10A NCAC 09 .2818 · Violation

Name of Operation: LITTLE LEADERS LEARNING CENTER LLC Facility ID: 74000928 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: 0126-148L Visit Date: 2/5/2026 Number Present: 9 Completed Date: 2/5/2026 Age: From 0 To 4 Total Minutes: 257 Time In: 10:08 AM Time Out: 02:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to obtain information regarding alleged violations of child care requirements and finalized the January 21, 2025, complaint visit. The allegations are as follows: There are concerns that staff/child ratios are not being followed. There are concerns that nutritional guidelines are not being followed. There are concerns that fire drills are not completed monthly. There are concerns that an administrator is not present during operational hours. There are concerns that staff may be impaired while caring for children. Three groups of children were observed in the indoor space. Personal care routines and tummy time were observed in space #1. In space #2, children sat at the table, engaged with puzzles as the teacher completed diapering. In space #3, children sat at tables with materials including Lego Duplo blocks and puzzles and while one staff member moved about the space and the other did a Valentine Day craft at the art table. Regarding the allegation regarding staff/child ratios not being followed. I completed classroom observations, reviewed daily attendance records for December 2025 and January 2026, arrival and departure, and staff timesheet records documenting staff schedules. I also interviewed the administrator and caregiver. The records show that on January 5, 2025, there were eight children, one year of age to twelve years of age present after 5:00 pm with one staff member. Attendance records show on January 8, 2026, there were ten children present, one year of age to twelve years of age after 5:00 pm with one staff member. You reported that there was another person on staff during that time, however the timecard for that staff was not available for review. Additionally, it was reported that children enrolled in space #2, combined with children enrolled in space #3, grouping children one to five years of age together. It was reported that they do not follow the ratio for the youngest child. Based on the above information the allegation was confirmed. Regarding the allegation regarding the nutritional guidelines are not being followed. I completed observations of the kitchen, menu, and mealtime and interviewed staff. Menus were posted and current. It was reported that children receive a protein, a vegetables, a fruit, a grain, and milk for lunch. It was also reported that the menu sometimes changes from the posted menu and children may receive sandwiches twice a week, but all components are served. All required components were served during the observation. Based on the above information the allegation was unconfirmed. Regarding the allegation that fire drills are not completed monthly, I reviewed the drill log and interviewed the administrator and staff member. It was reported that drills are completed. Staff were not able to provide precise dates but recalled then fire drill was completed each month. The emergency drill log reflects a fire drill was completed every month with the date, time, number of staff, and number of children present. Based on the above information the allegation was unconfirmed. Based on the allegation regarding that an administrator is not present during operational hours. I reviewed staff timecard records, interviewed the administrator and staff. It was reported that the administrator of record Y. Brickhouse, works part time in the facility and the owner works in an administrative role by supporting staff, completing the required paperwork, and other administrative duties in her absence. It was reported that the number of hours Y. Brickhouse is on-site varies, but T. Barnes is on-site four days per week. It was reported that Ms. Barnes is present in the facility three days per week, 9:00 am to 6:00 pm with a two hour break and one day per week 9:00am to 2:00 pm. Based on the above information, the allegation was unconfirmed. Based on the allegation regarding staff may be impaired while caring for children, I completed observations and interviewed staff. No staff where visually impaired or no emitted an odor of drugs or alcohol. All staff interviewed reported they had not witnessed any staff that may be considered impaired and they had no concerns about the staff’s ability to care for children. Based on the above information the allegation was unconfirmed. The following violation was observed. Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. Children’s attendance records reflect that on January 5, 2026, there were eight children, one year of age to twelve years of age present after 5:00 pm, timecards reflect there was one staff member present. Attendance records show on January 8, 2026, there were ten children present, one year of age to twelve years of age after 5:00 pm with one staff member, per staff timecards. 10A NCAC 09 .2818 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 February 19, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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 will be conducted. Mail or email the information to: LeShaunda McCotter, Child Care Consultant PO Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Staff/Child Ratio- Staff-child ratio refers to the maximum number of children who may be supervised by one staff member. Children’s attendance records reflect that on January 5, 2025, there were eight children, one year of age to twelve years of age present after 5:00 pm, timecards reflect there was one staff member present. Attendance records show on January 8, 2026, there were ten children present, one year of age to twelve years of age after 5:00 pm with one staff member, per staff timecards. You reported there was at least one staff member present at the time, but a time care was not available, and you could not confirm you were present at that time. You shared you have begun documenting your time present at the center on a timecard since January 22, 2026. Staffing changes have been made sine January 14, 2026 and there are enough staff to maintain ratios at all time. You also shared that staff members may not leave at their assigned time if it will leave the class out of ratio. An example would be if a staff member is scheduled to leave at 5:00 pm they may leave at 5:45 pm to maintain ratios. A violation was documented for failure to maintain compliance with staff/child ratio requirements. Violations of this nature directly impact the safety of the children while in your care. In addition, these types of violations have the greatest negative impact on your compliance history. During the visit, we discussed that repeated violations of this nature during consecutive visits may lead to an administrative action against your license. A follow-up visit may be conducted in the near future to monitor compliance with child care requirements. Consultation: Administrator Requirements- Per child care rule .0714, a facility with a licensed capacity of 50 is required to have a child care administrator on-site for twenty-five (25) hours per week. It was reported that the administrative duties are shared between Y. Brickhouse and T. Barnes, owner. We spoke about documenting the hours each of you are on-site. During today’s visit you provided me with a Preserved Requirements for Administrator of a Child Care Center form for T. Barnes. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: LITTLE LEADERS LEARNING CENTER LLC Facility ID: 74000928 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: 0126-148L Visit Date: 2/5/2026 Number Present: 9 Completed Date: 2/5/2026 Age: From 0 To 4 Total Minutes: 257 Time In: 10:08 AM Time Out: 02:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to obtain information regarding alleged violations of child care requirements and finalized the January 21, 2025, complaint visit. The allegations are as follows: There are concerns that staff/child ratios are not being followed. There are concerns that nutritional guidelines are not being followed. There are concerns that fire drills are not completed monthly. There are concerns that an administrator is not present during operational hours. There are concerns that staff may be impaired while caring for children. Three groups of children were observed in the indoor space. Personal care routines and tummy time were observed in space #1. In space #2, children sat at the table, engaged with puzzles as the teacher completed diapering. In space #3, children sat at tables with materials including Lego Duplo blocks and puzzles and while one staff member moved about the space and the other did a Valentine Day craft at the art table. Regarding the allegation regarding staff/child ratios not being followed. I completed classroom observations, reviewed daily attendance records for December 2025 and January 2026, arrival and departure, and staff timesheet records documenting staff schedules. I also interviewed the administrator and caregiver. The records show that on January 5, 2025, there were eight children, one year of age to twelve years of age present after 5:00 pm with one staff member. Attendance records show on January 8, 2026, there were ten children present, one year of age to twelve years of age after 5:00 pm with one staff member. You reported that there was another person on staff during that time, however the timecard for that staff was not available for review. Additionally, it was reported that children enrolled in space #2, combined with children enrolled in space #3, grouping children one to five years of age together. It was reported that they do not follow the ratio for the youngest child. Based on the above information the allegation was confirmed. Regarding the allegation regarding the nutritional guidelines are not being followed. I completed observations of the kitchen, menu, and mealtime and interviewed staff. Menus were posted and current. It was reported that children receive a protein, a vegetables, a fruit, a grain, and milk for lunch. It was also reported that the menu sometimes changes from the posted menu and children may receive sandwiches twice a week, but all components are served. All required components were served during the observation. Based on the above information the allegation was unconfirmed. Regarding the allegation that fire drills are not completed monthly, I reviewed the drill log and interviewed the administrator and staff member. It was reported that drills are completed. Staff were not able to provide precise dates but recalled then fire drill was completed each month. The emergency drill log reflects a fire drill was completed every month with the date, time, number of staff, and number of children present. Based on the above information the allegation was unconfirmed. Based on the allegation regarding that an administrator is not present during operational hours. I reviewed staff timecard records, interviewed the administrator and staff. It was reported that the administrator of record Y. Brickhouse, works part time in the facility and the owner works in an administrative role by supporting staff, completing the required paperwork, and other administrative duties in her absence. It was reported that the number of hours Y. Brickhouse is on-site varies, but T. Barnes is on-site four days per week. It was reported that Ms. Barnes is present in the facility three days per week, 9:00 am to 6:00 pm with a two hour break and one day per week 9:00am to 2:00 pm. Based on the above information, the allegation was unconfirmed. Based on the allegation regarding staff may be impaired while caring for children, I completed observations and interviewed staff. No staff where visually impaired or no emitted an odor of drugs or alcohol. All staff interviewed reported they had not witnessed any staff that may be considered impaired and they had no concerns about the staff’s ability to care for children. Based on the above information the allegation was unconfirmed. The following violation was observed. Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. Children’s attendance records reflect that on January 5, 2026, there were eight children, one year of age to twelve years of age present after 5:00 pm, timecards reflect there was one staff member present. Attendance records show on January 8, 2026, there were ten children present, one year of age to twelve years of age after 5:00 pm with one staff member, per staff timecards. 10A NCAC 09 .2818 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 February 19, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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 will be conducted. Mail or email the information to: LeShaunda McCotter, Child Care Consultant PO Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Staff/Child Ratio- Staff-child ratio refers to the maximum number of children who may be supervised by one staff member. Children’s attendance records reflect that on January 5, 2025, there were eight children, one year of age to twelve years of age present after 5:00 pm, timecards reflect there was one staff member present. Attendance records show on January 8, 2026, there were ten children present, one year of age to twelve years of age after 5:00 pm with one staff member, per staff timecards. You reported there was at least one staff member present at the time, but a time care was not available, and you could not confirm you were present at that time. You shared you have begun documenting your time present at the center on a timecard since January 22, 2026. Staffing changes have been made sine January 14, 2026 and there are enough staff to maintain ratios at all time. You also shared that staff members may not leave at their assigned time if it will leave the class out of ratio. An example would be if a staff member is scheduled to leave at 5:00 pm they may leave at 5:45 pm to maintain ratios. A violation was documented for failure to maintain compliance with staff/child ratio requirements. Violations of this nature directly impact the safety of the children while in your care. In addition, these types of violations have the greatest negative impact on your compliance history. During the visit, we discussed that repeated violations of this nature during consecutive visits may lead to an administrative action against your license. A follow-up visit may be conducted in the near future to monitor compliance with child care requirements. Consultation: Administrator Requirements- Per child care rule .0714, a facility with a licensed capacity of 50 is required to have a child care administrator on-site for twenty-five (25) hours per week. It was reported that the administrative duties are shared between Y. Brickhouse and T. Barnes, owner. We spoke about documenting the hours each of you are on-site. During today’s visit you provided me with a Preserved Requirements for Administrator of a Child Care Center form for T. Barnes. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: LITTLE LEADERS LEARNING CENTER LLC Facility ID: 74000928 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 8/6/2025 Number Present: 20 Completed Date: 8/6/2025 Age: From 0 To 8 Total Minutes: 274 Time In: 09:06 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance. T. Barnes, owner assisted me with the visit. Your program currently operates with a four-star license, issued 1/7/24. The last annual compliance visit was conducted 9/5/23. The sanitation inspection was completed 3/17/25 with a “Superior” classification. The last fire inspection was conducted 8/27/24 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent as of 8/5/25. The NC Secretary of State website was reviewed on 8/5/25 and Loving Arms Family Home Child Care Center LLC was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and the facility email address was updated. Contact me if you need to make any other changes to your contact information, e.g., phone numbers, mailing address. All indoor and outdoor spaces were monitored. Four groups of children were observed in the indoor and outdoor learning environments. Children enrolled in space #1 engaged in outdoor free play. A mat was laid on the grass for children to crawl freely. Children enrolled in spaces #2, #3, and #4 participated in personal care need, whole group activities, and indoor and outdoor free play. Staff were observed reading stories, assisting the children with activities and engaging in conversations with the children. Proper handwashing was observed. Lunch was observed and consisted of ham and cheese sandwiches, green beans, blueberries, and milk. Violation Number Comment Rule 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Documentation of a playground inspection for January 2025, April 2025, and June 2025 was not on file for review. .0605(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff employed on 3/17/23 and 5/23/25 did not complete 16 hour of orientation within the first 6 weeks of employment. .1101(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last documented emergency drill was a shelter-in-place drill dated 4/30/25. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff employed on 1/20/25 did not have a training certificate on file for review. .1102(g) 9995 A violation was found for which there is no item number. There is peeling paint on the ceiling of the bathroom off of space #4. This is a violation of the sanitation requirement 15A NCAC 18A .2825(a). Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 8/20/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Recognizing and Responding to Suspicions of Child Maltreatment Training- Recognizing and Responding to Suspicions of Child Maltreatment Training must be completed within the first 90 days of employment. Staff employed on 1/20/25 did not have a training certificate to the training on file. You shared there was a misunderstanding about the training requirement following information received about orientation. You shared with me that you trained the staff on Recognizing and Responding to Suspicions of Child Maltreatment using materials that you had gathered from PreventChildAbuseNC.org. We discussed the difference between in-house training and being trained by a certified trainer. You were able to get the staff to begin the training during the visit. Present the training certificate with your compliance letter. Staff Orientation- Staff employed on 3/7/23 completed 16 hours of orientation on 5/17/23 and staff employed on 5/23/25 completed orientation on 7/8/25. You reported that you documented when the training was complete and since then you have worked on reorganizing your orientation process. Emergency Drills- You must conduct either a shelter-in-place or a lockdown drill every three months to ensure everyone knows what to do and where to go in the case of an emergency. The last shelter-in-place drill was documented on 4/20/25. You stated you had miscalculated and thought the next drill was due in the month of August. We talked about tracking drills and setting reminders. You may use a desk calendar, digital reminder, or both to help you keep track of the drills. Safe Indoor Inspections- - Regular outdoor inspections are critical to prevent deterioration of equipment and accumulation of hazardous materials within the play site, and to ensure that appropriate repairs are made as soon as possible. At least one inspection must be documented and filed each month. You reported that you had recently done some rearranging and moved the file containing the outdoor inspections. You believe the outdoor inspections for January 2025, April 2025, and June 2025 were misplaced during that transition. We discussed having a standard location for the inspection documents and placing the papers in a pronged folder or notebook to reduce the risk of the paper falling out of the file. Peeling Paint- Environments should ensure safety, promote health, provide comfort and be convenient for children and caregivers. You reported you noticed the peeling paint on the bathroom ceiling on 8/4/25 and had noted to get it taken care of but hadn’t made contact with a repair person to take care of it. During the visit, you were able to contact someone to inspect it and make repairs over when the facility is closed. When you notice repairs are needed, prioritize getting them inspected and repaired immediately. If needed you may need to restructure your operations to keep children from having access to hazards. Provide photos of the ceiling after repairs are made. Reminders: Be knowledgeable of the child care laws and rules, review the with your center staff, and assist your staff with maintaining compliance with the laws and rules. The most recent version of laws and rules regarding child care facilities in North Carolina are available on the DCDEE website, https://ncchildcare.ncdhhs.gov/. Download a copy of the Item Number Listing which can be used as a checklist for your program. The “What’s New” tab on the DCDEE website has new, trending information. Pathways to the Stars Informational Session- There are upcoming information sessions about the transition to the Pathways to the Stars. Please save the date and attend a session: August 18, 2025, at 1:00 pm and August 20, 2025, at 6:30 pm. The links to the meeting will be shared soon so please check your email for upcoming information. The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0601 · Violation

Name of Operation: LITTLE LEADERS LEARNING CENTER LLC Facility ID: 74000928 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 2/12/2025 Number Present: 14 Completed Date: 2/12/2025 Age: From 1 To 4 Total Minutes: 193 Time In: 09:12 AM Time Out: 12:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. T. Barnes, owner, assisted me with today’s visit. Your program currently operates with a four-star license, issued 1/7/24, earning 5 points in the education component, 4 points in the program standards component (meeting enhanced ratios and space) and 1 quality point for the programmatic option of staff benefits package and infrastructure of parent involvement. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety five percent as of 2/11/25. The NC Secretary of State website was reviewed on 2/11/25 and Loving Arms Family Home Child Care Center LLC was listed as current- active. The license was posted, and the restrictions were in compliance. Three groups of children were observed in the indoor learning environment. Children enrolled in spaces #1 and #2 engaged in free play with balls, block, and trucks. Teachers moved about the space assisting children as they play. Proper handwashing was observed. Children in space #3 gathered on the carpet with the teacher for group time. Children discussed Valentine’s Day. Materials for a Valentine’s craft sat on the shelf for use during small group time. Files for new staff were reviewed. Fire and sanitation inspections have not occurred since the last visit and remain current. The following violations were observed. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Mildew was growing on the railing of the porches on outdoor spaces #1 and #2 as well as the play house on outdoor space #2. 10A NCAC 09 .0601(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Written authorization for one ProAir HFA inhaler was not on file for a child enrolled in space #3. 10A NCAC 09 .0803(1)(a & b) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Documentation of orientation for staff employed on 1/20/25, reflect the completion of five (5) clock hours of training on the require topics. .1101(a)(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 2/26/24, 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: LeShaunda McCotter, Child Care Consultant PO Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance: Medication Authorization-Administering medication requires skill, knowledge and careful attention to detail. Parents must give a caregiver/teacher written authorization to administer medication to the child. Today there was one ProAir HFA inhaler that did not have an authorization form on file for review. You stated you thought the medical action form on file met the requirement. You were able to provide a copy of the authorization form to the family to complete. When accepting medications, ensure an authorization form is on file. Review the forms prior to filing them to ensure you have a clear understanding of when, how, and how often to administer the medication. Outdoor safety - High humidity can promote growth of mold, mildew, and other biological agents that can cause eye, nose, and throat irritation and may trigger asthma episodes in people with asthma. Mildew was growing on the railing of the porches on outdoor spaces #1 and #2 as well as the play house on outdoor space #2. You stated you typically have it pressure washed in the spring but could get it done earlier. The program conducts daily outdoor play inspections prior to being used by the children. It is important to immediately treat mildew when observed during inspections. Orientation- Employee orientation is the process of introducing newly hired employees to their new workplace. It provides the basic organizational information employees need to feel prepared for their new role within the facility. Staff employed on 1/20/25 received five (5) hours of orientation, on the required topics within the first two weeks of employment. We discussed your orientation process. You shared you completed orientation with the staff in the office and with observations and hands-on experiences in the classroom. We discussed organizing your orientation process to ensure you are providing consistent orientation from one staff to the next. Effective employee orientation makes employees aware of company policies and expectations, handles essential paperwork, and answers any questions or concerns they may have before they transition into their new positions. Additional Comments: Staff/Child Interactions- One of the best ways children learn is through hands on experience. Children need to develop their reasoning skills, this is achieved through asking and answering questions. There are no specific responses or knowledge expected from the children. Use real events and experiences to encourage children to reason and notice/apply logical concepts. Examples of logical concepts include similarities/differences, matching, sequencing, and cause and effect. For example, ask “Why are there shadows on the playground today, but not inside?” or “Why does the sand get stuck in the funnel?” or “is there a difference between wet and dry sand?” These types of open-ended questions will allow the children to develop an answer and give reasons to justify their thinking, therefore deepening their reasoning skills. Visit NCRLAP.org for more resources under Thinking More About Language and Interactions. Raise NC Newsletters- Stay informed by subscribing to the weekly Raise NC Newsletters. The newsletters include updates on policies, programs and resources. It also highlights stories of local families, providers, and community leaders and showcases the impact of early care and learning across the state of North Carolina. Subscribe today by visiting https://ncchildcare.ncdhhs.gov/. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: LITTLE LEADERS LEARNING CENTER LLC Facility ID: 74000928 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 2/12/2025 Number Present: 14 Completed Date: 2/12/2025 Age: From 1 To 4 Total Minutes: 193 Time In: 09:12 AM Time Out: 12:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. T. Barnes, owner, assisted me with today’s visit. Your program currently operates with a four-star license, issued 1/7/24, earning 5 points in the education component, 4 points in the program standards component (meeting enhanced ratios and space) and 1 quality point for the programmatic option of staff benefits package and infrastructure of parent involvement. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety five percent as of 2/11/25. The NC Secretary of State website was reviewed on 2/11/25 and Loving Arms Family Home Child Care Center LLC was listed as current- active. The license was posted, and the restrictions were in compliance. Three groups of children were observed in the indoor learning environment. Children enrolled in spaces #1 and #2 engaged in free play with balls, block, and trucks. Teachers moved about the space assisting children as they play. Proper handwashing was observed. Children in space #3 gathered on the carpet with the teacher for group time. Children discussed Valentine’s Day. Materials for a Valentine’s craft sat on the shelf for use during small group time. Files for new staff were reviewed. Fire and sanitation inspections have not occurred since the last visit and remain current. The following violations were observed. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Mildew was growing on the railing of the porches on outdoor spaces #1 and #2 as well as the play house on outdoor space #2. 10A NCAC 09 .0601(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Written authorization for one ProAir HFA inhaler was not on file for a child enrolled in space #3. 10A NCAC 09 .0803(1)(a & b) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Documentation of orientation for staff employed on 1/20/25, reflect the completion of five (5) clock hours of training on the require topics. .1101(a)(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 2/26/24, 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: LeShaunda McCotter, Child Care Consultant PO Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance: Medication Authorization-Administering medication requires skill, knowledge and careful attention to detail. Parents must give a caregiver/teacher written authorization to administer medication to the child. Today there was one ProAir HFA inhaler that did not have an authorization form on file for review. You stated you thought the medical action form on file met the requirement. You were able to provide a copy of the authorization form to the family to complete. When accepting medications, ensure an authorization form is on file. Review the forms prior to filing them to ensure you have a clear understanding of when, how, and how often to administer the medication. Outdoor safety - High humidity can promote growth of mold, mildew, and other biological agents that can cause eye, nose, and throat irritation and may trigger asthma episodes in people with asthma. Mildew was growing on the railing of the porches on outdoor spaces #1 and #2 as well as the play house on outdoor space #2. You stated you typically have it pressure washed in the spring but could get it done earlier. The program conducts daily outdoor play inspections prior to being used by the children. It is important to immediately treat mildew when observed during inspections. Orientation- Employee orientation is the process of introducing newly hired employees to their new workplace. It provides the basic organizational information employees need to feel prepared for their new role within the facility. Staff employed on 1/20/25 received five (5) hours of orientation, on the required topics within the first two weeks of employment. We discussed your orientation process. You shared you completed orientation with the staff in the office and with observations and hands-on experiences in the classroom. We discussed organizing your orientation process to ensure you are providing consistent orientation from one staff to the next. Effective employee orientation makes employees aware of company policies and expectations, handles essential paperwork, and answers any questions or concerns they may have before they transition into their new positions. Additional Comments: Staff/Child Interactions- One of the best ways children learn is through hands on experience. Children need to develop their reasoning skills, this is achieved through asking and answering questions. There are no specific responses or knowledge expected from the children. Use real events and experiences to encourage children to reason and notice/apply logical concepts. Examples of logical concepts include similarities/differences, matching, sequencing, and cause and effect. For example, ask “Why are there shadows on the playground today, but not inside?” or “Why does the sand get stuck in the funnel?” or “is there a difference between wet and dry sand?” These types of open-ended questions will allow the children to develop an answer and give reasons to justify their thinking, therefore deepening their reasoning skills. Visit NCRLAP.org for more resources under Thinking More About Language and Interactions. Raise NC Newsletters- Stay informed by subscribing to the weekly Raise NC Newsletters. The newsletters include updates on policies, programs and resources. It also highlights stories of local families, providers, and community leaders and showcases the impact of early care and learning across the state of North Carolina. Subscribe today by visiting https://ncchildcare.ncdhhs.gov/. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: LITTLE LEADERS LEARNING CENTER LLC Facility ID: 74000928 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 2/12/2025 Number Present: 14 Completed Date: 2/12/2025 Age: From 1 To 4 Total Minutes: 193 Time In: 09:12 AM Time Out: 12:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. T. Barnes, owner, assisted me with today’s visit. Your program currently operates with a four-star license, issued 1/7/24, earning 5 points in the education component, 4 points in the program standards component (meeting enhanced ratios and space) and 1 quality point for the programmatic option of staff benefits package and infrastructure of parent involvement. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety five percent as of 2/11/25. The NC Secretary of State website was reviewed on 2/11/25 and Loving Arms Family Home Child Care Center LLC was listed as current- active. The license was posted, and the restrictions were in compliance. Three groups of children were observed in the indoor learning environment. Children enrolled in spaces #1 and #2 engaged in free play with balls, block, and trucks. Teachers moved about the space assisting children as they play. Proper handwashing was observed. Children in space #3 gathered on the carpet with the teacher for group time. Children discussed Valentine’s Day. Materials for a Valentine’s craft sat on the shelf for use during small group time. Files for new staff were reviewed. Fire and sanitation inspections have not occurred since the last visit and remain current. The following violations were observed. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Mildew was growing on the railing of the porches on outdoor spaces #1 and #2 as well as the play house on outdoor space #2. 10A NCAC 09 .0601(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Written authorization for one ProAir HFA inhaler was not on file for a child enrolled in space #3. 10A NCAC 09 .0803(1)(a & b) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Documentation of orientation for staff employed on 1/20/25, reflect the completion of five (5) clock hours of training on the require topics. .1101(a)(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 2/26/24, 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: LeShaunda McCotter, Child Care Consultant PO Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance: Medication Authorization-Administering medication requires skill, knowledge and careful attention to detail. Parents must give a caregiver/teacher written authorization to administer medication to the child. Today there was one ProAir HFA inhaler that did not have an authorization form on file for review. You stated you thought the medical action form on file met the requirement. You were able to provide a copy of the authorization form to the family to complete. When accepting medications, ensure an authorization form is on file. Review the forms prior to filing them to ensure you have a clear understanding of when, how, and how often to administer the medication. Outdoor safety - High humidity can promote growth of mold, mildew, and other biological agents that can cause eye, nose, and throat irritation and may trigger asthma episodes in people with asthma. Mildew was growing on the railing of the porches on outdoor spaces #1 and #2 as well as the play house on outdoor space #2. You stated you typically have it pressure washed in the spring but could get it done earlier. The program conducts daily outdoor play inspections prior to being used by the children. It is important to immediately treat mildew when observed during inspections. Orientation- Employee orientation is the process of introducing newly hired employees to their new workplace. It provides the basic organizational information employees need to feel prepared for their new role within the facility. Staff employed on 1/20/25 received five (5) hours of orientation, on the required topics within the first two weeks of employment. We discussed your orientation process. You shared you completed orientation with the staff in the office and with observations and hands-on experiences in the classroom. We discussed organizing your orientation process to ensure you are providing consistent orientation from one staff to the next. Effective employee orientation makes employees aware of company policies and expectations, handles essential paperwork, and answers any questions or concerns they may have before they transition into their new positions. Additional Comments: Staff/Child Interactions- One of the best ways children learn is through hands on experience. Children need to develop their reasoning skills, this is achieved through asking and answering questions. There are no specific responses or knowledge expected from the children. Use real events and experiences to encourage children to reason and notice/apply logical concepts. Examples of logical concepts include similarities/differences, matching, sequencing, and cause and effect. For example, ask “Why are there shadows on the playground today, but not inside?” or “Why does the sand get stuck in the funnel?” or “is there a difference between wet and dry sand?” These types of open-ended questions will allow the children to develop an answer and give reasons to justify their thinking, therefore deepening their reasoning skills. Visit NCRLAP.org for more resources under Thinking More About Language and Interactions. Raise NC Newsletters- Stay informed by subscribing to the weekly Raise NC Newsletters. The newsletters include updates on policies, programs and resources. It also highlights stories of local families, providers, and community leaders and showcases the impact of early care and learning across the state of North Carolina. Subscribe today by visiting https://ncchildcare.ncdhhs.gov/. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: LITTLE LEADERS LEARNING CENTER LLC Facility ID: 74000928 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 8/21/2024 Number Present: 18 Completed Date: 8/21/2024 Age: From 0 To 6 Total Minutes: 258 Time In: 08:57 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance with rated license visit. T. Barnes, owner assisted me with the visit. Your program currently operates with a four-star license, issued 1/7/24. The last annual compliance visit was conducted 9/5/23. The sanitation inspection was completed 5/31/24 with a “Superior” classification. The last fire inspection was conducted 8/7/23 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-four percent as of 8/20/24. The NC Secretary of State website was reviewed on 8/20/24 and Loving Arms Family Home Child Care Center LLC was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and the facility email address was updated. Contact me if you need to make any other changes to your contact information, e.g., phone numbers, mailing address. All indoor and outdoor spaces were monitored. Four groups of children were observed in the indoor and outdoor learning environments. Children enrolled in space #3 were seated at the tables, engaging with table top manipulatives. The group later transition to whole group where they discussed transportation, sang the alphabet song, and count to twenty. Children enrolled in space #2 sat around their teacher on the floor, singing songs and listening to a story during group time. The group then transisitoned to the outdoor space with the children enrolled in space #1. The groups moved freely around the space, climbing on the portable climber, riding on the rocking horse and playing with sand toys in the sand table. Children enrolled in space #4 play in the outdoor space with the sidewalk chalk, the sand table and on stationary play equipment. Teachers were observed moving about the spaces, engaging with the children through singing, conversation and play. A fire drill was completed during the visit. Lunch was observed and consist of chicken tenders, green beans, applesauce, bread and milk. The following violations were documented. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection is dated 8/7/23. 10A NCAC 09 .0304(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. Staff employed 9/5/23 did not have verification of First Aid training on file for review. .1102(c) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 9/4/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: First Aid Training- All staff members are required to obtain CPR and First Aid certification and keep it current. Renewing this certification is crucial for staff to be refreshed in first aid and other lifesaving techniques as well as receive the most up to date information. Staff employed 9/5/23 did not have a training certificate or certification card on file for First Aid training. The staff completed BLS (Basic Life Support) training that satisfies the CPR requirement. You stated it was an oversite and you will contact the trainer to verify the training was completed or have the staff register for a First Aid training. Today we reviewed the “Be A Smart Consumer of First Aid and CPR” on the divisions website and I shared with you how to determine if the course satisfies the First Aid requirement. Visit https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training for a list of approved agencies and to verify the approved courses. Provide a copy of the training certificate or certification card with your compliance letter. Fire Inspection- First inspections must be obtained annually and prior to the expiration of the previous fire inspection. Your last fire inspection was on August 7, 2023.You reported that contacted the company to inspect the fire system in July and the earliest available date was 8/21/24. The fires system inspection was completed, and you have contacted the local fire marshal to schedule an inspection during the visit. Contact the inspectors 30 to 45 days prior to the expiration of the previous inspection to schedule a new inspection. Please provide a copy of the inspection to DCDEE within one week of the completed inspection. Reminders: The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. Be knowledgeable of the child care laws and rules, review the with your center staff, and assist your staff with maintaining compliance with the laws and rules. The most recent version of laws and rules regarding child care facilities in North Carolina are available on the DCDEE website, https://ncchildcare.ncdhhs.gov/. Download a copy of the Item Number Listing which can be used as a checklist for your program. The “What’s New” tab on the DCDEE website has new, trending information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: LITTLE LEADERS LEARNING CENTER LLC Facility ID: 74000928 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 8/21/2024 Number Present: 18 Completed Date: 8/21/2024 Age: From 0 To 6 Total Minutes: 258 Time In: 08:57 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance with rated license visit. T. Barnes, owner assisted me with the visit. Your program currently operates with a four-star license, issued 1/7/24. The last annual compliance visit was conducted 9/5/23. The sanitation inspection was completed 5/31/24 with a “Superior” classification. The last fire inspection was conducted 8/7/23 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-four percent as of 8/20/24. The NC Secretary of State website was reviewed on 8/20/24 and Loving Arms Family Home Child Care Center LLC was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and the facility email address was updated. Contact me if you need to make any other changes to your contact information, e.g., phone numbers, mailing address. All indoor and outdoor spaces were monitored. Four groups of children were observed in the indoor and outdoor learning environments. Children enrolled in space #3 were seated at the tables, engaging with table top manipulatives. The group later transition to whole group where they discussed transportation, sang the alphabet song, and count to twenty. Children enrolled in space #2 sat around their teacher on the floor, singing songs and listening to a story during group time. The group then transisitoned to the outdoor space with the children enrolled in space #1. The groups moved freely around the space, climbing on the portable climber, riding on the rocking horse and playing with sand toys in the sand table. Children enrolled in space #4 play in the outdoor space with the sidewalk chalk, the sand table and on stationary play equipment. Teachers were observed moving about the spaces, engaging with the children through singing, conversation and play. A fire drill was completed during the visit. Lunch was observed and consist of chicken tenders, green beans, applesauce, bread and milk. The following violations were documented. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection is dated 8/7/23. 10A NCAC 09 .0304(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. Staff employed 9/5/23 did not have verification of First Aid training on file for review. .1102(c) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 9/4/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: First Aid Training- All staff members are required to obtain CPR and First Aid certification and keep it current. Renewing this certification is crucial for staff to be refreshed in first aid and other lifesaving techniques as well as receive the most up to date information. Staff employed 9/5/23 did not have a training certificate or certification card on file for First Aid training. The staff completed BLS (Basic Life Support) training that satisfies the CPR requirement. You stated it was an oversite and you will contact the trainer to verify the training was completed or have the staff register for a First Aid training. Today we reviewed the “Be A Smart Consumer of First Aid and CPR” on the divisions website and I shared with you how to determine if the course satisfies the First Aid requirement. Visit https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training for a list of approved agencies and to verify the approved courses. Provide a copy of the training certificate or certification card with your compliance letter. Fire Inspection- First inspections must be obtained annually and prior to the expiration of the previous fire inspection. Your last fire inspection was on August 7, 2023.You reported that contacted the company to inspect the fire system in July and the earliest available date was 8/21/24. The fires system inspection was completed, and you have contacted the local fire marshal to schedule an inspection during the visit. Contact the inspectors 30 to 45 days prior to the expiration of the previous inspection to schedule a new inspection. Please provide a copy of the inspection to DCDEE within one week of the completed inspection. Reminders: The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. Be knowledgeable of the child care laws and rules, review the with your center staff, and assist your staff with maintaining compliance with the laws and rules. The most recent version of laws and rules regarding child care facilities in North Carolina are available on the DCDEE website, https://ncchildcare.ncdhhs.gov/. Download a copy of the Item Number Listing which can be used as a checklist for your program. The “What’s New” tab on the DCDEE website has new, trending information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: LITTLE LEADERS LEARNING CENTER LLC Facility ID: 74000928 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: 0424-183L Visit Date: 4/24/2024 Number Present: 13 Completed Date: 4/24/2024 Age: From 0 To 5 Total Minutes: 93 Time In: 09:57 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The allegations are as follows: There are concerns that infants are being placed in the same classroom with older children for several hours. There are concerns of inadequate supervision when providers are leaving the room during nap time to take breaks with results of children being injured by other children. There are concerns of nurture/care when providers are holding children down for nap time so they can stay down and not get up. There are concerns related to nutrition when children are being denied food or drinks. There are concerns of sanitation/health when children are being left in soiled diapers for extended times. There are concerns of rough handling. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions, and the outdoor environment were monitored. Files for new staff were reviewed and contained all required information. Three groups of children were observed. I observed children enrolled in classroom spaces #1, #2, and #3 transitioned from the outdoor space to indoor small group and free play activities. Children in space #2 and #3 sat at child sized tables engaged an art activity with paper and crayons. Teachers stood near the children, assisting with the activity. Proper handwashing techniques were observed. Regarding concerns that infants are being placed in the same classroom with older children for several hours, attendance records, sign-in and out sheets, and video footage were reviewed, and staff interviews and observations were conducted. Sign-in and out sheets and attendance records show children are only present in their assigned space. Video footage show children arriving after their classroom teacher was present and they entered their assigned classroom for the duration of their attendance. Based on the above information, this allegation is unconfirmed. Regarding concerns of inadequate supervision when providers are leaving the room during nap time to take breaks with results of children being injured by other children. Video footage was reviewed, staff were interviewed, and observations were conducted. There was video footage showing one, three years of age was left unattended in the bathroom for three minutes. Based on the above information, this allegation is confirmed. Regarding concerns of nurture/care when providers are holding children down for nap time so they can stay down and not get up, camera footage was reviewed, staff were interviewed, and classroom observations were conducted. Staff were observed redirecting children. Teacher used soft voice tones when talking to the children. During rest time, teachers sat next to children that were not sleeping, talking to them and patting their backs to sooth them. Staff reported when children do not sleep they rub or pat children’s backs or rock them. It was also reported that children that do not sleep are allowed to sit on their cots or the table with quiet toys. Based on the above information, this allegation is unconfirmed. Regarding concerns related to nutrition when children are being denied food or drinks. Staff were interviewed, video footage was reviewed, classroom observations were conducted. I also reviewed the menu and observed the kitchen space. It was reported that children received breakfast, lunch, and snack. If a child comes in between breakfast and lunch and are hungry, the center provides the child with a snack. Water is offered after outside play. It was reported that food is never withheld from children and children are offered second servings at meal times if they want it. Lunch and snack were observed, and the child nutrition guidelines were followed. Based on the above information, this allegation is unconfirmed. Regarding concerns of sanitation/health when children are being left in soiled diapers for extended times, classroom observations and staff interviews were conducted and video footage reviewed. Diaper changes were observed and all steps were followed. Diaper changes were documented on a whiteboard in the classroom and in the Brightwheel app. Children were check or changed at least every two hours unless they are asleep. Proper handwashing techniques were observed throughout the facility. Children slept on individual cots with their own linens. It was reported the linens of infants are laundered daily and the linens of children ages one to five years are laundered weekly or when soiled. Based on the above information, this allegation is unconfirmed. Regarding concerns of rough handling, classroom observations and staff interviews were conducted and video footage reviewed. When staff moved children by picking children up, under the arms and playing them gently on the floor. The staff used soft touches when patting them on their backs to sooth them during rest time. No instances of rough handling was reported. Based on the above information, this violation is unconfirmed. The following violation was documented. Violation Number Comment Rule 303 Children were not adequately supervised at all times. One child, three years of age, was left unattended in the bathroom for three minutes. .1801(a)(1-5) 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 8, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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: LeShaunda McCotter, Child Care Consultant PO Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance with violations documented: Supervision- Children must be supervised at all times to ensure their safety. Video footage show one child in the bathroom unattended for three minutes. Technical assistance was also provided today regarding supervision of toileting and handwashing routines, as the children’s restrooms are located in the hallway outside of the classroom. We discussed that staff members must be able to see and hear children while they are in the restrooms, and if this is not possible then one staff member must take a group of children to the restroom so that neither staff member is responsible for more children than ratios allow. Staff must position themselves to have supervision of all children in care. When available, having additional staff come in to support the classroom teacher during transitions. A violation was documented for failure to maintain compliance with supervision requirements. Violations of this nature directly impact the safety of the children while in your care. In addition, these types of violations have the greatest negative impact on your compliance history. During the visit, we discussed that repeated violations of this nature during consecutive visits may lead to an administrative action against your license. A follow up visit may be conducted in the near future to monitor compliance with child care requirements. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at, 252-751-8634, Lesunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0601 · Violation

Name of Operation: LITTLE LEADERS LEARNING CENTER LLC Facility ID: 74000928 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 9/5/2023 Number Present: 13 Completed Date: 9/5/2023 Age: From 0 To 4 Total Minutes: 289 Time In: 09:06 AM Time Out: 01:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance with rated license visit. T. Barnes, owner assisted me with the visit. Your program currently operates with a special provisional license, issued 7/6/2023. The last temporary time period visit was conducted 4/5/23. The sanitation inspection was completed 2/10/23 with a “Superior” classification. The last fire inspection was conducted 8/7/23 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-four percent as of 8/31/23. The NC Secretary of State website was reviewed on 8/31/23 and LOVING ARMS FAMILY HOME CHILD CARE CENTER LLC was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Today I updated the administrator’s information. Contact me if you need to make any other changes to your contact information, e.g., phone numbers, mailing address. I visited indoor and outdoor spaces. Children enrolled in space #3 were sitting in child sized chairs for morning group. Children enrolled in space #2 were observed transitioning from the outdoor space, handwashing and diapering were observed. Children in space #1 sat with the teacher on the floor. The teacher used soft tones and appropriate language to comfort the children. Lunch was consisted of fish sticks, corn, sweet peas, pears, wheat bread and milk. The following violations were documented. Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In space #2 four of eight children washed their hands after outdoor play. 15A NCAC 18A .2803(c) 807 A safe indoor and outdoor environment was not provided for the children. A piece of the roof of the shelter in outdoor space #1 was broken. In outdoor space #2 there was ant hill near the sandbox and near the bike track. 10A NCAC 09 .0601(a) 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. Today one child enrolled on 1/5/23 and have an immunization record on file dated 4/3/23. 10A NCAC 09 .0302(d)(2) 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 September 19, 2023 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Megan Brown, Child Care Consultant PO BOX 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Rated License Information: You submitted your application for assessment for a Two through Five Star Rated License on February 3, 2023. Education – Points are earned based on the lowest level of education for any one position. The administrator has Level 3 Administrator Credentrial and 8 years of experience. The program coordinator has the North Carolina Early Childhood Credential (NCECC) + 26 semester hours (sh) in early childhood (ec), has 10 yrs experience. You have three lead teachers, one teacher, and a group leader. Based on your staff’s education your program is eligible for one point in education. We discussed hiring additional staff and the required education needed to be eligible for additional points in the education component. Notify me when you acquire new staff to request a reevaluation of your staff’s education. Program Standards –The Environment Rating Scales was conducted at your facility on 2/27/23 and 3/9/23. The scores achieved were ITERS-R – 4.55, ECERS-R- 4.49, and SACERS-U- 4.63. The overall averages score was 4.56. Therefore, you are eligible for 4 points in program standards. Quality Point – You have chosen to meet Programmatic Option: Having a staff benefits package and an infrastructure of parent involvement. Therefore, your facility is eligible for 1 Quality Point. Technical assistance was provided on the following: Handwashing: Handwashing is the single most important line of defense in preventing the transmission of disease-causing organisms. Children should wash their hands upon arrival at the center, after each visit to the toilet, before eating, after eating, before and after water play, after outside play, and/or after handling animals or animal cages. In space #2 four out of eight children were observed washing their hands after outdoor play. We discussed handwashing and reminding staff of handwashing routines. Outdoor Environment: The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. There were several ant hills in outdoor space #2 and in space #1 the wood ceiling is damaged and hanging from the shelter. We discussed treating the outdoor often for ants and removing or replacing the roof of the shelter. Children’s Files: Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Organization and completeness of records is important to ensure easy access to information in emergency situations. Within in 30 days of enrollment a child must have a must have an immunization record on file. Today one child enrolled on 1/5/23 and have an immunization record on file dated 4/3/23. You stated that this was an update for the child, however you were unable to locate the original immunization record during today’s visit. Review children’s files often and use the centers children’s checklist to ensure you have all required documents within the specified timeframe. Reminders: A new July 2023 New Rule/Rule Amendments Overview module has been added to the Child Care Rules Training on DCDEE Moodle. If you are unfamiliar with the Child Care Rule Rollout within Moodle, you will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, register for an individual NCID at https://ncid.nc.gov/ncidsspr/.To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326 NCDHHS Children’s Environmental Health adopted new Child Care Sanitation Rules, effective July 1, 2023. The rules have been approved but have not yet been updated in the Administrative Code. Once updated, notification will be sent out via listserv. See the training presentation, new rules and other resources at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/children.htm. The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor contact 1-888-600-1685 option 1 or to submit a question visit https://docs.google.com/forms/d/e/1FAIpQLSc-4ADUCpoHc9MrxFvD15H12AwsNWbUtWEJRXW38q_41Y3hzA/viewform The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0302 · Violation

Name of Operation: LITTLE LEADERS LEARNING CENTER LLC Facility ID: 74000928 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 9/5/2023 Number Present: 13 Completed Date: 9/5/2023 Age: From 0 To 4 Total Minutes: 289 Time In: 09:06 AM Time Out: 01:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance with rated license visit. T. Barnes, owner assisted me with the visit. Your program currently operates with a special provisional license, issued 7/6/2023. The last temporary time period visit was conducted 4/5/23. The sanitation inspection was completed 2/10/23 with a “Superior” classification. The last fire inspection was conducted 8/7/23 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-four percent as of 8/31/23. The NC Secretary of State website was reviewed on 8/31/23 and LOVING ARMS FAMILY HOME CHILD CARE CENTER LLC was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Today I updated the administrator’s information. Contact me if you need to make any other changes to your contact information, e.g., phone numbers, mailing address. I visited indoor and outdoor spaces. Children enrolled in space #3 were sitting in child sized chairs for morning group. Children enrolled in space #2 were observed transitioning from the outdoor space, handwashing and diapering were observed. Children in space #1 sat with the teacher on the floor. The teacher used soft tones and appropriate language to comfort the children. Lunch was consisted of fish sticks, corn, sweet peas, pears, wheat bread and milk. The following violations were documented. Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In space #2 four of eight children washed their hands after outdoor play. 15A NCAC 18A .2803(c) 807 A safe indoor and outdoor environment was not provided for the children. A piece of the roof of the shelter in outdoor space #1 was broken. In outdoor space #2 there was ant hill near the sandbox and near the bike track. 10A NCAC 09 .0601(a) 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. Today one child enrolled on 1/5/23 and have an immunization record on file dated 4/3/23. 10A NCAC 09 .0302(d)(2) 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 September 19, 2023 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Megan Brown, Child Care Consultant PO BOX 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Rated License Information: You submitted your application for assessment for a Two through Five Star Rated License on February 3, 2023. Education – Points are earned based on the lowest level of education for any one position. The administrator has Level 3 Administrator Credentrial and 8 years of experience. The program coordinator has the North Carolina Early Childhood Credential (NCECC) + 26 semester hours (sh) in early childhood (ec), has 10 yrs experience. You have three lead teachers, one teacher, and a group leader. Based on your staff’s education your program is eligible for one point in education. We discussed hiring additional staff and the required education needed to be eligible for additional points in the education component. Notify me when you acquire new staff to request a reevaluation of your staff’s education. Program Standards –The Environment Rating Scales was conducted at your facility on 2/27/23 and 3/9/23. The scores achieved were ITERS-R – 4.55, ECERS-R- 4.49, and SACERS-U- 4.63. The overall averages score was 4.56. Therefore, you are eligible for 4 points in program standards. Quality Point – You have chosen to meet Programmatic Option: Having a staff benefits package and an infrastructure of parent involvement. Therefore, your facility is eligible for 1 Quality Point. Technical assistance was provided on the following: Handwashing: Handwashing is the single most important line of defense in preventing the transmission of disease-causing organisms. Children should wash their hands upon arrival at the center, after each visit to the toilet, before eating, after eating, before and after water play, after outside play, and/or after handling animals or animal cages. In space #2 four out of eight children were observed washing their hands after outdoor play. We discussed handwashing and reminding staff of handwashing routines. Outdoor Environment: The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. There were several ant hills in outdoor space #2 and in space #1 the wood ceiling is damaged and hanging from the shelter. We discussed treating the outdoor often for ants and removing or replacing the roof of the shelter. Children’s Files: Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Organization and completeness of records is important to ensure easy access to information in emergency situations. Within in 30 days of enrollment a child must have a must have an immunization record on file. Today one child enrolled on 1/5/23 and have an immunization record on file dated 4/3/23. You stated that this was an update for the child, however you were unable to locate the original immunization record during today’s visit. Review children’s files often and use the centers children’s checklist to ensure you have all required documents within the specified timeframe. Reminders: A new July 2023 New Rule/Rule Amendments Overview module has been added to the Child Care Rules Training on DCDEE Moodle. If you are unfamiliar with the Child Care Rule Rollout within Moodle, you will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, register for an individual NCID at https://ncid.nc.gov/ncidsspr/.To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326 NCDHHS Children’s Environmental Health adopted new Child Care Sanitation Rules, effective July 1, 2023. The rules have been approved but have not yet been updated in the Administrative Code. Once updated, notification will be sent out via listserv. See the training presentation, new rules and other resources at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/children.htm. The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor contact 1-888-600-1685 option 1 or to submit a question visit https://docs.google.com/forms/d/e/1FAIpQLSc-4ADUCpoHc9MrxFvD15H12AwsNWbUtWEJRXW38q_41Y3hzA/viewform The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: LITTLE LEADERS LEARNING CENTER LLC Facility ID: 74000928 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 9/5/2023 Number Present: 13 Completed Date: 9/5/2023 Age: From 0 To 4 Total Minutes: 289 Time In: 09:06 AM Time Out: 01:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance with rated license visit. T. Barnes, owner assisted me with the visit. Your program currently operates with a special provisional license, issued 7/6/2023. The last temporary time period visit was conducted 4/5/23. The sanitation inspection was completed 2/10/23 with a “Superior” classification. The last fire inspection was conducted 8/7/23 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-four percent as of 8/31/23. The NC Secretary of State website was reviewed on 8/31/23 and LOVING ARMS FAMILY HOME CHILD CARE CENTER LLC was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Today I updated the administrator’s information. Contact me if you need to make any other changes to your contact information, e.g., phone numbers, mailing address. I visited indoor and outdoor spaces. Children enrolled in space #3 were sitting in child sized chairs for morning group. Children enrolled in space #2 were observed transitioning from the outdoor space, handwashing and diapering were observed. Children in space #1 sat with the teacher on the floor. The teacher used soft tones and appropriate language to comfort the children. Lunch was consisted of fish sticks, corn, sweet peas, pears, wheat bread and milk. The following violations were documented. Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In space #2 four of eight children washed their hands after outdoor play. 15A NCAC 18A .2803(c) 807 A safe indoor and outdoor environment was not provided for the children. A piece of the roof of the shelter in outdoor space #1 was broken. In outdoor space #2 there was ant hill near the sandbox and near the bike track. 10A NCAC 09 .0601(a) 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. Today one child enrolled on 1/5/23 and have an immunization record on file dated 4/3/23. 10A NCAC 09 .0302(d)(2) 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 September 19, 2023 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Megan Brown, Child Care Consultant PO BOX 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Rated License Information: You submitted your application for assessment for a Two through Five Star Rated License on February 3, 2023. Education – Points are earned based on the lowest level of education for any one position. The administrator has Level 3 Administrator Credentrial and 8 years of experience. The program coordinator has the North Carolina Early Childhood Credential (NCECC) + 26 semester hours (sh) in early childhood (ec), has 10 yrs experience. You have three lead teachers, one teacher, and a group leader. Based on your staff’s education your program is eligible for one point in education. We discussed hiring additional staff and the required education needed to be eligible for additional points in the education component. Notify me when you acquire new staff to request a reevaluation of your staff’s education. Program Standards –The Environment Rating Scales was conducted at your facility on 2/27/23 and 3/9/23. The scores achieved were ITERS-R – 4.55, ECERS-R- 4.49, and SACERS-U- 4.63. The overall averages score was 4.56. Therefore, you are eligible for 4 points in program standards. Quality Point – You have chosen to meet Programmatic Option: Having a staff benefits package and an infrastructure of parent involvement. Therefore, your facility is eligible for 1 Quality Point. Technical assistance was provided on the following: Handwashing: Handwashing is the single most important line of defense in preventing the transmission of disease-causing organisms. Children should wash their hands upon arrival at the center, after each visit to the toilet, before eating, after eating, before and after water play, after outside play, and/or after handling animals or animal cages. In space #2 four out of eight children were observed washing their hands after outdoor play. We discussed handwashing and reminding staff of handwashing routines. Outdoor Environment: The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. There were several ant hills in outdoor space #2 and in space #1 the wood ceiling is damaged and hanging from the shelter. We discussed treating the outdoor often for ants and removing or replacing the roof of the shelter. Children’s Files: Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Organization and completeness of records is important to ensure easy access to information in emergency situations. Within in 30 days of enrollment a child must have a must have an immunization record on file. Today one child enrolled on 1/5/23 and have an immunization record on file dated 4/3/23. You stated that this was an update for the child, however you were unable to locate the original immunization record during today’s visit. Review children’s files often and use the centers children’s checklist to ensure you have all required documents within the specified timeframe. Reminders: A new July 2023 New Rule/Rule Amendments Overview module has been added to the Child Care Rules Training on DCDEE Moodle. If you are unfamiliar with the Child Care Rule Rollout within Moodle, you will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, register for an individual NCID at https://ncid.nc.gov/ncidsspr/.To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326 NCDHHS Children’s Environmental Health adopted new Child Care Sanitation Rules, effective July 1, 2023. The rules have been approved but have not yet been updated in the Administrative Code. Once updated, notification will be sent out via listserv. See the training presentation, new rules and other resources at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/children.htm. The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor contact 1-888-600-1685 option 1 or to submit a question visit https://docs.google.com/forms/d/e/1FAIpQLSc-4ADUCpoHc9MrxFvD15H12AwsNWbUtWEJRXW38q_41Y3hzA/viewform The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times