A Mother's Touch

10A NCAC 09 .1705 · Violation

Name of Operation: A Mother's Touch Facility ID: 26002603 Consultant: YOLANDA PRIDGEN Operation Type: Family CC Home Case Number: Visit Date: 6/10/2026 Number Present: 7 Completed Date: 6/10/2026 Age: From 3 To 4 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to an Annual Compliance with Rated License Assessment Visit including health and safety training requirements. The previous annual compliance visit was completed on June 18, 2025, and prior to today’s visit, the eighteen-month compliance history score was 98% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued November 21, 2025. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet a programmatic option of completion of a thirty (30) hour or longer business training as part of the BS in Child Care Administration degreed program at Purdue University. The information on record was verified as correct by Brook Fletcher and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspection is as follows: Sanitation Classification of Superior with zero demerits was completed on January 16, 2025. B. Fletcher, operator, accompanied me while observing the indoor and outdoor areas. Theresa Tyson, additional caregiver, and Janae Janae Malcolm, cook, were present. Seven (7) preschool-aged children ages 3 and 4 years old were present. In the designated child care spaces, children were observed creating sharks with paper plates, crayons, glue, construction paper, and popsicle sticks. Children completed hand washing as they prepared for outdoor play. In the outdoor area, children played on climbing equipment and ran around the yard chasing each other. Upon return indoors, children played with framed puzzles, zoo animals, toy vehicles, and unit blocks. For lunch the cook prepared and served meatballs in tomato sauce, yellow rice, carrots, sliced bananas, and milk. Following lunch, children completed toilet training and hand washing before resting on individual cots with clean linen. T. Tyson monitored children as they rested. Following naptime, children washed hands and were served crackers with sun butter and water. A checklist was used to note the requirements monitored during today’s visit. The Verification of Required Information for Operator and Additional Caregivers and Statements of Responsibility forms were completed during today’s visit. Three children’s files were monitored. The most recent monthly fire drill and outdoor inspection were completed on June 1, 2026. A quarterly shelter-in-place emergency drill was completed on April 2, 2026. At the completion of the visit, the Visit Summary was reviewed with B. Fletcher. No violations were observed. Violation Number Comment Rule 908 Health questionnaire was not completed annually. An annual health questionnaire for the cook was not on file. The violation was corrected when the cook completed the health questionnaire form and placed it in the employee's file. .1703(a)(1) 916 Operator did not maintain a record of on-going training in which he/she has participated. On-going training records for the operator and additional caregiver were not completed with current trainings received. 10A NCAC 09 .1705(b)(4)(C) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The operator and additional household members were not updated in ABCMS Provider Portal and a roster for the facility was not on file for review. G.S. 110-90.2 & .2703(r) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The EPR Plan did not include updated information. The Ready to Go File did not contain updated child's applications based on current children enrolled. .1714(d)(10) 1892 Application was not on file for each enrolled child, including his/her own preschool child(ren) who are not school-age. Child care applications for enrollment were not on file for three (3) children enrolled. .1721(a)(3) 1898 The medical action plan was not updated on an annual basis and when changes to the plan were made by child's parent or health care professional. A medical action plan dated April 30, 2025 was not updated annually and when information may have changed. .1721(a)(4) 1932 A clean and open area that allows freedom of movement was not provided for children, both indoors and outdoors. The shrubs on the property were over-grown and grass had not been cut making it difficult for children to move freely in the outdoor play area. .1718(a)(9) 1983 Children's special diets or food allergies were not posted in the food preparation area and/or in the child's eating area. Information of a child's known food allergy was not posted in the food preparation area and the child's eating area. .1706( e) 2047 Incident logs were not completed and maintained as required. Incident logs were not maintained on site and available for review. 10A NCAC 09 .1721(e)(4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on June 24, 2026, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Yolanda Pridgen Child Care Consultant P.O. Box 25561 Fayetteville, NC 28314 yolanda.pridgen@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Rated License Assessment: An Application for Assessment for a Rated License for a FCCH was received during today’s visit. The facility chose the Classroom and Instructional Quality Pathway. The following documents were reviewed and monitored for compliance today: • The facility meets no more than 4 children under the age of 24 months of the children who are birth – 5 years of age. • Family and Community Engagement Standards (FCCH) – Family and Community Engagement Foundational Practices and three additional options: C-1, EL-3, and EO-1. • Individual Continuous Quality Improvement (CQI) Professional Development (PD) Plan (FCCH). Goals were identified for each employee, time frame to achieve the goal, and steps to achieve the goal were documented on each plan. • The operator has obtained a Graduate degree in Early Childhood Education and has 20 years of experience in licensed child care. • Creative Curriculum and Teaching Strategies Gold Assessment is being used with children enrolled. Coaching and training opportunities for the operator was provided another licensed FCCH provider in Cumberland County. Documentation of coaching/training will be maintained on-site and available for review. Based on the information provided, the facility may be eligible for a five (5) Star License. The completed packet will be submitted for review and processing. A new license will be mailed directly to you and must be posted upon receipt. You must mail the old license to me once the new one is received, as it remains the property of the State of North Carolina. Facility Specific TA/Reminders: Medical Action Plan Requirements A violation was cited today for a child, with documented food allergies, not having a food allergy action plan on file or posted in the classroom. Allergic reactions to food can range from mild skin or gastrointestinal symptoms to severe, life-threatening reactions, such as anaphylaxis. Exposure to allergens may occur through contact between children or by contact with contaminated surfaces. Such contact should be minimized by washing children’s hands and faces and all surfaces that were in contact with food. Successful food avoidance requires a cooperative effort that must include the parents/guardians, child, child’s primary health care provider, and early care and education staff. During enrollment, parents should notate if their child has a food allergy on the application. When the application is reviewed by administrative staff, they should follow up with parents to obtain necessary medical documentation. When food allergies are noted on the application, a food allergy action plan will need to be completed by the child’s physician. One copy of the action plan will remain in the child’s file. Another copy of the action plan will need to be posted in the child’s classroom. More information on food allergies may be found on the Food Allergy Research & Education (FARE) website at www.foodallergy.org. More information about medical action plan requirements may be found in child care rule 10A NCAC 09 .1721(a)(4). EPR/Ready to Go File: A violation was cited for the Ready to Go File during today’s visit. All licensed ECE programs are required to have a Ready to Go File to ensure that all necessary information is available during an emergency. I provided a copy of the Ready to Go File Facility Checklist to you which can also be found on the DCDEE website underneath Provider Documents. You may find more information regarding EPR Plan and Ready to Go File in the NC Child Care Rules .1714(d)(10). NCDHHS Responds to Increase in Measles Cases: Measles is on the rise globally and in North Carolina. As a highly contagious, airborne disease, even one case is a major priority for public health. NCDHHS is taking action by launching new outreach resources for child care providers, families, and community stakeholders to help curb the spread. Child care providers can share information about vaccinations with the families served and be informed with the most current information. For more information and to access tools and resources, visit NCDHHS at dph.ncdhhs.gov/measles. Challenging Behaviors: Do you have children who bite? Do children struggle to focus during circle time? Do challenging behaviors cause difficult transitions? Do you spend all day managing behavior? Are you at your wits' end? Help is available for these and other behavior challenges! The Challenging Behaviors Hotline has opened and is provided for Free. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. Visit the DCDEE website (https://ncchildcare.ncdhhs.gov/) for updated requirements, forms, and other pertinent information. Please feel free to contact me at yolanda.pridgen@dhhs.nc.gov or (910) 305-2371 or Rhonda Blackmon, Licensing Supervisor at rhonda.blackmon@dhhs.nc.gov (910) 709-4168 if you have any questions or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1721 · Violation

Name of Operation: A Mother's Touch Facility ID: 26002603 Consultant: YOLANDA PRIDGEN Operation Type: Family CC Home Case Number: Visit Date: 6/10/2026 Number Present: 7 Completed Date: 6/10/2026 Age: From 3 To 4 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to an Annual Compliance with Rated License Assessment Visit including health and safety training requirements. The previous annual compliance visit was completed on June 18, 2025, and prior to today’s visit, the eighteen-month compliance history score was 98% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued November 21, 2025. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet a programmatic option of completion of a thirty (30) hour or longer business training as part of the BS in Child Care Administration degreed program at Purdue University. The information on record was verified as correct by Brook Fletcher and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspection is as follows: Sanitation Classification of Superior with zero demerits was completed on January 16, 2025. B. Fletcher, operator, accompanied me while observing the indoor and outdoor areas. Theresa Tyson, additional caregiver, and Janae Janae Malcolm, cook, were present. Seven (7) preschool-aged children ages 3 and 4 years old were present. In the designated child care spaces, children were observed creating sharks with paper plates, crayons, glue, construction paper, and popsicle sticks. Children completed hand washing as they prepared for outdoor play. In the outdoor area, children played on climbing equipment and ran around the yard chasing each other. Upon return indoors, children played with framed puzzles, zoo animals, toy vehicles, and unit blocks. For lunch the cook prepared and served meatballs in tomato sauce, yellow rice, carrots, sliced bananas, and milk. Following lunch, children completed toilet training and hand washing before resting on individual cots with clean linen. T. Tyson monitored children as they rested. Following naptime, children washed hands and were served crackers with sun butter and water. A checklist was used to note the requirements monitored during today’s visit. The Verification of Required Information for Operator and Additional Caregivers and Statements of Responsibility forms were completed during today’s visit. Three children’s files were monitored. The most recent monthly fire drill and outdoor inspection were completed on June 1, 2026. A quarterly shelter-in-place emergency drill was completed on April 2, 2026. At the completion of the visit, the Visit Summary was reviewed with B. Fletcher. No violations were observed. Violation Number Comment Rule 908 Health questionnaire was not completed annually. An annual health questionnaire for the cook was not on file. The violation was corrected when the cook completed the health questionnaire form and placed it in the employee's file. .1703(a)(1) 916 Operator did not maintain a record of on-going training in which he/she has participated. On-going training records for the operator and additional caregiver were not completed with current trainings received. 10A NCAC 09 .1705(b)(4)(C) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The operator and additional household members were not updated in ABCMS Provider Portal and a roster for the facility was not on file for review. G.S. 110-90.2 & .2703(r) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The EPR Plan did not include updated information. The Ready to Go File did not contain updated child's applications based on current children enrolled. .1714(d)(10) 1892 Application was not on file for each enrolled child, including his/her own preschool child(ren) who are not school-age. Child care applications for enrollment were not on file for three (3) children enrolled. .1721(a)(3) 1898 The medical action plan was not updated on an annual basis and when changes to the plan were made by child's parent or health care professional. A medical action plan dated April 30, 2025 was not updated annually and when information may have changed. .1721(a)(4) 1932 A clean and open area that allows freedom of movement was not provided for children, both indoors and outdoors. The shrubs on the property were over-grown and grass had not been cut making it difficult for children to move freely in the outdoor play area. .1718(a)(9) 1983 Children's special diets or food allergies were not posted in the food preparation area and/or in the child's eating area. Information of a child's known food allergy was not posted in the food preparation area and the child's eating area. .1706( e) 2047 Incident logs were not completed and maintained as required. Incident logs were not maintained on site and available for review. 10A NCAC 09 .1721(e)(4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on June 24, 2026, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Yolanda Pridgen Child Care Consultant P.O. Box 25561 Fayetteville, NC 28314 yolanda.pridgen@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Rated License Assessment: An Application for Assessment for a Rated License for a FCCH was received during today’s visit. The facility chose the Classroom and Instructional Quality Pathway. The following documents were reviewed and monitored for compliance today: • The facility meets no more than 4 children under the age of 24 months of the children who are birth – 5 years of age. • Family and Community Engagement Standards (FCCH) – Family and Community Engagement Foundational Practices and three additional options: C-1, EL-3, and EO-1. • Individual Continuous Quality Improvement (CQI) Professional Development (PD) Plan (FCCH). Goals were identified for each employee, time frame to achieve the goal, and steps to achieve the goal were documented on each plan. • The operator has obtained a Graduate degree in Early Childhood Education and has 20 years of experience in licensed child care. • Creative Curriculum and Teaching Strategies Gold Assessment is being used with children enrolled. Coaching and training opportunities for the operator was provided another licensed FCCH provider in Cumberland County. Documentation of coaching/training will be maintained on-site and available for review. Based on the information provided, the facility may be eligible for a five (5) Star License. The completed packet will be submitted for review and processing. A new license will be mailed directly to you and must be posted upon receipt. You must mail the old license to me once the new one is received, as it remains the property of the State of North Carolina. Facility Specific TA/Reminders: Medical Action Plan Requirements A violation was cited today for a child, with documented food allergies, not having a food allergy action plan on file or posted in the classroom. Allergic reactions to food can range from mild skin or gastrointestinal symptoms to severe, life-threatening reactions, such as anaphylaxis. Exposure to allergens may occur through contact between children or by contact with contaminated surfaces. Such contact should be minimized by washing children’s hands and faces and all surfaces that were in contact with food. Successful food avoidance requires a cooperative effort that must include the parents/guardians, child, child’s primary health care provider, and early care and education staff. During enrollment, parents should notate if their child has a food allergy on the application. When the application is reviewed by administrative staff, they should follow up with parents to obtain necessary medical documentation. When food allergies are noted on the application, a food allergy action plan will need to be completed by the child’s physician. One copy of the action plan will remain in the child’s file. Another copy of the action plan will need to be posted in the child’s classroom. More information on food allergies may be found on the Food Allergy Research & Education (FARE) website at www.foodallergy.org. More information about medical action plan requirements may be found in child care rule 10A NCAC 09 .1721(a)(4). EPR/Ready to Go File: A violation was cited for the Ready to Go File during today’s visit. All licensed ECE programs are required to have a Ready to Go File to ensure that all necessary information is available during an emergency. I provided a copy of the Ready to Go File Facility Checklist to you which can also be found on the DCDEE website underneath Provider Documents. You may find more information regarding EPR Plan and Ready to Go File in the NC Child Care Rules .1714(d)(10). NCDHHS Responds to Increase in Measles Cases: Measles is on the rise globally and in North Carolina. As a highly contagious, airborne disease, even one case is a major priority for public health. NCDHHS is taking action by launching new outreach resources for child care providers, families, and community stakeholders to help curb the spread. Child care providers can share information about vaccinations with the families served and be informed with the most current information. For more information and to access tools and resources, visit NCDHHS at dph.ncdhhs.gov/measles. Challenging Behaviors: Do you have children who bite? Do children struggle to focus during circle time? Do challenging behaviors cause difficult transitions? Do you spend all day managing behavior? Are you at your wits' end? Help is available for these and other behavior challenges! The Challenging Behaviors Hotline has opened and is provided for Free. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. Visit the DCDEE website (https://ncchildcare.ncdhhs.gov/) for updated requirements, forms, and other pertinent information. Please feel free to contact me at yolanda.pridgen@dhhs.nc.gov or (910) 305-2371 or Rhonda Blackmon, Licensing Supervisor at rhonda.blackmon@dhhs.nc.gov (910) 709-4168 if you have any questions or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: A Mother's Touch Facility ID: 26002603 Consultant: YOLANDA PRIDGEN Operation Type: Family CC Home Case Number: Visit Date: 6/10/2026 Number Present: 7 Completed Date: 6/10/2026 Age: From 3 To 4 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to an Annual Compliance with Rated License Assessment Visit including health and safety training requirements. The previous annual compliance visit was completed on June 18, 2025, and prior to today’s visit, the eighteen-month compliance history score was 98% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued November 21, 2025. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet a programmatic option of completion of a thirty (30) hour or longer business training as part of the BS in Child Care Administration degreed program at Purdue University. The information on record was verified as correct by Brook Fletcher and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspection is as follows: Sanitation Classification of Superior with zero demerits was completed on January 16, 2025. B. Fletcher, operator, accompanied me while observing the indoor and outdoor areas. Theresa Tyson, additional caregiver, and Janae Janae Malcolm, cook, were present. Seven (7) preschool-aged children ages 3 and 4 years old were present. In the designated child care spaces, children were observed creating sharks with paper plates, crayons, glue, construction paper, and popsicle sticks. Children completed hand washing as they prepared for outdoor play. In the outdoor area, children played on climbing equipment and ran around the yard chasing each other. Upon return indoors, children played with framed puzzles, zoo animals, toy vehicles, and unit blocks. For lunch the cook prepared and served meatballs in tomato sauce, yellow rice, carrots, sliced bananas, and milk. Following lunch, children completed toilet training and hand washing before resting on individual cots with clean linen. T. Tyson monitored children as they rested. Following naptime, children washed hands and were served crackers with sun butter and water. A checklist was used to note the requirements monitored during today’s visit. The Verification of Required Information for Operator and Additional Caregivers and Statements of Responsibility forms were completed during today’s visit. Three children’s files were monitored. The most recent monthly fire drill and outdoor inspection were completed on June 1, 2026. A quarterly shelter-in-place emergency drill was completed on April 2, 2026. At the completion of the visit, the Visit Summary was reviewed with B. Fletcher. No violations were observed. Violation Number Comment Rule 908 Health questionnaire was not completed annually. An annual health questionnaire for the cook was not on file. The violation was corrected when the cook completed the health questionnaire form and placed it in the employee's file. .1703(a)(1) 916 Operator did not maintain a record of on-going training in which he/she has participated. On-going training records for the operator and additional caregiver were not completed with current trainings received. 10A NCAC 09 .1705(b)(4)(C) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The operator and additional household members were not updated in ABCMS Provider Portal and a roster for the facility was not on file for review. G.S. 110-90.2 & .2703(r) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The EPR Plan did not include updated information. The Ready to Go File did not contain updated child's applications based on current children enrolled. .1714(d)(10) 1892 Application was not on file for each enrolled child, including his/her own preschool child(ren) who are not school-age. Child care applications for enrollment were not on file for three (3) children enrolled. .1721(a)(3) 1898 The medical action plan was not updated on an annual basis and when changes to the plan were made by child's parent or health care professional. A medical action plan dated April 30, 2025 was not updated annually and when information may have changed. .1721(a)(4) 1932 A clean and open area that allows freedom of movement was not provided for children, both indoors and outdoors. The shrubs on the property were over-grown and grass had not been cut making it difficult for children to move freely in the outdoor play area. .1718(a)(9) 1983 Children's special diets or food allergies were not posted in the food preparation area and/or in the child's eating area. Information of a child's known food allergy was not posted in the food preparation area and the child's eating area. .1706( e) 2047 Incident logs were not completed and maintained as required. Incident logs were not maintained on site and available for review. 10A NCAC 09 .1721(e)(4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on June 24, 2026, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Yolanda Pridgen Child Care Consultant P.O. Box 25561 Fayetteville, NC 28314 yolanda.pridgen@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Rated License Assessment: An Application for Assessment for a Rated License for a FCCH was received during today’s visit. The facility chose the Classroom and Instructional Quality Pathway. The following documents were reviewed and monitored for compliance today: • The facility meets no more than 4 children under the age of 24 months of the children who are birth – 5 years of age. • Family and Community Engagement Standards (FCCH) – Family and Community Engagement Foundational Practices and three additional options: C-1, EL-3, and EO-1. • Individual Continuous Quality Improvement (CQI) Professional Development (PD) Plan (FCCH). Goals were identified for each employee, time frame to achieve the goal, and steps to achieve the goal were documented on each plan. • The operator has obtained a Graduate degree in Early Childhood Education and has 20 years of experience in licensed child care. • Creative Curriculum and Teaching Strategies Gold Assessment is being used with children enrolled. Coaching and training opportunities for the operator was provided another licensed FCCH provider in Cumberland County. Documentation of coaching/training will be maintained on-site and available for review. Based on the information provided, the facility may be eligible for a five (5) Star License. The completed packet will be submitted for review and processing. A new license will be mailed directly to you and must be posted upon receipt. You must mail the old license to me once the new one is received, as it remains the property of the State of North Carolina. Facility Specific TA/Reminders: Medical Action Plan Requirements A violation was cited today for a child, with documented food allergies, not having a food allergy action plan on file or posted in the classroom. Allergic reactions to food can range from mild skin or gastrointestinal symptoms to severe, life-threatening reactions, such as anaphylaxis. Exposure to allergens may occur through contact between children or by contact with contaminated surfaces. Such contact should be minimized by washing children’s hands and faces and all surfaces that were in contact with food. Successful food avoidance requires a cooperative effort that must include the parents/guardians, child, child’s primary health care provider, and early care and education staff. During enrollment, parents should notate if their child has a food allergy on the application. When the application is reviewed by administrative staff, they should follow up with parents to obtain necessary medical documentation. When food allergies are noted on the application, a food allergy action plan will need to be completed by the child’s physician. One copy of the action plan will remain in the child’s file. Another copy of the action plan will need to be posted in the child’s classroom. More information on food allergies may be found on the Food Allergy Research & Education (FARE) website at www.foodallergy.org. More information about medical action plan requirements may be found in child care rule 10A NCAC 09 .1721(a)(4). EPR/Ready to Go File: A violation was cited for the Ready to Go File during today’s visit. All licensed ECE programs are required to have a Ready to Go File to ensure that all necessary information is available during an emergency. I provided a copy of the Ready to Go File Facility Checklist to you which can also be found on the DCDEE website underneath Provider Documents. You may find more information regarding EPR Plan and Ready to Go File in the NC Child Care Rules .1714(d)(10). NCDHHS Responds to Increase in Measles Cases: Measles is on the rise globally and in North Carolina. As a highly contagious, airborne disease, even one case is a major priority for public health. NCDHHS is taking action by launching new outreach resources for child care providers, families, and community stakeholders to help curb the spread. Child care providers can share information about vaccinations with the families served and be informed with the most current information. For more information and to access tools and resources, visit NCDHHS at dph.ncdhhs.gov/measles. Challenging Behaviors: Do you have children who bite? Do children struggle to focus during circle time? Do challenging behaviors cause difficult transitions? Do you spend all day managing behavior? Are you at your wits' end? Help is available for these and other behavior challenges! The Challenging Behaviors Hotline has opened and is provided for Free. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. Visit the DCDEE website (https://ncchildcare.ncdhhs.gov/) for updated requirements, forms, and other pertinent information. Please feel free to contact me at yolanda.pridgen@dhhs.nc.gov or (910) 305-2371 or Rhonda Blackmon, Licensing Supervisor at rhonda.blackmon@dhhs.nc.gov (910) 709-4168 if you have any questions or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: A Mother's Touch Facility ID: 26002603 Consultant: YOLANDA PRIDGEN Operation Type: Family CC Home Case Number: Visit Date: 6/10/2026 Number Present: 7 Completed Date: 6/10/2026 Age: From 3 To 4 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to an Annual Compliance with Rated License Assessment Visit including health and safety training requirements. The previous annual compliance visit was completed on June 18, 2025, and prior to today’s visit, the eighteen-month compliance history score was 98% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued November 21, 2025. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet a programmatic option of completion of a thirty (30) hour or longer business training as part of the BS in Child Care Administration degreed program at Purdue University. The information on record was verified as correct by Brook Fletcher and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspection is as follows: Sanitation Classification of Superior with zero demerits was completed on January 16, 2025. B. Fletcher, operator, accompanied me while observing the indoor and outdoor areas. Theresa Tyson, additional caregiver, and Janae Janae Malcolm, cook, were present. Seven (7) preschool-aged children ages 3 and 4 years old were present. In the designated child care spaces, children were observed creating sharks with paper plates, crayons, glue, construction paper, and popsicle sticks. Children completed hand washing as they prepared for outdoor play. In the outdoor area, children played on climbing equipment and ran around the yard chasing each other. Upon return indoors, children played with framed puzzles, zoo animals, toy vehicles, and unit blocks. For lunch the cook prepared and served meatballs in tomato sauce, yellow rice, carrots, sliced bananas, and milk. Following lunch, children completed toilet training and hand washing before resting on individual cots with clean linen. T. Tyson monitored children as they rested. Following naptime, children washed hands and were served crackers with sun butter and water. A checklist was used to note the requirements monitored during today’s visit. The Verification of Required Information for Operator and Additional Caregivers and Statements of Responsibility forms were completed during today’s visit. Three children’s files were monitored. The most recent monthly fire drill and outdoor inspection were completed on June 1, 2026. A quarterly shelter-in-place emergency drill was completed on April 2, 2026. At the completion of the visit, the Visit Summary was reviewed with B. Fletcher. No violations were observed. Violation Number Comment Rule 908 Health questionnaire was not completed annually. An annual health questionnaire for the cook was not on file. The violation was corrected when the cook completed the health questionnaire form and placed it in the employee's file. .1703(a)(1) 916 Operator did not maintain a record of on-going training in which he/she has participated. On-going training records for the operator and additional caregiver were not completed with current trainings received. 10A NCAC 09 .1705(b)(4)(C) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The operator and additional household members were not updated in ABCMS Provider Portal and a roster for the facility was not on file for review. G.S. 110-90.2 & .2703(r) 1875 The EPR Plan did not include the location of the Ready to Go File and/or required information. The EPR Plan did not include updated information. The Ready to Go File did not contain updated child's applications based on current children enrolled. .1714(d)(10) 1892 Application was not on file for each enrolled child, including his/her own preschool child(ren) who are not school-age. Child care applications for enrollment were not on file for three (3) children enrolled. .1721(a)(3) 1898 The medical action plan was not updated on an annual basis and when changes to the plan were made by child's parent or health care professional. A medical action plan dated April 30, 2025 was not updated annually and when information may have changed. .1721(a)(4) 1932 A clean and open area that allows freedom of movement was not provided for children, both indoors and outdoors. The shrubs on the property were over-grown and grass had not been cut making it difficult for children to move freely in the outdoor play area. .1718(a)(9) 1983 Children's special diets or food allergies were not posted in the food preparation area and/or in the child's eating area. Information of a child's known food allergy was not posted in the food preparation area and the child's eating area. .1706( e) 2047 Incident logs were not completed and maintained as required. Incident logs were not maintained on site and available for review. 10A NCAC 09 .1721(e)(4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on June 24, 2026, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Yolanda Pridgen Child Care Consultant P.O. Box 25561 Fayetteville, NC 28314 yolanda.pridgen@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Rated License Assessment: An Application for Assessment for a Rated License for a FCCH was received during today’s visit. The facility chose the Classroom and Instructional Quality Pathway. The following documents were reviewed and monitored for compliance today: • The facility meets no more than 4 children under the age of 24 months of the children who are birth – 5 years of age. • Family and Community Engagement Standards (FCCH) – Family and Community Engagement Foundational Practices and three additional options: C-1, EL-3, and EO-1. • Individual Continuous Quality Improvement (CQI) Professional Development (PD) Plan (FCCH). Goals were identified for each employee, time frame to achieve the goal, and steps to achieve the goal were documented on each plan. • The operator has obtained a Graduate degree in Early Childhood Education and has 20 years of experience in licensed child care. • Creative Curriculum and Teaching Strategies Gold Assessment is being used with children enrolled. Coaching and training opportunities for the operator was provided another licensed FCCH provider in Cumberland County. Documentation of coaching/training will be maintained on-site and available for review. Based on the information provided, the facility may be eligible for a five (5) Star License. The completed packet will be submitted for review and processing. A new license will be mailed directly to you and must be posted upon receipt. You must mail the old license to me once the new one is received, as it remains the property of the State of North Carolina. Facility Specific TA/Reminders: Medical Action Plan Requirements A violation was cited today for a child, with documented food allergies, not having a food allergy action plan on file or posted in the classroom. Allergic reactions to food can range from mild skin or gastrointestinal symptoms to severe, life-threatening reactions, such as anaphylaxis. Exposure to allergens may occur through contact between children or by contact with contaminated surfaces. Such contact should be minimized by washing children’s hands and faces and all surfaces that were in contact with food. Successful food avoidance requires a cooperative effort that must include the parents/guardians, child, child’s primary health care provider, and early care and education staff. During enrollment, parents should notate if their child has a food allergy on the application. When the application is reviewed by administrative staff, they should follow up with parents to obtain necessary medical documentation. When food allergies are noted on the application, a food allergy action plan will need to be completed by the child’s physician. One copy of the action plan will remain in the child’s file. Another copy of the action plan will need to be posted in the child’s classroom. More information on food allergies may be found on the Food Allergy Research & Education (FARE) website at www.foodallergy.org. More information about medical action plan requirements may be found in child care rule 10A NCAC 09 .1721(a)(4). EPR/Ready to Go File: A violation was cited for the Ready to Go File during today’s visit. All licensed ECE programs are required to have a Ready to Go File to ensure that all necessary information is available during an emergency. I provided a copy of the Ready to Go File Facility Checklist to you which can also be found on the DCDEE website underneath Provider Documents. You may find more information regarding EPR Plan and Ready to Go File in the NC Child Care Rules .1714(d)(10). NCDHHS Responds to Increase in Measles Cases: Measles is on the rise globally and in North Carolina. As a highly contagious, airborne disease, even one case is a major priority for public health. NCDHHS is taking action by launching new outreach resources for child care providers, families, and community stakeholders to help curb the spread. Child care providers can share information about vaccinations with the families served and be informed with the most current information. For more information and to access tools and resources, visit NCDHHS at dph.ncdhhs.gov/measles. Challenging Behaviors: Do you have children who bite? Do children struggle to focus during circle time? Do challenging behaviors cause difficult transitions? Do you spend all day managing behavior? Are you at your wits' end? Help is available for these and other behavior challenges! The Challenging Behaviors Hotline has opened and is provided for Free. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. Visit the DCDEE website (https://ncchildcare.ncdhhs.gov/) for updated requirements, forms, and other pertinent information. Please feel free to contact me at yolanda.pridgen@dhhs.nc.gov or (910) 305-2371 or Rhonda Blackmon, Licensing Supervisor at rhonda.blackmon@dhhs.nc.gov (910) 709-4168 if you have any questions or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.2201 · Violation

Name of Operation: A Mother's Touch Facility ID: 26002603 Consultant: RHONDA BLACKMON Operation Type: Family CC Home Case Number: Visit Date: 6/18/2025 Number Present: 5 Completed Date: 6/18/2025 Age: From 2 To 8 Total Minutes: 200 Time In: 01:10 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to an Annual Compliance visit, including Health and Safety Training. Additionally, I reviewed and discussed the administrative action dated June 9, 20205, with the operator. The previous visit was completed on May 13, 2025, and prior to today’s visit, the eighteen-month compliance history score was 92% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued January 4, 2025. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet a programmatic option of completion of a thirty (30) hour or longer business training as part of the BS in Child Care Administration degreed program at Purdue University. The information on record was verified as correct by Brook Fletcher, Operator/Teacher. Current Inspection is as follows: Sanitation Classification of Superior with zero demerits was completed on January 16, 2025. B. Fletcher was present while I observed the indoor and outdoor areas. Additionally, Theresa Tyson, additional caregiver, was present. Five children, aged two to eight years, were present. In the designated caregiving space, children had access to dramatic-play, literacy, fine motor, blocks, music, and creative art materials. Upon my arrival, the children were asleep on their assigned cots, while soft music played in the background. After rest/quiet time, the children assisted B. Fletcher and T. Tyson with clean-up, participated in personal care routines, and transitioned to the table for afternoon snack. Routine care and handwashing practices were observed. P.M. snack served was raisins and sun butter on celery sticks and water. The children transitioned to free-choice activities after snack time. The children played with toy trucks and built structures with Legos and magnetic tiles. The children were not observed participating in outdoor play activities. However, the outdoor learning environment was monitored for health and safety requirements. T. Tyson stated that the children had already gone outside, prior to the visit. Two staff files were reviewed, B. Fletcher’s health questionnaire on file was dated June 11, 2024. Two children’s files were reviewed. A medical action plan was not on file for the child enrolled in the facility on January 2, 2025, with a documented allergy to peanuts. Program files, including the EPR Plan, were reviewed. The most recent fire drill was completed on June 2, 2025, at 9:30 a.m., with an evacuation time of forty-three seconds. The most recent shelter-in-place drill was completed on June 2, 2025, at 1:25 p.m. The most recent outdoor inspection was completed on June 2, 2025, at 6:45 a.m. B. Fletcher left the facility at 2:15 p.m. for a scheduled appointment. The children were left in the care of T. Tyson during B. Fletcher’s absence. At the completion of the visit, the Visit Summary was reviewed with T. Tyson. The following violations were observed: Violation Number Comment Rule 908 Health questionnaire was not completed annually. The health questionnaire on file and completed by the operator was dated June 11, 2024. .1703(a)(1) 1897 Application did not have an a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A medical action plan was not attached to the application for a child, enrolled in the facility on January 2, 2025, with a documented allergy to peanuts. .1721 (a )(4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on July 2, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Rhonda Blackmon Lead Child Care Consultant P.O. Box 279 Linden, NC 28356 Rhonda.blackmon@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Administrative Action (AA)- Written Reprimand (WR): The facility was issued a WR dated June 9, 2025. An email from the DCDEE Licensing Enforcement stated the action was received by mail on June 11, 2025. A copy of the administrative action and cover letter was observed posted on the parent information board near the entrance of the facility. During today’s visit, I reviewed and discussed the administrative action including, How to Appeal an Administrative Action, with B. Fletcher. The appeal deadline is July 9, 2025. B. Fletcher stated the facility would not file an appeal. As a reminder, the administrative action and cover letter must remain posted in a location visible to parents and visitors near the entrance of the child care facility for three (3) months. In accordance with 10A NCAC 09.2201(k), further noncompliance may result in assessment of a civil penalty or an additional administrative action. Facility Specific TA/Reminders: Medical Action Plans: A violation was cited for a medical action plan not being on file and attached to the child’s application for enrollment. Growing up healthy is every child's right and every parent's dream for their children. Significant advances in improving the overall health and development of children with chronic illnesses have been made. Having a medical action plan in place when caring for children with health issues is vital in ensuring their health and safety. These health issues could include allergies, asthma, or other chronic conditions that require specialized health services. The maintenance of these plans and the ability to implement such plans for the treatment of reactions are essential. It is important to remember the medical action plan must be attached to the child’s application for enrollment, completed by the child's parent or a health care professional and must be updated on an annual basis. A child, identified on the family child care home enrollment worksheet, as having an allergy to peanuts, did not have a medical action plan on file. Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Review staff and children's files often to ensure the program is maintaining accurate licensing records. Organization and completeness of records is important to ensure easy access to information in emergency situations. A violation was cited for an expired health questionnaire. As a reminder, the health questionnaire shall be completed annually. B. Fletcher’s health questionnaire dated June 11, 2024, expired on June 11, 2025. While monitoring the children’s files, I observed a form entitled, “Permission to Swim.” I questioned B. Fletcher regarding the form and asked if the children enrolled in child care participated in aquatic activities. B. Fletcher stated that the children participate in water activities such as field trips to the splash pad, water play at the facility that involves a water table, sprinkler, and/or slip-n-slide. I explained to B. Fletcher that these types of activities described do not meet the definition of aquatic activity outlined in child care rule .1730. I stated that before a child in care can participate in an aquatic activity, the operator must develop an aquatic policy and submit it to the child care consultant for review and approval prior to participating in an aquatic activity. B. Fletcher stated that the children enrolled in the facility do not and will not participate in aquatic activities while in care. I recommended that the form on file be revised, and the word “Swim” be removed since the children do not participate in aquatic activities while in child care. On-going requirements: Family child care home operators and staff members shall complete health and safety training within one year of employment, unless the operator or staff member has completed the training within the year prior to beginning employment or within the year prior to receiving a license. Health and safety training shall be in addition to the pre-licensing visit and new staff orientation requirements set forth in Rules .1702(d) and .1729(c). Since T. Tyson has been identified as an additional caregiver and provides care for more than 10 days in a 12-month period, she must complete the required health and safety training in the topic areas listed in child care rule .1703(C) by July 3, 2025. The trainings may be accessed in the DCDEE Moodle Platform by visiting https://www.dcdee.moodle.nc.gov/. The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, the DCDEE has established a new email address and phone number for Moodle Support. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Please visit the DCDEE’s website for the latest childcare updates: https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-709-4168. 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: A Mother's Touch Facility ID: 26002603 Consultant: RHONDA BLACKMON Operation Type: Family CC Home Case Number: Visit Date: 6/18/2025 Number Present: 5 Completed Date: 6/18/2025 Age: From 2 To 8 Total Minutes: 200 Time In: 01:10 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to an Annual Compliance visit, including Health and Safety Training. Additionally, I reviewed and discussed the administrative action dated June 9, 20205, with the operator. The previous visit was completed on May 13, 2025, and prior to today’s visit, the eighteen-month compliance history score was 92% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued January 4, 2025. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet a programmatic option of completion of a thirty (30) hour or longer business training as part of the BS in Child Care Administration degreed program at Purdue University. The information on record was verified as correct by Brook Fletcher, Operator/Teacher. Current Inspection is as follows: Sanitation Classification of Superior with zero demerits was completed on January 16, 2025. B. Fletcher was present while I observed the indoor and outdoor areas. Additionally, Theresa Tyson, additional caregiver, was present. Five children, aged two to eight years, were present. In the designated caregiving space, children had access to dramatic-play, literacy, fine motor, blocks, music, and creative art materials. Upon my arrival, the children were asleep on their assigned cots, while soft music played in the background. After rest/quiet time, the children assisted B. Fletcher and T. Tyson with clean-up, participated in personal care routines, and transitioned to the table for afternoon snack. Routine care and handwashing practices were observed. P.M. snack served was raisins and sun butter on celery sticks and water. The children transitioned to free-choice activities after snack time. The children played with toy trucks and built structures with Legos and magnetic tiles. The children were not observed participating in outdoor play activities. However, the outdoor learning environment was monitored for health and safety requirements. T. Tyson stated that the children had already gone outside, prior to the visit. Two staff files were reviewed, B. Fletcher’s health questionnaire on file was dated June 11, 2024. Two children’s files were reviewed. A medical action plan was not on file for the child enrolled in the facility on January 2, 2025, with a documented allergy to peanuts. Program files, including the EPR Plan, were reviewed. The most recent fire drill was completed on June 2, 2025, at 9:30 a.m., with an evacuation time of forty-three seconds. The most recent shelter-in-place drill was completed on June 2, 2025, at 1:25 p.m. The most recent outdoor inspection was completed on June 2, 2025, at 6:45 a.m. B. Fletcher left the facility at 2:15 p.m. for a scheduled appointment. The children were left in the care of T. Tyson during B. Fletcher’s absence. At the completion of the visit, the Visit Summary was reviewed with T. Tyson. The following violations were observed: Violation Number Comment Rule 908 Health questionnaire was not completed annually. The health questionnaire on file and completed by the operator was dated June 11, 2024. .1703(a)(1) 1897 Application did not have an a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A medical action plan was not attached to the application for a child, enrolled in the facility on January 2, 2025, with a documented allergy to peanuts. .1721 (a )(4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on July 2, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Rhonda Blackmon Lead Child Care Consultant P.O. Box 279 Linden, NC 28356 Rhonda.blackmon@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Administrative Action (AA)- Written Reprimand (WR): The facility was issued a WR dated June 9, 2025. An email from the DCDEE Licensing Enforcement stated the action was received by mail on June 11, 2025. A copy of the administrative action and cover letter was observed posted on the parent information board near the entrance of the facility. During today’s visit, I reviewed and discussed the administrative action including, How to Appeal an Administrative Action, with B. Fletcher. The appeal deadline is July 9, 2025. B. Fletcher stated the facility would not file an appeal. As a reminder, the administrative action and cover letter must remain posted in a location visible to parents and visitors near the entrance of the child care facility for three (3) months. In accordance with 10A NCAC 09.2201(k), further noncompliance may result in assessment of a civil penalty or an additional administrative action. Facility Specific TA/Reminders: Medical Action Plans: A violation was cited for a medical action plan not being on file and attached to the child’s application for enrollment. Growing up healthy is every child's right and every parent's dream for their children. Significant advances in improving the overall health and development of children with chronic illnesses have been made. Having a medical action plan in place when caring for children with health issues is vital in ensuring their health and safety. These health issues could include allergies, asthma, or other chronic conditions that require specialized health services. The maintenance of these plans and the ability to implement such plans for the treatment of reactions are essential. It is important to remember the medical action plan must be attached to the child’s application for enrollment, completed by the child's parent or a health care professional and must be updated on an annual basis. A child, identified on the family child care home enrollment worksheet, as having an allergy to peanuts, did not have a medical action plan on file. Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Review staff and children's files often to ensure the program is maintaining accurate licensing records. Organization and completeness of records is important to ensure easy access to information in emergency situations. A violation was cited for an expired health questionnaire. As a reminder, the health questionnaire shall be completed annually. B. Fletcher’s health questionnaire dated June 11, 2024, expired on June 11, 2025. While monitoring the children’s files, I observed a form entitled, “Permission to Swim.” I questioned B. Fletcher regarding the form and asked if the children enrolled in child care participated in aquatic activities. B. Fletcher stated that the children participate in water activities such as field trips to the splash pad, water play at the facility that involves a water table, sprinkler, and/or slip-n-slide. I explained to B. Fletcher that these types of activities described do not meet the definition of aquatic activity outlined in child care rule .1730. I stated that before a child in care can participate in an aquatic activity, the operator must develop an aquatic policy and submit it to the child care consultant for review and approval prior to participating in an aquatic activity. B. Fletcher stated that the children enrolled in the facility do not and will not participate in aquatic activities while in care. I recommended that the form on file be revised, and the word “Swim” be removed since the children do not participate in aquatic activities while in child care. On-going requirements: Family child care home operators and staff members shall complete health and safety training within one year of employment, unless the operator or staff member has completed the training within the year prior to beginning employment or within the year prior to receiving a license. Health and safety training shall be in addition to the pre-licensing visit and new staff orientation requirements set forth in Rules .1702(d) and .1729(c). Since T. Tyson has been identified as an additional caregiver and provides care for more than 10 days in a 12-month period, she must complete the required health and safety training in the topic areas listed in child care rule .1703(C) by July 3, 2025. The trainings may be accessed in the DCDEE Moodle Platform by visiting https://www.dcdee.moodle.nc.gov/. The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, the DCDEE has established a new email address and phone number for Moodle Support. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Please visit the DCDEE’s website for the latest childcare updates: https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-709-4168. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: A Mother's Touch Facility ID: 26002603 Consultant: RHONDA BLACKMON Operation Type: Family CC Home Case Number: 0425-324L Visit Date: 5/13/2025 Number Present: 5 Completed Date: 5/13/2025 Age: From 1 To 3 Total Minutes: 75 Time In: 01:45 PM Time Out: 03:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a complaint follow-up visit. A complaint visit was completed on May 1, 2025, and prior to today’s visit, the eighteen-month compliance history score was 92% which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued January 4, 2025. The License was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet a programmatic option: completed a business training course of least 30 clock hours. Yolanda Pridgen, Child Care Consultant, accompanied me during the visit. Current Inspections are as follows: Sanitation Classification of Superior with zero (0) demerits completed January 16, 2025. Brook Fletcher, Operator/Provider, was not present. Theresa Tyson, Additional Caregiver, was present. B. Fletcher is on vacation today. I explained the purpose of the visit and requested to wash my hands prior to conducting a walk-through of the indoor area. Permission was granted. Y. Pridgen assisted me while I observed the indoor area. Five children, aged 2 to 3 years old, cleaned up from rest time, participated in personal care routines, and ate afternoon snack. PM snack consisted of ants on a log (celery sticks, sun butter, and raisins) and water. Y. Pridgen gathered enrollment and attendance information. Program records were reviewed and monitored for applicable child care requirements. Based on the information gathered and observations made, the allegation the operator made an effort to falsify information is substantiated. At the completion of the visit, the Visit Summary was reviewed with T. Tyson. The following violation was documented during today’s visit: Violation Number Comment Rule 1701 The operator made efforts to falsify information. The operator made an effort to falsify information on the Application for a Child Care License - Appendix D dated June 17, 2024, when the operator checked the boxes attesting the Limited Liability Company is the owner of the building and property. GS 110-91(14) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. The violation observed and documented today may impact the compliance history score. The violation observed and documented today must be corrected immediately. Additionally, by 5:00pm on May 27, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violation was corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Rhonda Blackmon Lead Child Care Consultant P.O. Box 279 Linden, NC 28356 Rhonda.blackmon@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Technical Assistance/Consultation Specific to Today’s Visit: On May 1, 2025, B. Fletcher stated that it was not her intent to provide false information to the Division. B. Fletcher stated it was an honest mistake and no harm was intended. B. Fletcher provided R. Blackmon and Y. Pridgen with a copy of the following: • Piedmont Natural Gas Bill addressed Brook Fletcher 928 Montclair Road Fayetteville, NC 28314 dated April 25, 2025. • PWC Utility Bill addressed A Mother's Touch Child Care Services LLC for the service address 928 Montclair Road Fayetteville, NC 28314 for residential charges 3/18/25 - 4/16/25. I requested the following item(s) be submitted to me by the close of business (5:00 p.m.) on May 5, 2025: • Signed copy of the Lease agreement between B. Fletcher and the Property Owners or • Landlord Letter B. Fletcher submitted a signed landlord letter on May 2, 2025. The Landlord gave B. Fletcher permission to operate a child care business at 928 Montclair Road Fayetteville, NC 28314, in accordance with the Child Care Law and requirements. As a reminder, any effort to falsify information provided to the Department shall be considered by the Secretary to be evidence of violation of Article 7 – Child Care Law on the part of the operator or sponsor of the child care facility and shall constitute a cause for revoking or denying a license to such child care facility. At the conclusion of the visit, Appendix D – Limited Liability Company, was left with T. Tyson. B. Fletcher shall complete the Appendix D with current/accurate information and submit it to R. Blackmon at the email address listed above upon her return from vacation. Since the complaint was substantiated and a violation cited for the operator made an effort to falsify information, the DCDEE is planning to take action against the license. For additional information, please refer to child care requirement 09.2201. Please visit the DCDEE’s website for the latest child care updates at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at (910) 709-4168. 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: A Mother's Touch Facility ID: 26002603 Consultant: RHONDA BLACKMON Operation Type: Family CC Home Case Number: 0425-324L Visit Date: 5/13/2025 Number Present: 5 Completed Date: 5/13/2025 Age: From 1 To 3 Total Minutes: 75 Time In: 01:45 PM Time Out: 03:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a complaint follow-up visit. A complaint visit was completed on May 1, 2025, and prior to today’s visit, the eighteen-month compliance history score was 92% which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued January 4, 2025. The License was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet a programmatic option: completed a business training course of least 30 clock hours. Yolanda Pridgen, Child Care Consultant, accompanied me during the visit. Current Inspections are as follows: Sanitation Classification of Superior with zero (0) demerits completed January 16, 2025. Brook Fletcher, Operator/Provider, was not present. Theresa Tyson, Additional Caregiver, was present. B. Fletcher is on vacation today. I explained the purpose of the visit and requested to wash my hands prior to conducting a walk-through of the indoor area. Permission was granted. Y. Pridgen assisted me while I observed the indoor area. Five children, aged 2 to 3 years old, cleaned up from rest time, participated in personal care routines, and ate afternoon snack. PM snack consisted of ants on a log (celery sticks, sun butter, and raisins) and water. Y. Pridgen gathered enrollment and attendance information. Program records were reviewed and monitored for applicable child care requirements. Based on the information gathered and observations made, the allegation the operator made an effort to falsify information is substantiated. At the completion of the visit, the Visit Summary was reviewed with T. Tyson. The following violation was documented during today’s visit: Violation Number Comment Rule 1701 The operator made efforts to falsify information. The operator made an effort to falsify information on the Application for a Child Care License - Appendix D dated June 17, 2024, when the operator checked the boxes attesting the Limited Liability Company is the owner of the building and property. GS 110-91(14) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. The violation observed and documented today may impact the compliance history score. The violation observed and documented today must be corrected immediately. Additionally, by 5:00pm on May 27, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violation was corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Rhonda Blackmon Lead Child Care Consultant P.O. Box 279 Linden, NC 28356 Rhonda.blackmon@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Technical Assistance/Consultation Specific to Today’s Visit: On May 1, 2025, B. Fletcher stated that it was not her intent to provide false information to the Division. B. Fletcher stated it was an honest mistake and no harm was intended. B. Fletcher provided R. Blackmon and Y. Pridgen with a copy of the following: • Piedmont Natural Gas Bill addressed Brook Fletcher 928 Montclair Road Fayetteville, NC 28314 dated April 25, 2025. • PWC Utility Bill addressed A Mother's Touch Child Care Services LLC for the service address 928 Montclair Road Fayetteville, NC 28314 for residential charges 3/18/25 - 4/16/25. I requested the following item(s) be submitted to me by the close of business (5:00 p.m.) on May 5, 2025: • Signed copy of the Lease agreement between B. Fletcher and the Property Owners or • Landlord Letter B. Fletcher submitted a signed landlord letter on May 2, 2025. The Landlord gave B. Fletcher permission to operate a child care business at 928 Montclair Road Fayetteville, NC 28314, in accordance with the Child Care Law and requirements. As a reminder, any effort to falsify information provided to the Department shall be considered by the Secretary to be evidence of violation of Article 7 – Child Care Law on the part of the operator or sponsor of the child care facility and shall constitute a cause for revoking or denying a license to such child care facility. At the conclusion of the visit, Appendix D – Limited Liability Company, was left with T. Tyson. B. Fletcher shall complete the Appendix D with current/accurate information and submit it to R. Blackmon at the email address listed above upon her return from vacation. Since the complaint was substantiated and a violation cited for the operator made an effort to falsify information, the DCDEE is planning to take action against the license. For additional information, please refer to child care requirement 09.2201. Please visit the DCDEE’s website for the latest child care updates at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at (910) 709-4168. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S.110-91 · Violation

Name of Operation: A Mother's Touch Facility ID: 26002603 Consultant: RHONDA BLACKMON Operation Type: Family CC Home Case Number: 0425-324L Visit Date: 5/1/2025 Number Present: 7 Completed Date: 5/1/2025 Age: From 2 To 9 Total Minutes: 155 Time In: 01:40 PM Time Out: 04:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations regarding violations of child care requirements. Yolanda Pridgen, Child Care Consultant, accompanied me during the visit. The third temporary time period visit was completed on December 2, 2025, and prior to today’s visit, the eighteen-month compliance history score was 92% which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued January 4, 2025. The License was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet a programmatic option: completed a business training course of least 30 clock hours. Current Inspections are as follows: Sanitation Classification of Superior with zero (0) demerits completed January 16, 2025. Allegations are as follows: There are concerns that the operator made an effort to falsify information. Brook Fletcher, Operator/Provider, was not present. Theresa Tyson, Additional Caregiver, was present. Upon our arrival, T. Tyson stated that B. Fletcher was at a scheduled doctor’s appointment. T. Tyson volunteered to text B. Fletcher. I explained the purpose of the visit and requested to wash my hands prior to conducting a walk-through of the indoor and outdoor areas. Permission was granted. Y. Pridgen assisted me while I observed the indoor and outdoor areas. Five children, aged 2 to 3 years old, cleaned up from rest time, participated in personal care routines, and ate afternoon snack. PM snack consisted of a mozzarella cheese stick, sliced ham, and water. After snack time, T. Tyson read the book, “Brown Bear, Brown Bear, What Do You See?”. T. Tyson engaged the children in conversation and asked open-ended questions. The activity plan posted on the information board was not current. The activity plan was dated April 14, 2025. Y. Pridgen gathered enrollment and attendance information. Program and select children and staff records were reviewed and monitored for applicable child care requirements. At 1:53 p.m., B. Fletcher contacted R. Blackmon by telephone. The allegation was discussed with B. Fletcher via telephone. I informed B. Fletcher that Y. Pridgen was present and requested permission to place her on a speaker phone. Permission was granted. During the interview with B. Fletcher, it was reported: • B. Fletcher does not own the home located at 928 Montclair Road Fayetteville, NC 28314. • B. Fletcher stated that she is renting to own and there is a signed lease agreement in effect. Additionally, B. Fletcher explained that the property owner is aware that licensed child care is provided at this location. • R. Blackmon asked B. Fletcher if she recalled the information documented on the application – Appendix D regarding which you will be the legal owner. B. Fletcher stated that in her mind she is the legal owner of the building, property, and business because of the signed rent to own lease that she has with Nicholas Dragassakis, Jr. and Giovanna Dragassakis, Property Owners. • B. Fletcher stated she had no intention of falsifying information or providing information to the DCDEE that was false or untruthful. Additionally, I take full responsibility for checking the boxes for all three, but honestly, I felt that I was the legal owner. At 2:52 p.m., B. Fletcher arrived at the facility with two children, aged six and nine years old. B. Fletcher stated she picked the children up from school and transported them to the child care facility. Based on the information gathered and observations made, the investigation will continue to allow the DCDEE to gather additional information. At the completion of the visit, the Visit Summary was reviewed with B. Fletcher. The following violation was observed during the visit: Violation Number Comment Rule 929 Developmentally appropriate activities for the ages of children in care, were not provided as planned on the written schedule and activity plan. The planned activities on the written activity plan dated, April 14, 2025, were not provided for the children in care. G.S.110-91(12) & .1718(a)(6) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on May 15, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Rhonda Blackmon Lead Child Care Consultant P.O. Box 279 Linden, NC 28356 Rhonda.blackmon@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Technical Assistance/Consultation Specific to Today’s Visit: The following definitions from Chapter 9 were discussed with B. Fletcher. B. Fletcher was given an opportunity to provide information attesting that the child care arrangement located at 928 Montclair Road Fayetteville, NC 28314, is compliant with the child care law and rules. "Family Child Care Home" means a child care arrangement located in a residence where, at any one time, more than two children, but less than nine children, receive child care. Family child care home operators must reside at the location of the family child care home. "Reside" refers to any person that lives at a child care facility location. Factors for determining residence include: a. use of the child care facility address as a permanent address for personal identification or mail delivery; b. use of the child care facility to store personal belongings such as furniture, clothing, and toiletry items; and c. names listed on official documents such as criminal records or property tax records. "Operator" means the owner, director, or other person having responsibility for operation of a child care facility subject to licensing. If the operator does not own the home, a Landlord letter or lease agreement must be provided that states permission has been granted for licensed child care to be provided at this address. B. Fletcher stated that it was not her intent to provide false information to the Division. B. Fletcher stated it was an honest mistake and no harm was intended. B. Fletcher provided R. Blackmon and Y. Pridgen with a copy of the following: • Piedmont Natural Gas Bill addressed Brook Fletcher 928 Montclair Road Fayetteville, NC 28314 dated April 25, 2025. • PWC Utility Bill addressed A Mother's Touch Child Care Services LLC for the service address 928 Montclair Road Fayetteville, NC 28314 for residential charges 3/18/25 - 4/16/25. The following items shall be submitted to R. Blackmon at the address listed above by the close of business (5:00 p.m.) May 5, 2025: • Signed copy of the Lease agreement between B. Fletcher and the Property Owners • Landlord Letter As a reminder, any effort to falsify information provided to the Department shall be considered by the Secretary to be evidence of violation of Article 7 – Child Care Law on the part of the operator or sponsor of the child care facility and shall constitute a cause for revoking or denying a license to such child care facility. Please visit the DCDEE’s website for the latest child care updates at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at (910) 709-4168. 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: A Mother's Touch Facility ID: 26002603 Consultant: RHONDA BLACKMON Operation Type: Family CC Home Case Number: 0425-324L Visit Date: 5/1/2025 Number Present: 7 Completed Date: 5/1/2025 Age: From 2 To 9 Total Minutes: 155 Time In: 01:40 PM Time Out: 04:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations regarding violations of child care requirements. Yolanda Pridgen, Child Care Consultant, accompanied me during the visit. The third temporary time period visit was completed on December 2, 2025, and prior to today’s visit, the eighteen-month compliance history score was 92% which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued January 4, 2025. The License was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet a programmatic option: completed a business training course of least 30 clock hours. Current Inspections are as follows: Sanitation Classification of Superior with zero (0) demerits completed January 16, 2025. Allegations are as follows: There are concerns that the operator made an effort to falsify information. Brook Fletcher, Operator/Provider, was not present. Theresa Tyson, Additional Caregiver, was present. Upon our arrival, T. Tyson stated that B. Fletcher was at a scheduled doctor’s appointment. T. Tyson volunteered to text B. Fletcher. I explained the purpose of the visit and requested to wash my hands prior to conducting a walk-through of the indoor and outdoor areas. Permission was granted. Y. Pridgen assisted me while I observed the indoor and outdoor areas. Five children, aged 2 to 3 years old, cleaned up from rest time, participated in personal care routines, and ate afternoon snack. PM snack consisted of a mozzarella cheese stick, sliced ham, and water. After snack time, T. Tyson read the book, “Brown Bear, Brown Bear, What Do You See?”. T. Tyson engaged the children in conversation and asked open-ended questions. The activity plan posted on the information board was not current. The activity plan was dated April 14, 2025. Y. Pridgen gathered enrollment and attendance information. Program and select children and staff records were reviewed and monitored for applicable child care requirements. At 1:53 p.m., B. Fletcher contacted R. Blackmon by telephone. The allegation was discussed with B. Fletcher via telephone. I informed B. Fletcher that Y. Pridgen was present and requested permission to place her on a speaker phone. Permission was granted. During the interview with B. Fletcher, it was reported: • B. Fletcher does not own the home located at 928 Montclair Road Fayetteville, NC 28314. • B. Fletcher stated that she is renting to own and there is a signed lease agreement in effect. Additionally, B. Fletcher explained that the property owner is aware that licensed child care is provided at this location. • R. Blackmon asked B. Fletcher if she recalled the information documented on the application – Appendix D regarding which you will be the legal owner. B. Fletcher stated that in her mind she is the legal owner of the building, property, and business because of the signed rent to own lease that she has with Nicholas Dragassakis, Jr. and Giovanna Dragassakis, Property Owners. • B. Fletcher stated she had no intention of falsifying information or providing information to the DCDEE that was false or untruthful. Additionally, I take full responsibility for checking the boxes for all three, but honestly, I felt that I was the legal owner. At 2:52 p.m., B. Fletcher arrived at the facility with two children, aged six and nine years old. B. Fletcher stated she picked the children up from school and transported them to the child care facility. Based on the information gathered and observations made, the investigation will continue to allow the DCDEE to gather additional information. At the completion of the visit, the Visit Summary was reviewed with B. Fletcher. The following violation was observed during the visit: Violation Number Comment Rule 929 Developmentally appropriate activities for the ages of children in care, were not provided as planned on the written schedule and activity plan. The planned activities on the written activity plan dated, April 14, 2025, were not provided for the children in care. G.S.110-91(12) & .1718(a)(6) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on May 15, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Rhonda Blackmon Lead Child Care Consultant P.O. Box 279 Linden, NC 28356 Rhonda.blackmon@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Technical Assistance/Consultation Specific to Today’s Visit: The following definitions from Chapter 9 were discussed with B. Fletcher. B. Fletcher was given an opportunity to provide information attesting that the child care arrangement located at 928 Montclair Road Fayetteville, NC 28314, is compliant with the child care law and rules. "Family Child Care Home" means a child care arrangement located in a residence where, at any one time, more than two children, but less than nine children, receive child care. Family child care home operators must reside at the location of the family child care home. "Reside" refers to any person that lives at a child care facility location. Factors for determining residence include: a. use of the child care facility address as a permanent address for personal identification or mail delivery; b. use of the child care facility to store personal belongings such as furniture, clothing, and toiletry items; and c. names listed on official documents such as criminal records or property tax records. "Operator" means the owner, director, or other person having responsibility for operation of a child care facility subject to licensing. If the operator does not own the home, a Landlord letter or lease agreement must be provided that states permission has been granted for licensed child care to be provided at this address. B. Fletcher stated that it was not her intent to provide false information to the Division. B. Fletcher stated it was an honest mistake and no harm was intended. B. Fletcher provided R. Blackmon and Y. Pridgen with a copy of the following: • Piedmont Natural Gas Bill addressed Brook Fletcher 928 Montclair Road Fayetteville, NC 28314 dated April 25, 2025. • PWC Utility Bill addressed A Mother's Touch Child Care Services LLC for the service address 928 Montclair Road Fayetteville, NC 28314 for residential charges 3/18/25 - 4/16/25. The following items shall be submitted to R. Blackmon at the address listed above by the close of business (5:00 p.m.) May 5, 2025: • Signed copy of the Lease agreement between B. Fletcher and the Property Owners • Landlord Letter As a reminder, any effort to falsify information provided to the Department shall be considered by the Secretary to be evidence of violation of Article 7 – Child Care Law on the part of the operator or sponsor of the child care facility and shall constitute a cause for revoking or denying a license to such child care facility. Please visit the DCDEE’s website for the latest child care updates at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at (910) 709-4168. 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 .0201 · Violation

Name of Operation: A Mother's Touch Facility ID: 26002603 Consultant: RHONDA BLACKMON Operation Type: Family CC Home Case Number: Visit Date: 12/2/2024 Number Present: 4 Completed Date: 12/2/2024 Age: From 2 To 3 Total Minutes: 135 Time In: 10:15 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a third temporary time period visit. The previous temporary time period visit was completed on October 22, 2024, and prior to today’s visit, the eighteen-month compliance history score was 91%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a temporary license effective, July 3, 2024 to January 3, 2025. The information on record with DCDEE was verified as correct by Brooke Fletcher, and the owner’s corporation status was verified on the Secretary of State website as current-active. Current Inspection is as follows: Sanitation Classification of Superior with zero demerits completed June 24, 2024. Brooke Fletcher, Teacher/Operator, and Theresa Tyson, additional caregiver, was present. B. Fletcher assisted me during the visit. Children, two to three-years-old, participated in free play activities. Children stacked blocks, manipulated Legos and puzzles, and colored white paper with crayons and markers. T. Tyson engaged the children in conversation, asked open-ended questions, and interacted with them during free play activities. After free play, children participated in personal care routines and transitioned outdoors. In the outdoor learning environment, children pushed toys, climbed on the non-stationary equipment, and kicked and rolled balls. Upon their return indoors, staff and children washed their hands and went to the carpet for a large group activity prior to lunch being served. P. Tyson led the children in nursery rhymes, finger plays, and songs. Lunch served was pepperoni and cheese pizza, sweet corn, orange slices, and milk. After lunch, children cleaned up, participated in personal care routines, and transitioned to their cots for rest time. Two (2) children enrolled in the facility after the visit completed on October 22, 2024. The children’s files, B. Fletcher’s and T. Tyson’s personnel files were monitored during today’s visit. In addition, required program records were also monitored. At the completion of the visit, the Visit Summary was reviewed with B. Fletcher. The following violation was observed and corrected during the visit: Violation Number Comment Rule 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Three plastic bags with children's personal belongings were stored inside the children's cubbies, accessible to children under the age of three. When prompted, the operator removed the children's personal belongings from the plastic bags and placed the personal items inside the cubbies. Next, the plastic bags were made inaccessible to children under the age of three. .1719(a)(18) No compliance letter is due at this time. As a reminder, Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. The violation observed and documented today may impact the compliance history score. Technical Assistance Specific to Today’s Visit: Plastic Bags: Plastic bags are a suffocation hazard for young children and should be made inaccessible to children less than three years of age. During today’s visit, I observed three plastic bags with children’s clothing stored inside their cubbies on a shelf located below five feet. B. Fletcher and I discussed that if plastic bags are going to be used to store children’s personal items and/or to store soiled diapers/clothes, the bags must be stored out of reach of the children, which is five feet or higher from the finished floor. Medical: A copy of each child’s health assessment shall be on file within 30 days of enrollment. During today’s visit, while monitoring the two new children’s records, I observed that a child, two years old, enrolled in the facility on November 19, 2024, did not have a health assessment on file that was completed by a health care provider/physician. The child’s health assessment shall be on file at the facility on or before December 19, 2024. Indicator Month: Discussions occurred regarding the indictor month for annual compliance monitoring visits at a licensed child care facility. I informed B. Fletcher when a facility becomes licensed, it is assigned an “annual compliance” month. The annual compliance month is the month in which the facility’s Temporary License was issued (July). I stated the annual compliance month does not change if the facility is issued a 2–5 Star License, a Provisional License, or a Probationary License. Child care consultants use the annual compliance month to determine when to schedule each facility’s annual compliance visit. In accordance with Child Care Rule 10A NCAC 09 .0201, representatives of the DCDEE may visit your program at any time and must complete at least one full monitoring visit at least annually. To best support you and the children in care, our goal is to visit programs more frequently. Visit the DCDEE website (www.ncchildcare.dhhsnc.gov) for updated requirements, forms, and other pertinent information. Rated License Assessment: An application for a star rated license was received on October 22, 2024. B. Fletcher did not request to have the FCCERS-R conducted as part of the rated license assessment. Program Standards: Two (2) points Facility meets minimum licensing requirements. B. Fletcher completed a three-month self-study/assessment (July, August, September, and October) using the FCCERS-R. The facility documented quality improvements that were made in the outdoor learning environment, health and safety practices, space and furnishings, and personal care routines. The facility earned two points in program standards. Education Standards: Seven (7) points B. Fletcher is LT qualified. B. Fletcher has an AAS in ECE, a BS in Child Care Administration, and a MS in Early Childhood Education Studies. B. Fletcher has twenty (20) years’ early childhood experience. The facility has earned seven points in education standards. Quality Point: One (1) point The facility meets Program Option: Has completed a thirty (30) hour or longer business training as part of the BS in Child Care Administration degreed program at Purdue University. The facility has earned one (1) quality point. The facility has earned ten (10) points for a four-star rated license. The four-star child care license will be issued at the end of the temporary time period. The completed packet will be submitted for review and processing and the new license will be mailed directly to you and must be posted upon receipt. Consultant Information: The facility file will be transferred to the child care consultant in the assigned territory once the new license has been issued. At this time, the consultant for this facility will be: Yolanda Pridgen Post Office Box 25561 Fayetteville, NC 28314 910-305-2371 Yolanda.pridgen@dhhs.nc.gov Training: B. Fletcher completed the Emergency Preparedness and Response in Child Care training on October 10, 2024. B. Fletcher has four (4) months from the date of completion (February 10, 2025) to go online at https://rmp.nc.gov/portal/portal.aspx and complete the EPR Plan. As a reminder, you must review the EPR Plan annually or when information in the plan changes to ensure all information is current. Additional caregivers and substitutes shall review the EPR Plan during orientation and/or on an annual basis with B. Fletcher. Documentation of the review shall be maintained on file. In Addition, B. Fletcher and T. Tyson shall complete the CCDF health and safety trainings within twelve months of being licensed (July 3, 2025). The CCDF Health and Safety trainings are now available in the DCDEE Moodle Learning platform (https://www.dcdee.moodle.nc.gov/). At the completion of the visit, this Visit Summary was printed, reviewed, and a copy was left with you. Contact me at 910-709-4168 or Rhonda.blackmon@dhhs.nc.gov if you have any questions or concerns. Rhonda Blackmon PO Box 279 Linden, NC 28356 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: A Mother's Touch Facility ID: 26002603 Consultant: RHONDA BLACKMON Operation Type: Family CC Home Case Number: Visit Date: 12/2/2024 Number Present: 4 Completed Date: 12/2/2024 Age: From 2 To 3 Total Minutes: 135 Time In: 10:15 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a third temporary time period visit. The previous temporary time period visit was completed on October 22, 2024, and prior to today’s visit, the eighteen-month compliance history score was 91%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a temporary license effective, July 3, 2024 to January 3, 2025. The information on record with DCDEE was verified as correct by Brooke Fletcher, and the owner’s corporation status was verified on the Secretary of State website as current-active. Current Inspection is as follows: Sanitation Classification of Superior with zero demerits completed June 24, 2024. Brooke Fletcher, Teacher/Operator, and Theresa Tyson, additional caregiver, was present. B. Fletcher assisted me during the visit. Children, two to three-years-old, participated in free play activities. Children stacked blocks, manipulated Legos and puzzles, and colored white paper with crayons and markers. T. Tyson engaged the children in conversation, asked open-ended questions, and interacted with them during free play activities. After free play, children participated in personal care routines and transitioned outdoors. In the outdoor learning environment, children pushed toys, climbed on the non-stationary equipment, and kicked and rolled balls. Upon their return indoors, staff and children washed their hands and went to the carpet for a large group activity prior to lunch being served. P. Tyson led the children in nursery rhymes, finger plays, and songs. Lunch served was pepperoni and cheese pizza, sweet corn, orange slices, and milk. After lunch, children cleaned up, participated in personal care routines, and transitioned to their cots for rest time. Two (2) children enrolled in the facility after the visit completed on October 22, 2024. The children’s files, B. Fletcher’s and T. Tyson’s personnel files were monitored during today’s visit. In addition, required program records were also monitored. At the completion of the visit, the Visit Summary was reviewed with B. Fletcher. The following violation was observed and corrected during the visit: Violation Number Comment Rule 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Three plastic bags with children's personal belongings were stored inside the children's cubbies, accessible to children under the age of three. When prompted, the operator removed the children's personal belongings from the plastic bags and placed the personal items inside the cubbies. Next, the plastic bags were made inaccessible to children under the age of three. .1719(a)(18) No compliance letter is due at this time. As a reminder, Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. The violation observed and documented today may impact the compliance history score. Technical Assistance Specific to Today’s Visit: Plastic Bags: Plastic bags are a suffocation hazard for young children and should be made inaccessible to children less than three years of age. During today’s visit, I observed three plastic bags with children’s clothing stored inside their cubbies on a shelf located below five feet. B. Fletcher and I discussed that if plastic bags are going to be used to store children’s personal items and/or to store soiled diapers/clothes, the bags must be stored out of reach of the children, which is five feet or higher from the finished floor. Medical: A copy of each child’s health assessment shall be on file within 30 days of enrollment. During today’s visit, while monitoring the two new children’s records, I observed that a child, two years old, enrolled in the facility on November 19, 2024, did not have a health assessment on file that was completed by a health care provider/physician. The child’s health assessment shall be on file at the facility on or before December 19, 2024. Indicator Month: Discussions occurred regarding the indictor month for annual compliance monitoring visits at a licensed child care facility. I informed B. Fletcher when a facility becomes licensed, it is assigned an “annual compliance” month. The annual compliance month is the month in which the facility’s Temporary License was issued (July). I stated the annual compliance month does not change if the facility is issued a 2–5 Star License, a Provisional License, or a Probationary License. Child care consultants use the annual compliance month to determine when to schedule each facility’s annual compliance visit. In accordance with Child Care Rule 10A NCAC 09 .0201, representatives of the DCDEE may visit your program at any time and must complete at least one full monitoring visit at least annually. To best support you and the children in care, our goal is to visit programs more frequently. Visit the DCDEE website (www.ncchildcare.dhhsnc.gov) for updated requirements, forms, and other pertinent information. Rated License Assessment: An application for a star rated license was received on October 22, 2024. B. Fletcher did not request to have the FCCERS-R conducted as part of the rated license assessment. Program Standards: Two (2) points Facility meets minimum licensing requirements. B. Fletcher completed a three-month self-study/assessment (July, August, September, and October) using the FCCERS-R. The facility documented quality improvements that were made in the outdoor learning environment, health and safety practices, space and furnishings, and personal care routines. The facility earned two points in program standards. Education Standards: Seven (7) points B. Fletcher is LT qualified. B. Fletcher has an AAS in ECE, a BS in Child Care Administration, and a MS in Early Childhood Education Studies. B. Fletcher has twenty (20) years’ early childhood experience. The facility has earned seven points in education standards. Quality Point: One (1) point The facility meets Program Option: Has completed a thirty (30) hour or longer business training as part of the BS in Child Care Administration degreed program at Purdue University. The facility has earned one (1) quality point. The facility has earned ten (10) points for a four-star rated license. The four-star child care license will be issued at the end of the temporary time period. The completed packet will be submitted for review and processing and the new license will be mailed directly to you and must be posted upon receipt. Consultant Information: The facility file will be transferred to the child care consultant in the assigned territory once the new license has been issued. At this time, the consultant for this facility will be: Yolanda Pridgen Post Office Box 25561 Fayetteville, NC 28314 910-305-2371 Yolanda.pridgen@dhhs.nc.gov Training: B. Fletcher completed the Emergency Preparedness and Response in Child Care training on October 10, 2024. B. Fletcher has four (4) months from the date of completion (February 10, 2025) to go online at https://rmp.nc.gov/portal/portal.aspx and complete the EPR Plan. As a reminder, you must review the EPR Plan annually or when information in the plan changes to ensure all information is current. Additional caregivers and substitutes shall review the EPR Plan during orientation and/or on an annual basis with B. Fletcher. Documentation of the review shall be maintained on file. In Addition, B. Fletcher and T. Tyson shall complete the CCDF health and safety trainings within twelve months of being licensed (July 3, 2025). The CCDF Health and Safety trainings are now available in the DCDEE Moodle Learning platform (https://www.dcdee.moodle.nc.gov/). At the completion of the visit, this Visit Summary was printed, reviewed, and a copy was left with you. Contact me at 910-709-4168 or Rhonda.blackmon@dhhs.nc.gov if you have any questions or concerns. Rhonda Blackmon PO Box 279 Linden, NC 28356 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: A Mother's Touch Facility ID: 26002603 Consultant: RHONDA BLACKMON Operation Type: Family CC Home Case Number: Visit Date: 10/22/2024 Number Present: 4 Completed Date: 10/22/2024 Age: From 1 To 3 Total Minutes: 155 Time In: 12:50 PM Time Out: 03:25 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a second temporary time period visit. The previous temporary time period visit was completed August 7, 2024, and prior to today’s visit, the eighteen-month compliance history score was 79%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a temporary license effective, July 3, 2024 to January 3, 2025. The information on record with DCDEE was verified as correct by Brooke Fletcher, and the owner’s corporation status was verified on the NC Secretary of State’s website as current-active. Current Inspection is as follows: Sanitation Classification of Superior with zero demerits completed June 24, 2024. B. Fletcher, Operator/Teacher, and Theresa Tyson, additional caregiver, were present. B. Fletcher assisted me during the visit. I completed a walk-through of the indoor and outdoor areas. Children, one to three-years-old, slept on their assigned cots. Soft music played in the background. After rest time, the children helped clean up, participated in personal care routines, and washed their hands prior to PM snack being served. PM snack consisted of flavored yogurt, pretzels, and water. Children washed their hands and participated in free play activities. Children manipulated magnetic tiles and Legos, and pushed vehicles on the floor. Two diapering routines were observed. Children and program records were monitored today. Additionally, B. Fletcher and T. Tyson’s personnel files were monitored. At the completion of the visit, the Visit Summary was reviewed with B. Fletcher. The following violation was observed during the visit: Violation Number Comment Rule 1718 The written plan of care was not given and explained to parents of children in care on or before the first day the child attended the home. Parents did not sign a statement acknowledging the receipt and explanation of the plan. Parents did not give written permission for their child to be transported by the operator for specific routine tasks that are included on the written schedule. The written plan of care was not given and explained to parents of a child, identified on the children records worksheet, on or before the first day the child attended the home. The child's date of enrollment was August 27, 2024. .1712(e )(6) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. The violation observed and documented today may impact the compliance history score. The violation observed and documented today must be corrected immediately. Additionally, by 5:00 p.m. on November 5, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violation was corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Rhonda Blackmon Lead Child Care Consultant P.O. Box 279 Linden, NC 28356 Rhonda.blackmon@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance Specific to Today’s Visit: Children’s Records: As discussed on August 7, 2024, record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Review children's files often to ensure the program is maintaining accurate licensing records. Organization and completeness of records is important to ensure easy access to information in emergency situations. B. Fletcher and I reviewed the information that was missing in a child’s file. The written plan of care was not on file for A.F. B. Fletcher stated that she would have the parent to complete the form prior to leaving the facility this afternoon and submit a copy to me, along with the compliance letter. Additionally, B. Fletcher will review children’s files weekly to ensure required information is on file by the due date and that all requested information is documented on the appropriate forms to include date of enrollment, birthdate, and signatures. Rated License Assessment: As discussed on August 7, 2024, the FCCH must transition to a 3-5 Star Rated License to continue to be eligible to receive subsidized child care assistance after six (6) months. An application for a star rated license was received today. B. Fletcher did not request to have the FCCERS-R conducted as part of the rated license assessment. Program Standards: We discussed completing a three (3) month self-study/assessment using the FCCERS-R on August 7, 2024. A. Wall is on track to complete the three-month self-study / assessment (September, October, November) on or before December 1, 2024. As a reminder, to earn two points in program standards, you must complete a three-month self-study/assessment using the FCCERS-R. Education Standards: B. Fletcher is lead teacher qualified. B. Fletcher has an AAS in ECE, a BS in Child Care Administration. and a MS in Early Childhood Education Studies. B. Fletcher has twenty years early childhood experience. Quality Point: B. Fletcher and I reviewed the quality point options. The facility meets Program Option: Has completed a 30 hour or longer business training. At the end of the temporary time period, points will be assigned, and a new license issued. Training: B. Fletcher completed the Emergency Preparedness and Response in Child Care training on October 10, 2024. B. Fletcher has four (4) months from the date of completion (February 10, 2025) to go online at https://rmp.nc.gov/portal/portal.aspx and complete the EPR Plan. As a reminder, you shall review the EPR Plan annually or when information in the plan changes to ensure all information is current. Additional caregivers and substitutes shall review the EPR Plan during orientation and/or on an annual basis with B. Fletcher. Documentation of the review shall be maintained on file. In Addition, B. Fletcher shall complete the CCDF health and safety trainings within twelve months of being licensed (July 3, 2025). The CCDF Health and Safety trainings are now available in the DCDEE Moodle Learning platform (https://www.dcdee.moodle.nc.gov/). You already know the Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, the DCDEE has established a new email address and phone number for Moodle Support. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The DCDEE has a new initiative – Natural Outdoor Learning Initiative. Through this initiative, we hope to increase knowledge and confidence for everyone in developing and implementing best practices to support the creation, programming, and safe use of naturalized outdoor spaces in child care facilities. You can learn more by visiting the NLI website, where you will also find many resources, including an updated Toolkit designed to help you enhance your outdoor learning environment. The downloadable NLI Toolkit is available at: https://naturalearning.org/preschool-outdoor-toolkit Please feel free to contact me at 910-709-4168 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1721 · Violation

Name of Operation: A Mother's Touch Facility ID: 26002603 Consultant: RHONDA BLACKMON Operation Type: Family CC Home Case Number: Visit Date: 8/7/2024 Number Present: 8 Completed Date: 8/7/2024 Age: From 2 To 11 Total Minutes: 240 Time In: 09:50 AM Time Out: 01:50 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a first temporary time period visit. This program currently operates with a temporary license effective, July 3, 2024 to January 3, 2025. The information on record with DCDEE was verified as correct by Brook Fletcher and the owner’s corporation status was verified on the NC Secretary of State’s website as current-active. Current Inspection is as follows: Sanitation Classification of Superior with zero demerits completed June 24, 2024. Upon my arrival, I was greeted by Theresa Tyson, additional caregiver/substitute. T. Tyson stated that Brook Fletcher, Operator/Teacher, was not present. T. Tyson stated that B. Fletcher had a meeting but is expected to return at any moment. B. Fletcher arrived at the facility at 10:10 a.m. B. Fletcher assisted me during the visit. I requested to conduct a walk-through of the indoor and outdoor areas. Permission was granted. Preschool and school-age children colored and drew on white paper at the tables with crayons, built with Legos, played table top games, and pretended to cook on the stove in the dramatic play area. Afterwards, they transitioned to the carpet for a teacher directed activity. T. Tyson led circle time activities with the children. They sang songs, played Simon Says, and danced to music. After circle time, children participated in personal care and hand washing routines. Upon their return to the primary care space, children participated in free play activities until lunch was served. Lunch served was spaghetti noodles with tomato sauce and ground beef, sweet corn, French style green beans, and milk. When meal time was over, children participated in personal care routines and transitioned to their cots for rest time. Quiet time activities were offered to children who did not want to rest. B. Fletcher and T. Tyson’s personnel files, children’s files, and required program records were monitored. At the completion of the visit, this Visit Summary was reviewed with B. Fletcher. The following violations were observed: Violation Number Comment Rule 905 Record of monthly fire drills, giving the date, time of day and length of time to evacuate, and operator's signature, were not available. A monthly fire drill with the required information was not completed/documented on the Emergency Drill Log on file in the FCCH. .1721 (e )(2) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. Attendance records including documentation of arrival and departure for all children in care available for review were dated July 31, 2024. .1721(e)(6) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of two children, ages eight and eleven-years-old, prior to enrollment was not on file in the home. G.S.110-91(10); .1727(a)&(b) 938 Individuals who provide care for 5 hours or more a week, during planned absences of the operator, had not completed a health questionnaire. The additional caregiver, who provides care for 5 hours or more a week, during planned absences of the operator, did not have a completed health questionnaire on file. .1729(a)(4) 939 Individuals who provide care for 5 hours or more a week, during planned absences of the operator, did not have proof of negative TB test or screening results completed within the last 12 months prior to the first day providing care. The additional caregiver, who provides care for 5 hours or more a week, during planned absences of the operator, did not have proof of negative TB test or screening results on file prior to the first day of providing care (July 8, 2024). GS 110-91(7)(b) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. Summary of the NC Child Care Law was not given to the parent of two children, ages eight and eleven-years-old, before the children were enrolled in the home and a signed statement for receipt was not on file. GS 110-102 1712 Operator did not develop and adopt a written plan of care for completing routine tasks to ensure routine tasks did not interfere with the care of children during hours of operation. Upon licensure on July 3, 2024, the operator did not develop and adopt a written plan of care for completing routine tasks to ensure routine tasks did not interfere with the care of children during hours of operation. .1712(a) 1828 The Family Child Care Home operator did not discuss the operational policies with parents on or before the child's first day of attendance. The Family Child Care Home operator did not discuss the operational policies with parents of two children, ages eight and eleven-years-old, on or before the child's first day of attendance. 10A NCAC 09. 1715(b) 1891 Individuals providing care to children did not receive 16 hours of orientation prior to beginning caregiving activities. The additional caregiver did not receive 16 hours of orientation prior to beginning caregiving activities on July 8, 2024. .1729( c) 1892 Application was not on file for each enrolled child, including his/her own preschool child(ren) who are not school-age. An application was not on file for two enrolled children, ages eight and eleven-years-old. .1721(a)(3) 1893 Application did not include all required information including, but not limited to: child's full name, named to be called, child’s date of birth, any allergies, including symptoms and the type of response required, and any fears or behavior characteristics a child has. The application on file for a preschool child, five-years-old, did not include all required information including, any allergies, including symptoms and the type of response required, and any fears or behavior characteristics a child has. 10A NCAC 09 .1721 (a)(3)(A)(B)(C)(E) 1895 Application did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns. The application on file for a preschool age child, five-years-old, did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns. .1721 (a ) (3)(D) 2015 Operator did not review the abusive head trauma and shaken baby syndrome policy with staff and/or the acknowledgement of the review did not contain required items or was not available for review. The operator did not review the abusive head trauma and shaken baby syndrome policy with the additional caregiver prior to providing care. The acknowledgement of the review was not available for review. .1726(d)(1-4) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. Operator did not provide a written statement to parents of two children, ages eight and eleven-years-old, regarding the smoking and tobacco restriction. .1719(a)(11) 2036 The operator did not review the plan for emergency procedures with additional caregivers and substitutes prior to allowing them to care for children, and when the plan is revised. The operator did not review the plan for emergency procedures with the additional caregiver prior to allowing her to care for children on July 8, 2024. .1713 Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. The violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00 p.m. on August 21, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Rhonda Blackmon Lead Child Care Consultant P.O. Box 279 Linden, NC 28356 Rhonda.blackmon@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance Specific to Today’s Visit: Children’s Records: You shall maintain an application for enrollment for each enrolled child, which includes the following information: (A) the child's full name and the name the child is to be called; (B) the child's date of birth; (C) any allergies and the symptoms and type of response required for allergic reactions; (D) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (E) fears or behavior characteristics that the child has; (F) the names of individuals to whom the operator may release the child as authorized by the person who signs the application; (G) the names and phone numbers of persons to be contacted in an emergency situation; (H) the name and phone number of the child's physician; and (I) authorization for the operator to seek emergency medical care in the parent's absence. During today’s visit, the application for one child (A.R.) was missing health care needs and emergency medical care information. Review all completed applications to ensure the required information is documented and current. Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Review children's files often to ensure the program is maintaining accurate licensing records. Organization and completeness of records is important to ensure easy access to information in emergency situations. For the files that contained the checklist, enrollment dates were not documented, and they were not updated to reflect dates of submission for required documentation and files were missing required paperwork. We reviewed the information that was missing in two children’s files (R.M. and M.P-R). Additionally, a copy of the file checklist for additional caregiver and substitute was printed from the DCDEE website and reviewed with B. Fletcher. We discussed information that is required to be maintained on file for individuals who provide care for more than 5 hours a week, during the planned absence of the operator. The additional caregiver’s file shall be maintained and made available for review upon request from a representative of the DCDEE. Rated License Assessment: The FCCH must transition to a 3-5 Star Rated License to continue to be eligible to receive subsidized care after six (6) months. During today’s visit, I informed you that the enhanced standards are based on two components: education and program standards. The requirements to complete for each point level in both education and the program standards were reviewed. B. Fletcher stated she has a copy of the FCCERS-R assessment tool and that Kathleen Hoffler, Region 5 Family Child Care Consultant, is providing technical assistance and consultation for achieving compliance with the three-month self-study/assessment. As a reminder, official transcripts must be submitted for ALL completed college-level coursework, certificates, diplomas, and/or degrees. Please do not upload in your WORKS account copies of in-service training documentation as these are not considered college coursework. Photocopies of transcripts, student or internet copies, and grade reports are NOT accepted. Official transcripts must be submitted electronically or mailed to the Division of Child Development and Early Education, Attn: Workforce Education Unit, 2201 Mail Service Center, Raleigh NC 27699-2201. The NCRLAP website (www.ncrlap.org) has a wealth of information on the Environment Rating Scales and overall quality issues for child care. You can download NC Additional Notes for the FCCERS-R and find additional information that will assist you with quality environments. Training videos are available on the following topics: Overview of the Assessment Process, Using Materials with Non-Mobile Infants, A Safe Place for Gross Motor Play, Hand washing and Other Basic Health Considerations, and Language for Learning. The Application for Assessment for a Two Component Star Rated License was reviewed and emailed to B. Fletcher. We discussed completing a three (3) month self-study/assessment using the FCCERS-R. For additional guidance, refer to the following documents emailed to you: 1. What is a Self-Study Process? 2. The Self-Study Process for NC’s Family Child Care Homes Planning Form 3. The Self-Study Process for NC’s Family Child Care Homes Key Points If interested in applying for a voluntary 2-5 Star Rated License, email the rated license application packet to the email address listed above by October 3, 2024. A packet of forms, brochures, and technical assistance handouts were reviewed and provided to B. Fletcher. The forms identified staff education requirements, program requirements, and options to achieve a Quality Point. Refer to child care requirement 09.2829 to determine which option the facility is meeting for the one quality point. Training: B. Fletcher complete the Emergency Preparedness and Response in Child Care training on February 18, 2017. B. Fletcher has (4) months from the date of licensure (November 3, 2024) to go online at https://rmp.nc.gov/portal/portal.aspx and complete the EPR Plan. Fire drills will be completed monthly and lock down or shelter in place drills shall be completed at least every three months. B. fletcher shall complete the CCDF Health and Safety training requirements. The health and safety trainings must be completed within twelve (12) months of being licensed (July 3, 2025). The CCDF Health and Safety trainings are now available in the DCDEE Moodle learning platform (https://www.dcdee.moodle.nc.gov/). Recognizing and Responding to Suspicions of Maltreatment: Child care staff are expected to be well informed about child abuse and neglect issues and adequately trained to prevent and recognize potential maltreatment. B. Fletcher and T. Tyson shall complete the training within 90 days of licensure (October 3, 2024). You may access the training at: www.preventchildabusenc.org. AWARD$ Plus Program: The Infant Toddler Educator AWARD$ program has recently gone through some exciting programmatic updates. The original AWARD$ program was only available to teachers working full-time in Birth to Three classrooms that had an AA in ECE or higher degree and were employed by 4- and 5-star programs. The education requirement has been reduced as an incentive to support teachers seeking to increase their education in any star rated licensed program. Visit www.childcareservices.org/award for additional information. The Challenging Behaviors Hotline has opened. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. Child care licensing requirements are established to ensure a safe and healthy child care environment. It is your responsibility to maintain compliance with all applicable laws and rules at all times. Periodically review the child care law and rules. Visit the DCDEE website and click on the “What’s New” tab to stay abreast of all updates. Please feel free to contact me at 910-709-4168 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09. 1715 · Violation

Name of Operation: A Mother's Touch Facility ID: 26002603 Consultant: RHONDA BLACKMON Operation Type: Family CC Home Case Number: Visit Date: 8/7/2024 Number Present: 8 Completed Date: 8/7/2024 Age: From 2 To 11 Total Minutes: 240 Time In: 09:50 AM Time Out: 01:50 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a first temporary time period visit. This program currently operates with a temporary license effective, July 3, 2024 to January 3, 2025. The information on record with DCDEE was verified as correct by Brook Fletcher and the owner’s corporation status was verified on the NC Secretary of State’s website as current-active. Current Inspection is as follows: Sanitation Classification of Superior with zero demerits completed June 24, 2024. Upon my arrival, I was greeted by Theresa Tyson, additional caregiver/substitute. T. Tyson stated that Brook Fletcher, Operator/Teacher, was not present. T. Tyson stated that B. Fletcher had a meeting but is expected to return at any moment. B. Fletcher arrived at the facility at 10:10 a.m. B. Fletcher assisted me during the visit. I requested to conduct a walk-through of the indoor and outdoor areas. Permission was granted. Preschool and school-age children colored and drew on white paper at the tables with crayons, built with Legos, played table top games, and pretended to cook on the stove in the dramatic play area. Afterwards, they transitioned to the carpet for a teacher directed activity. T. Tyson led circle time activities with the children. They sang songs, played Simon Says, and danced to music. After circle time, children participated in personal care and hand washing routines. Upon their return to the primary care space, children participated in free play activities until lunch was served. Lunch served was spaghetti noodles with tomato sauce and ground beef, sweet corn, French style green beans, and milk. When meal time was over, children participated in personal care routines and transitioned to their cots for rest time. Quiet time activities were offered to children who did not want to rest. B. Fletcher and T. Tyson’s personnel files, children’s files, and required program records were monitored. At the completion of the visit, this Visit Summary was reviewed with B. Fletcher. The following violations were observed: Violation Number Comment Rule 905 Record of monthly fire drills, giving the date, time of day and length of time to evacuate, and operator's signature, were not available. A monthly fire drill with the required information was not completed/documented on the Emergency Drill Log on file in the FCCH. .1721 (e )(2) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. Attendance records including documentation of arrival and departure for all children in care available for review were dated July 31, 2024. .1721(e)(6) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of two children, ages eight and eleven-years-old, prior to enrollment was not on file in the home. G.S.110-91(10); .1727(a)&(b) 938 Individuals who provide care for 5 hours or more a week, during planned absences of the operator, had not completed a health questionnaire. The additional caregiver, who provides care for 5 hours or more a week, during planned absences of the operator, did not have a completed health questionnaire on file. .1729(a)(4) 939 Individuals who provide care for 5 hours or more a week, during planned absences of the operator, did not have proof of negative TB test or screening results completed within the last 12 months prior to the first day providing care. The additional caregiver, who provides care for 5 hours or more a week, during planned absences of the operator, did not have proof of negative TB test or screening results on file prior to the first day of providing care (July 8, 2024). GS 110-91(7)(b) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. Summary of the NC Child Care Law was not given to the parent of two children, ages eight and eleven-years-old, before the children were enrolled in the home and a signed statement for receipt was not on file. GS 110-102 1712 Operator did not develop and adopt a written plan of care for completing routine tasks to ensure routine tasks did not interfere with the care of children during hours of operation. Upon licensure on July 3, 2024, the operator did not develop and adopt a written plan of care for completing routine tasks to ensure routine tasks did not interfere with the care of children during hours of operation. .1712(a) 1828 The Family Child Care Home operator did not discuss the operational policies with parents on or before the child's first day of attendance. The Family Child Care Home operator did not discuss the operational policies with parents of two children, ages eight and eleven-years-old, on or before the child's first day of attendance. 10A NCAC 09. 1715(b) 1891 Individuals providing care to children did not receive 16 hours of orientation prior to beginning caregiving activities. The additional caregiver did not receive 16 hours of orientation prior to beginning caregiving activities on July 8, 2024. .1729( c) 1892 Application was not on file for each enrolled child, including his/her own preschool child(ren) who are not school-age. An application was not on file for two enrolled children, ages eight and eleven-years-old. .1721(a)(3) 1893 Application did not include all required information including, but not limited to: child's full name, named to be called, child’s date of birth, any allergies, including symptoms and the type of response required, and any fears or behavior characteristics a child has. The application on file for a preschool child, five-years-old, did not include all required information including, any allergies, including symptoms and the type of response required, and any fears or behavior characteristics a child has. 10A NCAC 09 .1721 (a)(3)(A)(B)(C)(E) 1895 Application did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns. The application on file for a preschool age child, five-years-old, did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns. .1721 (a ) (3)(D) 2015 Operator did not review the abusive head trauma and shaken baby syndrome policy with staff and/or the acknowledgement of the review did not contain required items or was not available for review. The operator did not review the abusive head trauma and shaken baby syndrome policy with the additional caregiver prior to providing care. The acknowledgement of the review was not available for review. .1726(d)(1-4) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. Operator did not provide a written statement to parents of two children, ages eight and eleven-years-old, regarding the smoking and tobacco restriction. .1719(a)(11) 2036 The operator did not review the plan for emergency procedures with additional caregivers and substitutes prior to allowing them to care for children, and when the plan is revised. The operator did not review the plan for emergency procedures with the additional caregiver prior to allowing her to care for children on July 8, 2024. .1713 Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. The violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00 p.m. on August 21, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Rhonda Blackmon Lead Child Care Consultant P.O. Box 279 Linden, NC 28356 Rhonda.blackmon@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance Specific to Today’s Visit: Children’s Records: You shall maintain an application for enrollment for each enrolled child, which includes the following information: (A) the child's full name and the name the child is to be called; (B) the child's date of birth; (C) any allergies and the symptoms and type of response required for allergic reactions; (D) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (E) fears or behavior characteristics that the child has; (F) the names of individuals to whom the operator may release the child as authorized by the person who signs the application; (G) the names and phone numbers of persons to be contacted in an emergency situation; (H) the name and phone number of the child's physician; and (I) authorization for the operator to seek emergency medical care in the parent's absence. During today’s visit, the application for one child (A.R.) was missing health care needs and emergency medical care information. Review all completed applications to ensure the required information is documented and current. Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Review children's files often to ensure the program is maintaining accurate licensing records. Organization and completeness of records is important to ensure easy access to information in emergency situations. For the files that contained the checklist, enrollment dates were not documented, and they were not updated to reflect dates of submission for required documentation and files were missing required paperwork. We reviewed the information that was missing in two children’s files (R.M. and M.P-R). Additionally, a copy of the file checklist for additional caregiver and substitute was printed from the DCDEE website and reviewed with B. Fletcher. We discussed information that is required to be maintained on file for individuals who provide care for more than 5 hours a week, during the planned absence of the operator. The additional caregiver’s file shall be maintained and made available for review upon request from a representative of the DCDEE. Rated License Assessment: The FCCH must transition to a 3-5 Star Rated License to continue to be eligible to receive subsidized care after six (6) months. During today’s visit, I informed you that the enhanced standards are based on two components: education and program standards. The requirements to complete for each point level in both education and the program standards were reviewed. B. Fletcher stated she has a copy of the FCCERS-R assessment tool and that Kathleen Hoffler, Region 5 Family Child Care Consultant, is providing technical assistance and consultation for achieving compliance with the three-month self-study/assessment. As a reminder, official transcripts must be submitted for ALL completed college-level coursework, certificates, diplomas, and/or degrees. Please do not upload in your WORKS account copies of in-service training documentation as these are not considered college coursework. Photocopies of transcripts, student or internet copies, and grade reports are NOT accepted. Official transcripts must be submitted electronically or mailed to the Division of Child Development and Early Education, Attn: Workforce Education Unit, 2201 Mail Service Center, Raleigh NC 27699-2201. The NCRLAP website (www.ncrlap.org) has a wealth of information on the Environment Rating Scales and overall quality issues for child care. You can download NC Additional Notes for the FCCERS-R and find additional information that will assist you with quality environments. Training videos are available on the following topics: Overview of the Assessment Process, Using Materials with Non-Mobile Infants, A Safe Place for Gross Motor Play, Hand washing and Other Basic Health Considerations, and Language for Learning. The Application for Assessment for a Two Component Star Rated License was reviewed and emailed to B. Fletcher. We discussed completing a three (3) month self-study/assessment using the FCCERS-R. For additional guidance, refer to the following documents emailed to you: 1. What is a Self-Study Process? 2. The Self-Study Process for NC’s Family Child Care Homes Planning Form 3. The Self-Study Process for NC’s Family Child Care Homes Key Points If interested in applying for a voluntary 2-5 Star Rated License, email the rated license application packet to the email address listed above by October 3, 2024. A packet of forms, brochures, and technical assistance handouts were reviewed and provided to B. Fletcher. The forms identified staff education requirements, program requirements, and options to achieve a Quality Point. Refer to child care requirement 09.2829 to determine which option the facility is meeting for the one quality point. Training: B. Fletcher complete the Emergency Preparedness and Response in Child Care training on February 18, 2017. B. Fletcher has (4) months from the date of licensure (November 3, 2024) to go online at https://rmp.nc.gov/portal/portal.aspx and complete the EPR Plan. Fire drills will be completed monthly and lock down or shelter in place drills shall be completed at least every three months. B. fletcher shall complete the CCDF Health and Safety training requirements. The health and safety trainings must be completed within twelve (12) months of being licensed (July 3, 2025). The CCDF Health and Safety trainings are now available in the DCDEE Moodle learning platform (https://www.dcdee.moodle.nc.gov/). Recognizing and Responding to Suspicions of Maltreatment: Child care staff are expected to be well informed about child abuse and neglect issues and adequately trained to prevent and recognize potential maltreatment. B. Fletcher and T. Tyson shall complete the training within 90 days of licensure (October 3, 2024). You may access the training at: www.preventchildabusenc.org. AWARD$ Plus Program: The Infant Toddler Educator AWARD$ program has recently gone through some exciting programmatic updates. The original AWARD$ program was only available to teachers working full-time in Birth to Three classrooms that had an AA in ECE or higher degree and were employed by 4- and 5-star programs. The education requirement has been reduced as an incentive to support teachers seeking to increase their education in any star rated licensed program. Visit www.childcareservices.org/award for additional information. The Challenging Behaviors Hotline has opened. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. Child care licensing requirements are established to ensure a safe and healthy child care environment. It is your responsibility to maintain compliance with all applicable laws and rules at all times. Periodically review the child care law and rules. Visit the DCDEE website and click on the “What’s New” tab to stay abreast of all updates. Please feel free to contact me at 910-709-4168 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S.110-91 · Violation

Name of Operation: A Mother's Touch Facility ID: 26002603 Consultant: RHONDA BLACKMON Operation Type: Family CC Home Case Number: Visit Date: 8/7/2024 Number Present: 8 Completed Date: 8/7/2024 Age: From 2 To 11 Total Minutes: 240 Time In: 09:50 AM Time Out: 01:50 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a first temporary time period visit. This program currently operates with a temporary license effective, July 3, 2024 to January 3, 2025. The information on record with DCDEE was verified as correct by Brook Fletcher and the owner’s corporation status was verified on the NC Secretary of State’s website as current-active. Current Inspection is as follows: Sanitation Classification of Superior with zero demerits completed June 24, 2024. Upon my arrival, I was greeted by Theresa Tyson, additional caregiver/substitute. T. Tyson stated that Brook Fletcher, Operator/Teacher, was not present. T. Tyson stated that B. Fletcher had a meeting but is expected to return at any moment. B. Fletcher arrived at the facility at 10:10 a.m. B. Fletcher assisted me during the visit. I requested to conduct a walk-through of the indoor and outdoor areas. Permission was granted. Preschool and school-age children colored and drew on white paper at the tables with crayons, built with Legos, played table top games, and pretended to cook on the stove in the dramatic play area. Afterwards, they transitioned to the carpet for a teacher directed activity. T. Tyson led circle time activities with the children. They sang songs, played Simon Says, and danced to music. After circle time, children participated in personal care and hand washing routines. Upon their return to the primary care space, children participated in free play activities until lunch was served. Lunch served was spaghetti noodles with tomato sauce and ground beef, sweet corn, French style green beans, and milk. When meal time was over, children participated in personal care routines and transitioned to their cots for rest time. Quiet time activities were offered to children who did not want to rest. B. Fletcher and T. Tyson’s personnel files, children’s files, and required program records were monitored. At the completion of the visit, this Visit Summary was reviewed with B. Fletcher. The following violations were observed: Violation Number Comment Rule 905 Record of monthly fire drills, giving the date, time of day and length of time to evacuate, and operator's signature, were not available. A monthly fire drill with the required information was not completed/documented on the Emergency Drill Log on file in the FCCH. .1721 (e )(2) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. Attendance records including documentation of arrival and departure for all children in care available for review were dated July 31, 2024. .1721(e)(6) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of two children, ages eight and eleven-years-old, prior to enrollment was not on file in the home. G.S.110-91(10); .1727(a)&(b) 938 Individuals who provide care for 5 hours or more a week, during planned absences of the operator, had not completed a health questionnaire. The additional caregiver, who provides care for 5 hours or more a week, during planned absences of the operator, did not have a completed health questionnaire on file. .1729(a)(4) 939 Individuals who provide care for 5 hours or more a week, during planned absences of the operator, did not have proof of negative TB test or screening results completed within the last 12 months prior to the first day providing care. The additional caregiver, who provides care for 5 hours or more a week, during planned absences of the operator, did not have proof of negative TB test or screening results on file prior to the first day of providing care (July 8, 2024). GS 110-91(7)(b) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. Summary of the NC Child Care Law was not given to the parent of two children, ages eight and eleven-years-old, before the children were enrolled in the home and a signed statement for receipt was not on file. GS 110-102 1712 Operator did not develop and adopt a written plan of care for completing routine tasks to ensure routine tasks did not interfere with the care of children during hours of operation. Upon licensure on July 3, 2024, the operator did not develop and adopt a written plan of care for completing routine tasks to ensure routine tasks did not interfere with the care of children during hours of operation. .1712(a) 1828 The Family Child Care Home operator did not discuss the operational policies with parents on or before the child's first day of attendance. The Family Child Care Home operator did not discuss the operational policies with parents of two children, ages eight and eleven-years-old, on or before the child's first day of attendance. 10A NCAC 09. 1715(b) 1891 Individuals providing care to children did not receive 16 hours of orientation prior to beginning caregiving activities. The additional caregiver did not receive 16 hours of orientation prior to beginning caregiving activities on July 8, 2024. .1729( c) 1892 Application was not on file for each enrolled child, including his/her own preschool child(ren) who are not school-age. An application was not on file for two enrolled children, ages eight and eleven-years-old. .1721(a)(3) 1893 Application did not include all required information including, but not limited to: child's full name, named to be called, child’s date of birth, any allergies, including symptoms and the type of response required, and any fears or behavior characteristics a child has. The application on file for a preschool child, five-years-old, did not include all required information including, any allergies, including symptoms and the type of response required, and any fears or behavior characteristics a child has. 10A NCAC 09 .1721 (a)(3)(A)(B)(C)(E) 1895 Application did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns. The application on file for a preschool age child, five-years-old, did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns. .1721 (a ) (3)(D) 2015 Operator did not review the abusive head trauma and shaken baby syndrome policy with staff and/or the acknowledgement of the review did not contain required items or was not available for review. The operator did not review the abusive head trauma and shaken baby syndrome policy with the additional caregiver prior to providing care. The acknowledgement of the review was not available for review. .1726(d)(1-4) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. Operator did not provide a written statement to parents of two children, ages eight and eleven-years-old, regarding the smoking and tobacco restriction. .1719(a)(11) 2036 The operator did not review the plan for emergency procedures with additional caregivers and substitutes prior to allowing them to care for children, and when the plan is revised. The operator did not review the plan for emergency procedures with the additional caregiver prior to allowing her to care for children on July 8, 2024. .1713 Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. The violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00 p.m. on August 21, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Rhonda Blackmon Lead Child Care Consultant P.O. Box 279 Linden, NC 28356 Rhonda.blackmon@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance Specific to Today’s Visit: Children’s Records: You shall maintain an application for enrollment for each enrolled child, which includes the following information: (A) the child's full name and the name the child is to be called; (B) the child's date of birth; (C) any allergies and the symptoms and type of response required for allergic reactions; (D) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (E) fears or behavior characteristics that the child has; (F) the names of individuals to whom the operator may release the child as authorized by the person who signs the application; (G) the names and phone numbers of persons to be contacted in an emergency situation; (H) the name and phone number of the child's physician; and (I) authorization for the operator to seek emergency medical care in the parent's absence. During today’s visit, the application for one child (A.R.) was missing health care needs and emergency medical care information. Review all completed applications to ensure the required information is documented and current. Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Review children's files often to ensure the program is maintaining accurate licensing records. Organization and completeness of records is important to ensure easy access to information in emergency situations. For the files that contained the checklist, enrollment dates were not documented, and they were not updated to reflect dates of submission for required documentation and files were missing required paperwork. We reviewed the information that was missing in two children’s files (R.M. and M.P-R). Additionally, a copy of the file checklist for additional caregiver and substitute was printed from the DCDEE website and reviewed with B. Fletcher. We discussed information that is required to be maintained on file for individuals who provide care for more than 5 hours a week, during the planned absence of the operator. The additional caregiver’s file shall be maintained and made available for review upon request from a representative of the DCDEE. Rated License Assessment: The FCCH must transition to a 3-5 Star Rated License to continue to be eligible to receive subsidized care after six (6) months. During today’s visit, I informed you that the enhanced standards are based on two components: education and program standards. The requirements to complete for each point level in both education and the program standards were reviewed. B. Fletcher stated she has a copy of the FCCERS-R assessment tool and that Kathleen Hoffler, Region 5 Family Child Care Consultant, is providing technical assistance and consultation for achieving compliance with the three-month self-study/assessment. As a reminder, official transcripts must be submitted for ALL completed college-level coursework, certificates, diplomas, and/or degrees. Please do not upload in your WORKS account copies of in-service training documentation as these are not considered college coursework. Photocopies of transcripts, student or internet copies, and grade reports are NOT accepted. Official transcripts must be submitted electronically or mailed to the Division of Child Development and Early Education, Attn: Workforce Education Unit, 2201 Mail Service Center, Raleigh NC 27699-2201. The NCRLAP website (www.ncrlap.org) has a wealth of information on the Environment Rating Scales and overall quality issues for child care. You can download NC Additional Notes for the FCCERS-R and find additional information that will assist you with quality environments. Training videos are available on the following topics: Overview of the Assessment Process, Using Materials with Non-Mobile Infants, A Safe Place for Gross Motor Play, Hand washing and Other Basic Health Considerations, and Language for Learning. The Application for Assessment for a Two Component Star Rated License was reviewed and emailed to B. Fletcher. We discussed completing a three (3) month self-study/assessment using the FCCERS-R. For additional guidance, refer to the following documents emailed to you: 1. What is a Self-Study Process? 2. The Self-Study Process for NC’s Family Child Care Homes Planning Form 3. The Self-Study Process for NC’s Family Child Care Homes Key Points If interested in applying for a voluntary 2-5 Star Rated License, email the rated license application packet to the email address listed above by October 3, 2024. A packet of forms, brochures, and technical assistance handouts were reviewed and provided to B. Fletcher. The forms identified staff education requirements, program requirements, and options to achieve a Quality Point. Refer to child care requirement 09.2829 to determine which option the facility is meeting for the one quality point. Training: B. Fletcher complete the Emergency Preparedness and Response in Child Care training on February 18, 2017. B. Fletcher has (4) months from the date of licensure (November 3, 2024) to go online at https://rmp.nc.gov/portal/portal.aspx and complete the EPR Plan. Fire drills will be completed monthly and lock down or shelter in place drills shall be completed at least every three months. B. fletcher shall complete the CCDF Health and Safety training requirements. The health and safety trainings must be completed within twelve (12) months of being licensed (July 3, 2025). The CCDF Health and Safety trainings are now available in the DCDEE Moodle learning platform (https://www.dcdee.moodle.nc.gov/). Recognizing and Responding to Suspicions of Maltreatment: Child care staff are expected to be well informed about child abuse and neglect issues and adequately trained to prevent and recognize potential maltreatment. B. Fletcher and T. Tyson shall complete the training within 90 days of licensure (October 3, 2024). You may access the training at: www.preventchildabusenc.org. AWARD$ Plus Program: The Infant Toddler Educator AWARD$ program has recently gone through some exciting programmatic updates. The original AWARD$ program was only available to teachers working full-time in Birth to Three classrooms that had an AA in ECE or higher degree and were employed by 4- and 5-star programs. The education requirement has been reduced as an incentive to support teachers seeking to increase their education in any star rated licensed program. Visit www.childcareservices.org/award for additional information. The Challenging Behaviors Hotline has opened. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. Child care licensing requirements are established to ensure a safe and healthy child care environment. It is your responsibility to maintain compliance with all applicable laws and rules at all times. Periodically review the child care law and rules. Visit the DCDEE website and click on the “What’s New” tab to stay abreast of all updates. Please feel free to contact me at 910-709-4168 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-102 · Violation

Name of Operation: A Mother's Touch Facility ID: 26002603 Consultant: RHONDA BLACKMON Operation Type: Family CC Home Case Number: Visit Date: 8/7/2024 Number Present: 8 Completed Date: 8/7/2024 Age: From 2 To 11 Total Minutes: 240 Time In: 09:50 AM Time Out: 01:50 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a first temporary time period visit. This program currently operates with a temporary license effective, July 3, 2024 to January 3, 2025. The information on record with DCDEE was verified as correct by Brook Fletcher and the owner’s corporation status was verified on the NC Secretary of State’s website as current-active. Current Inspection is as follows: Sanitation Classification of Superior with zero demerits completed June 24, 2024. Upon my arrival, I was greeted by Theresa Tyson, additional caregiver/substitute. T. Tyson stated that Brook Fletcher, Operator/Teacher, was not present. T. Tyson stated that B. Fletcher had a meeting but is expected to return at any moment. B. Fletcher arrived at the facility at 10:10 a.m. B. Fletcher assisted me during the visit. I requested to conduct a walk-through of the indoor and outdoor areas. Permission was granted. Preschool and school-age children colored and drew on white paper at the tables with crayons, built with Legos, played table top games, and pretended to cook on the stove in the dramatic play area. Afterwards, they transitioned to the carpet for a teacher directed activity. T. Tyson led circle time activities with the children. They sang songs, played Simon Says, and danced to music. After circle time, children participated in personal care and hand washing routines. Upon their return to the primary care space, children participated in free play activities until lunch was served. Lunch served was spaghetti noodles with tomato sauce and ground beef, sweet corn, French style green beans, and milk. When meal time was over, children participated in personal care routines and transitioned to their cots for rest time. Quiet time activities were offered to children who did not want to rest. B. Fletcher and T. Tyson’s personnel files, children’s files, and required program records were monitored. At the completion of the visit, this Visit Summary was reviewed with B. Fletcher. The following violations were observed: Violation Number Comment Rule 905 Record of monthly fire drills, giving the date, time of day and length of time to evacuate, and operator's signature, were not available. A monthly fire drill with the required information was not completed/documented on the Emergency Drill Log on file in the FCCH. .1721 (e )(2) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. Attendance records including documentation of arrival and departure for all children in care available for review were dated July 31, 2024. .1721(e)(6) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of two children, ages eight and eleven-years-old, prior to enrollment was not on file in the home. G.S.110-91(10); .1727(a)&(b) 938 Individuals who provide care for 5 hours or more a week, during planned absences of the operator, had not completed a health questionnaire. The additional caregiver, who provides care for 5 hours or more a week, during planned absences of the operator, did not have a completed health questionnaire on file. .1729(a)(4) 939 Individuals who provide care for 5 hours or more a week, during planned absences of the operator, did not have proof of negative TB test or screening results completed within the last 12 months prior to the first day providing care. The additional caregiver, who provides care for 5 hours or more a week, during planned absences of the operator, did not have proof of negative TB test or screening results on file prior to the first day of providing care (July 8, 2024). GS 110-91(7)(b) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. Summary of the NC Child Care Law was not given to the parent of two children, ages eight and eleven-years-old, before the children were enrolled in the home and a signed statement for receipt was not on file. GS 110-102 1712 Operator did not develop and adopt a written plan of care for completing routine tasks to ensure routine tasks did not interfere with the care of children during hours of operation. Upon licensure on July 3, 2024, the operator did not develop and adopt a written plan of care for completing routine tasks to ensure routine tasks did not interfere with the care of children during hours of operation. .1712(a) 1828 The Family Child Care Home operator did not discuss the operational policies with parents on or before the child's first day of attendance. The Family Child Care Home operator did not discuss the operational policies with parents of two children, ages eight and eleven-years-old, on or before the child's first day of attendance. 10A NCAC 09. 1715(b) 1891 Individuals providing care to children did not receive 16 hours of orientation prior to beginning caregiving activities. The additional caregiver did not receive 16 hours of orientation prior to beginning caregiving activities on July 8, 2024. .1729( c) 1892 Application was not on file for each enrolled child, including his/her own preschool child(ren) who are not school-age. An application was not on file for two enrolled children, ages eight and eleven-years-old. .1721(a)(3) 1893 Application did not include all required information including, but not limited to: child's full name, named to be called, child’s date of birth, any allergies, including symptoms and the type of response required, and any fears or behavior characteristics a child has. The application on file for a preschool child, five-years-old, did not include all required information including, any allergies, including symptoms and the type of response required, and any fears or behavior characteristics a child has. 10A NCAC 09 .1721 (a)(3)(A)(B)(C)(E) 1895 Application did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns. The application on file for a preschool age child, five-years-old, did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns. .1721 (a ) (3)(D) 2015 Operator did not review the abusive head trauma and shaken baby syndrome policy with staff and/or the acknowledgement of the review did not contain required items or was not available for review. The operator did not review the abusive head trauma and shaken baby syndrome policy with the additional caregiver prior to providing care. The acknowledgement of the review was not available for review. .1726(d)(1-4) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. Operator did not provide a written statement to parents of two children, ages eight and eleven-years-old, regarding the smoking and tobacco restriction. .1719(a)(11) 2036 The operator did not review the plan for emergency procedures with additional caregivers and substitutes prior to allowing them to care for children, and when the plan is revised. The operator did not review the plan for emergency procedures with the additional caregiver prior to allowing her to care for children on July 8, 2024. .1713 Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. The violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00 p.m. on August 21, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Rhonda Blackmon Lead Child Care Consultant P.O. Box 279 Linden, NC 28356 Rhonda.blackmon@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance Specific to Today’s Visit: Children’s Records: You shall maintain an application for enrollment for each enrolled child, which includes the following information: (A) the child's full name and the name the child is to be called; (B) the child's date of birth; (C) any allergies and the symptoms and type of response required for allergic reactions; (D) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (E) fears or behavior characteristics that the child has; (F) the names of individuals to whom the operator may release the child as authorized by the person who signs the application; (G) the names and phone numbers of persons to be contacted in an emergency situation; (H) the name and phone number of the child's physician; and (I) authorization for the operator to seek emergency medical care in the parent's absence. During today’s visit, the application for one child (A.R.) was missing health care needs and emergency medical care information. Review all completed applications to ensure the required information is documented and current. Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Review children's files often to ensure the program is maintaining accurate licensing records. Organization and completeness of records is important to ensure easy access to information in emergency situations. For the files that contained the checklist, enrollment dates were not documented, and they were not updated to reflect dates of submission for required documentation and files were missing required paperwork. We reviewed the information that was missing in two children’s files (R.M. and M.P-R). Additionally, a copy of the file checklist for additional caregiver and substitute was printed from the DCDEE website and reviewed with B. Fletcher. We discussed information that is required to be maintained on file for individuals who provide care for more than 5 hours a week, during the planned absence of the operator. The additional caregiver’s file shall be maintained and made available for review upon request from a representative of the DCDEE. Rated License Assessment: The FCCH must transition to a 3-5 Star Rated License to continue to be eligible to receive subsidized care after six (6) months. During today’s visit, I informed you that the enhanced standards are based on two components: education and program standards. The requirements to complete for each point level in both education and the program standards were reviewed. B. Fletcher stated she has a copy of the FCCERS-R assessment tool and that Kathleen Hoffler, Region 5 Family Child Care Consultant, is providing technical assistance and consultation for achieving compliance with the three-month self-study/assessment. As a reminder, official transcripts must be submitted for ALL completed college-level coursework, certificates, diplomas, and/or degrees. Please do not upload in your WORKS account copies of in-service training documentation as these are not considered college coursework. Photocopies of transcripts, student or internet copies, and grade reports are NOT accepted. Official transcripts must be submitted electronically or mailed to the Division of Child Development and Early Education, Attn: Workforce Education Unit, 2201 Mail Service Center, Raleigh NC 27699-2201. The NCRLAP website (www.ncrlap.org) has a wealth of information on the Environment Rating Scales and overall quality issues for child care. You can download NC Additional Notes for the FCCERS-R and find additional information that will assist you with quality environments. Training videos are available on the following topics: Overview of the Assessment Process, Using Materials with Non-Mobile Infants, A Safe Place for Gross Motor Play, Hand washing and Other Basic Health Considerations, and Language for Learning. The Application for Assessment for a Two Component Star Rated License was reviewed and emailed to B. Fletcher. We discussed completing a three (3) month self-study/assessment using the FCCERS-R. For additional guidance, refer to the following documents emailed to you: 1. What is a Self-Study Process? 2. The Self-Study Process for NC’s Family Child Care Homes Planning Form 3. The Self-Study Process for NC’s Family Child Care Homes Key Points If interested in applying for a voluntary 2-5 Star Rated License, email the rated license application packet to the email address listed above by October 3, 2024. A packet of forms, brochures, and technical assistance handouts were reviewed and provided to B. Fletcher. The forms identified staff education requirements, program requirements, and options to achieve a Quality Point. Refer to child care requirement 09.2829 to determine which option the facility is meeting for the one quality point. Training: B. Fletcher complete the Emergency Preparedness and Response in Child Care training on February 18, 2017. B. Fletcher has (4) months from the date of licensure (November 3, 2024) to go online at https://rmp.nc.gov/portal/portal.aspx and complete the EPR Plan. Fire drills will be completed monthly and lock down or shelter in place drills shall be completed at least every three months. B. fletcher shall complete the CCDF Health and Safety training requirements. The health and safety trainings must be completed within twelve (12) months of being licensed (July 3, 2025). The CCDF Health and Safety trainings are now available in the DCDEE Moodle learning platform (https://www.dcdee.moodle.nc.gov/). Recognizing and Responding to Suspicions of Maltreatment: Child care staff are expected to be well informed about child abuse and neglect issues and adequately trained to prevent and recognize potential maltreatment. B. Fletcher and T. Tyson shall complete the training within 90 days of licensure (October 3, 2024). You may access the training at: www.preventchildabusenc.org. AWARD$ Plus Program: The Infant Toddler Educator AWARD$ program has recently gone through some exciting programmatic updates. The original AWARD$ program was only available to teachers working full-time in Birth to Three classrooms that had an AA in ECE or higher degree and were employed by 4- and 5-star programs. The education requirement has been reduced as an incentive to support teachers seeking to increase their education in any star rated licensed program. Visit www.childcareservices.org/award for additional information. The Challenging Behaviors Hotline has opened. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. Child care licensing requirements are established to ensure a safe and healthy child care environment. It is your responsibility to maintain compliance with all applicable laws and rules at all times. Periodically review the child care law and rules. Visit the DCDEE website and click on the “What’s New” tab to stay abreast of all updates. Please feel free to contact me at 910-709-4168 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: A Mother's Touch Facility ID: 26002603 Consultant: RHONDA BLACKMON Operation Type: Family CC Home Case Number: Visit Date: 8/7/2024 Number Present: 8 Completed Date: 8/7/2024 Age: From 2 To 11 Total Minutes: 240 Time In: 09:50 AM Time Out: 01:50 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a first temporary time period visit. This program currently operates with a temporary license effective, July 3, 2024 to January 3, 2025. The information on record with DCDEE was verified as correct by Brook Fletcher and the owner’s corporation status was verified on the NC Secretary of State’s website as current-active. Current Inspection is as follows: Sanitation Classification of Superior with zero demerits completed June 24, 2024. Upon my arrival, I was greeted by Theresa Tyson, additional caregiver/substitute. T. Tyson stated that Brook Fletcher, Operator/Teacher, was not present. T. Tyson stated that B. Fletcher had a meeting but is expected to return at any moment. B. Fletcher arrived at the facility at 10:10 a.m. B. Fletcher assisted me during the visit. I requested to conduct a walk-through of the indoor and outdoor areas. Permission was granted. Preschool and school-age children colored and drew on white paper at the tables with crayons, built with Legos, played table top games, and pretended to cook on the stove in the dramatic play area. Afterwards, they transitioned to the carpet for a teacher directed activity. T. Tyson led circle time activities with the children. They sang songs, played Simon Says, and danced to music. After circle time, children participated in personal care and hand washing routines. Upon their return to the primary care space, children participated in free play activities until lunch was served. Lunch served was spaghetti noodles with tomato sauce and ground beef, sweet corn, French style green beans, and milk. When meal time was over, children participated in personal care routines and transitioned to their cots for rest time. Quiet time activities were offered to children who did not want to rest. B. Fletcher and T. Tyson’s personnel files, children’s files, and required program records were monitored. At the completion of the visit, this Visit Summary was reviewed with B. Fletcher. The following violations were observed: Violation Number Comment Rule 905 Record of monthly fire drills, giving the date, time of day and length of time to evacuate, and operator's signature, were not available. A monthly fire drill with the required information was not completed/documented on the Emergency Drill Log on file in the FCCH. .1721 (e )(2) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. Attendance records including documentation of arrival and departure for all children in care available for review were dated July 31, 2024. .1721(e)(6) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of two children, ages eight and eleven-years-old, prior to enrollment was not on file in the home. G.S.110-91(10); .1727(a)&(b) 938 Individuals who provide care for 5 hours or more a week, during planned absences of the operator, had not completed a health questionnaire. The additional caregiver, who provides care for 5 hours or more a week, during planned absences of the operator, did not have a completed health questionnaire on file. .1729(a)(4) 939 Individuals who provide care for 5 hours or more a week, during planned absences of the operator, did not have proof of negative TB test or screening results completed within the last 12 months prior to the first day providing care. The additional caregiver, who provides care for 5 hours or more a week, during planned absences of the operator, did not have proof of negative TB test or screening results on file prior to the first day of providing care (July 8, 2024). GS 110-91(7)(b) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. Summary of the NC Child Care Law was not given to the parent of two children, ages eight and eleven-years-old, before the children were enrolled in the home and a signed statement for receipt was not on file. GS 110-102 1712 Operator did not develop and adopt a written plan of care for completing routine tasks to ensure routine tasks did not interfere with the care of children during hours of operation. Upon licensure on July 3, 2024, the operator did not develop and adopt a written plan of care for completing routine tasks to ensure routine tasks did not interfere with the care of children during hours of operation. .1712(a) 1828 The Family Child Care Home operator did not discuss the operational policies with parents on or before the child's first day of attendance. The Family Child Care Home operator did not discuss the operational policies with parents of two children, ages eight and eleven-years-old, on or before the child's first day of attendance. 10A NCAC 09. 1715(b) 1891 Individuals providing care to children did not receive 16 hours of orientation prior to beginning caregiving activities. The additional caregiver did not receive 16 hours of orientation prior to beginning caregiving activities on July 8, 2024. .1729( c) 1892 Application was not on file for each enrolled child, including his/her own preschool child(ren) who are not school-age. An application was not on file for two enrolled children, ages eight and eleven-years-old. .1721(a)(3) 1893 Application did not include all required information including, but not limited to: child's full name, named to be called, child’s date of birth, any allergies, including symptoms and the type of response required, and any fears or behavior characteristics a child has. The application on file for a preschool child, five-years-old, did not include all required information including, any allergies, including symptoms and the type of response required, and any fears or behavior characteristics a child has. 10A NCAC 09 .1721 (a)(3)(A)(B)(C)(E) 1895 Application did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns. The application on file for a preschool age child, five-years-old, did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns. .1721 (a ) (3)(D) 2015 Operator did not review the abusive head trauma and shaken baby syndrome policy with staff and/or the acknowledgement of the review did not contain required items or was not available for review. The operator did not review the abusive head trauma and shaken baby syndrome policy with the additional caregiver prior to providing care. The acknowledgement of the review was not available for review. .1726(d)(1-4) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. Operator did not provide a written statement to parents of two children, ages eight and eleven-years-old, regarding the smoking and tobacco restriction. .1719(a)(11) 2036 The operator did not review the plan for emergency procedures with additional caregivers and substitutes prior to allowing them to care for children, and when the plan is revised. The operator did not review the plan for emergency procedures with the additional caregiver prior to allowing her to care for children on July 8, 2024. .1713 Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. The violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00 p.m. on August 21, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Rhonda Blackmon Lead Child Care Consultant P.O. Box 279 Linden, NC 28356 Rhonda.blackmon@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance Specific to Today’s Visit: Children’s Records: You shall maintain an application for enrollment for each enrolled child, which includes the following information: (A) the child's full name and the name the child is to be called; (B) the child's date of birth; (C) any allergies and the symptoms and type of response required for allergic reactions; (D) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (E) fears or behavior characteristics that the child has; (F) the names of individuals to whom the operator may release the child as authorized by the person who signs the application; (G) the names and phone numbers of persons to be contacted in an emergency situation; (H) the name and phone number of the child's physician; and (I) authorization for the operator to seek emergency medical care in the parent's absence. During today’s visit, the application for one child (A.R.) was missing health care needs and emergency medical care information. Review all completed applications to ensure the required information is documented and current. Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Review children's files often to ensure the program is maintaining accurate licensing records. Organization and completeness of records is important to ensure easy access to information in emergency situations. For the files that contained the checklist, enrollment dates were not documented, and they were not updated to reflect dates of submission for required documentation and files were missing required paperwork. We reviewed the information that was missing in two children’s files (R.M. and M.P-R). Additionally, a copy of the file checklist for additional caregiver and substitute was printed from the DCDEE website and reviewed with B. Fletcher. We discussed information that is required to be maintained on file for individuals who provide care for more than 5 hours a week, during the planned absence of the operator. The additional caregiver’s file shall be maintained and made available for review upon request from a representative of the DCDEE. Rated License Assessment: The FCCH must transition to a 3-5 Star Rated License to continue to be eligible to receive subsidized care after six (6) months. During today’s visit, I informed you that the enhanced standards are based on two components: education and program standards. The requirements to complete for each point level in both education and the program standards were reviewed. B. Fletcher stated she has a copy of the FCCERS-R assessment tool and that Kathleen Hoffler, Region 5 Family Child Care Consultant, is providing technical assistance and consultation for achieving compliance with the three-month self-study/assessment. As a reminder, official transcripts must be submitted for ALL completed college-level coursework, certificates, diplomas, and/or degrees. Please do not upload in your WORKS account copies of in-service training documentation as these are not considered college coursework. Photocopies of transcripts, student or internet copies, and grade reports are NOT accepted. Official transcripts must be submitted electronically or mailed to the Division of Child Development and Early Education, Attn: Workforce Education Unit, 2201 Mail Service Center, Raleigh NC 27699-2201. The NCRLAP website (www.ncrlap.org) has a wealth of information on the Environment Rating Scales and overall quality issues for child care. You can download NC Additional Notes for the FCCERS-R and find additional information that will assist you with quality environments. Training videos are available on the following topics: Overview of the Assessment Process, Using Materials with Non-Mobile Infants, A Safe Place for Gross Motor Play, Hand washing and Other Basic Health Considerations, and Language for Learning. The Application for Assessment for a Two Component Star Rated License was reviewed and emailed to B. Fletcher. We discussed completing a three (3) month self-study/assessment using the FCCERS-R. For additional guidance, refer to the following documents emailed to you: 1. What is a Self-Study Process? 2. The Self-Study Process for NC’s Family Child Care Homes Planning Form 3. The Self-Study Process for NC’s Family Child Care Homes Key Points If interested in applying for a voluntary 2-5 Star Rated License, email the rated license application packet to the email address listed above by October 3, 2024. A packet of forms, brochures, and technical assistance handouts were reviewed and provided to B. Fletcher. The forms identified staff education requirements, program requirements, and options to achieve a Quality Point. Refer to child care requirement 09.2829 to determine which option the facility is meeting for the one quality point. Training: B. Fletcher complete the Emergency Preparedness and Response in Child Care training on February 18, 2017. B. Fletcher has (4) months from the date of licensure (November 3, 2024) to go online at https://rmp.nc.gov/portal/portal.aspx and complete the EPR Plan. Fire drills will be completed monthly and lock down or shelter in place drills shall be completed at least every three months. B. fletcher shall complete the CCDF Health and Safety training requirements. The health and safety trainings must be completed within twelve (12) months of being licensed (July 3, 2025). The CCDF Health and Safety trainings are now available in the DCDEE Moodle learning platform (https://www.dcdee.moodle.nc.gov/). Recognizing and Responding to Suspicions of Maltreatment: Child care staff are expected to be well informed about child abuse and neglect issues and adequately trained to prevent and recognize potential maltreatment. B. Fletcher and T. Tyson shall complete the training within 90 days of licensure (October 3, 2024). You may access the training at: www.preventchildabusenc.org. AWARD$ Plus Program: The Infant Toddler Educator AWARD$ program has recently gone through some exciting programmatic updates. The original AWARD$ program was only available to teachers working full-time in Birth to Three classrooms that had an AA in ECE or higher degree and were employed by 4- and 5-star programs. The education requirement has been reduced as an incentive to support teachers seeking to increase their education in any star rated licensed program. Visit www.childcareservices.org/award for additional information. The Challenging Behaviors Hotline has opened. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. Child care licensing requirements are established to ensure a safe and healthy child care environment. It is your responsibility to maintain compliance with all applicable laws and rules at all times. Periodically review the child care law and rules. Visit the DCDEE website and click on the “What’s New” tab to stay abreast of all updates. Please feel free to contact me at 910-709-4168 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: A Mother's Touch Facility ID: 26002603 Consultant: RHONDA BLACKMON Operation Type: Family CC Home Case Number: Visit Date: 8/7/2024 Number Present: 8 Completed Date: 8/7/2024 Age: From 2 To 11 Total Minutes: 240 Time In: 09:50 AM Time Out: 01:50 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a first temporary time period visit. This program currently operates with a temporary license effective, July 3, 2024 to January 3, 2025. The information on record with DCDEE was verified as correct by Brook Fletcher and the owner’s corporation status was verified on the NC Secretary of State’s website as current-active. Current Inspection is as follows: Sanitation Classification of Superior with zero demerits completed June 24, 2024. Upon my arrival, I was greeted by Theresa Tyson, additional caregiver/substitute. T. Tyson stated that Brook Fletcher, Operator/Teacher, was not present. T. Tyson stated that B. Fletcher had a meeting but is expected to return at any moment. B. Fletcher arrived at the facility at 10:10 a.m. B. Fletcher assisted me during the visit. I requested to conduct a walk-through of the indoor and outdoor areas. Permission was granted. Preschool and school-age children colored and drew on white paper at the tables with crayons, built with Legos, played table top games, and pretended to cook on the stove in the dramatic play area. Afterwards, they transitioned to the carpet for a teacher directed activity. T. Tyson led circle time activities with the children. They sang songs, played Simon Says, and danced to music. After circle time, children participated in personal care and hand washing routines. Upon their return to the primary care space, children participated in free play activities until lunch was served. Lunch served was spaghetti noodles with tomato sauce and ground beef, sweet corn, French style green beans, and milk. When meal time was over, children participated in personal care routines and transitioned to their cots for rest time. Quiet time activities were offered to children who did not want to rest. B. Fletcher and T. Tyson’s personnel files, children’s files, and required program records were monitored. At the completion of the visit, this Visit Summary was reviewed with B. Fletcher. The following violations were observed: Violation Number Comment Rule 905 Record of monthly fire drills, giving the date, time of day and length of time to evacuate, and operator's signature, were not available. A monthly fire drill with the required information was not completed/documented on the Emergency Drill Log on file in the FCCH. .1721 (e )(2) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. Attendance records including documentation of arrival and departure for all children in care available for review were dated July 31, 2024. .1721(e)(6) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of two children, ages eight and eleven-years-old, prior to enrollment was not on file in the home. G.S.110-91(10); .1727(a)&(b) 938 Individuals who provide care for 5 hours or more a week, during planned absences of the operator, had not completed a health questionnaire. The additional caregiver, who provides care for 5 hours or more a week, during planned absences of the operator, did not have a completed health questionnaire on file. .1729(a)(4) 939 Individuals who provide care for 5 hours or more a week, during planned absences of the operator, did not have proof of negative TB test or screening results completed within the last 12 months prior to the first day providing care. The additional caregiver, who provides care for 5 hours or more a week, during planned absences of the operator, did not have proof of negative TB test or screening results on file prior to the first day of providing care (July 8, 2024). GS 110-91(7)(b) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. Summary of the NC Child Care Law was not given to the parent of two children, ages eight and eleven-years-old, before the children were enrolled in the home and a signed statement for receipt was not on file. GS 110-102 1712 Operator did not develop and adopt a written plan of care for completing routine tasks to ensure routine tasks did not interfere with the care of children during hours of operation. Upon licensure on July 3, 2024, the operator did not develop and adopt a written plan of care for completing routine tasks to ensure routine tasks did not interfere with the care of children during hours of operation. .1712(a) 1828 The Family Child Care Home operator did not discuss the operational policies with parents on or before the child's first day of attendance. The Family Child Care Home operator did not discuss the operational policies with parents of two children, ages eight and eleven-years-old, on or before the child's first day of attendance. 10A NCAC 09. 1715(b) 1891 Individuals providing care to children did not receive 16 hours of orientation prior to beginning caregiving activities. The additional caregiver did not receive 16 hours of orientation prior to beginning caregiving activities on July 8, 2024. .1729( c) 1892 Application was not on file for each enrolled child, including his/her own preschool child(ren) who are not school-age. An application was not on file for two enrolled children, ages eight and eleven-years-old. .1721(a)(3) 1893 Application did not include all required information including, but not limited to: child's full name, named to be called, child’s date of birth, any allergies, including symptoms and the type of response required, and any fears or behavior characteristics a child has. The application on file for a preschool child, five-years-old, did not include all required information including, any allergies, including symptoms and the type of response required, and any fears or behavior characteristics a child has. 10A NCAC 09 .1721 (a)(3)(A)(B)(C)(E) 1895 Application did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns. The application on file for a preschool age child, five-years-old, did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns. .1721 (a ) (3)(D) 2015 Operator did not review the abusive head trauma and shaken baby syndrome policy with staff and/or the acknowledgement of the review did not contain required items or was not available for review. The operator did not review the abusive head trauma and shaken baby syndrome policy with the additional caregiver prior to providing care. The acknowledgement of the review was not available for review. .1726(d)(1-4) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. Operator did not provide a written statement to parents of two children, ages eight and eleven-years-old, regarding the smoking and tobacco restriction. .1719(a)(11) 2036 The operator did not review the plan for emergency procedures with additional caregivers and substitutes prior to allowing them to care for children, and when the plan is revised. The operator did not review the plan for emergency procedures with the additional caregiver prior to allowing her to care for children on July 8, 2024. .1713 Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. The violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00 p.m. on August 21, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Rhonda Blackmon Lead Child Care Consultant P.O. Box 279 Linden, NC 28356 Rhonda.blackmon@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance Specific to Today’s Visit: Children’s Records: You shall maintain an application for enrollment for each enrolled child, which includes the following information: (A) the child's full name and the name the child is to be called; (B) the child's date of birth; (C) any allergies and the symptoms and type of response required for allergic reactions; (D) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (E) fears or behavior characteristics that the child has; (F) the names of individuals to whom the operator may release the child as authorized by the person who signs the application; (G) the names and phone numbers of persons to be contacted in an emergency situation; (H) the name and phone number of the child's physician; and (I) authorization for the operator to seek emergency medical care in the parent's absence. During today’s visit, the application for one child (A.R.) was missing health care needs and emergency medical care information. Review all completed applications to ensure the required information is documented and current. Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Review children's files often to ensure the program is maintaining accurate licensing records. Organization and completeness of records is important to ensure easy access to information in emergency situations. For the files that contained the checklist, enrollment dates were not documented, and they were not updated to reflect dates of submission for required documentation and files were missing required paperwork. We reviewed the information that was missing in two children’s files (R.M. and M.P-R). Additionally, a copy of the file checklist for additional caregiver and substitute was printed from the DCDEE website and reviewed with B. Fletcher. We discussed information that is required to be maintained on file for individuals who provide care for more than 5 hours a week, during the planned absence of the operator. The additional caregiver’s file shall be maintained and made available for review upon request from a representative of the DCDEE. Rated License Assessment: The FCCH must transition to a 3-5 Star Rated License to continue to be eligible to receive subsidized care after six (6) months. During today’s visit, I informed you that the enhanced standards are based on two components: education and program standards. The requirements to complete for each point level in both education and the program standards were reviewed. B. Fletcher stated she has a copy of the FCCERS-R assessment tool and that Kathleen Hoffler, Region 5 Family Child Care Consultant, is providing technical assistance and consultation for achieving compliance with the three-month self-study/assessment. As a reminder, official transcripts must be submitted for ALL completed college-level coursework, certificates, diplomas, and/or degrees. Please do not upload in your WORKS account copies of in-service training documentation as these are not considered college coursework. Photocopies of transcripts, student or internet copies, and grade reports are NOT accepted. Official transcripts must be submitted electronically or mailed to the Division of Child Development and Early Education, Attn: Workforce Education Unit, 2201 Mail Service Center, Raleigh NC 27699-2201. The NCRLAP website (www.ncrlap.org) has a wealth of information on the Environment Rating Scales and overall quality issues for child care. You can download NC Additional Notes for the FCCERS-R and find additional information that will assist you with quality environments. Training videos are available on the following topics: Overview of the Assessment Process, Using Materials with Non-Mobile Infants, A Safe Place for Gross Motor Play, Hand washing and Other Basic Health Considerations, and Language for Learning. The Application for Assessment for a Two Component Star Rated License was reviewed and emailed to B. Fletcher. We discussed completing a three (3) month self-study/assessment using the FCCERS-R. For additional guidance, refer to the following documents emailed to you: 1. What is a Self-Study Process? 2. The Self-Study Process for NC’s Family Child Care Homes Planning Form 3. The Self-Study Process for NC’s Family Child Care Homes Key Points If interested in applying for a voluntary 2-5 Star Rated License, email the rated license application packet to the email address listed above by October 3, 2024. A packet of forms, brochures, and technical assistance handouts were reviewed and provided to B. Fletcher. The forms identified staff education requirements, program requirements, and options to achieve a Quality Point. Refer to child care requirement 09.2829 to determine which option the facility is meeting for the one quality point. Training: B. Fletcher complete the Emergency Preparedness and Response in Child Care training on February 18, 2017. B. Fletcher has (4) months from the date of licensure (November 3, 2024) to go online at https://rmp.nc.gov/portal/portal.aspx and complete the EPR Plan. Fire drills will be completed monthly and lock down or shelter in place drills shall be completed at least every three months. B. fletcher shall complete the CCDF Health and Safety training requirements. The health and safety trainings must be completed within twelve (12) months of being licensed (July 3, 2025). The CCDF Health and Safety trainings are now available in the DCDEE Moodle learning platform (https://www.dcdee.moodle.nc.gov/). Recognizing and Responding to Suspicions of Maltreatment: Child care staff are expected to be well informed about child abuse and neglect issues and adequately trained to prevent and recognize potential maltreatment. B. Fletcher and T. Tyson shall complete the training within 90 days of licensure (October 3, 2024). You may access the training at: www.preventchildabusenc.org. AWARD$ Plus Program: The Infant Toddler Educator AWARD$ program has recently gone through some exciting programmatic updates. The original AWARD$ program was only available to teachers working full-time in Birth to Three classrooms that had an AA in ECE or higher degree and were employed by 4- and 5-star programs. The education requirement has been reduced as an incentive to support teachers seeking to increase their education in any star rated licensed program. Visit www.childcareservices.org/award for additional information. The Challenging Behaviors Hotline has opened. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. Child care licensing requirements are established to ensure a safe and healthy child care environment. It is your responsibility to maintain compliance with all applicable laws and rules at all times. Periodically review the child care law and rules. Visit the DCDEE website and click on the “What’s New” tab to stay abreast of all updates. Please feel free to contact me at 910-709-4168 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times