Arether'S Little M&M Childcare

10A NCAC 09 .0605 · Violation

Name of Operation: ARETHER'S LITTLE M&M CHILDCARE Facility ID: 26001524 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 6/3/2026 Number Present: 8 Completed Date: 6/3/2026 Age: From 0 To 3 Total Minutes: 145 Time In: 09:00 AM Time Out: 11:25 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a routine unannounced visit. The previous Annual Compliance Visit was completed November 12, 2025, and prior to today’s visit, the eighteen-month compliance history score was at 92%. This program currently operates with a Four-Star License issued March 27, 2020. The License was based on the program earning seven points in education standards, four points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Ms. Chenell Horne, Lead Teacher. Current Inspections are as follows: Sanitation Classification of Superior completed March 2, 2026. Fire Classification of Approved completed July 25, 2025. Ms. Horne was present and accompanied me while observing the indoor and outdoor areas. Children independently engage in free choice play in their outdoor learning environment. In Space #1, there was one infant child present with one caregiver. The child was sitting on the caregiver’s lap with a basketball. The caregiver talked to the child about the ball. In Space #2, the children were playing with outdoor toys. The teacher was blowing the bubbles. After the children finished playing outdoors, the children washed their hands and completed toileting routines. Violations were observed for playground inspection and 3-month drills. Lunch served was beefaroni, corn, apples, bread, and milk. The most recent fire drill was completed on June 01, 2026, and the most recent 3-month shelter-in place drill and lockdown drill was completed April 02, 2026. The most recent playground check was completed for November 03, 2025, the lead teacher completed an additional playground check for today, June 3, 2026. At the completion of the visit, the Visit Summary was reviewed with Ms. Horne. The following violation were observed: Violation Number Comment Rule 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last monthly playground inspection was dated for November 3, 2025. This was corrected, the lead teacher completed the monthly playground inspection during today's visit. This is now dated for June 3, 2026. .0605(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last drill was not recorded on the form. This was corrected when the lead teacher stated that the inspection was completed on April 2, 2026. This information was recorded on the form. .0604(u);.0302(d)(8) 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 were corrected during today’s visit. A compliance letter is not required. Facility Specific TA/Consultation/Reminders: Monthly Playground Inspections: Monthly playground inspections will need to be completed once monthly by an individual trained in playground safety requirements. During today’s visit, I observed a playground inspection that was completed in November 2025. The teacher stated that the administrator completes the inspection, however, a current inspection was not located. I also informed the staff members, to ensure that all inspections for the previous year are on file and available for review. We discussed options for compliance. You can set a reminder on your calendar to complete. For example, the first working day in the month or the last working day in the month. Refer to Child Care Rules 10A NCAC 09 .0605, for more information regarding the Outdoor Learning Environment. Shelter-In Place or Lockdown Drill Log: Shelter-in-place drills will need to be completed every three months. We discussed placing dates on the calendar for upcoming due dates for drills to ensure that drills are conducted as indicated in Rule 10A NCAC 09 .1719(a)(16) &.1721(e)(7). During today’s visit, you stated that building #2, completes the drills on the same day. I was able to use the data that recorded on their drill form; however, it is important that the form is completed and available for review. In addition, we talked about maintaining record for the previous year. Classroom Observations/TA Consultation: During today’s visit, all staff talked to the children and interacted with the children during play. There was one staff member that talked to the children during an activity with bubbles. The children caught the bubbles and talked about the bubbles. There was one staff member sitting on the grass with an infant. The teacher talked to the child about the basketball that they were holding. The teacher also gave the child opportunity to play on the grass. There was one child that was upset, the teacher talked to the child, and redirected the child. I have provided some information for social emotional development. You can visit http://csefel.vanderbilt.edu/ for resources to help manage behaviors and provide strategies to help your non-verbal children. This website is the Center on the Social and Emotional Foundations for Early Learning (CSEFEL) that focuses on promoting the social emotional development and school readiness of young children birth to age 5. There are books that can be printed out and utilized in your facility to help manage children’s behaviors. For example, Tucker Turtle Takes Time to Tuck and Think. There are some resources and training that are free of charge. The steps to access the resources are located on the main page, select For Teachers and Caregivers, and then you will see the option for the book to print. Once you print the book, the staff can utilize sheet protectors and use a binder. It may be best to print a cover page and add on the front of the binder. For additional accessories, provide a soft turtle to use as a prop. The staff members can place these items in the cozy area as a way for the children to transition when he or she is having a difficult moment. The book promotes strategies for helping young children manage behaviors when they are upset. QRIS: We talked about the QRIS process, and I reviewed the required forms to submit for the application for reassessment. Today, the provider stated that she is currently using the Creative Curriculum. Challenging Behaviors Hotline 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. 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. Childcare Health Consultant: The Cumberland County Department of Public Health’s current Child Care Health Consultant is Nicole Richardson. Her contact number is: 910-678-7706 and her email address: nrrichardson@cumberlandcountync.gov. Visit the website https://nccchcassociation.org/resources/, under resources there are several links that may be beneficial for your Child Care Center. For example, Caring for Our Children, My Plate, Safe Kids NC, and many others. The following website will also provide more information about the Child Care Health Consultants. 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 My mailing address: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 nancy.stratford@dhhs.nc.gov Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 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 .1719 · Violation

Name of Operation: ARETHER'S LITTLE M&M CHILDCARE Facility ID: 26001524 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 6/3/2026 Number Present: 8 Completed Date: 6/3/2026 Age: From 0 To 3 Total Minutes: 145 Time In: 09:00 AM Time Out: 11:25 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a routine unannounced visit. The previous Annual Compliance Visit was completed November 12, 2025, and prior to today’s visit, the eighteen-month compliance history score was at 92%. This program currently operates with a Four-Star License issued March 27, 2020. The License was based on the program earning seven points in education standards, four points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Ms. Chenell Horne, Lead Teacher. Current Inspections are as follows: Sanitation Classification of Superior completed March 2, 2026. Fire Classification of Approved completed July 25, 2025. Ms. Horne was present and accompanied me while observing the indoor and outdoor areas. Children independently engage in free choice play in their outdoor learning environment. In Space #1, there was one infant child present with one caregiver. The child was sitting on the caregiver’s lap with a basketball. The caregiver talked to the child about the ball. In Space #2, the children were playing with outdoor toys. The teacher was blowing the bubbles. After the children finished playing outdoors, the children washed their hands and completed toileting routines. Violations were observed for playground inspection and 3-month drills. Lunch served was beefaroni, corn, apples, bread, and milk. The most recent fire drill was completed on June 01, 2026, and the most recent 3-month shelter-in place drill and lockdown drill was completed April 02, 2026. The most recent playground check was completed for November 03, 2025, the lead teacher completed an additional playground check for today, June 3, 2026. At the completion of the visit, the Visit Summary was reviewed with Ms. Horne. The following violation were observed: Violation Number Comment Rule 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last monthly playground inspection was dated for November 3, 2025. This was corrected, the lead teacher completed the monthly playground inspection during today's visit. This is now dated for June 3, 2026. .0605(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last drill was not recorded on the form. This was corrected when the lead teacher stated that the inspection was completed on April 2, 2026. This information was recorded on the form. .0604(u);.0302(d)(8) 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 were corrected during today’s visit. A compliance letter is not required. Facility Specific TA/Consultation/Reminders: Monthly Playground Inspections: Monthly playground inspections will need to be completed once monthly by an individual trained in playground safety requirements. During today’s visit, I observed a playground inspection that was completed in November 2025. The teacher stated that the administrator completes the inspection, however, a current inspection was not located. I also informed the staff members, to ensure that all inspections for the previous year are on file and available for review. We discussed options for compliance. You can set a reminder on your calendar to complete. For example, the first working day in the month or the last working day in the month. Refer to Child Care Rules 10A NCAC 09 .0605, for more information regarding the Outdoor Learning Environment. Shelter-In Place or Lockdown Drill Log: Shelter-in-place drills will need to be completed every three months. We discussed placing dates on the calendar for upcoming due dates for drills to ensure that drills are conducted as indicated in Rule 10A NCAC 09 .1719(a)(16) &.1721(e)(7). During today’s visit, you stated that building #2, completes the drills on the same day. I was able to use the data that recorded on their drill form; however, it is important that the form is completed and available for review. In addition, we talked about maintaining record for the previous year. Classroom Observations/TA Consultation: During today’s visit, all staff talked to the children and interacted with the children during play. There was one staff member that talked to the children during an activity with bubbles. The children caught the bubbles and talked about the bubbles. There was one staff member sitting on the grass with an infant. The teacher talked to the child about the basketball that they were holding. The teacher also gave the child opportunity to play on the grass. There was one child that was upset, the teacher talked to the child, and redirected the child. I have provided some information for social emotional development. You can visit http://csefel.vanderbilt.edu/ for resources to help manage behaviors and provide strategies to help your non-verbal children. This website is the Center on the Social and Emotional Foundations for Early Learning (CSEFEL) that focuses on promoting the social emotional development and school readiness of young children birth to age 5. There are books that can be printed out and utilized in your facility to help manage children’s behaviors. For example, Tucker Turtle Takes Time to Tuck and Think. There are some resources and training that are free of charge. The steps to access the resources are located on the main page, select For Teachers and Caregivers, and then you will see the option for the book to print. Once you print the book, the staff can utilize sheet protectors and use a binder. It may be best to print a cover page and add on the front of the binder. For additional accessories, provide a soft turtle to use as a prop. The staff members can place these items in the cozy area as a way for the children to transition when he or she is having a difficult moment. The book promotes strategies for helping young children manage behaviors when they are upset. QRIS: We talked about the QRIS process, and I reviewed the required forms to submit for the application for reassessment. Today, the provider stated that she is currently using the Creative Curriculum. Challenging Behaviors Hotline 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. 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. Childcare Health Consultant: The Cumberland County Department of Public Health’s current Child Care Health Consultant is Nicole Richardson. Her contact number is: 910-678-7706 and her email address: nrrichardson@cumberlandcountync.gov. Visit the website https://nccchcassociation.org/resources/, under resources there are several links that may be beneficial for your Child Care Center. For example, Caring for Our Children, My Plate, Safe Kids NC, and many others. The following website will also provide more information about the Child Care Health Consultants. 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 My mailing address: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 nancy.stratford@dhhs.nc.gov Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 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: ARETHER'S LITTLE M&M CHILDCARE Facility ID: 26001524 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 6/3/2026 Number Present: 8 Completed Date: 6/3/2026 Age: From 0 To 3 Total Minutes: 145 Time In: 09:00 AM Time Out: 11:25 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a routine unannounced visit. The previous Annual Compliance Visit was completed November 12, 2025, and prior to today’s visit, the eighteen-month compliance history score was at 92%. This program currently operates with a Four-Star License issued March 27, 2020. The License was based on the program earning seven points in education standards, four points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Ms. Chenell Horne, Lead Teacher. Current Inspections are as follows: Sanitation Classification of Superior completed March 2, 2026. Fire Classification of Approved completed July 25, 2025. Ms. Horne was present and accompanied me while observing the indoor and outdoor areas. Children independently engage in free choice play in their outdoor learning environment. In Space #1, there was one infant child present with one caregiver. The child was sitting on the caregiver’s lap with a basketball. The caregiver talked to the child about the ball. In Space #2, the children were playing with outdoor toys. The teacher was blowing the bubbles. After the children finished playing outdoors, the children washed their hands and completed toileting routines. Violations were observed for playground inspection and 3-month drills. Lunch served was beefaroni, corn, apples, bread, and milk. The most recent fire drill was completed on June 01, 2026, and the most recent 3-month shelter-in place drill and lockdown drill was completed April 02, 2026. The most recent playground check was completed for November 03, 2025, the lead teacher completed an additional playground check for today, June 3, 2026. At the completion of the visit, the Visit Summary was reviewed with Ms. Horne. The following violation were observed: Violation Number Comment Rule 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last monthly playground inspection was dated for November 3, 2025. This was corrected, the lead teacher completed the monthly playground inspection during today's visit. This is now dated for June 3, 2026. .0605(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last drill was not recorded on the form. This was corrected when the lead teacher stated that the inspection was completed on April 2, 2026. This information was recorded on the form. .0604(u);.0302(d)(8) 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 were corrected during today’s visit. A compliance letter is not required. Facility Specific TA/Consultation/Reminders: Monthly Playground Inspections: Monthly playground inspections will need to be completed once monthly by an individual trained in playground safety requirements. During today’s visit, I observed a playground inspection that was completed in November 2025. The teacher stated that the administrator completes the inspection, however, a current inspection was not located. I also informed the staff members, to ensure that all inspections for the previous year are on file and available for review. We discussed options for compliance. You can set a reminder on your calendar to complete. For example, the first working day in the month or the last working day in the month. Refer to Child Care Rules 10A NCAC 09 .0605, for more information regarding the Outdoor Learning Environment. Shelter-In Place or Lockdown Drill Log: Shelter-in-place drills will need to be completed every three months. We discussed placing dates on the calendar for upcoming due dates for drills to ensure that drills are conducted as indicated in Rule 10A NCAC 09 .1719(a)(16) &.1721(e)(7). During today’s visit, you stated that building #2, completes the drills on the same day. I was able to use the data that recorded on their drill form; however, it is important that the form is completed and available for review. In addition, we talked about maintaining record for the previous year. Classroom Observations/TA Consultation: During today’s visit, all staff talked to the children and interacted with the children during play. There was one staff member that talked to the children during an activity with bubbles. The children caught the bubbles and talked about the bubbles. There was one staff member sitting on the grass with an infant. The teacher talked to the child about the basketball that they were holding. The teacher also gave the child opportunity to play on the grass. There was one child that was upset, the teacher talked to the child, and redirected the child. I have provided some information for social emotional development. You can visit http://csefel.vanderbilt.edu/ for resources to help manage behaviors and provide strategies to help your non-verbal children. This website is the Center on the Social and Emotional Foundations for Early Learning (CSEFEL) that focuses on promoting the social emotional development and school readiness of young children birth to age 5. There are books that can be printed out and utilized in your facility to help manage children’s behaviors. For example, Tucker Turtle Takes Time to Tuck and Think. There are some resources and training that are free of charge. The steps to access the resources are located on the main page, select For Teachers and Caregivers, and then you will see the option for the book to print. Once you print the book, the staff can utilize sheet protectors and use a binder. It may be best to print a cover page and add on the front of the binder. For additional accessories, provide a soft turtle to use as a prop. The staff members can place these items in the cozy area as a way for the children to transition when he or she is having a difficult moment. The book promotes strategies for helping young children manage behaviors when they are upset. QRIS: We talked about the QRIS process, and I reviewed the required forms to submit for the application for reassessment. Today, the provider stated that she is currently using the Creative Curriculum. Challenging Behaviors Hotline 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. 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. Childcare Health Consultant: The Cumberland County Department of Public Health’s current Child Care Health Consultant is Nicole Richardson. Her contact number is: 910-678-7706 and her email address: nrrichardson@cumberlandcountync.gov. Visit the website https://nccchcassociation.org/resources/, under resources there are several links that may be beneficial for your Child Care Center. For example, Caring for Our Children, My Plate, Safe Kids NC, and many others. The following website will also provide more information about the Child Care Health Consultants. 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 My mailing address: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 nancy.stratford@dhhs.nc.gov Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 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 .0304 · Violation

Name of Operation: ARETHER'S LITTLE M&M CHILDCARE Facility ID: 26001524 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 11/12/2025 Number Present: 8 Completed Date: 11/12/2025 Age: From 1 To 3 Total Minutes: 200 Time In: 09:00 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous Annual Compliance Visit was completed November 19, 2024, and prior to today’s visit, the eighteen-month compliance history score was at 92%. This program currently operates with a Four-Star License issued March 27, 2020. The License was based on the program earning seven points in education standards, four points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Ms. Arether Mills, Administrator. Current Inspections are as follows: Sanitation Classification of Superior completed August 18, 2025. Fire Classification of Approved completed July 25, 2025. A violation was observed for fire inspection. Ms. Mills was present and assisted me while observing the indoor and outdoor areas. Children independently engaged in free choice play of classroom materials. In Space #1, the children were sitting on the carpet with their caregiver, pretending to eat. The children were holding pretend food and talking to their teacher. In Space #2, the children were playing in the following activities: blocks, dramatic play, puzzles, and toys. Lunch served was pulled pork, mixed vegetables, rice, applesauce, bread, and milk. The most recent fire drill was completed on October 15, 2025, and the most recent shelter in place drill was completed August 02, 2025. The most current monthly outdoor inspection was completed on November 03, 2025. At the completion of the visit, the Visit Summary was reviewed with Ms. Mils. The following violation was observed: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection was not completed within one year form the last. The last fire inspection was dated for July 1, 2024. This was corrected. The current fire inspection is dated for July 25, 2025. 10A NCAC 09 .0304(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. The violation observed and documented today may impact the compliance history score. The violation observed and documented today was corrected during the visit. A compliance letter is not required. Facility Specific TA/Consultation/Reminders : Fire Inspection: An annual Approved Fire Inspection is required annually and validates the building, premises, and program are following current Fire Codes; all of which attest a safe environment for children. Fire Inspections will need to be completed within 12 months of the center’s previous fire inspection. In addition, the Rule states the inspection must be on the form provided by the Division and mailed or emailed to the Consultant within seven (7) days. Please refer to Child Care Rules 10A NCAC 09 .0304 (a), for more information regarding this rule. My mailing address: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 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: ARETHER'S LITTLE M&M CHILDCARE Facility ID: 26001524 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 11/12/2025 Number Present: 8 Completed Date: 11/12/2025 Age: From 1 To 3 Total Minutes: 200 Time In: 09:00 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous Annual Compliance Visit was completed November 19, 2024, and prior to today’s visit, the eighteen-month compliance history score was at 92%. This program currently operates with a Four-Star License issued March 27, 2020. The License was based on the program earning seven points in education standards, four points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Ms. Arether Mills, Administrator. Current Inspections are as follows: Sanitation Classification of Superior completed August 18, 2025. Fire Classification of Approved completed July 25, 2025. A violation was observed for fire inspection. Ms. Mills was present and assisted me while observing the indoor and outdoor areas. Children independently engaged in free choice play of classroom materials. In Space #1, the children were sitting on the carpet with their caregiver, pretending to eat. The children were holding pretend food and talking to their teacher. In Space #2, the children were playing in the following activities: blocks, dramatic play, puzzles, and toys. Lunch served was pulled pork, mixed vegetables, rice, applesauce, bread, and milk. The most recent fire drill was completed on October 15, 2025, and the most recent shelter in place drill was completed August 02, 2025. The most current monthly outdoor inspection was completed on November 03, 2025. At the completion of the visit, the Visit Summary was reviewed with Ms. Mils. The following violation was observed: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection was not completed within one year form the last. The last fire inspection was dated for July 1, 2024. This was corrected. The current fire inspection is dated for July 25, 2025. 10A NCAC 09 .0304(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. The violation observed and documented today may impact the compliance history score. The violation observed and documented today was corrected during the visit. A compliance letter is not required. Facility Specific TA/Consultation/Reminders : Fire Inspection: An annual Approved Fire Inspection is required annually and validates the building, premises, and program are following current Fire Codes; all of which attest a safe environment for children. Fire Inspections will need to be completed within 12 months of the center’s previous fire inspection. In addition, the Rule states the inspection must be on the form provided by the Division and mailed or emailed to the Consultant within seven (7) days. Please refer to Child Care Rules 10A NCAC 09 .0304 (a), for more information regarding this rule. My mailing address: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 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 .0606 · Violation

Name of Operation: ARETHER'S LITTLE M&M CHILDCARE Facility ID: 26001524 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 6/6/2025 Number Present: 7 Completed Date: 6/6/2025 Age: From 0 To 2 Total Minutes: 125 Time In: 09:00 AM Time Out: 11:05 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a routine unannounced visit. The previous Annual Compliance Visit was completed November 19, 2024, and prior to today’s visit, the eighteen-month compliance history score was at 96%. This program currently operates with a Four-Star License issued March 27, 2020. The License was based on the program earning seven points in education standards, four points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Ms. Arether Mills, Administrator. Current Inspections are as follows: Sanitation Classification of Superior completed March 4, 2025. Fire Classification of Approved completed July 01, 2024. Ms. Mills was present and assisted me while observing the indoor areas. Children independently engaged in free choice play of classroom materials. In Space #1, there was one infant child present. The caregiver talked to the child and held the child. A violation was observed for safe sleep policy. In Space #2, the children were playing with toys in the classroom. The television was on with a children’s show. A violation was observed for screen time. After playing with toys, the children transitioned outdoors to play. Lunch served was turkey and ham, green beans, mixed fruit, biscuit, and milk. At the completion of the visit, the Visit Summary was reviewed with Ms. Mils. The following violation was observed: Violation Number Comment Rule 544 Screen time was offered to children under three years of age. In Space #3, the television was on and accessible to children under three years of age. This was corrected when the caregiver turned the television off. .0510(f) 871 Center staff did not comply with the safe sleep policy. In Space #1, a blanket was used in the crib during sleeping for a child, under one year of age. The caregiver removed the blanket from the crib. 10A NCAC 09 .0606(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. The violation observed and documented today may impact the compliance history score. The violation observed and documented today was corrected during today’s visit. A compliance letter is not required. Observation/Technical Assistance (TA): An observation was conducted in Space #1, where an infant was in care. The caregiver talked to the child and held the child. I observed toddler children in Space #3 during their morning routine. The children were playing with toys. The caregiver talked to the children and encouraged play with the children. After playing with toys, the children cleaned up their things and transitioned outdoors. A violation was observed for safe sleep policy and screen time. During today's visit, the caregiver was observing the child during sleeping. We talked about making sure that blankets are not used in the cribs. It may be possible that the infant can grab the blanket and cover their face. This could cause suffocation. In Addition, we talked about screen time is not allowed for children under three years of age. During today's visit, the screen time was playing with a children's show. The children were not actively watching the screen time, however, it was accessible for the children. 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. Child Care Health Consultant: The Cumberland County Department of Public Health current Child Care Health Consultant is Nicole Richardson. Her contact number is: 910-678-7706 and her email address: nrrichardson@cumberlandcountync.gov Visit the website https://nccchcassociation.org/resources/ , under resources there are several links that may be beneficial for your Family Child Care Home. For example, Caring for Our Children, My Plate, Safe Kids NC, and many others. The following website will also provide more information about the Child Care Health Consultants. The Child Care Health Consultant provides support in the following areas, but not limited to: oral health, illness, infectious disease, emergency preparedness, health related areas, nutrition, environmental health, and physical activity. For addition information areas, visit the website, https://healthychildcare.unc.edu/child-care-health-consultants/about-cchc/ . 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: ARETHER'S LITTLE M&M CHILDCARE Facility ID: 26001524 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 6/6/2025 Number Present: 7 Completed Date: 6/6/2025 Age: From 0 To 2 Total Minutes: 125 Time In: 09:00 AM Time Out: 11:05 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a routine unannounced visit. The previous Annual Compliance Visit was completed November 19, 2024, and prior to today’s visit, the eighteen-month compliance history score was at 96%. This program currently operates with a Four-Star License issued March 27, 2020. The License was based on the program earning seven points in education standards, four points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Ms. Arether Mills, Administrator. Current Inspections are as follows: Sanitation Classification of Superior completed March 4, 2025. Fire Classification of Approved completed July 01, 2024. Ms. Mills was present and assisted me while observing the indoor areas. Children independently engaged in free choice play of classroom materials. In Space #1, there was one infant child present. The caregiver talked to the child and held the child. A violation was observed for safe sleep policy. In Space #2, the children were playing with toys in the classroom. The television was on with a children’s show. A violation was observed for screen time. After playing with toys, the children transitioned outdoors to play. Lunch served was turkey and ham, green beans, mixed fruit, biscuit, and milk. At the completion of the visit, the Visit Summary was reviewed with Ms. Mils. The following violation was observed: Violation Number Comment Rule 544 Screen time was offered to children under three years of age. In Space #3, the television was on and accessible to children under three years of age. This was corrected when the caregiver turned the television off. .0510(f) 871 Center staff did not comply with the safe sleep policy. In Space #1, a blanket was used in the crib during sleeping for a child, under one year of age. The caregiver removed the blanket from the crib. 10A NCAC 09 .0606(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. The violation observed and documented today may impact the compliance history score. The violation observed and documented today was corrected during today’s visit. A compliance letter is not required. Observation/Technical Assistance (TA): An observation was conducted in Space #1, where an infant was in care. The caregiver talked to the child and held the child. I observed toddler children in Space #3 during their morning routine. The children were playing with toys. The caregiver talked to the children and encouraged play with the children. After playing with toys, the children cleaned up their things and transitioned outdoors. A violation was observed for safe sleep policy and screen time. During today's visit, the caregiver was observing the child during sleeping. We talked about making sure that blankets are not used in the cribs. It may be possible that the infant can grab the blanket and cover their face. This could cause suffocation. In Addition, we talked about screen time is not allowed for children under three years of age. During today's visit, the screen time was playing with a children's show. The children were not actively watching the screen time, however, it was accessible for the children. 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. Child Care Health Consultant: The Cumberland County Department of Public Health current Child Care Health Consultant is Nicole Richardson. Her contact number is: 910-678-7706 and her email address: nrrichardson@cumberlandcountync.gov Visit the website https://nccchcassociation.org/resources/ , under resources there are several links that may be beneficial for your Family Child Care Home. For example, Caring for Our Children, My Plate, Safe Kids NC, and many others. The following website will also provide more information about the Child Care Health Consultants. The Child Care Health Consultant provides support in the following areas, but not limited to: oral health, illness, infectious disease, emergency preparedness, health related areas, nutrition, environmental health, and physical activity. For addition information areas, visit the website, https://healthychildcare.unc.edu/child-care-health-consultants/about-cchc/ . If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: ARETHER'S LITTLE M&M CHILDCARE Facility ID: 26001524 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 11/19/2024 Number Present: 12 Completed Date: 11/19/2024 Age: From 1 To 4 Total Minutes: 195 Time In: 09:00 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous Annual Compliance Visit was completed February 06, 2024, and prior to today’s visit, the eighteen-month compliance history score was at 96%. This program currently operates with a Four-Star License issued March 27, 2020. The License was based on the program earning seven points in education standards, four points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Ms. Arether Mills, Administrator. Current Inspections are as follows: Sanitation Classification of Provisional completed November 18, 2024. A violation was cited for the sanitation inspection. Fire Classification of Approved completed July 01, 2024. Ms. Mills was present and assisted me while observing the indoor and outdoor areas. Children independently engaged in free choice play of classroom materials. In Space #1, two children were playing with the puzzles and talking about the color of the puzzles and two children were pretending to cook with the dishes and pretend stove. In Space #2, the children were standing on the carpet talking to their teacher about the different types of shapes. After group time, the children went outdoors to play. Toileting and handwashing routines were observed. Lunch served was lasagna, carrots, mixed fruit, bread, and milk. At the completion of the visit, the Visit Summary was reviewed with Ms. Mils. The following violation was observed: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The facility received a provisional sanitation inspection with six (6) demerits on November 18, 2024. 10A NCAC 09 .0304(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. 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 December 3, 2024, you must submit a Mail or email a written, dated, and signed statement to me by date (14 days from today)., The statement must describe accurately and in detail, describing 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. and how the facility plans to maintain compliance in the future. Mail or email the information to: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 nancy.stratford@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 Facility Specific TA/Consultation/Reminders : Sanitation Inspection: A violation was cited for a Sanitation Inspection. The Sanitation Inspection was dated for November 18, 2024, as a provisional rating. The administrator stated that the required items have been completed and are awaiting a status. Once you receive a Sanitation Inspection, please update your compliance letter by indicating an approved sanitation inspection was completed. Once your facility has received a Sanitation Inspection, please provide me with a scanned copy of the report by email. Today, the administrator stated that only the Provisional certification was given and not the sanitation inspection report. Child Care Health Consultant: The Cumberland County Department of Public Health current Child Care Health Consultant is Nicole Richardson. Her contact number is: 910-678-7706 and her email address: nrrichardson@cumberlandcountync.gov Visit the website https://nccchcassociation.org/resources/ , under resources there are several links that may be beneficial for your Family Child Care Home. For example, Caring for Our Children, My Plate, Safe Kids NC, and many others. The following website will also provide more information about the Child Care Health Consultants. The Child Care Health Consultant provides support in the following areas, but not limited to oral health, illness, infectious disease, emergency preparedness, health related areas, nutrition, environmental health, and physical activity. For addition information areas, visit the website, https://healthychildcare.unc.edu/child-care-health-consultants/about-cchc/ Challenging Behaviors: 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. 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 behavioral 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 DCDEE Website/ Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 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: ARETHER'S LITTLE M&M CHILDCARE Facility ID: 26001524 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 11/19/2024 Number Present: 12 Completed Date: 11/19/2024 Age: From 1 To 4 Total Minutes: 195 Time In: 09:00 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous Annual Compliance Visit was completed February 06, 2024, and prior to today’s visit, the eighteen-month compliance history score was at 96%. This program currently operates with a Four-Star License issued March 27, 2020. The License was based on the program earning seven points in education standards, four points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Ms. Arether Mills, Administrator. Current Inspections are as follows: Sanitation Classification of Provisional completed November 18, 2024. A violation was cited for the sanitation inspection. Fire Classification of Approved completed July 01, 2024. Ms. Mills was present and assisted me while observing the indoor and outdoor areas. Children independently engaged in free choice play of classroom materials. In Space #1, two children were playing with the puzzles and talking about the color of the puzzles and two children were pretending to cook with the dishes and pretend stove. In Space #2, the children were standing on the carpet talking to their teacher about the different types of shapes. After group time, the children went outdoors to play. Toileting and handwashing routines were observed. Lunch served was lasagna, carrots, mixed fruit, bread, and milk. At the completion of the visit, the Visit Summary was reviewed with Ms. Mils. The following violation was observed: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The facility received a provisional sanitation inspection with six (6) demerits on November 18, 2024. 10A NCAC 09 .0304(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. 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 December 3, 2024, you must submit a Mail or email a written, dated, and signed statement to me by date (14 days from today)., The statement must describe accurately and in detail, describing 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. and how the facility plans to maintain compliance in the future. Mail or email the information to: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 nancy.stratford@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 Facility Specific TA/Consultation/Reminders : Sanitation Inspection: A violation was cited for a Sanitation Inspection. The Sanitation Inspection was dated for November 18, 2024, as a provisional rating. The administrator stated that the required items have been completed and are awaiting a status. Once you receive a Sanitation Inspection, please update your compliance letter by indicating an approved sanitation inspection was completed. Once your facility has received a Sanitation Inspection, please provide me with a scanned copy of the report by email. Today, the administrator stated that only the Provisional certification was given and not the sanitation inspection report. Child Care Health Consultant: The Cumberland County Department of Public Health current Child Care Health Consultant is Nicole Richardson. Her contact number is: 910-678-7706 and her email address: nrrichardson@cumberlandcountync.gov Visit the website https://nccchcassociation.org/resources/ , under resources there are several links that may be beneficial for your Family Child Care Home. For example, Caring for Our Children, My Plate, Safe Kids NC, and many others. The following website will also provide more information about the Child Care Health Consultants. The Child Care Health Consultant provides support in the following areas, but not limited to oral health, illness, infectious disease, emergency preparedness, health related areas, nutrition, environmental health, and physical activity. For addition information areas, visit the website, https://healthychildcare.unc.edu/child-care-health-consultants/about-cchc/ Challenging Behaviors: 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. 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 behavioral 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 DCDEE Website/ Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 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 .0701 · Violation

Name of Operation: ARETHER'S LITTLE M&M CHILDCARE Facility ID: 26001524 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 2/6/2024 Number Present: 9 Completed Date: 2/6/2024 Age: From 0 To 4 Total Minutes: 230 Time In: 09:00 AM Time Out: 12:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous Annual Compliance Visit was completed February 21, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 98%. This program currently operates with a Four-Star License issued March 27, 2020. The License was based on the program earning seven points in education standards, four points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Ms. Arether Mills, Administrator. Current Inspections are as follows: Sanitation Classification of Superior completed January 18, 2024. Fire Classification of Approved completed July 05, 2023. Ms. Mills was present and assisted me while observing the indoor and outdoor areas. Children independently engaged in free choice play of classroom materials. In Space #1, one infant was lying on the floor playing with a musical shaker and the other children were sitting on the carpet with their teacher playing with books and shakers. A violation was cited today because cleaning supplies were stored on the counter, less than 5 feet from the floor. In addition, two violations were cited for staff records. In Space #2, the children were playing in the dramatic play area. The children dressed up in a police officer uniform and pretended to talk on the phone. Some of the children played with blocks. Lunch served was pork ribs, broccoli, oranges, bread, and milk. At the completion of the visit, the Visit Summary was reviewed with Ms. Mills. The following violations were observed: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #1, there was a container of Clorox wipes, one bottle of bleach cleaner, and one bottle of disinfectant, stored on a counter, less than, 5 feet from the floor. The administrator moved the items on a shelf greater than 5 feet from the floor. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The medical report was not completed prior to employment for (M.R., date of employment 02/06/2024). 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. The TB test or screening was not completed prior to employment for (M.R., date of employment 02/06/2024). .0701(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. The violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on February 20, 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: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 nancy.stratford@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 Facility Specific TA/Consultation/Reminders : Storage of Hazardous Items A violation was cited today for Storage of Hazardous Items. Store items that are labeled “keep out of reach of children” and have no other warning can be stored on a shelf or in an unlocked cabinet. The shelf or cabinet must be mounted at least five feet above the floor. In one classroom, cleaning supplies were stored on the counter approximately 4 feet. Cleaning supplies will need to be stored greater than 5 feet. A handout for Hazardous Items Storage for Child Care can be found on our website by clicking the tab Provider then Provider Document and Forms https://ncchildcare.ncdhhs.gov/. For more information regarding this rule requirement review Child Care Rules 15A NCAC 18A.2820(b). Staff Files: A violation was cited today, because the tb test and medical statement was missing from a new staff files. We discussed additional items needed. Prior to employment, it is best practice to ensure the Staff File Checklist is completed. The items required are notated on the form and it also list timeframes for other required documents. This helps to determine if all items are on file and available for review. In addition, make sure that you have the most recent Staff File Checklist for Centers. The Division of Child Development and Early Education (DCDEE) website provides updated forms and resources. A blank copy of the Staff File Checklist can be located by visiting https://ncchildcare.ncdhhs.gov, The form can be found by selecting Provider tab then select Provider Documents and Forms. Please refer to Child Care Rule 10A NCAC 09 .0701, 10A NCAC 09 .0704, and10A NCAC 09 .2408 for more information regarding this rule requirement. Storage of Supplies: Technical assistance was provided today for baby wipes, gloves, and diaper storage. We talked about the best areas to store these items. For the diapers, the diapers should be removed from the package and placed on the shelf or another location. Both wipes and gloves will need to be stored greater than 5 feet. The teachers will need to ensure that these items are out of the reach of children. The diaper packaging and gloves could be a potential choking hazard if consumed and the wipes have chemicals that could be harmful to children if consumed. Natural Outdoor Learning Initiative: 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 Child Care Health Consultant: The Cumberland County Department of Public Health current Child Care Health Consultant is Nicole Richardson. Her contact number is: 910-678-7706 and her email address: nrrichardson@cumberlandcountync.gov Visit the website https://nccchcassociation.org/resources/ , under resources there are several links that may be beneficial for your Family Child Care Home. For example, Caring for Our Children, My Plate, Safe Kids NC, and many others. The following website will also provide more information about the Child Care Health Consultants. The Child Care Health Consultant provides support in the following areas, but not limited to: oral health, illness, infectious disease, emergency preparedness, health related areas, nutrition, environmental health, and physical activity. For addition information areas, visit the website, https://healthychildcare.unc.edu/child-care-health-consultants/about-cchc/ . Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 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 .0704 · Violation

Name of Operation: ARETHER'S LITTLE M&M CHILDCARE Facility ID: 26001524 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 2/6/2024 Number Present: 9 Completed Date: 2/6/2024 Age: From 0 To 4 Total Minutes: 230 Time In: 09:00 AM Time Out: 12:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous Annual Compliance Visit was completed February 21, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 98%. This program currently operates with a Four-Star License issued March 27, 2020. The License was based on the program earning seven points in education standards, four points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Ms. Arether Mills, Administrator. Current Inspections are as follows: Sanitation Classification of Superior completed January 18, 2024. Fire Classification of Approved completed July 05, 2023. Ms. Mills was present and assisted me while observing the indoor and outdoor areas. Children independently engaged in free choice play of classroom materials. In Space #1, one infant was lying on the floor playing with a musical shaker and the other children were sitting on the carpet with their teacher playing with books and shakers. A violation was cited today because cleaning supplies were stored on the counter, less than 5 feet from the floor. In addition, two violations were cited for staff records. In Space #2, the children were playing in the dramatic play area. The children dressed up in a police officer uniform and pretended to talk on the phone. Some of the children played with blocks. Lunch served was pork ribs, broccoli, oranges, bread, and milk. At the completion of the visit, the Visit Summary was reviewed with Ms. Mills. The following violations were observed: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #1, there was a container of Clorox wipes, one bottle of bleach cleaner, and one bottle of disinfectant, stored on a counter, less than, 5 feet from the floor. The administrator moved the items on a shelf greater than 5 feet from the floor. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The medical report was not completed prior to employment for (M.R., date of employment 02/06/2024). 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. The TB test or screening was not completed prior to employment for (M.R., date of employment 02/06/2024). .0701(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. The violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on February 20, 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: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 nancy.stratford@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 Facility Specific TA/Consultation/Reminders : Storage of Hazardous Items A violation was cited today for Storage of Hazardous Items. Store items that are labeled “keep out of reach of children” and have no other warning can be stored on a shelf or in an unlocked cabinet. The shelf or cabinet must be mounted at least five feet above the floor. In one classroom, cleaning supplies were stored on the counter approximately 4 feet. Cleaning supplies will need to be stored greater than 5 feet. A handout for Hazardous Items Storage for Child Care can be found on our website by clicking the tab Provider then Provider Document and Forms https://ncchildcare.ncdhhs.gov/. For more information regarding this rule requirement review Child Care Rules 15A NCAC 18A.2820(b). Staff Files: A violation was cited today, because the tb test and medical statement was missing from a new staff files. We discussed additional items needed. Prior to employment, it is best practice to ensure the Staff File Checklist is completed. The items required are notated on the form and it also list timeframes for other required documents. This helps to determine if all items are on file and available for review. In addition, make sure that you have the most recent Staff File Checklist for Centers. The Division of Child Development and Early Education (DCDEE) website provides updated forms and resources. A blank copy of the Staff File Checklist can be located by visiting https://ncchildcare.ncdhhs.gov, The form can be found by selecting Provider tab then select Provider Documents and Forms. Please refer to Child Care Rule 10A NCAC 09 .0701, 10A NCAC 09 .0704, and10A NCAC 09 .2408 for more information regarding this rule requirement. Storage of Supplies: Technical assistance was provided today for baby wipes, gloves, and diaper storage. We talked about the best areas to store these items. For the diapers, the diapers should be removed from the package and placed on the shelf or another location. Both wipes and gloves will need to be stored greater than 5 feet. The teachers will need to ensure that these items are out of the reach of children. The diaper packaging and gloves could be a potential choking hazard if consumed and the wipes have chemicals that could be harmful to children if consumed. Natural Outdoor Learning Initiative: 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 Child Care Health Consultant: The Cumberland County Department of Public Health current Child Care Health Consultant is Nicole Richardson. Her contact number is: 910-678-7706 and her email address: nrrichardson@cumberlandcountync.gov Visit the website https://nccchcassociation.org/resources/ , under resources there are several links that may be beneficial for your Family Child Care Home. For example, Caring for Our Children, My Plate, Safe Kids NC, and many others. The following website will also provide more information about the Child Care Health Consultants. The Child Care Health Consultant provides support in the following areas, but not limited to: oral health, illness, infectious disease, emergency preparedness, health related areas, nutrition, environmental health, and physical activity. For addition information areas, visit the website, https://healthychildcare.unc.edu/child-care-health-consultants/about-cchc/ . Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 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 .2408 · Violation

Name of Operation: ARETHER'S LITTLE M&M CHILDCARE Facility ID: 26001524 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 2/6/2024 Number Present: 9 Completed Date: 2/6/2024 Age: From 0 To 4 Total Minutes: 230 Time In: 09:00 AM Time Out: 12:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous Annual Compliance Visit was completed February 21, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 98%. This program currently operates with a Four-Star License issued March 27, 2020. The License was based on the program earning seven points in education standards, four points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Ms. Arether Mills, Administrator. Current Inspections are as follows: Sanitation Classification of Superior completed January 18, 2024. Fire Classification of Approved completed July 05, 2023. Ms. Mills was present and assisted me while observing the indoor and outdoor areas. Children independently engaged in free choice play of classroom materials. In Space #1, one infant was lying on the floor playing with a musical shaker and the other children were sitting on the carpet with their teacher playing with books and shakers. A violation was cited today because cleaning supplies were stored on the counter, less than 5 feet from the floor. In addition, two violations were cited for staff records. In Space #2, the children were playing in the dramatic play area. The children dressed up in a police officer uniform and pretended to talk on the phone. Some of the children played with blocks. Lunch served was pork ribs, broccoli, oranges, bread, and milk. At the completion of the visit, the Visit Summary was reviewed with Ms. Mills. The following violations were observed: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #1, there was a container of Clorox wipes, one bottle of bleach cleaner, and one bottle of disinfectant, stored on a counter, less than, 5 feet from the floor. The administrator moved the items on a shelf greater than 5 feet from the floor. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The medical report was not completed prior to employment for (M.R., date of employment 02/06/2024). 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. The TB test or screening was not completed prior to employment for (M.R., date of employment 02/06/2024). .0701(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. The violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on February 20, 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: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 nancy.stratford@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 Facility Specific TA/Consultation/Reminders : Storage of Hazardous Items A violation was cited today for Storage of Hazardous Items. Store items that are labeled “keep out of reach of children” and have no other warning can be stored on a shelf or in an unlocked cabinet. The shelf or cabinet must be mounted at least five feet above the floor. In one classroom, cleaning supplies were stored on the counter approximately 4 feet. Cleaning supplies will need to be stored greater than 5 feet. A handout for Hazardous Items Storage for Child Care can be found on our website by clicking the tab Provider then Provider Document and Forms https://ncchildcare.ncdhhs.gov/. For more information regarding this rule requirement review Child Care Rules 15A NCAC 18A.2820(b). Staff Files: A violation was cited today, because the tb test and medical statement was missing from a new staff files. We discussed additional items needed. Prior to employment, it is best practice to ensure the Staff File Checklist is completed. The items required are notated on the form and it also list timeframes for other required documents. This helps to determine if all items are on file and available for review. In addition, make sure that you have the most recent Staff File Checklist for Centers. The Division of Child Development and Early Education (DCDEE) website provides updated forms and resources. A blank copy of the Staff File Checklist can be located by visiting https://ncchildcare.ncdhhs.gov, The form can be found by selecting Provider tab then select Provider Documents and Forms. Please refer to Child Care Rule 10A NCAC 09 .0701, 10A NCAC 09 .0704, and10A NCAC 09 .2408 for more information regarding this rule requirement. Storage of Supplies: Technical assistance was provided today for baby wipes, gloves, and diaper storage. We talked about the best areas to store these items. For the diapers, the diapers should be removed from the package and placed on the shelf or another location. Both wipes and gloves will need to be stored greater than 5 feet. The teachers will need to ensure that these items are out of the reach of children. The diaper packaging and gloves could be a potential choking hazard if consumed and the wipes have chemicals that could be harmful to children if consumed. Natural Outdoor Learning Initiative: 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 Child Care Health Consultant: The Cumberland County Department of Public Health current Child Care Health Consultant is Nicole Richardson. Her contact number is: 910-678-7706 and her email address: nrrichardson@cumberlandcountync.gov Visit the website https://nccchcassociation.org/resources/ , under resources there are several links that may be beneficial for your Family Child Care Home. For example, Caring for Our Children, My Plate, Safe Kids NC, and many others. The following website will also provide more information about the Child Care Health Consultants. The Child Care Health Consultant provides support in the following areas, but not limited to: oral health, illness, infectious disease, emergency preparedness, health related areas, nutrition, environmental health, and physical activity. For addition information areas, visit the website, https://healthychildcare.unc.edu/child-care-health-consultants/about-cchc/ . Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 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: ARETHER'S LITTLE M&M CHILDCARE Facility ID: 26001524 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 2/6/2024 Number Present: 9 Completed Date: 2/6/2024 Age: From 0 To 4 Total Minutes: 230 Time In: 09:00 AM Time Out: 12:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous Annual Compliance Visit was completed February 21, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 98%. This program currently operates with a Four-Star License issued March 27, 2020. The License was based on the program earning seven points in education standards, four points in program standards, and one quality point by choosing to meet an education option for: The child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The information on record with DCDEE was verified as correct by Ms. Arether Mills, Administrator. Current Inspections are as follows: Sanitation Classification of Superior completed January 18, 2024. Fire Classification of Approved completed July 05, 2023. Ms. Mills was present and assisted me while observing the indoor and outdoor areas. Children independently engaged in free choice play of classroom materials. In Space #1, one infant was lying on the floor playing with a musical shaker and the other children were sitting on the carpet with their teacher playing with books and shakers. A violation was cited today because cleaning supplies were stored on the counter, less than 5 feet from the floor. In addition, two violations were cited for staff records. In Space #2, the children were playing in the dramatic play area. The children dressed up in a police officer uniform and pretended to talk on the phone. Some of the children played with blocks. Lunch served was pork ribs, broccoli, oranges, bread, and milk. At the completion of the visit, the Visit Summary was reviewed with Ms. Mills. The following violations were observed: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #1, there was a container of Clorox wipes, one bottle of bleach cleaner, and one bottle of disinfectant, stored on a counter, less than, 5 feet from the floor. The administrator moved the items on a shelf greater than 5 feet from the floor. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The medical report was not completed prior to employment for (M.R., date of employment 02/06/2024). 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. The TB test or screening was not completed prior to employment for (M.R., date of employment 02/06/2024). .0701(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. The violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on February 20, 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: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 nancy.stratford@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 Facility Specific TA/Consultation/Reminders : Storage of Hazardous Items A violation was cited today for Storage of Hazardous Items. Store items that are labeled “keep out of reach of children” and have no other warning can be stored on a shelf or in an unlocked cabinet. The shelf or cabinet must be mounted at least five feet above the floor. In one classroom, cleaning supplies were stored on the counter approximately 4 feet. Cleaning supplies will need to be stored greater than 5 feet. A handout for Hazardous Items Storage for Child Care can be found on our website by clicking the tab Provider then Provider Document and Forms https://ncchildcare.ncdhhs.gov/. For more information regarding this rule requirement review Child Care Rules 15A NCAC 18A.2820(b). Staff Files: A violation was cited today, because the tb test and medical statement was missing from a new staff files. We discussed additional items needed. Prior to employment, it is best practice to ensure the Staff File Checklist is completed. The items required are notated on the form and it also list timeframes for other required documents. This helps to determine if all items are on file and available for review. In addition, make sure that you have the most recent Staff File Checklist for Centers. The Division of Child Development and Early Education (DCDEE) website provides updated forms and resources. A blank copy of the Staff File Checklist can be located by visiting https://ncchildcare.ncdhhs.gov, The form can be found by selecting Provider tab then select Provider Documents and Forms. Please refer to Child Care Rule 10A NCAC 09 .0701, 10A NCAC 09 .0704, and10A NCAC 09 .2408 for more information regarding this rule requirement. Storage of Supplies: Technical assistance was provided today for baby wipes, gloves, and diaper storage. We talked about the best areas to store these items. For the diapers, the diapers should be removed from the package and placed on the shelf or another location. Both wipes and gloves will need to be stored greater than 5 feet. The teachers will need to ensure that these items are out of the reach of children. The diaper packaging and gloves could be a potential choking hazard if consumed and the wipes have chemicals that could be harmful to children if consumed. Natural Outdoor Learning Initiative: 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 Child Care Health Consultant: The Cumberland County Department of Public Health current Child Care Health Consultant is Nicole Richardson. Her contact number is: 910-678-7706 and her email address: nrrichardson@cumberlandcountync.gov Visit the website https://nccchcassociation.org/resources/ , under resources there are several links that may be beneficial for your Family Child Care Home. For example, Caring for Our Children, My Plate, Safe Kids NC, and many others. The following website will also provide more information about the Child Care Health Consultants. The Child Care Health Consultant provides support in the following areas, but not limited to: oral health, illness, infectious disease, emergency preparedness, health related areas, nutrition, environmental health, and physical activity. For addition information areas, visit the website, https://healthychildcare.unc.edu/child-care-health-consultants/about-cchc/ . Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 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