NC GS 110-90 · Violation

Name of Operation: LITTLE BLESSINGS LEARNING CENTER Facility ID: 42000141 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 5/7/2025 Number Present: 23 Completed Date: 5/7/2025 Age: From 0 To 4 Total Minutes: 165 Time In: 09:15 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 unannounced visit was to monitor this facility for compliance with applicable child care requirements during an annual compliance visit. You, S. Evans, Assistant Administrator, were present and available to assist with today’s visit. Your program currently operates with a three-star license issued on October 30, 2017, earning four (4) points in the education component, two (2) points in the program standards component and one (1) quality point for All lead teachers and teachers have at least 5 years EC work experience in no more than 2 different centers. The last annual compliance visit was conducted on June 13, 2024. The sanitation inspection was completed on December 4, 2024, with a “Superior” classification “7” demerits. The fire inspection was completed on April 29, 2025, and the center was approved for daytime care only. The license was posted, and the restrictions were in compliance. Twenty-three (23) children from infant-aged children to four (4) years-old children were present during the visit. A walk-through of the facility was completed today. I observed children in the indoor learning environment engaging in a group art activity and free play activities. I also observed children engaging in gross-motor activities in the outdoor learning environment. Supervision and staff/child ratios were in compliance. The caregivers were interacting and meeting the developmental needs for each of the children. The following was served for lunch: ham, wheat bread, mashed potatoes, blueberries, and milk. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space 1A a child had an EPI Pen with permission to administer signed on July 30, 2024. The permission to administer form should have been reviewed and updated on or prior to January 30, 2025. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before May 21, 2025, 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: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame 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 today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit, your program’s Compliance History score, over an 18-month period time frame, is 97%. OWNER/FACILITY PROFILE INFORMATION: Connie L. Richarson and Sherry L. Evan are listed as the owners. You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: STAFF AND CHILDREN RECORDS: Ten (10) percent of existing staff files and one new staff file were monitored today. The files were well organized and incompliance. E’Miyah Richardson began employment on April 28, 2025. Ms. Richardson had a qualifying CBC which expires on April 15, 2030. Ms. Richardson has until May 12th to complete her first two (2) weeks of orientation and has until June 9, 2025, to complete her first six (6) weeks of orientation. Ms. Richardson will need to complete the following Recognizing and Responding to Suspicions of Child Maltreatment training by July 28, 2025. Ms. Richardson had documentation of CPR; however it was Basic Life Support (BLS) and did not include first aid and did not specify for pediatric care. Ms. Richardson has until July 28, 2025, to complete pediatric first aid and CPR. Ms. Richardson has until April 28, 2026, to complete the following: health and safety trainings, 20 hours of on-going training, annual evaluation, and a professional development plan. Ten (10) percent of children’s files were monitored today and found to be well organized and incompliance. MEDICATION: In space 1A a child had an EPI Pen with permission to administer signed on July 30, 2024. The permission to administer form should have been reviewed and updated on or prior to January 30, 2025. You immediately pulled out a blank copy and placed it with the EPI Pen so the parent could sign the form this afternoon at dismal time. It may be helpful to put a reminder on your computer, phone, and calendar to help you remember when to update the permission to administer form. Remember all emergency medications must have the permission to administer medication form resigned every six (6) months. ABCMS MOODLE TRAINING: You have completed the ABCMS Moodle training and your ABCMS-criminal background check portal has all current staff and is up to date. Please continue to update to the portal as you hire new staff and when staff no longer work for you. REMINDERS: DCDEE WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, and completed training. We discussed making sure new employees you hire and any current staff working on education submit any education transcripts to the “WORKS” system, so their education can be evaluated. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please print each staff member’s DCDEE WORKS letter and file. Please contact the WORKS department if you have questions about what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. PROGRAM ASSESSMENT (ERS-3) UPDATE: Starting February 1, 2025, as part of QRIS Modernization, Session Law 2024-34 states that beginning on February 1, 2025, new child care facilities and child care facilities that choose to use program assessment to earn points toward their Two through Five Star Rated License shall be evaluated using the following, as applicable: • Infant/Toddler Environment Rating Scale, Third Edition (ITERS-3) • Early Childhood Environment Rating Scale, Third Edition (ECERS-3) • Family Child Care Environment Rating Scale, Third Edition (FCCERS-3) • School-Age Care Environment Rating Scale, Updated Edition (SACERS-U) The North Carolina Rated License Assessment Project (NCRLAP) has prepared many resources and trainings for child care facilities to use in planning for the new editions of the Environment Rating Scale. The NC Division of Child Development and Early Education is implementing the use of lower threshold scores to assist child care facilities in their shift to the new edition, matching the NC Child Care Commission’s on-going work regarding proposed QRIS rules. This intentional, collaborative planning will ensure a smooth transition regarding program assessment requirements. Hold Harmless remains effective until all new QRIS rules are effective. New child care facilities and child care facilities that choose to move forward with ERS-3 program assessment should work with their consultant to learn more about the changes and revised scores needed to earn points toward their Two through Five Star Rated License. CLEAN WATER FOR US KIDS: According to the Clean Water for Us Kids website you last tested your water for lead on January 11, 2024. You must test your drinking and cooking water every three (3) years. You have completed the lead paint testing and asbestos testing. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: LITTLE BLESSINGS LEARNING CENTER Facility ID: 42000141 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 1/16/2025 Number Present: 22 Completed Date: 1/16/2025 Age: From 0 To 4 Total Minutes: 120 Time In: 12:15 PM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during a routine unannounced visit. You, S. Evans, Assistant Administrator, were present and available to assist with today’s visit. Your program currently operates with a three-star license issued on October 30, 2017, earning four (4) points in the education component, two (2) points in the program standards component and one (1) quality point for All lead teachers and teachers have at least 5 years EC work experience in no more than 2 different centers. The last annual compliance visit was conducted on June 13, 2024. The sanitation inspection was completed on December 4, 2024, with a “Superior” classification “7” demerits. The fire inspection was completed on April 17, 2024, and the center was approved for daytime care only. The license was posted, and the restrictions were in compliance. Twenty-two (22) children from infant-aged children to four (4) year-old children were present during the visit. A walk-through of the facility was completed today. I observed children in the indoor learning environment. Supervision and staff/child ratios were in compliance. Children were observed eating lunch, transitions, and rest time. The caregivers were interacting and meeting the developmental needs for each of the children. The following was served for lunch: chicken, mashed potatoes, peaches, crackers, and milk. The following were monitored: Supervision, Staff Child Ratio, First Aid, CPR, Special Training, CBC Qualification, Emergency Medical Care Plan, Storage of Hazardous Substances, Administration of Medication, Adequate/Approved Space, License Posted, Permit Restrictions, and Program Records. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. The following items were found on the playground and need to be thrown away: empty water bottles, toy netting, a small bag of trash, and plastic cups. The following items were on the playground and need to be removed or repaired so children do not get hurt: cracked bowling pens, a cracked orange bucket, a bike was missing the back wheels, and a metal grate that covered the access to the piping under the building had fallen of the side of the building. 10A NCAC 09 .0604(p) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. C. Richardson and S. Evans both had Recognizing and Responding to Suspicions of Child Maltreatment documentation on file; however, the documentation for S. Evans was dated June 23, 2018, and should have been completed on or prior to June 23, 2023. C. Richardson was dated June 29, 2018. The training should have been completed on or prior to June 29, 2023. .1103(b) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before January 30, 2025. 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: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame 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 today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit, your program’s Compliance History score, over an 18-month period time frame, is 90%. OWNER/FACILITY PROFILE INFORMATION: Connie L. Richardson and Sherry L. Evan are listed as the owners. You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: SAFETY AND HEALTH: The following items were found on the playground and need to be thrown away: empty water bottles, toy netting, a small bag of trash, and plastic cups. The following items were on the playground and need to be removed or repaired so children do not get hurt: cracked bowling pens, a cracked orange bucket, a bike was missing the back wheels, and a metal grate that covered the access to the piping under the building had fallen of the side of the building. You stated you have purchased another and will have someone screw the covering into the outside wall. Please remember when completing the playground inspections, to look for trash that needs to be thrown away and items that are broken. These items cause harm to children. You may want to consider putting a trash can that is accessible to teachers to throw away trash and broken items while they are on the playground. ON-GOING (RECOGNISING AND RESPONDING TO SUSPISCIONS OF CHILD MALREATMENT: C. Richardson and S. Evans both had documentation of completing Recognizing and Responding to Suspicions of Child Maltreatment; however, the documentation for C. Richardson was dated June 29, 2018. The training should have been completed on or prior to June 29, 2023. The documentation for S. Evans was dated June 23, 2018, and should have been completed on or prior to June 23, 2023. This training needs to be completed every five (5) years. You can complete this training at NC Prevent Child Abuse and Neglect at https://www.preventchildabusenc.org/. REMINDERS: DCDEE WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, and completed training. We discussed making sure new employees you hire and any current staff working on education submit any education transcripts to the “WORKS” system, so their education can be evaluated. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please print each staff member’s DCDEE WORKS letter and file. Please contact the WORKS department if you have questions about what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. START RATED LICENSE/QUALITY IMPROVEMENT RATING SYSTEM (QRIS) UPDATE: The Governor signed 12 bills on July 8, 2024. Including the Adjustments to the Appropriations Act (SB 357), which includes the $67.5 million for reduced compensation payments for the first two quarters of FY 24-25 and the DHHS Agency Bill (Senate Bill 425) which includes the QRIS provisions: • QRIS modernization (3 new pathways to stars) is now approved (SB 425). • Hold harmless has been extended until the new QRIS is implemented (SB 425). Providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year unless they want to. • SB 425 does mean that programs currently accredited through the approved accrediting bodies can move to a 3- or 5-star license if they are not already at this star level. Providers will need to submit a request to their consultant and provide a copy of their accreditation certificate for processing. • SB 425 also requires that we move to the ERS-3 versions for ECCERS. ITERS and FCCERS, effective February 1, 2025. Self-paced online training modules regarding the new assessments will be available in September 2024. • SB 357 provides $67.5 million dollars to continue a reduced level of funding for the compensation portion only of the Child Care Stabilization Grant. Funding is designated for the first two quarters of FY 2024-25 and provides only about 75% of funding needed to maintain compensation payment amounts provided through ARPA funding which ended June 30, 2024. DCDEE will continue to utilize the NC FAST Stabilization Grant portal to distribute funds. CLEAN WATER FOR US KIDS: According to the Clean Water for Us Kids website you last tested your water for lead on January 11, 2024. You must test your drinking and cooking water every three (3) years. You have completed the lead and asbestos testing. CRMINAL BACKGROUND CHECK-AMBCMS PORTAL: 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 on 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 1-800-859-0829 and someone will assist you. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: LITTLE BLESSINGS LEARNING CENTER Facility ID: 42000141 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 1/16/2025 Number Present: 22 Completed Date: 1/16/2025 Age: From 0 To 4 Total Minutes: 120 Time In: 12:15 PM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during a routine unannounced visit. You, S. Evans, Assistant Administrator, were present and available to assist with today’s visit. Your program currently operates with a three-star license issued on October 30, 2017, earning four (4) points in the education component, two (2) points in the program standards component and one (1) quality point for All lead teachers and teachers have at least 5 years EC work experience in no more than 2 different centers. The last annual compliance visit was conducted on June 13, 2024. The sanitation inspection was completed on December 4, 2024, with a “Superior” classification “7” demerits. The fire inspection was completed on April 17, 2024, and the center was approved for daytime care only. The license was posted, and the restrictions were in compliance. Twenty-two (22) children from infant-aged children to four (4) year-old children were present during the visit. A walk-through of the facility was completed today. I observed children in the indoor learning environment. Supervision and staff/child ratios were in compliance. Children were observed eating lunch, transitions, and rest time. The caregivers were interacting and meeting the developmental needs for each of the children. The following was served for lunch: chicken, mashed potatoes, peaches, crackers, and milk. The following were monitored: Supervision, Staff Child Ratio, First Aid, CPR, Special Training, CBC Qualification, Emergency Medical Care Plan, Storage of Hazardous Substances, Administration of Medication, Adequate/Approved Space, License Posted, Permit Restrictions, and Program Records. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. The following items were found on the playground and need to be thrown away: empty water bottles, toy netting, a small bag of trash, and plastic cups. The following items were on the playground and need to be removed or repaired so children do not get hurt: cracked bowling pens, a cracked orange bucket, a bike was missing the back wheels, and a metal grate that covered the access to the piping under the building had fallen of the side of the building. 10A NCAC 09 .0604(p) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. C. Richardson and S. Evans both had Recognizing and Responding to Suspicions of Child Maltreatment documentation on file; however, the documentation for S. Evans was dated June 23, 2018, and should have been completed on or prior to June 23, 2023. C. Richardson was dated June 29, 2018. The training should have been completed on or prior to June 29, 2023. .1103(b) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before January 30, 2025. 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: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame 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 today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit, your program’s Compliance History score, over an 18-month period time frame, is 90%. OWNER/FACILITY PROFILE INFORMATION: Connie L. Richardson and Sherry L. Evan are listed as the owners. You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: SAFETY AND HEALTH: The following items were found on the playground and need to be thrown away: empty water bottles, toy netting, a small bag of trash, and plastic cups. The following items were on the playground and need to be removed or repaired so children do not get hurt: cracked bowling pens, a cracked orange bucket, a bike was missing the back wheels, and a metal grate that covered the access to the piping under the building had fallen of the side of the building. You stated you have purchased another and will have someone screw the covering into the outside wall. Please remember when completing the playground inspections, to look for trash that needs to be thrown away and items that are broken. These items cause harm to children. You may want to consider putting a trash can that is accessible to teachers to throw away trash and broken items while they are on the playground. ON-GOING (RECOGNISING AND RESPONDING TO SUSPISCIONS OF CHILD MALREATMENT: C. Richardson and S. Evans both had documentation of completing Recognizing and Responding to Suspicions of Child Maltreatment; however, the documentation for C. Richardson was dated June 29, 2018. The training should have been completed on or prior to June 29, 2023. The documentation for S. Evans was dated June 23, 2018, and should have been completed on or prior to June 23, 2023. This training needs to be completed every five (5) years. You can complete this training at NC Prevent Child Abuse and Neglect at https://www.preventchildabusenc.org/. REMINDERS: DCDEE WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, and completed training. We discussed making sure new employees you hire and any current staff working on education submit any education transcripts to the “WORKS” system, so their education can be evaluated. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please print each staff member’s DCDEE WORKS letter and file. Please contact the WORKS department if you have questions about what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. START RATED LICENSE/QUALITY IMPROVEMENT RATING SYSTEM (QRIS) UPDATE: The Governor signed 12 bills on July 8, 2024. Including the Adjustments to the Appropriations Act (SB 357), which includes the $67.5 million for reduced compensation payments for the first two quarters of FY 24-25 and the DHHS Agency Bill (Senate Bill 425) which includes the QRIS provisions: • QRIS modernization (3 new pathways to stars) is now approved (SB 425). • Hold harmless has been extended until the new QRIS is implemented (SB 425). Providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year unless they want to. • SB 425 does mean that programs currently accredited through the approved accrediting bodies can move to a 3- or 5-star license if they are not already at this star level. Providers will need to submit a request to their consultant and provide a copy of their accreditation certificate for processing. • SB 425 also requires that we move to the ERS-3 versions for ECCERS. ITERS and FCCERS, effective February 1, 2025. Self-paced online training modules regarding the new assessments will be available in September 2024. • SB 357 provides $67.5 million dollars to continue a reduced level of funding for the compensation portion only of the Child Care Stabilization Grant. Funding is designated for the first two quarters of FY 2024-25 and provides only about 75% of funding needed to maintain compensation payment amounts provided through ARPA funding which ended June 30, 2024. DCDEE will continue to utilize the NC FAST Stabilization Grant portal to distribute funds. CLEAN WATER FOR US KIDS: According to the Clean Water for Us Kids website you last tested your water for lead on January 11, 2024. You must test your drinking and cooking water every three (3) years. You have completed the lead and asbestos testing. CRMINAL BACKGROUND CHECK-AMBCMS PORTAL: 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 on 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 1-800-859-0829 and someone will assist you. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: LITTLE BLESSINGS LEARNING CENTER Facility ID: 42000141 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 2/28/2024 Number Present: 26 Completed Date: 2/28/2024 Age: From 0 To 4 Total Minutes: 130 Time In: 09:50 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your facility for compliance with applicable child care requirements during a routine unannounced visit. S. Evan, Office Administrator assisted with the visit. Twenty-six children were observed in care today ranging from ages two months to four years old. Children were engaged in free choice play with developmentally age-appropriate materials, interacting with the caregivers, completing toileting, and hand washing routines. Currently this program operates with a Three-Star License earning four points in education, two points in program standards and one quality point for all lead teachers and teachers have at least 5 years EC work experience in no more than 2 different centers. The last sanitation inspection was completed on December 4, 2023, earning a superior classification. The last fire inspection was completed on April 27, 2023, and the center was approved for day and nighttime care. The last annual compliance visit was completed on July 23, 2023. The following violation was documented today. Violation Number Comment Rule 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file and available for review for one employee (T. Roberts). G.S. 110-90.2(b) & (d) & .2703(e) The violation documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before March 13, 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 the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. COMPLIANCE HISTORY: The program's compliance history was reviewed with the operator. The program’s compliance history was 85% percent as of February 27, 2024. OWNERSHIP STATUS: This center is currently owned by Connie Richardson and Sherry Evans. Prior to making in changes in the ownership status, contact me to discuss change of ownership procedures. FACILITY PROFILE INFORMATION: You stated the mailing address, phone number and email address listed for your program are correct. If changes in your facility information occurs, please contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure the information is updated in the system. QUALIFICATION LETTER: A valid qualification letter was not on file for one employee (Tarsha Roberts). The qualification letter observed in the file expired on January 8, 2024. A review of the automated criminal background system verified Ms. Roberts is qualified through December 29, 2026. You stated you were not sure what happened to the current qualification letter. Ms. Roberts attempted to access a copy of her letter during the visit; however, she could not retrieve it. You stated you would have Ms. Roberts bring a copy of the updated qualification letter from home to be placed in the file. I recommend you complete periodic reviews of staff records to ensure updated and accurate documents are always on file. You could also have staff assist with reviewing and maintaining their individual records. STAFF/CHILD INTERACTION: Staff interacted with children as they played and completed their activities. A variety of materials were available and accessible to children. The materials were clean and in good repair. Infants were given the opportunity to engage tummy time and floor play. Older children played in the different activity areas. Children played with playdough and other tabletop toys. Staff engaged in active conversations with children and used positive redirection to correct behaviors. Activity plans were accurate and updated. You stated the children had not gone outside yet; however, they would be going later in the day. RATED LICENSE: We discussed steps that will be taken when the rated license assessment process resumes. I reminded you that your program is in Cohort 1; therefore, this is your preparation year. You stated three staff members have completed the Education Equivalency exam; however, they are having issues uploading the certificates in the DCDEE WORKS system. Based on information provided and my observation, your program appears to remain eligible to earn two points in program standards. You added staffing has changed since the last rated license assessment; therefore, three caregivers do not have at least five years of work experience as required to continue to meet the current quality point option. We reviewed the quality point options to determine which quality points your program would be eligible to earn. Based our review the following options could be selected: •The child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division •When the program has earned at least 4 points in education and the program has a combined turnover rate of 20 percent or less for the administrator, program coordinator, lead teacher, teacher, and group leader positions over the last 12 months. You stated you would select the quality point option regarding the administrator having 10 years of administrative work experience. According to you there is no interest in completing the environment rating scale assessment as part of your rated license. You added you would like to time for new staff to submit their education equivalency exam certificates in DCDEE WORKS, so you would prefer to wait until the next visit to complete the star rated license assessment. I advised you to contact the DCDEE WORKS unit to share issues encountered and ask for guidance. If further assistance is needed contact me to discuss. CLEAN CLASSROOMS FOR CAROLINA KIDS: It’s time to enroll your facility in the Clean Classrooms for Carolina KidsTM program to identify and eliminate exposure to lead and asbestos hazards in building infrastructure. This program is an expansion of Clean Water for Carolina KidsTM, which previously tested all child care centers in the state for lead in water at drinking and food preparation taps. As this is a legislatively mandated effort, facilities are required to meet rule requirements (NC 10A NCAC 41C.1001-1007, NC 154A NCAC 18A.2816). Clean Classrooms for Carolina KidsTM is designed to ensure facilities meet all requirements, receive direct support throughout the participation process, and have access to communication resources. Please sign up for a pre-enrollment webinar so we can begin your enrollment before the next phase of enrollment begins. Steps to participate are as follows: 1.Sign Up – Pre-enrollment webinars are available at cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar into your web browser to see available dates and times for the next month. Choose only one webinar and plan to attend from your computer or phone using the Zoom app. The webinar will cover: a) Lead and asbestos background, b) Program overview, C) Participation, D) Preparing for enrollment, E)The PIN to enroll, and F) A live questions or comments session. 2.Enroll – At www.cleanwaterforUSkids.org/carolina using the PIN and complete the enrollment surveys for three program sections: 1) lead in water, 2) lead-based paint, and 3) asbestos. 3.Evaluate Hazards - The program will ship your facility a water sample kit and may coordinate an on-site visit by a professional to assess for lead-based paint and asbestos hazards, if needed. 4.Receive Results – Receive your results, recommendations, and water mitigation support, if needed. 5.Request Reimbursement - If you choose to conduct lead-based paint or asbestos mitigation, you can request reimbursement from NC DHHS. Visit the web site at: https://www.ncdhhs.gov/divisions/public-health/asbestos-and-lead-based-paint-reimbursement-program-arpa 6.Communicate - Throughout the process, you can use our communication toolkit (bit.ly/3CK-communication) to communicate to your center’s community about the program. CHILDREN’S ORAL HEALTH: We discussed the newsletter and resources sent out via email by the Child Care Health Consultant regarding children’s oral health. The information will help early child care educator’s understand the importance of children’s oral health and could be shared with parents. The Child Care Health Consultant is offering an upcoming training. The training topic is Stay Healthy, Stay Clean (Handwashing, Diapering and Food Handling in Child Care). This 2-hour training will focus on handwashing, diapering, and food handling procedures. The training is scheduled for March 21, 2024, 6 pm – 8 pm, Braswell Memorial Library. For more information contact Stacy at 252-557-4208 or email stacy_rosser@unc.edu. COMING SOON! PROVIDER ACCESS to the BACKGROUND CHECK MANAGEMENT SYSTEM: DCDEE is ready to launch the Provider Portal for ABCMS on February 1, 2024. This access will allow providers to: •See applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster •See the real-time background check status of staff members •Run a printable report of the staff roster to assist with compliance visits To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. The training consists of watching a short video then taking a test about the video. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position, and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. We will grant your access within 2 business days. Please do not use this email account to ask background check questions. If you have general questions, please continue to use DHHS.CBC.Unit@dhhs.nc.gov. RULE CHANGES EFFECTIVE JANUARY 2024 Training Modules Available in DCDEE Moodle The Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Consultants will assist as you begin to review and implement the changes, but please note, some of the rule changes may or may not impact your facility. An example is the rules in section .2600 for multi-unit child care center. These rules are specific to child care centers with multiple licensed centers within one building. Please ensure you are using the updated January 2024 rule book, and view information in the DCDEE Moodle (enroll if necessary). You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. EQUIVALENCY EXAM OFFLINE for MAINTENANCE: The NC Early Childhood Equivalency exam located in Moodle will be unavailable until further notice for updates. In the meantime, earn the Early Childhood Education Certificate by enrolling in EDU 119 at a local community college. Better yet, take advantage of DCDEE’s offer of a No-Cost Professional Development Teacher Membership and earn your CDA! The NC Early Childhood Equivalency exam located in Moodle will be unavailable until further notice for updates. In the meantime, earn the Early Childhood Education Certificate by enrolling in EDU 119 at a local community college. At the conclusion of today’s visit, the visit summary report was completed, reviewed, and left with you. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0302 · Violation

Name of Operation: LITTLE BLESSINGS LEARNING CENTER Facility ID: 42000141 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 7/18/2023 Number Present: 24 Completed Date: 7/18/2023 Age: From 0 To 8 Total Minutes: 215 Time In: 09:00 AM Time Out: 12:35 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 this program for compliance with applicable child care requirements for an annual compliance visit. S. Evans, Office Manager assisted with the visit. This center currently operates with a three-star license, earning four points in the education component, two points in the program standard component and 1 quality point for all lead teachers and teachers having at least five years Early Childhood work experience in no more than two different programs. The last annual compliance visit was completed on July 27, 2022. This program continues to meet enhanced ratio requirements. The last sanitation inspection was completed on November 16, 2022, with a “Superior” classification. The last fire inspection was completed on January 27, 2023, and the center was approved for daytime and night care. Twenty-four children were observed in care today ranging from ages zero to eight years old. Children were engaged in morning activities, free-choice play with developmentally age-appropriate materials, outdoor play, completing hand washing, diapering and toileting routines. Breakfast and lunch were also observed. Breakfast consisted of grits, applesauce, French toast sticks and milk. Lunch consisted of grilled chicken tacos with soft shells, cucumbers, pineapples, and milk. The center’s compliance history score was reviewed with the operator. The program’s compliance history was (89%) as of July 17, 2023. The following violations of the child care requirements were documented: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The center's sanitation was not completed on or before the date of the previous inspection dated October 11, 2021. The current sanitation was dated for November 16, 2022. 10A NCAC 09 .0304(b) 533 Breast milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Five bottles served to children in attendance were not labeled with a dates. 15A NCAC 18A .2804(d) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Documentation was not on file to verify the center’s emergency medical care plan was reviewed with staff annually. 10A NCAC 09 .0802(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Documentation was not on file to verify first aid training was completed for one staff member hired on June 13, 2022. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Documentation was not on file to verify CPR training was completed for one staff member hired on June 13, 2022. .1102(d) 1053 On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. On-going training hours were not completed within one year from the date of employment for one employee hired on June 13, 2022. GS 110-91(11); 10A NCAC 09.1102(b)(1-11) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. A staff development plan was not on file for one employee hired on June 13, 2022. Repeated from July 27, 2022. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A health assessment was not on file for one preschool child enrolled more than 30 days. Repeated from July 27, 2022. 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. An immunization report was not on file for one preschool child enrolled more than 30 days. Repeated from July 27, 2022. 10A NCAC 09 .0302(d)(2) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The medical report and TB skin test was not on file for one employee hired on June 5, 2023. Repeated from July 27, 2022. .0701(d) 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. Documentation was not on file to verify Recognizing and Responding to Suspicion of Child Maltreatment within 90 days of employment as required for two staff members hired on June 13, 2022, and November 1, 2021. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Health and safety training was not completed within one year of employment for one staff member hired on June 13, 2022. .1102(a) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violation was corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before August 1, 2023. 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 Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. OWNERSHIP STATUS: This center is currently owned by Sherry Evans and Connie Richardson. Prior to making any changes in the ownership status, please contact me to discuss change of ownership procedures. Failure to comply may affect your child care license. FACILITY PROFILE INFORMATION: You verified the phone number, mailing address and email address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. RECORDKEEPING: During today’s review of staff and children records required documents were missing. You stated due to time required to prepare and serve meals along with other obligations you have not been able to maintain the records as needed. I recommended obtaining assistance or delegating some responsibilities to allow time to complete periodic reviews of the files. The staff and children file checklist could be used to help with remaining aware of due dates for required items such as medical assessment, TB skin tests, staff development plan, training requirements, etc. You could also plan and set scheduled times for file reviews on a regular basis. Maintaining accurate records is vital to operating a successful business. SANITATION INSPECTIONS: I reminded you the centers sanitation inspection must be completed annually. I advised you to contact the sanitation inspector prior to the due date of your sanitation inspection to ensure you are included on the schedule so the inspection can be done prior to the expiration date. TRAINING REQUIREMENTS: On-going and health and safety trainings were not completed within one year for one staff member hired on June 13, 2022. Also, documentation was not available to verify the Recognizing and Responding to Suspicions of Child Maltreatment was completed within 90 days as required for two staff members. We discussed creating a schedule or tracking system with due dates to ensure staff complete trainings as required. STAR RATED LICENSE: We discussed the star rated license assessment and timeframe for your program. I shared your program is in cohort #1. As a result of staffing changes, we reviewed current staff education status to determine if the program would be able to maintain the same education points. You shared one staff member have enrolled in the early childhood program at the college. You added a second staff member is in the process of enrolling. I shared the option for staff to complete the Early Childhood Education Equivalency Exam. Based on information provided it was determined you would wait until the assessment year to complete your center rated license assessment. PERMANENT CHILD CARE SANITATION RULES COMING in JULY: GET TRAINING NOW! NCDHHS: I informed you Children’s Environmental Health will be conducting the last virtual training in the series on the recently re-adopted Child Care Sanitation Rules, effective July 1, 2023, on July 19, 2023. I encouraged you to try and attend the webinar if possible. The webinar is from 9:00am to 4:00pm. See the training agenda, new rules, and other resources at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/children.htm. Please note that there will be future trainings for those that are not able to attend. Registration is not required. MOODLE PORTAL: I assisted you with accessing the Moodle portal today. You had problems gaining access with your NCID credentials. I recommended you contact customer support for assistance. If you have additional questions, you should speak with the customer support representative at the time of your conversation. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: LITTLE BLESSINGS LEARNING CENTER Facility ID: 42000141 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 7/18/2023 Number Present: 24 Completed Date: 7/18/2023 Age: From 0 To 8 Total Minutes: 215 Time In: 09:00 AM Time Out: 12:35 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 this program for compliance with applicable child care requirements for an annual compliance visit. S. Evans, Office Manager assisted with the visit. This center currently operates with a three-star license, earning four points in the education component, two points in the program standard component and 1 quality point for all lead teachers and teachers having at least five years Early Childhood work experience in no more than two different programs. The last annual compliance visit was completed on July 27, 2022. This program continues to meet enhanced ratio requirements. The last sanitation inspection was completed on November 16, 2022, with a “Superior” classification. The last fire inspection was completed on January 27, 2023, and the center was approved for daytime and night care. Twenty-four children were observed in care today ranging from ages zero to eight years old. Children were engaged in morning activities, free-choice play with developmentally age-appropriate materials, outdoor play, completing hand washing, diapering and toileting routines. Breakfast and lunch were also observed. Breakfast consisted of grits, applesauce, French toast sticks and milk. Lunch consisted of grilled chicken tacos with soft shells, cucumbers, pineapples, and milk. The center’s compliance history score was reviewed with the operator. The program’s compliance history was (89%) as of July 17, 2023. The following violations of the child care requirements were documented: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The center's sanitation was not completed on or before the date of the previous inspection dated October 11, 2021. The current sanitation was dated for November 16, 2022. 10A NCAC 09 .0304(b) 533 Breast milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Five bottles served to children in attendance were not labeled with a dates. 15A NCAC 18A .2804(d) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Documentation was not on file to verify the center’s emergency medical care plan was reviewed with staff annually. 10A NCAC 09 .0802(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Documentation was not on file to verify first aid training was completed for one staff member hired on June 13, 2022. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Documentation was not on file to verify CPR training was completed for one staff member hired on June 13, 2022. .1102(d) 1053 On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. On-going training hours were not completed within one year from the date of employment for one employee hired on June 13, 2022. GS 110-91(11); 10A NCAC 09.1102(b)(1-11) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. A staff development plan was not on file for one employee hired on June 13, 2022. Repeated from July 27, 2022. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A health assessment was not on file for one preschool child enrolled more than 30 days. Repeated from July 27, 2022. 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. An immunization report was not on file for one preschool child enrolled more than 30 days. Repeated from July 27, 2022. 10A NCAC 09 .0302(d)(2) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The medical report and TB skin test was not on file for one employee hired on June 5, 2023. Repeated from July 27, 2022. .0701(d) 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. Documentation was not on file to verify Recognizing and Responding to Suspicion of Child Maltreatment within 90 days of employment as required for two staff members hired on June 13, 2022, and November 1, 2021. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Health and safety training was not completed within one year of employment for one staff member hired on June 13, 2022. .1102(a) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violation was corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before August 1, 2023. 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 Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. OWNERSHIP STATUS: This center is currently owned by Sherry Evans and Connie Richardson. Prior to making any changes in the ownership status, please contact me to discuss change of ownership procedures. Failure to comply may affect your child care license. FACILITY PROFILE INFORMATION: You verified the phone number, mailing address and email address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. RECORDKEEPING: During today’s review of staff and children records required documents were missing. You stated due to time required to prepare and serve meals along with other obligations you have not been able to maintain the records as needed. I recommended obtaining assistance or delegating some responsibilities to allow time to complete periodic reviews of the files. The staff and children file checklist could be used to help with remaining aware of due dates for required items such as medical assessment, TB skin tests, staff development plan, training requirements, etc. You could also plan and set scheduled times for file reviews on a regular basis. Maintaining accurate records is vital to operating a successful business. SANITATION INSPECTIONS: I reminded you the centers sanitation inspection must be completed annually. I advised you to contact the sanitation inspector prior to the due date of your sanitation inspection to ensure you are included on the schedule so the inspection can be done prior to the expiration date. TRAINING REQUIREMENTS: On-going and health and safety trainings were not completed within one year for one staff member hired on June 13, 2022. Also, documentation was not available to verify the Recognizing and Responding to Suspicions of Child Maltreatment was completed within 90 days as required for two staff members. We discussed creating a schedule or tracking system with due dates to ensure staff complete trainings as required. STAR RATED LICENSE: We discussed the star rated license assessment and timeframe for your program. I shared your program is in cohort #1. As a result of staffing changes, we reviewed current staff education status to determine if the program would be able to maintain the same education points. You shared one staff member have enrolled in the early childhood program at the college. You added a second staff member is in the process of enrolling. I shared the option for staff to complete the Early Childhood Education Equivalency Exam. Based on information provided it was determined you would wait until the assessment year to complete your center rated license assessment. PERMANENT CHILD CARE SANITATION RULES COMING in JULY: GET TRAINING NOW! NCDHHS: I informed you Children’s Environmental Health will be conducting the last virtual training in the series on the recently re-adopted Child Care Sanitation Rules, effective July 1, 2023, on July 19, 2023. I encouraged you to try and attend the webinar if possible. The webinar is from 9:00am to 4:00pm. See the training agenda, new rules, and other resources at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/children.htm. Please note that there will be future trainings for those that are not able to attend. Registration is not required. MOODLE PORTAL: I assisted you with accessing the Moodle portal today. You had problems gaining access with your NCID credentials. I recommended you contact customer support for assistance. If you have additional questions, you should speak with the customer support representative at the time of your conversation. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0514 · Violation

Name of Operation: LITTLE BLESSINGS LEARNING CENTER Facility ID: 42000141 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 7/18/2023 Number Present: 24 Completed Date: 7/18/2023 Age: From 0 To 8 Total Minutes: 215 Time In: 09:00 AM Time Out: 12:35 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 this program for compliance with applicable child care requirements for an annual compliance visit. S. Evans, Office Manager assisted with the visit. This center currently operates with a three-star license, earning four points in the education component, two points in the program standard component and 1 quality point for all lead teachers and teachers having at least five years Early Childhood work experience in no more than two different programs. The last annual compliance visit was completed on July 27, 2022. This program continues to meet enhanced ratio requirements. The last sanitation inspection was completed on November 16, 2022, with a “Superior” classification. The last fire inspection was completed on January 27, 2023, and the center was approved for daytime and night care. Twenty-four children were observed in care today ranging from ages zero to eight years old. Children were engaged in morning activities, free-choice play with developmentally age-appropriate materials, outdoor play, completing hand washing, diapering and toileting routines. Breakfast and lunch were also observed. Breakfast consisted of grits, applesauce, French toast sticks and milk. Lunch consisted of grilled chicken tacos with soft shells, cucumbers, pineapples, and milk. The center’s compliance history score was reviewed with the operator. The program’s compliance history was (89%) as of July 17, 2023. The following violations of the child care requirements were documented: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The center's sanitation was not completed on or before the date of the previous inspection dated October 11, 2021. The current sanitation was dated for November 16, 2022. 10A NCAC 09 .0304(b) 533 Breast milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Five bottles served to children in attendance were not labeled with a dates. 15A NCAC 18A .2804(d) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Documentation was not on file to verify the center’s emergency medical care plan was reviewed with staff annually. 10A NCAC 09 .0802(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Documentation was not on file to verify first aid training was completed for one staff member hired on June 13, 2022. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Documentation was not on file to verify CPR training was completed for one staff member hired on June 13, 2022. .1102(d) 1053 On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. On-going training hours were not completed within one year from the date of employment for one employee hired on June 13, 2022. GS 110-91(11); 10A NCAC 09.1102(b)(1-11) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. A staff development plan was not on file for one employee hired on June 13, 2022. Repeated from July 27, 2022. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A health assessment was not on file for one preschool child enrolled more than 30 days. Repeated from July 27, 2022. 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. An immunization report was not on file for one preschool child enrolled more than 30 days. Repeated from July 27, 2022. 10A NCAC 09 .0302(d)(2) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The medical report and TB skin test was not on file for one employee hired on June 5, 2023. Repeated from July 27, 2022. .0701(d) 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. Documentation was not on file to verify Recognizing and Responding to Suspicion of Child Maltreatment within 90 days of employment as required for two staff members hired on June 13, 2022, and November 1, 2021. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Health and safety training was not completed within one year of employment for one staff member hired on June 13, 2022. .1102(a) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violation was corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before August 1, 2023. 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 Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. OWNERSHIP STATUS: This center is currently owned by Sherry Evans and Connie Richardson. Prior to making any changes in the ownership status, please contact me to discuss change of ownership procedures. Failure to comply may affect your child care license. FACILITY PROFILE INFORMATION: You verified the phone number, mailing address and email address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. RECORDKEEPING: During today’s review of staff and children records required documents were missing. You stated due to time required to prepare and serve meals along with other obligations you have not been able to maintain the records as needed. I recommended obtaining assistance or delegating some responsibilities to allow time to complete periodic reviews of the files. The staff and children file checklist could be used to help with remaining aware of due dates for required items such as medical assessment, TB skin tests, staff development plan, training requirements, etc. You could also plan and set scheduled times for file reviews on a regular basis. Maintaining accurate records is vital to operating a successful business. SANITATION INSPECTIONS: I reminded you the centers sanitation inspection must be completed annually. I advised you to contact the sanitation inspector prior to the due date of your sanitation inspection to ensure you are included on the schedule so the inspection can be done prior to the expiration date. TRAINING REQUIREMENTS: On-going and health and safety trainings were not completed within one year for one staff member hired on June 13, 2022. Also, documentation was not available to verify the Recognizing and Responding to Suspicions of Child Maltreatment was completed within 90 days as required for two staff members. We discussed creating a schedule or tracking system with due dates to ensure staff complete trainings as required. STAR RATED LICENSE: We discussed the star rated license assessment and timeframe for your program. I shared your program is in cohort #1. As a result of staffing changes, we reviewed current staff education status to determine if the program would be able to maintain the same education points. You shared one staff member have enrolled in the early childhood program at the college. You added a second staff member is in the process of enrolling. I shared the option for staff to complete the Early Childhood Education Equivalency Exam. Based on information provided it was determined you would wait until the assessment year to complete your center rated license assessment. PERMANENT CHILD CARE SANITATION RULES COMING in JULY: GET TRAINING NOW! NCDHHS: I informed you Children’s Environmental Health will be conducting the last virtual training in the series on the recently re-adopted Child Care Sanitation Rules, effective July 1, 2023, on July 19, 2023. I encouraged you to try and attend the webinar if possible. The webinar is from 9:00am to 4:00pm. See the training agenda, new rules, and other resources at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/children.htm. Please note that there will be future trainings for those that are not able to attend. Registration is not required. MOODLE PORTAL: I assisted you with accessing the Moodle portal today. You had problems gaining access with your NCID credentials. I recommended you contact customer support for assistance. If you have additional questions, you should speak with the customer support representative at the time of your conversation. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: LITTLE BLESSINGS LEARNING CENTER Facility ID: 42000141 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 7/18/2023 Number Present: 24 Completed Date: 7/18/2023 Age: From 0 To 8 Total Minutes: 215 Time In: 09:00 AM Time Out: 12:35 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 this program for compliance with applicable child care requirements for an annual compliance visit. S. Evans, Office Manager assisted with the visit. This center currently operates with a three-star license, earning four points in the education component, two points in the program standard component and 1 quality point for all lead teachers and teachers having at least five years Early Childhood work experience in no more than two different programs. The last annual compliance visit was completed on July 27, 2022. This program continues to meet enhanced ratio requirements. The last sanitation inspection was completed on November 16, 2022, with a “Superior” classification. The last fire inspection was completed on January 27, 2023, and the center was approved for daytime and night care. Twenty-four children were observed in care today ranging from ages zero to eight years old. Children were engaged in morning activities, free-choice play with developmentally age-appropriate materials, outdoor play, completing hand washing, diapering and toileting routines. Breakfast and lunch were also observed. Breakfast consisted of grits, applesauce, French toast sticks and milk. Lunch consisted of grilled chicken tacos with soft shells, cucumbers, pineapples, and milk. The center’s compliance history score was reviewed with the operator. The program’s compliance history was (89%) as of July 17, 2023. The following violations of the child care requirements were documented: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The center's sanitation was not completed on or before the date of the previous inspection dated October 11, 2021. The current sanitation was dated for November 16, 2022. 10A NCAC 09 .0304(b) 533 Breast milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Five bottles served to children in attendance were not labeled with a dates. 15A NCAC 18A .2804(d) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Documentation was not on file to verify the center’s emergency medical care plan was reviewed with staff annually. 10A NCAC 09 .0802(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Documentation was not on file to verify first aid training was completed for one staff member hired on June 13, 2022. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Documentation was not on file to verify CPR training was completed for one staff member hired on June 13, 2022. .1102(d) 1053 On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. On-going training hours were not completed within one year from the date of employment for one employee hired on June 13, 2022. GS 110-91(11); 10A NCAC 09.1102(b)(1-11) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. A staff development plan was not on file for one employee hired on June 13, 2022. Repeated from July 27, 2022. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A health assessment was not on file for one preschool child enrolled more than 30 days. Repeated from July 27, 2022. 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. An immunization report was not on file for one preschool child enrolled more than 30 days. Repeated from July 27, 2022. 10A NCAC 09 .0302(d)(2) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The medical report and TB skin test was not on file for one employee hired on June 5, 2023. Repeated from July 27, 2022. .0701(d) 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. Documentation was not on file to verify Recognizing and Responding to Suspicion of Child Maltreatment within 90 days of employment as required for two staff members hired on June 13, 2022, and November 1, 2021. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Health and safety training was not completed within one year of employment for one staff member hired on June 13, 2022. .1102(a) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violation was corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before August 1, 2023. 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 Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. OWNERSHIP STATUS: This center is currently owned by Sherry Evans and Connie Richardson. Prior to making any changes in the ownership status, please contact me to discuss change of ownership procedures. Failure to comply may affect your child care license. FACILITY PROFILE INFORMATION: You verified the phone number, mailing address and email address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. RECORDKEEPING: During today’s review of staff and children records required documents were missing. You stated due to time required to prepare and serve meals along with other obligations you have not been able to maintain the records as needed. I recommended obtaining assistance or delegating some responsibilities to allow time to complete periodic reviews of the files. The staff and children file checklist could be used to help with remaining aware of due dates for required items such as medical assessment, TB skin tests, staff development plan, training requirements, etc. You could also plan and set scheduled times for file reviews on a regular basis. Maintaining accurate records is vital to operating a successful business. SANITATION INSPECTIONS: I reminded you the centers sanitation inspection must be completed annually. I advised you to contact the sanitation inspector prior to the due date of your sanitation inspection to ensure you are included on the schedule so the inspection can be done prior to the expiration date. TRAINING REQUIREMENTS: On-going and health and safety trainings were not completed within one year for one staff member hired on June 13, 2022. Also, documentation was not available to verify the Recognizing and Responding to Suspicions of Child Maltreatment was completed within 90 days as required for two staff members. We discussed creating a schedule or tracking system with due dates to ensure staff complete trainings as required. STAR RATED LICENSE: We discussed the star rated license assessment and timeframe for your program. I shared your program is in cohort #1. As a result of staffing changes, we reviewed current staff education status to determine if the program would be able to maintain the same education points. You shared one staff member have enrolled in the early childhood program at the college. You added a second staff member is in the process of enrolling. I shared the option for staff to complete the Early Childhood Education Equivalency Exam. Based on information provided it was determined you would wait until the assessment year to complete your center rated license assessment. PERMANENT CHILD CARE SANITATION RULES COMING in JULY: GET TRAINING NOW! NCDHHS: I informed you Children’s Environmental Health will be conducting the last virtual training in the series on the recently re-adopted Child Care Sanitation Rules, effective July 1, 2023, on July 19, 2023. I encouraged you to try and attend the webinar if possible. The webinar is from 9:00am to 4:00pm. See the training agenda, new rules, and other resources at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/children.htm. Please note that there will be future trainings for those that are not able to attend. Registration is not required. MOODLE PORTAL: I assisted you with accessing the Moodle portal today. You had problems gaining access with your NCID credentials. I recommended you contact customer support for assistance. If you have additional questions, you should speak with the customer support representative at the time of your conversation. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.1102 · Violation

Name of Operation: LITTLE BLESSINGS LEARNING CENTER Facility ID: 42000141 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 7/18/2023 Number Present: 24 Completed Date: 7/18/2023 Age: From 0 To 8 Total Minutes: 215 Time In: 09:00 AM Time Out: 12:35 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 this program for compliance with applicable child care requirements for an annual compliance visit. S. Evans, Office Manager assisted with the visit. This center currently operates with a three-star license, earning four points in the education component, two points in the program standard component and 1 quality point for all lead teachers and teachers having at least five years Early Childhood work experience in no more than two different programs. The last annual compliance visit was completed on July 27, 2022. This program continues to meet enhanced ratio requirements. The last sanitation inspection was completed on November 16, 2022, with a “Superior” classification. The last fire inspection was completed on January 27, 2023, and the center was approved for daytime and night care. Twenty-four children were observed in care today ranging from ages zero to eight years old. Children were engaged in morning activities, free-choice play with developmentally age-appropriate materials, outdoor play, completing hand washing, diapering and toileting routines. Breakfast and lunch were also observed. Breakfast consisted of grits, applesauce, French toast sticks and milk. Lunch consisted of grilled chicken tacos with soft shells, cucumbers, pineapples, and milk. The center’s compliance history score was reviewed with the operator. The program’s compliance history was (89%) as of July 17, 2023. The following violations of the child care requirements were documented: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The center's sanitation was not completed on or before the date of the previous inspection dated October 11, 2021. The current sanitation was dated for November 16, 2022. 10A NCAC 09 .0304(b) 533 Breast milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Five bottles served to children in attendance were not labeled with a dates. 15A NCAC 18A .2804(d) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Documentation was not on file to verify the center’s emergency medical care plan was reviewed with staff annually. 10A NCAC 09 .0802(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Documentation was not on file to verify first aid training was completed for one staff member hired on June 13, 2022. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Documentation was not on file to verify CPR training was completed for one staff member hired on June 13, 2022. .1102(d) 1053 On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. On-going training hours were not completed within one year from the date of employment for one employee hired on June 13, 2022. GS 110-91(11); 10A NCAC 09.1102(b)(1-11) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. A staff development plan was not on file for one employee hired on June 13, 2022. Repeated from July 27, 2022. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A health assessment was not on file for one preschool child enrolled more than 30 days. Repeated from July 27, 2022. 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. An immunization report was not on file for one preschool child enrolled more than 30 days. Repeated from July 27, 2022. 10A NCAC 09 .0302(d)(2) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The medical report and TB skin test was not on file for one employee hired on June 5, 2023. Repeated from July 27, 2022. .0701(d) 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. Documentation was not on file to verify Recognizing and Responding to Suspicion of Child Maltreatment within 90 days of employment as required for two staff members hired on June 13, 2022, and November 1, 2021. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Health and safety training was not completed within one year of employment for one staff member hired on June 13, 2022. .1102(a) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violation was corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before August 1, 2023. 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 Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. OWNERSHIP STATUS: This center is currently owned by Sherry Evans and Connie Richardson. Prior to making any changes in the ownership status, please contact me to discuss change of ownership procedures. Failure to comply may affect your child care license. FACILITY PROFILE INFORMATION: You verified the phone number, mailing address and email address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. RECORDKEEPING: During today’s review of staff and children records required documents were missing. You stated due to time required to prepare and serve meals along with other obligations you have not been able to maintain the records as needed. I recommended obtaining assistance or delegating some responsibilities to allow time to complete periodic reviews of the files. The staff and children file checklist could be used to help with remaining aware of due dates for required items such as medical assessment, TB skin tests, staff development plan, training requirements, etc. You could also plan and set scheduled times for file reviews on a regular basis. Maintaining accurate records is vital to operating a successful business. SANITATION INSPECTIONS: I reminded you the centers sanitation inspection must be completed annually. I advised you to contact the sanitation inspector prior to the due date of your sanitation inspection to ensure you are included on the schedule so the inspection can be done prior to the expiration date. TRAINING REQUIREMENTS: On-going and health and safety trainings were not completed within one year for one staff member hired on June 13, 2022. Also, documentation was not available to verify the Recognizing and Responding to Suspicions of Child Maltreatment was completed within 90 days as required for two staff members. We discussed creating a schedule or tracking system with due dates to ensure staff complete trainings as required. STAR RATED LICENSE: We discussed the star rated license assessment and timeframe for your program. I shared your program is in cohort #1. As a result of staffing changes, we reviewed current staff education status to determine if the program would be able to maintain the same education points. You shared one staff member have enrolled in the early childhood program at the college. You added a second staff member is in the process of enrolling. I shared the option for staff to complete the Early Childhood Education Equivalency Exam. Based on information provided it was determined you would wait until the assessment year to complete your center rated license assessment. PERMANENT CHILD CARE SANITATION RULES COMING in JULY: GET TRAINING NOW! NCDHHS: I informed you Children’s Environmental Health will be conducting the last virtual training in the series on the recently re-adopted Child Care Sanitation Rules, effective July 1, 2023, on July 19, 2023. I encouraged you to try and attend the webinar if possible. The webinar is from 9:00am to 4:00pm. See the training agenda, new rules, and other resources at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/children.htm. Please note that there will be future trainings for those that are not able to attend. Registration is not required. MOODLE PORTAL: I assisted you with accessing the Moodle portal today. You had problems gaining access with your NCID credentials. I recommended you contact customer support for assistance. If you have additional questions, you should speak with the customer support representative at the time of your conversation. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: LITTLE BLESSINGS LEARNING CENTER Facility ID: 42000141 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 7/18/2023 Number Present: 24 Completed Date: 7/18/2023 Age: From 0 To 8 Total Minutes: 215 Time In: 09:00 AM Time Out: 12:35 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 this program for compliance with applicable child care requirements for an annual compliance visit. S. Evans, Office Manager assisted with the visit. This center currently operates with a three-star license, earning four points in the education component, two points in the program standard component and 1 quality point for all lead teachers and teachers having at least five years Early Childhood work experience in no more than two different programs. The last annual compliance visit was completed on July 27, 2022. This program continues to meet enhanced ratio requirements. The last sanitation inspection was completed on November 16, 2022, with a “Superior” classification. The last fire inspection was completed on January 27, 2023, and the center was approved for daytime and night care. Twenty-four children were observed in care today ranging from ages zero to eight years old. Children were engaged in morning activities, free-choice play with developmentally age-appropriate materials, outdoor play, completing hand washing, diapering and toileting routines. Breakfast and lunch were also observed. Breakfast consisted of grits, applesauce, French toast sticks and milk. Lunch consisted of grilled chicken tacos with soft shells, cucumbers, pineapples, and milk. The center’s compliance history score was reviewed with the operator. The program’s compliance history was (89%) as of July 17, 2023. The following violations of the child care requirements were documented: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The center's sanitation was not completed on or before the date of the previous inspection dated October 11, 2021. The current sanitation was dated for November 16, 2022. 10A NCAC 09 .0304(b) 533 Breast milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Five bottles served to children in attendance were not labeled with a dates. 15A NCAC 18A .2804(d) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Documentation was not on file to verify the center’s emergency medical care plan was reviewed with staff annually. 10A NCAC 09 .0802(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Documentation was not on file to verify first aid training was completed for one staff member hired on June 13, 2022. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Documentation was not on file to verify CPR training was completed for one staff member hired on June 13, 2022. .1102(d) 1053 On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. On-going training hours were not completed within one year from the date of employment for one employee hired on June 13, 2022. GS 110-91(11); 10A NCAC 09.1102(b)(1-11) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. A staff development plan was not on file for one employee hired on June 13, 2022. Repeated from July 27, 2022. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A health assessment was not on file for one preschool child enrolled more than 30 days. Repeated from July 27, 2022. 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. An immunization report was not on file for one preschool child enrolled more than 30 days. Repeated from July 27, 2022. 10A NCAC 09 .0302(d)(2) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The medical report and TB skin test was not on file for one employee hired on June 5, 2023. Repeated from July 27, 2022. .0701(d) 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. Documentation was not on file to verify Recognizing and Responding to Suspicion of Child Maltreatment within 90 days of employment as required for two staff members hired on June 13, 2022, and November 1, 2021. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Health and safety training was not completed within one year of employment for one staff member hired on June 13, 2022. .1102(a) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violation was corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before August 1, 2023. 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 Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. OWNERSHIP STATUS: This center is currently owned by Sherry Evans and Connie Richardson. Prior to making any changes in the ownership status, please contact me to discuss change of ownership procedures. Failure to comply may affect your child care license. FACILITY PROFILE INFORMATION: You verified the phone number, mailing address and email address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. RECORDKEEPING: During today’s review of staff and children records required documents were missing. You stated due to time required to prepare and serve meals along with other obligations you have not been able to maintain the records as needed. I recommended obtaining assistance or delegating some responsibilities to allow time to complete periodic reviews of the files. The staff and children file checklist could be used to help with remaining aware of due dates for required items such as medical assessment, TB skin tests, staff development plan, training requirements, etc. You could also plan and set scheduled times for file reviews on a regular basis. Maintaining accurate records is vital to operating a successful business. SANITATION INSPECTIONS: I reminded you the centers sanitation inspection must be completed annually. I advised you to contact the sanitation inspector prior to the due date of your sanitation inspection to ensure you are included on the schedule so the inspection can be done prior to the expiration date. TRAINING REQUIREMENTS: On-going and health and safety trainings were not completed within one year for one staff member hired on June 13, 2022. Also, documentation was not available to verify the Recognizing and Responding to Suspicions of Child Maltreatment was completed within 90 days as required for two staff members. We discussed creating a schedule or tracking system with due dates to ensure staff complete trainings as required. STAR RATED LICENSE: We discussed the star rated license assessment and timeframe for your program. I shared your program is in cohort #1. As a result of staffing changes, we reviewed current staff education status to determine if the program would be able to maintain the same education points. You shared one staff member have enrolled in the early childhood program at the college. You added a second staff member is in the process of enrolling. I shared the option for staff to complete the Early Childhood Education Equivalency Exam. Based on information provided it was determined you would wait until the assessment year to complete your center rated license assessment. PERMANENT CHILD CARE SANITATION RULES COMING in JULY: GET TRAINING NOW! NCDHHS: I informed you Children’s Environmental Health will be conducting the last virtual training in the series on the recently re-adopted Child Care Sanitation Rules, effective July 1, 2023, on July 19, 2023. I encouraged you to try and attend the webinar if possible. The webinar is from 9:00am to 4:00pm. See the training agenda, new rules, and other resources at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/children.htm. Please note that there will be future trainings for those that are not able to attend. Registration is not required. MOODLE PORTAL: I assisted you with accessing the Moodle portal today. You had problems gaining access with your NCID credentials. I recommended you contact customer support for assistance. If you have additional questions, you should speak with the customer support representative at the time of your conversation. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-91 · Violation

Name of Operation: LITTLE BLESSINGS LEARNING CENTER Facility ID: 42000141 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 7/18/2023 Number Present: 24 Completed Date: 7/18/2023 Age: From 0 To 8 Total Minutes: 215 Time In: 09:00 AM Time Out: 12:35 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 this program for compliance with applicable child care requirements for an annual compliance visit. S. Evans, Office Manager assisted with the visit. This center currently operates with a three-star license, earning four points in the education component, two points in the program standard component and 1 quality point for all lead teachers and teachers having at least five years Early Childhood work experience in no more than two different programs. The last annual compliance visit was completed on July 27, 2022. This program continues to meet enhanced ratio requirements. The last sanitation inspection was completed on November 16, 2022, with a “Superior” classification. The last fire inspection was completed on January 27, 2023, and the center was approved for daytime and night care. Twenty-four children were observed in care today ranging from ages zero to eight years old. Children were engaged in morning activities, free-choice play with developmentally age-appropriate materials, outdoor play, completing hand washing, diapering and toileting routines. Breakfast and lunch were also observed. Breakfast consisted of grits, applesauce, French toast sticks and milk. Lunch consisted of grilled chicken tacos with soft shells, cucumbers, pineapples, and milk. The center’s compliance history score was reviewed with the operator. The program’s compliance history was (89%) as of July 17, 2023. The following violations of the child care requirements were documented: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The center's sanitation was not completed on or before the date of the previous inspection dated October 11, 2021. The current sanitation was dated for November 16, 2022. 10A NCAC 09 .0304(b) 533 Breast milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Five bottles served to children in attendance were not labeled with a dates. 15A NCAC 18A .2804(d) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Documentation was not on file to verify the center’s emergency medical care plan was reviewed with staff annually. 10A NCAC 09 .0802(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Documentation was not on file to verify first aid training was completed for one staff member hired on June 13, 2022. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Documentation was not on file to verify CPR training was completed for one staff member hired on June 13, 2022. .1102(d) 1053 On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. On-going training hours were not completed within one year from the date of employment for one employee hired on June 13, 2022. GS 110-91(11); 10A NCAC 09.1102(b)(1-11) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. A staff development plan was not on file for one employee hired on June 13, 2022. Repeated from July 27, 2022. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A health assessment was not on file for one preschool child enrolled more than 30 days. Repeated from July 27, 2022. 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. An immunization report was not on file for one preschool child enrolled more than 30 days. Repeated from July 27, 2022. 10A NCAC 09 .0302(d)(2) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The medical report and TB skin test was not on file for one employee hired on June 5, 2023. Repeated from July 27, 2022. .0701(d) 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. Documentation was not on file to verify Recognizing and Responding to Suspicion of Child Maltreatment within 90 days of employment as required for two staff members hired on June 13, 2022, and November 1, 2021. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Health and safety training was not completed within one year of employment for one staff member hired on June 13, 2022. .1102(a) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violation was corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before August 1, 2023. 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 Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. OWNERSHIP STATUS: This center is currently owned by Sherry Evans and Connie Richardson. Prior to making any changes in the ownership status, please contact me to discuss change of ownership procedures. Failure to comply may affect your child care license. FACILITY PROFILE INFORMATION: You verified the phone number, mailing address and email address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. RECORDKEEPING: During today’s review of staff and children records required documents were missing. You stated due to time required to prepare and serve meals along with other obligations you have not been able to maintain the records as needed. I recommended obtaining assistance or delegating some responsibilities to allow time to complete periodic reviews of the files. The staff and children file checklist could be used to help with remaining aware of due dates for required items such as medical assessment, TB skin tests, staff development plan, training requirements, etc. You could also plan and set scheduled times for file reviews on a regular basis. Maintaining accurate records is vital to operating a successful business. SANITATION INSPECTIONS: I reminded you the centers sanitation inspection must be completed annually. I advised you to contact the sanitation inspector prior to the due date of your sanitation inspection to ensure you are included on the schedule so the inspection can be done prior to the expiration date. TRAINING REQUIREMENTS: On-going and health and safety trainings were not completed within one year for one staff member hired on June 13, 2022. Also, documentation was not available to verify the Recognizing and Responding to Suspicions of Child Maltreatment was completed within 90 days as required for two staff members. We discussed creating a schedule or tracking system with due dates to ensure staff complete trainings as required. STAR RATED LICENSE: We discussed the star rated license assessment and timeframe for your program. I shared your program is in cohort #1. As a result of staffing changes, we reviewed current staff education status to determine if the program would be able to maintain the same education points. You shared one staff member have enrolled in the early childhood program at the college. You added a second staff member is in the process of enrolling. I shared the option for staff to complete the Early Childhood Education Equivalency Exam. Based on information provided it was determined you would wait until the assessment year to complete your center rated license assessment. PERMANENT CHILD CARE SANITATION RULES COMING in JULY: GET TRAINING NOW! NCDHHS: I informed you Children’s Environmental Health will be conducting the last virtual training in the series on the recently re-adopted Child Care Sanitation Rules, effective July 1, 2023, on July 19, 2023. I encouraged you to try and attend the webinar if possible. The webinar is from 9:00am to 4:00pm. See the training agenda, new rules, and other resources at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/children.htm. Please note that there will be future trainings for those that are not able to attend. Registration is not required. MOODLE PORTAL: I assisted you with accessing the Moodle portal today. You had problems gaining access with your NCID credentials. I recommended you contact customer support for assistance. If you have additional questions, you should speak with the customer support representative at the time of your conversation. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times