is also essential to keep track of tasks, due dates and expiration dates for maintaining compliance with child care requirements. Being proactive with an organized approach for record-keeping helps you ensure easy access to information when needed, especially in emergency situations. 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. New Criminal Background Check Changes – Legislative changes approved on 7/11/2022 made two important changes to Criminal Background Checks required for child care professionals: 1. The period for background check qualification renewals was changed from every 3 years to every 5 years 2. The provisional qualification period was reduced to 45 days The Division intends to implement these changes as soon as possible. An individual’s current Qualification Letter (QL) will be extended 2 years for a total of 5 years. Updated letters will not be generated. Individuals with a Provisional Qualification Letter due to an out-of-state check will received a qualifying letter on the 45th day. Letters are generated in the CBC Portal. 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. COVID Signage – On August 15, 2022, the governor lifted the “State of Emergency” status for North Carolina. As a result, you are no longer required to post the CORONA Virus Information Sheet on your main entrance door or the Health and Safety Certificate which verified that you agreed to meet the additional health and safety requirements during the pandemic. At the completion of the visit, this visit summary was printed, and I also emailed a copy to you. Please respond to my email to let me know that you have received it. 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