C3 Cynthia'S Cuddling Care

NC GS 110-90 · Violation

Name of Operation: C3 CYNTHIA'S CUDDLING CARE Facility ID: 26002382 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 3/18/2026 Number Present: 8 Completed Date: 3/18/2026 Age: From 0 To 5 Total Minutes: 195 Time In: 09:00 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a Routine Unannounced visit. The previous Annual Compliance visit was completed September 11, 2025, and prior to today’s visit, the eighteen-month compliance history score was 89% which is at or above 75%, as required by North Carolina General Statute 110-90(4) (c-d). This program currently operates with a Four-Star License issued January 10, 2020. The License was based on the program earning 5 points in education standards, 5 points in program standards, and one quality point by choosing to meet the programmatic option of reducing the group size by one in each group from the seven-point level as required in Rule .2818(c). The information on record with DCDEE was verified as correct by Cynthia Mosley, Administrator. Current Inspections are as follows: Sanitation Classification of Approved was completed on July 08, 2025. Fire Classification of Satisfactory was completed on September 25, 2025. C. Mosley was present while I observed the indoor and outdoor areas. Upon my arrival, eight (8) children and two (2) teachers were present. Children were observed participating in free-choice activities. Children had access to blocks, fine motor, dramatic play, creative art, and literacy materials. In Space #1, the children were observed scooting around on riding toys, stacking plastic buckets, completing knob puzzles, and participating in tummy time activities. A diaper change was observed, and all diapering procedures were followed. In Space #2, two children were observed at a table building various structures with waffle blocks. Another child was observed pretending to cook and serve the teacher at a restaurant. The teacher sat at a table and pretended to look at a menu. A child came to the table and asked, “What can I get for you? We have chicken, and we have breakfast.” The teacher responded by saying, “I’ll have breakfast. Do you have pancakes?” The child said, “Yes. Would you like one or two pancakes?” The teacher responded by saying, “I’ll have two pancakes.” The child went to the kitchen in the dramatic play area and pretended to cook breakfast. The teacher said, “Don’t leave the bowl on the stove! You’re going to burn the bowl!” The child grabbed the bowl off the stove and accidentally dropped the bowl on the floor. The teacher said, “Now you’re going to have to wash it.” The child laughed and pretended to wash the bowl in the sink. The child served the teacher breakfast at the table, and said, “I’m going to get you some syrup, Ma’am.” The teacher said thank you and pretended to eat her breakfast. When she was finished eating, the teacher asked the child, “How much do I owe you?” The child responded by saying, “Five dollars.” No children were present in Space #3; however, the space was monitored for general health and safety requirements. An unlabeled sippy cup containing milk was observed on the floor in the block area. A sippy cup containing milk and labeled with yesterday’s date was stored on top of a table. An unlabeled sippy cup containing water was stored on top of a table. The outdoor learning environment was monitored for playground safety requirements. The children were not observed participating in outdoor play during the visit. The administrator stated that the children will go outside this afternoon, when the temperature warms up. Routine care and handwashing practices were observed. Lunch consisted of sliced ham, mashed potatoes, green beans, whole grain sliced bread, and milk. At the completion of the visit, the Visit Summary was reviewed with C. Mosley. The following violations were observed: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space #3, an unlabeled sippy cup containing milk was observed on the floor in the block area. An unlabeled sippy cup containing water was stored on top of a table. When this was brought to the administrator's attention, she immediately removed the sippy cups from the space and took them to the kitchen to discard the contents, clean, and sanitize them. 15A NCAC 18A .2804(d) 535 Any excess formula, thawed human milk and/or bottled beverage were not discarded or returned home at the end of each day. In Space #3, a sippy cup containing milk and labeled with yesterday’s date was stored on top of a table. When this was brought to the administrator's attention, she immediately removed the sippy cup from the space and took it to the kitchen to discard the contents, clean, and disinfect it. 15A NCAC 18A .2804(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. The violations observed and documented today may impact the compliance history score. TA/Consultation: Bottle and Sippy Cup Labeling Requirements Two violations were cited today regarding labeled bottles/sippy cups. Labels for bottles and sippy cups should be resistant to loss of the name and date/time when washing and handling. This is especially important if a frozen bottle is thawed in running tap water or a bottle warmer. There may be several bottles/sippy cups for different children stored in the same place. By following this standard, the staff are able to reduce the risk of serving children unsanitary or incorrect beverages. For more information about this requirement, refer to child care sanitation rule 15A NCAC 18A .2804(d). Gross Motor Activities During Inclement Weather Children were not observed participating in any rigorous gross motor activities during today’s visit. I suggested for the teachers to provide alternative gross motor activities during inclement weather. For example, dancing, exercising, or marching in a marching band. Infant/Toddler Age Group Observation I discussed with C. Mosley the results from classroom observations conducted during today’s visit in Space #1. When infants and toddlers see their teachers as a source of comfort and security, they will be more willing to try new things, explore and learn. I encouraged the staff to continue being available to provide comfort to children and respond to their individual needs by listening and watching for their verbal and physical cues. Preschool Age Group Observation I discussed with C. Mosley the results from classroom observations conducted during today’s visit in Space #2. I suggested for teachers to continue having meaningful conversations with children throughout the day and providing opportunities for parallel discussions between children and staff. Self-talk and Parallel talk are both necessary for providing a language-rich environment. I also recommended for teachers to continue providing more open-ended questions, allowing the children to respond to what they think needs to happen, instead of giving directives to children. Reminders: 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 stakeholder 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. DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. You may also contact Rhonda Blackmon, Licensing Supervisor, at 910-709-4168 or rhonda.blackmon@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0713 · Violation

Name of Operation: C3 CYNTHIA'S CUDDLING CARE Facility ID: 26002382 Consultant: TIFFANY REED Operation Type: Center Case Number: 0925-130L Visit Date: 9/26/2025 Number Present: 9 Completed Date: 9/26/2025 Age: From 1 To 4 Total Minutes: 165 Time In: 11:30 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations regarding violations of child care requirements. The previous Annual Compliance Visit was completed September 11, 2025, and prior to today’s visit, the eighteen-month compliance history score was 86% which is at or above 75%, as required by North Carolina General Statute 110-90(4) (c-d). This program currently operates with a Four-Star License issued January 10, 2020. The License was based on the program earning 5 points in education standards, 5 points in program standards, and one quality point for choosing to meet the programmatic option of reducing the group size by one in each group from the seven-point level as required in Rule .2818(c). The information on record with DCDEE was verified as correct by Cynthia Mosley, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed July 08, 2025. Fire Classification of Satisfactory was completed on September 25, 2025. There are allegations of violations of child care requirements, including, but not limited to: • Supervision • Staff/Child Ratio • Nutrition Requirements Upon my arrival, I was greeted by Cynthia Mosley, Administrator. The administrator was observed in Space #1, filling in as a lead teacher. Nine (9) children and two (2) teachers were present. Upon my arrival, children were transitioning from free-choice activities to lunch time. Routine care and handwashing practices were observed. Lunch consisted of fish sticks, French fries, banana, bread roll, and milk. When the administrator/lead teacher was in the process of serving and preparing lunch, the other teacher was left alone with nine children, ages ranging from one to four years old. An additional staff member arrived at the facility at 12:30PM. One recently hired staff member’s file was reviewed, and all documentation was observed in compliance with applicable child care rules. The administrator left the facility at 1:45 to start her pick-up route for after-school care. A legal designee form was updated during today's visit. During the annual compliance visit that was conducted on September 11, 2025, I cited item #318 for a one-year-old child being grouped with preschool children. During today’s visit, while the administrator prepared and served lunch, nine children (ages ranging from one to four years old) were grouped together with one teacher. The allegations were discussed with the administrator. I interviewed the administrator and two additional staff members. During separate interviews with the administrator and additional staff members, they all stated that jugs of water and disposable cups are taken outside with the children daily. They also stated that water is offered to the children, but they are not forced to drink water. Camera footage was not available for review. Based on the information gathered and observations made, there is not sufficient information to confirm the allegation of violations of child care requirements pertaining to supervision. Based on the information gathered and observations made, there is not sufficient information to confirm the allegation of violations of child care requirements pertaining to nutrition requirements. Based on the information gathered and observations made, the allegation of violations of child care requirements pertaining to staff/child ratio requirements is substantiated. At the completion of the visit, the Visit Summary was reviewed with C. Mosley. The following violations were observed: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. While the administrator prepared and served lunch, a teacher was left alone with nine children, ages ranging from one to four years old. The non-compliance with staff/child ratios was corrected when the administrator finished serving lunch and returned to Space #1. GS 110-91(7);.0713(a-d) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. While the administrator prepared and served lunch, a teacher was left alone with nine children, ages ranging from one to four years old. The non-compliance with grouping requirements was corrected when the administrator finished serving lunch and returned to Space #1. 10A NCAC 09 .0713(a)(6) 1842 Staff members and child care administrators who were counted in meeting the staff/child ratios concurrently performed food preparation or other duties that are not direct child care responsibilities. The administrator, who was counted in the staff/child ratio in Space #1, concurrently prepared and served food for lunch. The non-compliance was corrected when the administrator finished serving lunch and returned to Space #1. .0713(a)(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 your compliance history score. Technical Assistance/Reminders Staff/Child Ratio A violation was cited today for not maintaining minimum staff/child ratios. Teachers must be recognized as performing job duties for groups of children that parents/guardians would rarely be left to handle alone. In child care settings, these children do not come from the same family and must learn a set of common rules that may differ from expectations in their own homes. Infants’ verbal skills and overall development are improved with lower staff/child ratios. In addition, the children’s physical safety and sanitation routines require a staff that is not fragmented by excessive demands. Staff/child ratios in child care settings should be sufficiently low to keep staff stress below levels that might result in anger with children. Caring for too many young children increases the possibility of stress to the teacher, and may result in loss of the teacher’s self-control. I encouraged the administrator to always ensure there are enough staff to cover the staff/child ratio in each space, so she can perform meal prep and other administrative duties. I also encouraged the administrator not to enroll additional children until dependable staff are hired and retained. For more information about staff/child ratio requirements, refer to child care rule 10A NCAC 09 .0713(a-e). DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions or concerns, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: C3 CYNTHIA'S CUDDLING CARE Facility ID: 26002382 Consultant: TIFFANY REED Operation Type: Center Case Number: 0925-130L Visit Date: 9/26/2025 Number Present: 9 Completed Date: 9/26/2025 Age: From 1 To 4 Total Minutes: 165 Time In: 11:30 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations regarding violations of child care requirements. The previous Annual Compliance Visit was completed September 11, 2025, and prior to today’s visit, the eighteen-month compliance history score was 86% which is at or above 75%, as required by North Carolina General Statute 110-90(4) (c-d). This program currently operates with a Four-Star License issued January 10, 2020. The License was based on the program earning 5 points in education standards, 5 points in program standards, and one quality point for choosing to meet the programmatic option of reducing the group size by one in each group from the seven-point level as required in Rule .2818(c). The information on record with DCDEE was verified as correct by Cynthia Mosley, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed July 08, 2025. Fire Classification of Satisfactory was completed on September 25, 2025. There are allegations of violations of child care requirements, including, but not limited to: • Supervision • Staff/Child Ratio • Nutrition Requirements Upon my arrival, I was greeted by Cynthia Mosley, Administrator. The administrator was observed in Space #1, filling in as a lead teacher. Nine (9) children and two (2) teachers were present. Upon my arrival, children were transitioning from free-choice activities to lunch time. Routine care and handwashing practices were observed. Lunch consisted of fish sticks, French fries, banana, bread roll, and milk. When the administrator/lead teacher was in the process of serving and preparing lunch, the other teacher was left alone with nine children, ages ranging from one to four years old. An additional staff member arrived at the facility at 12:30PM. One recently hired staff member’s file was reviewed, and all documentation was observed in compliance with applicable child care rules. The administrator left the facility at 1:45 to start her pick-up route for after-school care. A legal designee form was updated during today's visit. During the annual compliance visit that was conducted on September 11, 2025, I cited item #318 for a one-year-old child being grouped with preschool children. During today’s visit, while the administrator prepared and served lunch, nine children (ages ranging from one to four years old) were grouped together with one teacher. The allegations were discussed with the administrator. I interviewed the administrator and two additional staff members. During separate interviews with the administrator and additional staff members, they all stated that jugs of water and disposable cups are taken outside with the children daily. They also stated that water is offered to the children, but they are not forced to drink water. Camera footage was not available for review. Based on the information gathered and observations made, there is not sufficient information to confirm the allegation of violations of child care requirements pertaining to supervision. Based on the information gathered and observations made, there is not sufficient information to confirm the allegation of violations of child care requirements pertaining to nutrition requirements. Based on the information gathered and observations made, the allegation of violations of child care requirements pertaining to staff/child ratio requirements is substantiated. At the completion of the visit, the Visit Summary was reviewed with C. Mosley. The following violations were observed: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. While the administrator prepared and served lunch, a teacher was left alone with nine children, ages ranging from one to four years old. The non-compliance with staff/child ratios was corrected when the administrator finished serving lunch and returned to Space #1. GS 110-91(7);.0713(a-d) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. While the administrator prepared and served lunch, a teacher was left alone with nine children, ages ranging from one to four years old. The non-compliance with grouping requirements was corrected when the administrator finished serving lunch and returned to Space #1. 10A NCAC 09 .0713(a)(6) 1842 Staff members and child care administrators who were counted in meeting the staff/child ratios concurrently performed food preparation or other duties that are not direct child care responsibilities. The administrator, who was counted in the staff/child ratio in Space #1, concurrently prepared and served food for lunch. The non-compliance was corrected when the administrator finished serving lunch and returned to Space #1. .0713(a)(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 your compliance history score. Technical Assistance/Reminders Staff/Child Ratio A violation was cited today for not maintaining minimum staff/child ratios. Teachers must be recognized as performing job duties for groups of children that parents/guardians would rarely be left to handle alone. In child care settings, these children do not come from the same family and must learn a set of common rules that may differ from expectations in their own homes. Infants’ verbal skills and overall development are improved with lower staff/child ratios. In addition, the children’s physical safety and sanitation routines require a staff that is not fragmented by excessive demands. Staff/child ratios in child care settings should be sufficiently low to keep staff stress below levels that might result in anger with children. Caring for too many young children increases the possibility of stress to the teacher, and may result in loss of the teacher’s self-control. I encouraged the administrator to always ensure there are enough staff to cover the staff/child ratio in each space, so she can perform meal prep and other administrative duties. I also encouraged the administrator not to enroll additional children until dependable staff are hired and retained. For more information about staff/child ratio requirements, refer to child care rule 10A NCAC 09 .0713(a-e). DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions or concerns, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: C3 CYNTHIA'S CUDDLING CARE Facility ID: 26002382 Consultant: TIFFANY REED Operation Type: Center Case Number: 0925-130L Visit Date: 9/26/2025 Number Present: 9 Completed Date: 9/26/2025 Age: From 1 To 4 Total Minutes: 165 Time In: 11:30 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations regarding violations of child care requirements. The previous Annual Compliance Visit was completed September 11, 2025, and prior to today’s visit, the eighteen-month compliance history score was 86% which is at or above 75%, as required by North Carolina General Statute 110-90(4) (c-d). This program currently operates with a Four-Star License issued January 10, 2020. The License was based on the program earning 5 points in education standards, 5 points in program standards, and one quality point for choosing to meet the programmatic option of reducing the group size by one in each group from the seven-point level as required in Rule .2818(c). The information on record with DCDEE was verified as correct by Cynthia Mosley, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed July 08, 2025. Fire Classification of Satisfactory was completed on September 25, 2025. There are allegations of violations of child care requirements, including, but not limited to: • Supervision • Staff/Child Ratio • Nutrition Requirements Upon my arrival, I was greeted by Cynthia Mosley, Administrator. The administrator was observed in Space #1, filling in as a lead teacher. Nine (9) children and two (2) teachers were present. Upon my arrival, children were transitioning from free-choice activities to lunch time. Routine care and handwashing practices were observed. Lunch consisted of fish sticks, French fries, banana, bread roll, and milk. When the administrator/lead teacher was in the process of serving and preparing lunch, the other teacher was left alone with nine children, ages ranging from one to four years old. An additional staff member arrived at the facility at 12:30PM. One recently hired staff member’s file was reviewed, and all documentation was observed in compliance with applicable child care rules. The administrator left the facility at 1:45 to start her pick-up route for after-school care. A legal designee form was updated during today's visit. During the annual compliance visit that was conducted on September 11, 2025, I cited item #318 for a one-year-old child being grouped with preschool children. During today’s visit, while the administrator prepared and served lunch, nine children (ages ranging from one to four years old) were grouped together with one teacher. The allegations were discussed with the administrator. I interviewed the administrator and two additional staff members. During separate interviews with the administrator and additional staff members, they all stated that jugs of water and disposable cups are taken outside with the children daily. They also stated that water is offered to the children, but they are not forced to drink water. Camera footage was not available for review. Based on the information gathered and observations made, there is not sufficient information to confirm the allegation of violations of child care requirements pertaining to supervision. Based on the information gathered and observations made, there is not sufficient information to confirm the allegation of violations of child care requirements pertaining to nutrition requirements. Based on the information gathered and observations made, the allegation of violations of child care requirements pertaining to staff/child ratio requirements is substantiated. At the completion of the visit, the Visit Summary was reviewed with C. Mosley. The following violations were observed: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. While the administrator prepared and served lunch, a teacher was left alone with nine children, ages ranging from one to four years old. The non-compliance with staff/child ratios was corrected when the administrator finished serving lunch and returned to Space #1. GS 110-91(7);.0713(a-d) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. While the administrator prepared and served lunch, a teacher was left alone with nine children, ages ranging from one to four years old. The non-compliance with grouping requirements was corrected when the administrator finished serving lunch and returned to Space #1. 10A NCAC 09 .0713(a)(6) 1842 Staff members and child care administrators who were counted in meeting the staff/child ratios concurrently performed food preparation or other duties that are not direct child care responsibilities. The administrator, who was counted in the staff/child ratio in Space #1, concurrently prepared and served food for lunch. The non-compliance was corrected when the administrator finished serving lunch and returned to Space #1. .0713(a)(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 your compliance history score. Technical Assistance/Reminders Staff/Child Ratio A violation was cited today for not maintaining minimum staff/child ratios. Teachers must be recognized as performing job duties for groups of children that parents/guardians would rarely be left to handle alone. In child care settings, these children do not come from the same family and must learn a set of common rules that may differ from expectations in their own homes. Infants’ verbal skills and overall development are improved with lower staff/child ratios. In addition, the children’s physical safety and sanitation routines require a staff that is not fragmented by excessive demands. Staff/child ratios in child care settings should be sufficiently low to keep staff stress below levels that might result in anger with children. Caring for too many young children increases the possibility of stress to the teacher, and may result in loss of the teacher’s self-control. I encouraged the administrator to always ensure there are enough staff to cover the staff/child ratio in each space, so she can perform meal prep and other administrative duties. I also encouraged the administrator not to enroll additional children until dependable staff are hired and retained. For more information about staff/child ratio requirements, refer to child care rule 10A NCAC 09 .0713(a-e). DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions or concerns, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: C3 CYNTHIA'S CUDDLING CARE Facility ID: 26002382 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 9/11/2025 Number Present: 7 Completed Date: 9/11/2025 Age: From 1 To 4 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 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 on September 19, 2024, and prior to today’s visit, the eighteen-month compliance history score was 88% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued January 10, 2020. The license was based on the program earning 5 points in education standards, 5 points in program standards, and one quality point by choosing to meet a programmatic option of reducing the group size by one in each group from the seven-point level as required in Rule .2818(c). The information on record was verified as correct by Cynthia Mosley, Administrator. Current Inspections are as follows: Sanitation Classification of ‘Superior’ was completed on July 08, 2025. Fire Classification of ‘Approved for Day Time and Night Care’ was completed on August 06, 2024. C. Mosley was present while I observed the indoor and outdoor areas. Seven (7) children and three (3) teachers were present upon my arrival. Children were observed participating in free-choice activities. Children had access to the following activity areas: fine motor, blocks, literacy, dramatic-play, and music and movement. In Space #1, children were observed playing with dolls and various manipulative toys. The children were also observed singing and clapping along to songs with their teacher. In the refrigerator, two sippy cups containing milk were not labeled with the name of each child and the current date. In Space #2, children were observed building various structures with blocks. The teacher reviewed colors with the children, using flashcards. A spray bottle containing sanitizing solution was stored on top of a cubby shelf, below five feet from the finished floor. In the bathroom used by children, a potty chair was observed containing urine. On two separate occasions, a one-year-old child from Space #1 was observed grouped with preschool aged children in Space #2. The child was sent from Space #1 to Space #2 so the teacher in Space #2 could console the child’s crying. Children were not observed participating in outdoor play, due to rainy weather. The administrator stated that they will go outside this afternoon, weather permitting. The outdoor learning environment was monitored for playground safety requirements. Routine care and handwashing practices were observed. Lunch consisted of sliced bologna, sweet potatoes, collard greens, sliced bread, and milk. Four staff files were reviewed. Three staff members did not have valid medical reports on file. The medical reports were not dated or signed by a health professional. Two children’s records were reviewed, and all documentation was observed in compliance with applicable child care rules. Program files, including the EPR Plan, were reviewed. The most recent fire drill was completed on September 02, 2025. The most recent quarterly emergency drill was completed on September 01, 2025. The most recent playground inspection was completed on September 03, 2025. The most recent sanitation inspection report was received during today’s visit. Transportation requirements were monitored and observed in compliance with applicable child care rules. At the completion of the visit, the Visit Summary was reviewed with C. Mosley. The following violations were 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 most recent fire inspection was completed on 8/06/24. 10A NCAC 09 .0304(a) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. On two separate occasions, a one-year-old child from Space #1 was observed grouped with preschool aged children in Space #2. The child was sent from Space #1 to Space #2 so the teacher in Space #2 could console the child’s crying. When this was brought to the administrator's attention, the child was moved back to Space #1. 10A NCAC 09 .0713(a)(6) 403 Training potty chairs were used and were not cleaned appropriately. In Space #2, in the bathroom used by children, a potty chair was observed containing urine. When this was brought to the administrator's attention, she flushed the urine down the toilet, cleaned and disinfected the potty chair. 15A NCAC 18A .2817(c) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space #1, in the refrigerator, two sippy cups containing milk were not labeled with the name of each child and the current date. When this was brought to the administrator's attention, she labeled the bottles with the child's name and date. 15A NCAC 18A .2804(d) 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 #2, a spray bottle containing sanitizing solution was stored on top of a cubby shelf, below five feet from the finished floor. When this was brought to the administrator's attention, the spray bottle was moved to a higher shelf, above five feet from the finished floor. This is a repeated violation from a Routine Unannounced visit that was conducted on 4/17/25. .2820(b) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. The operator did not schedule and obtain a sanitation inspection within 12 months of the previous inspection. The most recent sanitation inspection was completed on 7/08/25. The previous inspection was completed on 5/13/24. This is a violation of a requirement in 10A NCAC 09 .0304(b). This is a violation of a requirement in 15A NCAC 18A .2834(b). GS 110-91 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. Three staff members did not have valid medical reports on file. The medical reports were not dated or signed by a health professional. This is a repeated violation from a Routine Unannounced visit that was conducted on 4/17/25. 10A NCAC 09 .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. 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 September 25, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA Staff Medical Records A violation was cited today for staff members not having a medical report on file. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. I encouraged the administrator to always double-check the documentation submitted by staff members for accuracy and validation. After today, staff will not be permitted to return to work until they obtain a valid medical report. For more information about staff medical record requirements, refer to child care rule 10A NCAC 09 .0701. Fire Inspection A violation was cited today for not scheduling and obtaining a fire inspection within 12 months of the previous inspection. I encouraged the administrator to contact the local fire department or fire marshal to schedule a fire inspection as soon as possible. When the fire inspection has been completed, send a copy of the inspection report to Tiffany Reed, Child Care Consultant, within 7 days of the inspection visit. Reminders NC Foundations of Early Learning & Development (NCFELD) During today’s visit, I discussed access and use of the NCFELD book in the development of activity planning as required by NC Child Care Rule 10A NCAC .0508 regarding activity schedules and plans. Your program already had a copy of the publication. An extra copy was left with you. Additionally, the publication is available on-line, free of charge, at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/N/NC_Foundations.pdf. Training on use of the publication is available through our Partnership for Children, so please encourage Lead Teachers to visit their website ( https://ccpfc.org/ ) and complete the training. Infant and Early Childhood Mental Health Infant and early childhood mental health supports the development in young children of key social and emotional skills, like empathy, self-regulation and communication, which are vital for building healthy relationships and going through life. A new webpage by the Division of Child and Family Well-Being (DCFW) shares information and resources about infant and early childhood mental health in family-friendly language. To learn how DCFW and others address the social and emotional health of young children and families, visit https://www.ncdhhs.gov/divisions/child-and-family-well-being/whole-child-health-section/child-behavioral-health/infant-and-early-childhood-mental-health. Where Will You Go on the Pathways to the Stars? DCDEE is actively planning for the implementation of new QRIS requirements. We want to know more about your interest in the new options so that we can plan for training, technical assistance and resources that will assist you in achieving your Two- through Five- Star Rated License. You are not required to choose a specific licensure pathway right now, but please use the operator interest survey to help us understand what information and support you’ll need to choose and navigate your own pathway. More information about the pathways to stars, including informational videos, are available online at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. As always, DCDEE licensing consultants are ready and able to assist you. DCDEE Child Care Consultant Contact Info Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 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: C3 CYNTHIA'S CUDDLING CARE Facility ID: 26002382 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 9/11/2025 Number Present: 7 Completed Date: 9/11/2025 Age: From 1 To 4 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 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 on September 19, 2024, and prior to today’s visit, the eighteen-month compliance history score was 88% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued January 10, 2020. The license was based on the program earning 5 points in education standards, 5 points in program standards, and one quality point by choosing to meet a programmatic option of reducing the group size by one in each group from the seven-point level as required in Rule .2818(c). The information on record was verified as correct by Cynthia Mosley, Administrator. Current Inspections are as follows: Sanitation Classification of ‘Superior’ was completed on July 08, 2025. Fire Classification of ‘Approved for Day Time and Night Care’ was completed on August 06, 2024. C. Mosley was present while I observed the indoor and outdoor areas. Seven (7) children and three (3) teachers were present upon my arrival. Children were observed participating in free-choice activities. Children had access to the following activity areas: fine motor, blocks, literacy, dramatic-play, and music and movement. In Space #1, children were observed playing with dolls and various manipulative toys. The children were also observed singing and clapping along to songs with their teacher. In the refrigerator, two sippy cups containing milk were not labeled with the name of each child and the current date. In Space #2, children were observed building various structures with blocks. The teacher reviewed colors with the children, using flashcards. A spray bottle containing sanitizing solution was stored on top of a cubby shelf, below five feet from the finished floor. In the bathroom used by children, a potty chair was observed containing urine. On two separate occasions, a one-year-old child from Space #1 was observed grouped with preschool aged children in Space #2. The child was sent from Space #1 to Space #2 so the teacher in Space #2 could console the child’s crying. Children were not observed participating in outdoor play, due to rainy weather. The administrator stated that they will go outside this afternoon, weather permitting. The outdoor learning environment was monitored for playground safety requirements. Routine care and handwashing practices were observed. Lunch consisted of sliced bologna, sweet potatoes, collard greens, sliced bread, and milk. Four staff files were reviewed. Three staff members did not have valid medical reports on file. The medical reports were not dated or signed by a health professional. Two children’s records were reviewed, and all documentation was observed in compliance with applicable child care rules. Program files, including the EPR Plan, were reviewed. The most recent fire drill was completed on September 02, 2025. The most recent quarterly emergency drill was completed on September 01, 2025. The most recent playground inspection was completed on September 03, 2025. The most recent sanitation inspection report was received during today’s visit. Transportation requirements were monitored and observed in compliance with applicable child care rules. At the completion of the visit, the Visit Summary was reviewed with C. Mosley. The following violations were 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 most recent fire inspection was completed on 8/06/24. 10A NCAC 09 .0304(a) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. On two separate occasions, a one-year-old child from Space #1 was observed grouped with preschool aged children in Space #2. The child was sent from Space #1 to Space #2 so the teacher in Space #2 could console the child’s crying. When this was brought to the administrator's attention, the child was moved back to Space #1. 10A NCAC 09 .0713(a)(6) 403 Training potty chairs were used and were not cleaned appropriately. In Space #2, in the bathroom used by children, a potty chair was observed containing urine. When this was brought to the administrator's attention, she flushed the urine down the toilet, cleaned and disinfected the potty chair. 15A NCAC 18A .2817(c) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space #1, in the refrigerator, two sippy cups containing milk were not labeled with the name of each child and the current date. When this was brought to the administrator's attention, she labeled the bottles with the child's name and date. 15A NCAC 18A .2804(d) 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 #2, a spray bottle containing sanitizing solution was stored on top of a cubby shelf, below five feet from the finished floor. When this was brought to the administrator's attention, the spray bottle was moved to a higher shelf, above five feet from the finished floor. This is a repeated violation from a Routine Unannounced visit that was conducted on 4/17/25. .2820(b) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. The operator did not schedule and obtain a sanitation inspection within 12 months of the previous inspection. The most recent sanitation inspection was completed on 7/08/25. The previous inspection was completed on 5/13/24. This is a violation of a requirement in 10A NCAC 09 .0304(b). This is a violation of a requirement in 15A NCAC 18A .2834(b). GS 110-91 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. Three staff members did not have valid medical reports on file. The medical reports were not dated or signed by a health professional. This is a repeated violation from a Routine Unannounced visit that was conducted on 4/17/25. 10A NCAC 09 .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. 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 September 25, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA Staff Medical Records A violation was cited today for staff members not having a medical report on file. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. I encouraged the administrator to always double-check the documentation submitted by staff members for accuracy and validation. After today, staff will not be permitted to return to work until they obtain a valid medical report. For more information about staff medical record requirements, refer to child care rule 10A NCAC 09 .0701. Fire Inspection A violation was cited today for not scheduling and obtaining a fire inspection within 12 months of the previous inspection. I encouraged the administrator to contact the local fire department or fire marshal to schedule a fire inspection as soon as possible. When the fire inspection has been completed, send a copy of the inspection report to Tiffany Reed, Child Care Consultant, within 7 days of the inspection visit. Reminders NC Foundations of Early Learning & Development (NCFELD) During today’s visit, I discussed access and use of the NCFELD book in the development of activity planning as required by NC Child Care Rule 10A NCAC .0508 regarding activity schedules and plans. Your program already had a copy of the publication. An extra copy was left with you. Additionally, the publication is available on-line, free of charge, at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/N/NC_Foundations.pdf. Training on use of the publication is available through our Partnership for Children, so please encourage Lead Teachers to visit their website ( https://ccpfc.org/ ) and complete the training. Infant and Early Childhood Mental Health Infant and early childhood mental health supports the development in young children of key social and emotional skills, like empathy, self-regulation and communication, which are vital for building healthy relationships and going through life. A new webpage by the Division of Child and Family Well-Being (DCFW) shares information and resources about infant and early childhood mental health in family-friendly language. To learn how DCFW and others address the social and emotional health of young children and families, visit https://www.ncdhhs.gov/divisions/child-and-family-well-being/whole-child-health-section/child-behavioral-health/infant-and-early-childhood-mental-health. Where Will You Go on the Pathways to the Stars? DCDEE is actively planning for the implementation of new QRIS requirements. We want to know more about your interest in the new options so that we can plan for training, technical assistance and resources that will assist you in achieving your Two- through Five- Star Rated License. You are not required to choose a specific licensure pathway right now, but please use the operator interest survey to help us understand what information and support you’ll need to choose and navigate your own pathway. More information about the pathways to stars, including informational videos, are available online at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. As always, DCDEE licensing consultants are ready and able to assist you. DCDEE Child Care Consultant Contact Info Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 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 .0713 · Violation

Name of Operation: C3 CYNTHIA'S CUDDLING CARE Facility ID: 26002382 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 9/11/2025 Number Present: 7 Completed Date: 9/11/2025 Age: From 1 To 4 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 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 on September 19, 2024, and prior to today’s visit, the eighteen-month compliance history score was 88% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued January 10, 2020. The license was based on the program earning 5 points in education standards, 5 points in program standards, and one quality point by choosing to meet a programmatic option of reducing the group size by one in each group from the seven-point level as required in Rule .2818(c). The information on record was verified as correct by Cynthia Mosley, Administrator. Current Inspections are as follows: Sanitation Classification of ‘Superior’ was completed on July 08, 2025. Fire Classification of ‘Approved for Day Time and Night Care’ was completed on August 06, 2024. C. Mosley was present while I observed the indoor and outdoor areas. Seven (7) children and three (3) teachers were present upon my arrival. Children were observed participating in free-choice activities. Children had access to the following activity areas: fine motor, blocks, literacy, dramatic-play, and music and movement. In Space #1, children were observed playing with dolls and various manipulative toys. The children were also observed singing and clapping along to songs with their teacher. In the refrigerator, two sippy cups containing milk were not labeled with the name of each child and the current date. In Space #2, children were observed building various structures with blocks. The teacher reviewed colors with the children, using flashcards. A spray bottle containing sanitizing solution was stored on top of a cubby shelf, below five feet from the finished floor. In the bathroom used by children, a potty chair was observed containing urine. On two separate occasions, a one-year-old child from Space #1 was observed grouped with preschool aged children in Space #2. The child was sent from Space #1 to Space #2 so the teacher in Space #2 could console the child’s crying. Children were not observed participating in outdoor play, due to rainy weather. The administrator stated that they will go outside this afternoon, weather permitting. The outdoor learning environment was monitored for playground safety requirements. Routine care and handwashing practices were observed. Lunch consisted of sliced bologna, sweet potatoes, collard greens, sliced bread, and milk. Four staff files were reviewed. Three staff members did not have valid medical reports on file. The medical reports were not dated or signed by a health professional. Two children’s records were reviewed, and all documentation was observed in compliance with applicable child care rules. Program files, including the EPR Plan, were reviewed. The most recent fire drill was completed on September 02, 2025. The most recent quarterly emergency drill was completed on September 01, 2025. The most recent playground inspection was completed on September 03, 2025. The most recent sanitation inspection report was received during today’s visit. Transportation requirements were monitored and observed in compliance with applicable child care rules. At the completion of the visit, the Visit Summary was reviewed with C. Mosley. The following violations were 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 most recent fire inspection was completed on 8/06/24. 10A NCAC 09 .0304(a) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. On two separate occasions, a one-year-old child from Space #1 was observed grouped with preschool aged children in Space #2. The child was sent from Space #1 to Space #2 so the teacher in Space #2 could console the child’s crying. When this was brought to the administrator's attention, the child was moved back to Space #1. 10A NCAC 09 .0713(a)(6) 403 Training potty chairs were used and were not cleaned appropriately. In Space #2, in the bathroom used by children, a potty chair was observed containing urine. When this was brought to the administrator's attention, she flushed the urine down the toilet, cleaned and disinfected the potty chair. 15A NCAC 18A .2817(c) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space #1, in the refrigerator, two sippy cups containing milk were not labeled with the name of each child and the current date. When this was brought to the administrator's attention, she labeled the bottles with the child's name and date. 15A NCAC 18A .2804(d) 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 #2, a spray bottle containing sanitizing solution was stored on top of a cubby shelf, below five feet from the finished floor. When this was brought to the administrator's attention, the spray bottle was moved to a higher shelf, above five feet from the finished floor. This is a repeated violation from a Routine Unannounced visit that was conducted on 4/17/25. .2820(b) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. The operator did not schedule and obtain a sanitation inspection within 12 months of the previous inspection. The most recent sanitation inspection was completed on 7/08/25. The previous inspection was completed on 5/13/24. This is a violation of a requirement in 10A NCAC 09 .0304(b). This is a violation of a requirement in 15A NCAC 18A .2834(b). GS 110-91 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. Three staff members did not have valid medical reports on file. The medical reports were not dated or signed by a health professional. This is a repeated violation from a Routine Unannounced visit that was conducted on 4/17/25. 10A NCAC 09 .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. 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 September 25, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA Staff Medical Records A violation was cited today for staff members not having a medical report on file. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. I encouraged the administrator to always double-check the documentation submitted by staff members for accuracy and validation. After today, staff will not be permitted to return to work until they obtain a valid medical report. For more information about staff medical record requirements, refer to child care rule 10A NCAC 09 .0701. Fire Inspection A violation was cited today for not scheduling and obtaining a fire inspection within 12 months of the previous inspection. I encouraged the administrator to contact the local fire department or fire marshal to schedule a fire inspection as soon as possible. When the fire inspection has been completed, send a copy of the inspection report to Tiffany Reed, Child Care Consultant, within 7 days of the inspection visit. Reminders NC Foundations of Early Learning & Development (NCFELD) During today’s visit, I discussed access and use of the NCFELD book in the development of activity planning as required by NC Child Care Rule 10A NCAC .0508 regarding activity schedules and plans. Your program already had a copy of the publication. An extra copy was left with you. Additionally, the publication is available on-line, free of charge, at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/N/NC_Foundations.pdf. Training on use of the publication is available through our Partnership for Children, so please encourage Lead Teachers to visit their website ( https://ccpfc.org/ ) and complete the training. Infant and Early Childhood Mental Health Infant and early childhood mental health supports the development in young children of key social and emotional skills, like empathy, self-regulation and communication, which are vital for building healthy relationships and going through life. A new webpage by the Division of Child and Family Well-Being (DCFW) shares information and resources about infant and early childhood mental health in family-friendly language. To learn how DCFW and others address the social and emotional health of young children and families, visit https://www.ncdhhs.gov/divisions/child-and-family-well-being/whole-child-health-section/child-behavioral-health/infant-and-early-childhood-mental-health. Where Will You Go on the Pathways to the Stars? DCDEE is actively planning for the implementation of new QRIS requirements. We want to know more about your interest in the new options so that we can plan for training, technical assistance and resources that will assist you in achieving your Two- through Five- Star Rated License. You are not required to choose a specific licensure pathway right now, but please use the operator interest survey to help us understand what information and support you’ll need to choose and navigate your own pathway. More information about the pathways to stars, including informational videos, are available online at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. As always, DCDEE licensing consultants are ready and able to assist you. DCDEE Child Care Consultant Contact Info Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: C3 CYNTHIA'S CUDDLING CARE Facility ID: 26002382 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 9/11/2025 Number Present: 7 Completed Date: 9/11/2025 Age: From 1 To 4 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 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 on September 19, 2024, and prior to today’s visit, the eighteen-month compliance history score was 88% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued January 10, 2020. The license was based on the program earning 5 points in education standards, 5 points in program standards, and one quality point by choosing to meet a programmatic option of reducing the group size by one in each group from the seven-point level as required in Rule .2818(c). The information on record was verified as correct by Cynthia Mosley, Administrator. Current Inspections are as follows: Sanitation Classification of ‘Superior’ was completed on July 08, 2025. Fire Classification of ‘Approved for Day Time and Night Care’ was completed on August 06, 2024. C. Mosley was present while I observed the indoor and outdoor areas. Seven (7) children and three (3) teachers were present upon my arrival. Children were observed participating in free-choice activities. Children had access to the following activity areas: fine motor, blocks, literacy, dramatic-play, and music and movement. In Space #1, children were observed playing with dolls and various manipulative toys. The children were also observed singing and clapping along to songs with their teacher. In the refrigerator, two sippy cups containing milk were not labeled with the name of each child and the current date. In Space #2, children were observed building various structures with blocks. The teacher reviewed colors with the children, using flashcards. A spray bottle containing sanitizing solution was stored on top of a cubby shelf, below five feet from the finished floor. In the bathroom used by children, a potty chair was observed containing urine. On two separate occasions, a one-year-old child from Space #1 was observed grouped with preschool aged children in Space #2. The child was sent from Space #1 to Space #2 so the teacher in Space #2 could console the child’s crying. Children were not observed participating in outdoor play, due to rainy weather. The administrator stated that they will go outside this afternoon, weather permitting. The outdoor learning environment was monitored for playground safety requirements. Routine care and handwashing practices were observed. Lunch consisted of sliced bologna, sweet potatoes, collard greens, sliced bread, and milk. Four staff files were reviewed. Three staff members did not have valid medical reports on file. The medical reports were not dated or signed by a health professional. Two children’s records were reviewed, and all documentation was observed in compliance with applicable child care rules. Program files, including the EPR Plan, were reviewed. The most recent fire drill was completed on September 02, 2025. The most recent quarterly emergency drill was completed on September 01, 2025. The most recent playground inspection was completed on September 03, 2025. The most recent sanitation inspection report was received during today’s visit. Transportation requirements were monitored and observed in compliance with applicable child care rules. At the completion of the visit, the Visit Summary was reviewed with C. Mosley. The following violations were 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 most recent fire inspection was completed on 8/06/24. 10A NCAC 09 .0304(a) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. On two separate occasions, a one-year-old child from Space #1 was observed grouped with preschool aged children in Space #2. The child was sent from Space #1 to Space #2 so the teacher in Space #2 could console the child’s crying. When this was brought to the administrator's attention, the child was moved back to Space #1. 10A NCAC 09 .0713(a)(6) 403 Training potty chairs were used and were not cleaned appropriately. In Space #2, in the bathroom used by children, a potty chair was observed containing urine. When this was brought to the administrator's attention, she flushed the urine down the toilet, cleaned and disinfected the potty chair. 15A NCAC 18A .2817(c) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space #1, in the refrigerator, two sippy cups containing milk were not labeled with the name of each child and the current date. When this was brought to the administrator's attention, she labeled the bottles with the child's name and date. 15A NCAC 18A .2804(d) 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 #2, a spray bottle containing sanitizing solution was stored on top of a cubby shelf, below five feet from the finished floor. When this was brought to the administrator's attention, the spray bottle was moved to a higher shelf, above five feet from the finished floor. This is a repeated violation from a Routine Unannounced visit that was conducted on 4/17/25. .2820(b) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. The operator did not schedule and obtain a sanitation inspection within 12 months of the previous inspection. The most recent sanitation inspection was completed on 7/08/25. The previous inspection was completed on 5/13/24. This is a violation of a requirement in 10A NCAC 09 .0304(b). This is a violation of a requirement in 15A NCAC 18A .2834(b). GS 110-91 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. Three staff members did not have valid medical reports on file. The medical reports were not dated or signed by a health professional. This is a repeated violation from a Routine Unannounced visit that was conducted on 4/17/25. 10A NCAC 09 .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. 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 September 25, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA Staff Medical Records A violation was cited today for staff members not having a medical report on file. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. I encouraged the administrator to always double-check the documentation submitted by staff members for accuracy and validation. After today, staff will not be permitted to return to work until they obtain a valid medical report. For more information about staff medical record requirements, refer to child care rule 10A NCAC 09 .0701. Fire Inspection A violation was cited today for not scheduling and obtaining a fire inspection within 12 months of the previous inspection. I encouraged the administrator to contact the local fire department or fire marshal to schedule a fire inspection as soon as possible. When the fire inspection has been completed, send a copy of the inspection report to Tiffany Reed, Child Care Consultant, within 7 days of the inspection visit. Reminders NC Foundations of Early Learning & Development (NCFELD) During today’s visit, I discussed access and use of the NCFELD book in the development of activity planning as required by NC Child Care Rule 10A NCAC .0508 regarding activity schedules and plans. Your program already had a copy of the publication. An extra copy was left with you. Additionally, the publication is available on-line, free of charge, at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/N/NC_Foundations.pdf. Training on use of the publication is available through our Partnership for Children, so please encourage Lead Teachers to visit their website ( https://ccpfc.org/ ) and complete the training. Infant and Early Childhood Mental Health Infant and early childhood mental health supports the development in young children of key social and emotional skills, like empathy, self-regulation and communication, which are vital for building healthy relationships and going through life. A new webpage by the Division of Child and Family Well-Being (DCFW) shares information and resources about infant and early childhood mental health in family-friendly language. To learn how DCFW and others address the social and emotional health of young children and families, visit https://www.ncdhhs.gov/divisions/child-and-family-well-being/whole-child-health-section/child-behavioral-health/infant-and-early-childhood-mental-health. Where Will You Go on the Pathways to the Stars? DCDEE is actively planning for the implementation of new QRIS requirements. We want to know more about your interest in the new options so that we can plan for training, technical assistance and resources that will assist you in achieving your Two- through Five- Star Rated License. You are not required to choose a specific licensure pathway right now, but please use the operator interest survey to help us understand what information and support you’ll need to choose and navigate your own pathway. More information about the pathways to stars, including informational videos, are available online at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. As always, DCDEE licensing consultants are ready and able to assist you. DCDEE Child Care Consultant Contact Info Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 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: C3 CYNTHIA'S CUDDLING CARE Facility ID: 26002382 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 9/11/2025 Number Present: 7 Completed Date: 9/11/2025 Age: From 1 To 4 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 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 on September 19, 2024, and prior to today’s visit, the eighteen-month compliance history score was 88% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued January 10, 2020. The license was based on the program earning 5 points in education standards, 5 points in program standards, and one quality point by choosing to meet a programmatic option of reducing the group size by one in each group from the seven-point level as required in Rule .2818(c). The information on record was verified as correct by Cynthia Mosley, Administrator. Current Inspections are as follows: Sanitation Classification of ‘Superior’ was completed on July 08, 2025. Fire Classification of ‘Approved for Day Time and Night Care’ was completed on August 06, 2024. C. Mosley was present while I observed the indoor and outdoor areas. Seven (7) children and three (3) teachers were present upon my arrival. Children were observed participating in free-choice activities. Children had access to the following activity areas: fine motor, blocks, literacy, dramatic-play, and music and movement. In Space #1, children were observed playing with dolls and various manipulative toys. The children were also observed singing and clapping along to songs with their teacher. In the refrigerator, two sippy cups containing milk were not labeled with the name of each child and the current date. In Space #2, children were observed building various structures with blocks. The teacher reviewed colors with the children, using flashcards. A spray bottle containing sanitizing solution was stored on top of a cubby shelf, below five feet from the finished floor. In the bathroom used by children, a potty chair was observed containing urine. On two separate occasions, a one-year-old child from Space #1 was observed grouped with preschool aged children in Space #2. The child was sent from Space #1 to Space #2 so the teacher in Space #2 could console the child’s crying. Children were not observed participating in outdoor play, due to rainy weather. The administrator stated that they will go outside this afternoon, weather permitting. The outdoor learning environment was monitored for playground safety requirements. Routine care and handwashing practices were observed. Lunch consisted of sliced bologna, sweet potatoes, collard greens, sliced bread, and milk. Four staff files were reviewed. Three staff members did not have valid medical reports on file. The medical reports were not dated or signed by a health professional. Two children’s records were reviewed, and all documentation was observed in compliance with applicable child care rules. Program files, including the EPR Plan, were reviewed. The most recent fire drill was completed on September 02, 2025. The most recent quarterly emergency drill was completed on September 01, 2025. The most recent playground inspection was completed on September 03, 2025. The most recent sanitation inspection report was received during today’s visit. Transportation requirements were monitored and observed in compliance with applicable child care rules. At the completion of the visit, the Visit Summary was reviewed with C. Mosley. The following violations were 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 most recent fire inspection was completed on 8/06/24. 10A NCAC 09 .0304(a) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. On two separate occasions, a one-year-old child from Space #1 was observed grouped with preschool aged children in Space #2. The child was sent from Space #1 to Space #2 so the teacher in Space #2 could console the child’s crying. When this was brought to the administrator's attention, the child was moved back to Space #1. 10A NCAC 09 .0713(a)(6) 403 Training potty chairs were used and were not cleaned appropriately. In Space #2, in the bathroom used by children, a potty chair was observed containing urine. When this was brought to the administrator's attention, she flushed the urine down the toilet, cleaned and disinfected the potty chair. 15A NCAC 18A .2817(c) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space #1, in the refrigerator, two sippy cups containing milk were not labeled with the name of each child and the current date. When this was brought to the administrator's attention, she labeled the bottles with the child's name and date. 15A NCAC 18A .2804(d) 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 #2, a spray bottle containing sanitizing solution was stored on top of a cubby shelf, below five feet from the finished floor. When this was brought to the administrator's attention, the spray bottle was moved to a higher shelf, above five feet from the finished floor. This is a repeated violation from a Routine Unannounced visit that was conducted on 4/17/25. .2820(b) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. The operator did not schedule and obtain a sanitation inspection within 12 months of the previous inspection. The most recent sanitation inspection was completed on 7/08/25. The previous inspection was completed on 5/13/24. This is a violation of a requirement in 10A NCAC 09 .0304(b). This is a violation of a requirement in 15A NCAC 18A .2834(b). GS 110-91 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. Three staff members did not have valid medical reports on file. The medical reports were not dated or signed by a health professional. This is a repeated violation from a Routine Unannounced visit that was conducted on 4/17/25. 10A NCAC 09 .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. 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 September 25, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA Staff Medical Records A violation was cited today for staff members not having a medical report on file. Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. I encouraged the administrator to always double-check the documentation submitted by staff members for accuracy and validation. After today, staff will not be permitted to return to work until they obtain a valid medical report. For more information about staff medical record requirements, refer to child care rule 10A NCAC 09 .0701. Fire Inspection A violation was cited today for not scheduling and obtaining a fire inspection within 12 months of the previous inspection. I encouraged the administrator to contact the local fire department or fire marshal to schedule a fire inspection as soon as possible. When the fire inspection has been completed, send a copy of the inspection report to Tiffany Reed, Child Care Consultant, within 7 days of the inspection visit. Reminders NC Foundations of Early Learning & Development (NCFELD) During today’s visit, I discussed access and use of the NCFELD book in the development of activity planning as required by NC Child Care Rule 10A NCAC .0508 regarding activity schedules and plans. Your program already had a copy of the publication. An extra copy was left with you. Additionally, the publication is available on-line, free of charge, at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/N/NC_Foundations.pdf. Training on use of the publication is available through our Partnership for Children, so please encourage Lead Teachers to visit their website ( https://ccpfc.org/ ) and complete the training. Infant and Early Childhood Mental Health Infant and early childhood mental health supports the development in young children of key social and emotional skills, like empathy, self-regulation and communication, which are vital for building healthy relationships and going through life. A new webpage by the Division of Child and Family Well-Being (DCFW) shares information and resources about infant and early childhood mental health in family-friendly language. To learn how DCFW and others address the social and emotional health of young children and families, visit https://www.ncdhhs.gov/divisions/child-and-family-well-being/whole-child-health-section/child-behavioral-health/infant-and-early-childhood-mental-health. Where Will You Go on the Pathways to the Stars? DCDEE is actively planning for the implementation of new QRIS requirements. We want to know more about your interest in the new options so that we can plan for training, technical assistance and resources that will assist you in achieving your Two- through Five- Star Rated License. You are not required to choose a specific licensure pathway right now, but please use the operator interest survey to help us understand what information and support you’ll need to choose and navigate your own pathway. More information about the pathways to stars, including informational videos, are available online at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. As always, DCDEE licensing consultants are ready and able to assist you. DCDEE Child Care Consultant Contact Info Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 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: C3 CYNTHIA'S CUDDLING CARE Facility ID: 26002382 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 4/17/2025 Number Present: 8 Completed Date: 4/17/2025 Age: From 0 To 6 Total Minutes: 270 Time In: 09:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a Routine Unannounced visit. The previous Annual Compliance visit was completed September 19, 2024, and prior to today’s visit, the eighteen-month compliance history score was 87% which is at or above 75%, as required by North Carolina General Statute 110-90(4) (c-d). This program currently operates with a Four-Star License issued January 10, 2020. The License was based on the program earning 5 points in education standards, 5 points in program standards, and one quality point by choosing to meet the programmatic option of reducing the group size by one in each group from the seven-point level as required in Rule .2818(c). The information on record with DCDEE was verified as correct by Cynthia Mosley, Administrator. Current Inspections are as follows: Sanitation Classification of Approved was completed on May 13, 2024. Fire Classification of Satisfactory was completed on August 06, 2024. C. Mosley was present while I observed the indoor and outdoor areas. Upon my arrival, eight (8) children were present. Children were observed participating in free-choice activities and outdoor play activities. Children had access to blocks, fine motor, dramatic play, and literacy materials. In Space #1, one child was observed sitting in a carpeted area, crying, while the teacher changed another child’s diaper. All diapering procedures were followed. When the teacher finished disinfecting the diapering area and washing her hands, she picked up the child who was crying and said, “What’s wrong? Did Ms. Cynthia make the baby sit down by herself too long? I’m sorry. Are you going to be okay?” She hugged and comforted the child. The teacher sang songs to the children. The group from Space #2 was observed in the outdoor learning environment. The children had access to riding toys, playhouse structures, a climbing dome, a slide, a bicycle merry-go-round, balls, sand toys, and hula hoops. One of the children, who was climbing up the climbing dome, said to the substitute teacher, “Come on, Mr. Dean!” The substitute teacher responded by saying, “I can’t get up there! I’m too big!” The child laughed. An additional teacher arrived at the facility at 11:00am. When the teacher arrived, the substitute teacher left the group to work on facility maintenance tasks. The teacher chased a group of children around the playground while making a growling sound. The children laughed and ran around the playground. A mop bucket, containing a mop and prepared solution, was observed in front of the exit door. An unlabeled bottle of soapy water was stored on top of a cubby, below five feet from the finished floor. An unlabeled bottle of sanitizing solution was stored on top of a cubby, below five feet from the finished floor. Above the library area, a plank was observed loose and separated from the ceiling. Routine care and handwashing practices were observed. Lunch consisted of cheese pizza, broccoli, watermelon chunks, and milk. A staff file for a rehired staff member was not available for review. The staff member’s DCDEE Criminal Background Check qualification status was verified on the ABCMS website. At the completion of the visit, the Visit Summary was reviewed with C. Mosley. The following violations were observed: Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In Space #2, above the library area, a plank was observed loose and separated from the ceiling. 15A NCAC 18A .2825(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #2, a mop bucket, containing a mop and prepared solution, was observed in front of the exit door. An unlabeled bottle of soapy water was stored on top of a cubby, below five feet from the finished floor. An unlabeled bottle of sanitizing solution was stored on top of a cubby, below five feet from the finished floor. When this was brought to the administrator's attention, she immediately removed all items from the space and placed them in appropriate storage. This is a repeated violation from 9/19/24. .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. One staff member (M.M.) did not have a medical report on file. This is a repeated violation from 9/19/24. 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. One staff member (M.M.) did not have a TB test or screening on file. .0701(a) 1043 All staff records, except financial records, were not made available for review. One staff member (M.M.) did not have a staff file available for review. G.S. 110-91( 9) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on May 01, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 TA/Consultation: Hazardous Items Storage A violation was cited today for hazardous items being accessible to children. There are over two million human poison exposures reported to poison centers every year. Children under six years of age account for over half of those potential poisonings. The substances most commonly involved in poison exposures of children are cosmetics and personal care products, cleaning substances, and medications. When not in active use, all chemicals used inside or outside should be stored in a safe and secure manner in a locked room or cabinet, inaccessible to children, and separate from stored medications and food. Please review child care sanitation rule 15A NCAC 18A .2820 for detailed information about the requirements for storing hazardous items. Staff Records A violation was cited for a staff member’s personnel file not being available for review. Two violations were cited for a staff member not having an updated medical report or TB Test on file prior to re-employment. Complete identification of staff, paid or volunteer, is an essential step in safeguarding children in child care. Maintaining complete records on each staff member employed at the facility is a sound administrative practice. Individual files for all staff members and volunteers, should be maintained in a central location within the facility. Child care consultants will check the records to assure that applicable licensing requirements are met, such as identifying information, educational qualifications, and health assessments. The administrator stated that she misplaced the returning staff member’s file and will create a new file. Please review child care rule 10A NCAC 09 .0701 and NC General Statute 110-91(9) for more information about requirements for staff records. Walls and Ceilings A violation was cited today for the condition of the ceiling in Space #2. Children readily engage in play and explore their environments. The physical structure where children spend each day can present caregivers/teachers with special safety concerns if the structure is not kept in good repair and maintained in a safe condition. For example, peeling paint in an older building may be ingested, floor surfaces in disrepair could cause falls and other injury, and bulging ceilings can collapse and cause injuries. The administrator stated that there have been some recent repairs on the roof of the facility, and they may have knocked the plank loose. She stated that she will call the service company to repair the ceiling plank. More information about requirements for walls and ceilings may be found in child care sanitation rule 15A NCAC 18A .2825. Infant/Toddler Age Group Observation I discussed with C. Mosley the results from classroom observations conducted during today’s visit in Space #1. I encouraged the staff to continue being available to provide comfort to children and respond to their individual needs by listening and watching for their verbal and physical cues. This is important because when infants and toddlers see their teachers as a source of comfort and security, they will be more willing to try new things, explore and learn. Preschool Age Group Observation I discussed with C. Mosley the results from classroom observations conducted during today’s visit in Space #2. I suggested for the staff to think of ways to maximize students’ interest, engagement, and ability to learn from lessons and activities at each child’s developmental level. For example, when writing first names, children may copy their name while others may need to trace their name or glue objects on the first letter of their name. Offer children a range of activities along with choices for what they can do when they are done. Reminders: Sanitation Inspection According to your records, your sanitation inspection is due to expire on May 13, 2025. I encouraged the administrator to contact the Cumberland County Environmental Health Department at (910) 433-3618 to schedule and obtain an updated inspection before the expiration date. Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and School-Aged Children This free course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). This course is approved by the Division of Child Development and Early Education for 3 contact hours. For more information about the course, please visit https://bhs.unc.edu/teaching-whole-child-supporting-social-emotional-wellness-preschool-and-elementary-school-aged. Darkness to Light Darkness to Light is a nonprofit organization with a mission to equip and empower adults to build safe environments that protect children from sexual abuse. Darkness to Light’s flagship program, Stewards of Children®, is a trauma and evidence-informed training that teaches adults to prevent, recognize, and react responsibly to child sexual abuse. More than 2.2 million adults have been trained using the program. To learn more about child sexual abuse prevention training or to enroll your organization in Darkness to Light’s “Partner in Prevention” program, please visit www.D2L.org/education/partner-in-prevention. DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: C3 CYNTHIA'S CUDDLING CARE Facility ID: 26002382 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 4/17/2025 Number Present: 8 Completed Date: 4/17/2025 Age: From 0 To 6 Total Minutes: 270 Time In: 09:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a Routine Unannounced visit. The previous Annual Compliance visit was completed September 19, 2024, and prior to today’s visit, the eighteen-month compliance history score was 87% which is at or above 75%, as required by North Carolina General Statute 110-90(4) (c-d). This program currently operates with a Four-Star License issued January 10, 2020. The License was based on the program earning 5 points in education standards, 5 points in program standards, and one quality point by choosing to meet the programmatic option of reducing the group size by one in each group from the seven-point level as required in Rule .2818(c). The information on record with DCDEE was verified as correct by Cynthia Mosley, Administrator. Current Inspections are as follows: Sanitation Classification of Approved was completed on May 13, 2024. Fire Classification of Satisfactory was completed on August 06, 2024. C. Mosley was present while I observed the indoor and outdoor areas. Upon my arrival, eight (8) children were present. Children were observed participating in free-choice activities and outdoor play activities. Children had access to blocks, fine motor, dramatic play, and literacy materials. In Space #1, one child was observed sitting in a carpeted area, crying, while the teacher changed another child’s diaper. All diapering procedures were followed. When the teacher finished disinfecting the diapering area and washing her hands, she picked up the child who was crying and said, “What’s wrong? Did Ms. Cynthia make the baby sit down by herself too long? I’m sorry. Are you going to be okay?” She hugged and comforted the child. The teacher sang songs to the children. The group from Space #2 was observed in the outdoor learning environment. The children had access to riding toys, playhouse structures, a climbing dome, a slide, a bicycle merry-go-round, balls, sand toys, and hula hoops. One of the children, who was climbing up the climbing dome, said to the substitute teacher, “Come on, Mr. Dean!” The substitute teacher responded by saying, “I can’t get up there! I’m too big!” The child laughed. An additional teacher arrived at the facility at 11:00am. When the teacher arrived, the substitute teacher left the group to work on facility maintenance tasks. The teacher chased a group of children around the playground while making a growling sound. The children laughed and ran around the playground. A mop bucket, containing a mop and prepared solution, was observed in front of the exit door. An unlabeled bottle of soapy water was stored on top of a cubby, below five feet from the finished floor. An unlabeled bottle of sanitizing solution was stored on top of a cubby, below five feet from the finished floor. Above the library area, a plank was observed loose and separated from the ceiling. Routine care and handwashing practices were observed. Lunch consisted of cheese pizza, broccoli, watermelon chunks, and milk. A staff file for a rehired staff member was not available for review. The staff member’s DCDEE Criminal Background Check qualification status was verified on the ABCMS website. At the completion of the visit, the Visit Summary was reviewed with C. Mosley. The following violations were observed: Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In Space #2, above the library area, a plank was observed loose and separated from the ceiling. 15A NCAC 18A .2825(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #2, a mop bucket, containing a mop and prepared solution, was observed in front of the exit door. An unlabeled bottle of soapy water was stored on top of a cubby, below five feet from the finished floor. An unlabeled bottle of sanitizing solution was stored on top of a cubby, below five feet from the finished floor. When this was brought to the administrator's attention, she immediately removed all items from the space and placed them in appropriate storage. This is a repeated violation from 9/19/24. .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. One staff member (M.M.) did not have a medical report on file. This is a repeated violation from 9/19/24. 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. One staff member (M.M.) did not have a TB test or screening on file. .0701(a) 1043 All staff records, except financial records, were not made available for review. One staff member (M.M.) did not have a staff file available for review. G.S. 110-91( 9) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on May 01, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 TA/Consultation: Hazardous Items Storage A violation was cited today for hazardous items being accessible to children. There are over two million human poison exposures reported to poison centers every year. Children under six years of age account for over half of those potential poisonings. The substances most commonly involved in poison exposures of children are cosmetics and personal care products, cleaning substances, and medications. When not in active use, all chemicals used inside or outside should be stored in a safe and secure manner in a locked room or cabinet, inaccessible to children, and separate from stored medications and food. Please review child care sanitation rule 15A NCAC 18A .2820 for detailed information about the requirements for storing hazardous items. Staff Records A violation was cited for a staff member’s personnel file not being available for review. Two violations were cited for a staff member not having an updated medical report or TB Test on file prior to re-employment. Complete identification of staff, paid or volunteer, is an essential step in safeguarding children in child care. Maintaining complete records on each staff member employed at the facility is a sound administrative practice. Individual files for all staff members and volunteers, should be maintained in a central location within the facility. Child care consultants will check the records to assure that applicable licensing requirements are met, such as identifying information, educational qualifications, and health assessments. The administrator stated that she misplaced the returning staff member’s file and will create a new file. Please review child care rule 10A NCAC 09 .0701 and NC General Statute 110-91(9) for more information about requirements for staff records. Walls and Ceilings A violation was cited today for the condition of the ceiling in Space #2. Children readily engage in play and explore their environments. The physical structure where children spend each day can present caregivers/teachers with special safety concerns if the structure is not kept in good repair and maintained in a safe condition. For example, peeling paint in an older building may be ingested, floor surfaces in disrepair could cause falls and other injury, and bulging ceilings can collapse and cause injuries. The administrator stated that there have been some recent repairs on the roof of the facility, and they may have knocked the plank loose. She stated that she will call the service company to repair the ceiling plank. More information about requirements for walls and ceilings may be found in child care sanitation rule 15A NCAC 18A .2825. Infant/Toddler Age Group Observation I discussed with C. Mosley the results from classroom observations conducted during today’s visit in Space #1. I encouraged the staff to continue being available to provide comfort to children and respond to their individual needs by listening and watching for their verbal and physical cues. This is important because when infants and toddlers see their teachers as a source of comfort and security, they will be more willing to try new things, explore and learn. Preschool Age Group Observation I discussed with C. Mosley the results from classroom observations conducted during today’s visit in Space #2. I suggested for the staff to think of ways to maximize students’ interest, engagement, and ability to learn from lessons and activities at each child’s developmental level. For example, when writing first names, children may copy their name while others may need to trace their name or glue objects on the first letter of their name. Offer children a range of activities along with choices for what they can do when they are done. Reminders: Sanitation Inspection According to your records, your sanitation inspection is due to expire on May 13, 2025. I encouraged the administrator to contact the Cumberland County Environmental Health Department at (910) 433-3618 to schedule and obtain an updated inspection before the expiration date. Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and School-Aged Children This free course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). This course is approved by the Division of Child Development and Early Education for 3 contact hours. For more information about the course, please visit https://bhs.unc.edu/teaching-whole-child-supporting-social-emotional-wellness-preschool-and-elementary-school-aged. Darkness to Light Darkness to Light is a nonprofit organization with a mission to equip and empower adults to build safe environments that protect children from sexual abuse. Darkness to Light’s flagship program, Stewards of Children®, is a trauma and evidence-informed training that teaches adults to prevent, recognize, and react responsibly to child sexual abuse. More than 2.2 million adults have been trained using the program. To learn more about child sexual abuse prevention training or to enroll your organization in Darkness to Light’s “Partner in Prevention” program, please visit www.D2L.org/education/partner-in-prevention. DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: C3 CYNTHIA'S CUDDLING CARE Facility ID: 26002382 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 4/17/2025 Number Present: 8 Completed Date: 4/17/2025 Age: From 0 To 6 Total Minutes: 270 Time In: 09:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a Routine Unannounced visit. The previous Annual Compliance visit was completed September 19, 2024, and prior to today’s visit, the eighteen-month compliance history score was 87% which is at or above 75%, as required by North Carolina General Statute 110-90(4) (c-d). This program currently operates with a Four-Star License issued January 10, 2020. The License was based on the program earning 5 points in education standards, 5 points in program standards, and one quality point by choosing to meet the programmatic option of reducing the group size by one in each group from the seven-point level as required in Rule .2818(c). The information on record with DCDEE was verified as correct by Cynthia Mosley, Administrator. Current Inspections are as follows: Sanitation Classification of Approved was completed on May 13, 2024. Fire Classification of Satisfactory was completed on August 06, 2024. C. Mosley was present while I observed the indoor and outdoor areas. Upon my arrival, eight (8) children were present. Children were observed participating in free-choice activities and outdoor play activities. Children had access to blocks, fine motor, dramatic play, and literacy materials. In Space #1, one child was observed sitting in a carpeted area, crying, while the teacher changed another child’s diaper. All diapering procedures were followed. When the teacher finished disinfecting the diapering area and washing her hands, she picked up the child who was crying and said, “What’s wrong? Did Ms. Cynthia make the baby sit down by herself too long? I’m sorry. Are you going to be okay?” She hugged and comforted the child. The teacher sang songs to the children. The group from Space #2 was observed in the outdoor learning environment. The children had access to riding toys, playhouse structures, a climbing dome, a slide, a bicycle merry-go-round, balls, sand toys, and hula hoops. One of the children, who was climbing up the climbing dome, said to the substitute teacher, “Come on, Mr. Dean!” The substitute teacher responded by saying, “I can’t get up there! I’m too big!” The child laughed. An additional teacher arrived at the facility at 11:00am. When the teacher arrived, the substitute teacher left the group to work on facility maintenance tasks. The teacher chased a group of children around the playground while making a growling sound. The children laughed and ran around the playground. A mop bucket, containing a mop and prepared solution, was observed in front of the exit door. An unlabeled bottle of soapy water was stored on top of a cubby, below five feet from the finished floor. An unlabeled bottle of sanitizing solution was stored on top of a cubby, below five feet from the finished floor. Above the library area, a plank was observed loose and separated from the ceiling. Routine care and handwashing practices were observed. Lunch consisted of cheese pizza, broccoli, watermelon chunks, and milk. A staff file for a rehired staff member was not available for review. The staff member’s DCDEE Criminal Background Check qualification status was verified on the ABCMS website. At the completion of the visit, the Visit Summary was reviewed with C. Mosley. The following violations were observed: Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In Space #2, above the library area, a plank was observed loose and separated from the ceiling. 15A NCAC 18A .2825(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #2, a mop bucket, containing a mop and prepared solution, was observed in front of the exit door. An unlabeled bottle of soapy water was stored on top of a cubby, below five feet from the finished floor. An unlabeled bottle of sanitizing solution was stored on top of a cubby, below five feet from the finished floor. When this was brought to the administrator's attention, she immediately removed all items from the space and placed them in appropriate storage. This is a repeated violation from 9/19/24. .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. One staff member (M.M.) did not have a medical report on file. This is a repeated violation from 9/19/24. 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. One staff member (M.M.) did not have a TB test or screening on file. .0701(a) 1043 All staff records, except financial records, were not made available for review. One staff member (M.M.) did not have a staff file available for review. G.S. 110-91( 9) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on May 01, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 TA/Consultation: Hazardous Items Storage A violation was cited today for hazardous items being accessible to children. There are over two million human poison exposures reported to poison centers every year. Children under six years of age account for over half of those potential poisonings. The substances most commonly involved in poison exposures of children are cosmetics and personal care products, cleaning substances, and medications. When not in active use, all chemicals used inside or outside should be stored in a safe and secure manner in a locked room or cabinet, inaccessible to children, and separate from stored medications and food. Please review child care sanitation rule 15A NCAC 18A .2820 for detailed information about the requirements for storing hazardous items. Staff Records A violation was cited for a staff member’s personnel file not being available for review. Two violations were cited for a staff member not having an updated medical report or TB Test on file prior to re-employment. Complete identification of staff, paid or volunteer, is an essential step in safeguarding children in child care. Maintaining complete records on each staff member employed at the facility is a sound administrative practice. Individual files for all staff members and volunteers, should be maintained in a central location within the facility. Child care consultants will check the records to assure that applicable licensing requirements are met, such as identifying information, educational qualifications, and health assessments. The administrator stated that she misplaced the returning staff member’s file and will create a new file. Please review child care rule 10A NCAC 09 .0701 and NC General Statute 110-91(9) for more information about requirements for staff records. Walls and Ceilings A violation was cited today for the condition of the ceiling in Space #2. Children readily engage in play and explore their environments. The physical structure where children spend each day can present caregivers/teachers with special safety concerns if the structure is not kept in good repair and maintained in a safe condition. For example, peeling paint in an older building may be ingested, floor surfaces in disrepair could cause falls and other injury, and bulging ceilings can collapse and cause injuries. The administrator stated that there have been some recent repairs on the roof of the facility, and they may have knocked the plank loose. She stated that she will call the service company to repair the ceiling plank. More information about requirements for walls and ceilings may be found in child care sanitation rule 15A NCAC 18A .2825. Infant/Toddler Age Group Observation I discussed with C. Mosley the results from classroom observations conducted during today’s visit in Space #1. I encouraged the staff to continue being available to provide comfort to children and respond to their individual needs by listening and watching for their verbal and physical cues. This is important because when infants and toddlers see their teachers as a source of comfort and security, they will be more willing to try new things, explore and learn. Preschool Age Group Observation I discussed with C. Mosley the results from classroom observations conducted during today’s visit in Space #2. I suggested for the staff to think of ways to maximize students’ interest, engagement, and ability to learn from lessons and activities at each child’s developmental level. For example, when writing first names, children may copy their name while others may need to trace their name or glue objects on the first letter of their name. Offer children a range of activities along with choices for what they can do when they are done. Reminders: Sanitation Inspection According to your records, your sanitation inspection is due to expire on May 13, 2025. I encouraged the administrator to contact the Cumberland County Environmental Health Department at (910) 433-3618 to schedule and obtain an updated inspection before the expiration date. Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and School-Aged Children This free course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). This course is approved by the Division of Child Development and Early Education for 3 contact hours. For more information about the course, please visit https://bhs.unc.edu/teaching-whole-child-supporting-social-emotional-wellness-preschool-and-elementary-school-aged. Darkness to Light Darkness to Light is a nonprofit organization with a mission to equip and empower adults to build safe environments that protect children from sexual abuse. Darkness to Light’s flagship program, Stewards of Children®, is a trauma and evidence-informed training that teaches adults to prevent, recognize, and react responsibly to child sexual abuse. More than 2.2 million adults have been trained using the program. To learn more about child sexual abuse prevention training or to enroll your organization in Darkness to Light’s “Partner in Prevention” program, please visit www.D2L.org/education/partner-in-prevention. DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0902 · Violation

Name of Operation: C3 CYNTHIA'S CUDDLING CARE Facility ID: 26002382 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 9/19/2024 Number Present: 12 Completed Date: 9/19/2024 Age: From 0 To 4 Total Minutes: 330 Time In: 09:00 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s 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 on September 28, 2023, and prior to today’s visit, the eighteen-month compliance history score was 87% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued January 10, 2020. The license was based on the program earning 5 points in education standards, 5 points in program standards, and one quality point by choosing to meet a programmatic option of reducing the group size by one in each group from the seven-point level as required in Rule .2818(c). The information on record was verified as correct by Cynthia Mosley, Administrator. Current Inspections are as follows: Sanitation Classification of ‘Approved’ was completed on May 13, 2024. Fire Classification of ‘Approved for Day Time and Night Care’ was completed on August 06, 2024. C. Mosley was present while I observed the indoor and outdoor areas. Twelve (12) children and two (2) teachers were present upon my arrival. Children were observed participating in free-choice activities. Children had access to fine motor, blocks, literacy, dramatic-play, creative-art and music materials. In Space #1, infant feeding plans were not posted in the classroom. In the refrigerator, eight bottles containing prepared formula were not labeled with the name of each child and the current date. A spray bottle containing sanitizer solution was stored on top of the refrigerator, below five feet from the finished floor. In Space #2, a spray bottle containing cleaning solution was stored on top of a cubby shelf, below five feet from the finished floor. A container of disinfectant wipes, labeled “keep out of reach of children”, was stored on top of a cubby shelf, below five feet from the finished floor. In the outdoor play area, children were observed riding tricycles, playing with toy trucks, and playing with balls. Children had access to riding toys, rocking toys, balls, a child-sized basketball hoop, hula hoops, slides, and sand play toys. Routine care and handwashing practices were observed. Lunch consisted of fish sticks, pasta, tomato sauce, carrots, apple slices, and milk. Four staff files were reviewed. Two staff members did not have documentation on file of a health questionnaire or emergency information that has been completed within the past twelve months. One staff member did not have a medical report on file. One staff member did not have documentation of completing the required Recognizing and Responding to Suspicions of Child Maltreatment training within the past five years. One staff member did not meet the required amount of annual on-going training hours, based on education and child care experience. Three children’s records were reviewed, and all documentation was in compliance with applicable child care rules. Program files, including the EPR Plan, were reviewed and all documentation was in compliance with applicable child care rules. The most recent fire inspection report was received during today’s visit. Transportation requirements were monitored and observed in compliance with applicable child care rules. At the completion of the visit, the Visit Summary was reviewed with C. Mosley. The following violations were 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 administrator did not submit the most recent fire inspection report to DCDEE within 7 days of the inspection (Inspection Date: 8/06/2024 Date Received: 9/19/2024). 10A NCAC 09 .0304(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space #1, eight unlabeled bottles containing prepared formula were stored in the refrigerator. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). In Space #1, individual infant feeding plans were not posted for five infants. The administrator printed copies of the feeding plans from each child's file and posted them on the wall in Space #1. 10A NCAC 09 .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #1, a spray bottle containing sanitizing solution was stored on top of the refrigerator, below five feet from the finished floor. In Space #2, a spray bottle containing cleaning solution was stored on top of a cubby shelf, below five feet from the finished floor. A container of disinfecting wipes, labeled "keep out of reach of children", was stored on top of a cubby shelf, below five feet from the finished floor. The administrator moved the items to shelving that measured higher than five feet from the finished 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. One staff member did not have a medical report on file. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two staff members did not have an annual health questionnaire on file. Both of the staff members completed a health questionnaire during today's visit. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Two staff members did not have an updated emergency information form on file that was completed within the past year. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member did not complete the required amount of on-going training hours, based on their education and experience (8 Hours Required; 7 Hours Received). .1103(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One staff member did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within the past five years. .1103(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. 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 October 03, 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: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA Hazardous Items Storage A violation was cited today for storing hazardous items within children’s reach. According to child care sanitation rule 15A NCAC 18A .2820(b-c), 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Non-aerosol sanitizing, disinfecting, and detergent solutions, hand sanitizers, and hand lotions shall be kept out of reach of children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent (soapy water) solutions. Hand soap other than that which is in bulk containers is not required to be kept out of reach of children or in locked storage. Infant Feeding Plans A violation was cited today for infant feeding plans not being posted for quick reference in the space that provides care for infants. According to child care rule 10A NCAC 09 .0902(a), the parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. On-Going Training Requirements A violation was cited today for a staff member not meeting their required on-going annual hours. According to Child Care Rule .1103(a), after the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually, as follows: - 4 Year Degree in ECE or Higher 5 Clock Hours - 2 Year Degree in ECE 8 Clock Hours - NC Child Care Administration Credential 8 Clock Hours - NC Early Childhood Credential 10 Clock Hours - 10 Years Documented EC Work Experience 15 Clock Hours - No Other Criteria 20 Clock Hours Staff Record Keeping Requirements A violation was cited today for a staff member not having a medical report on file. According to Child Care Rule .0701(d), staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Health and Safety Training Requirements A violation was cited today for a staff member not completing the required Recognizing and Responding to Suspicions of Child Maltreatment training within the past five years. According to child care rule 10A NCAC 09 .1103(b), health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Reminders 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. School Age Connection Session I am thrilled to share the “Let’s Get Connected” professional development opportunity. This in-person event focuses on creating a safe and inclusive community for sharing and learning new concepts. This learning event is for directors and school-age staff only (newly hired and/or seasoned Group Leaders). The session is offered at the Partnership for Children of Cumberland County on November 11, 2024, from 10:00am – 12:00pm. A flyer containing registration information was left with the administrator. DCDEE Child Care Consultant Contact Info Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 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: C3 CYNTHIA'S CUDDLING CARE Facility ID: 26002382 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 9/19/2024 Number Present: 12 Completed Date: 9/19/2024 Age: From 0 To 4 Total Minutes: 330 Time In: 09:00 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s 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 on September 28, 2023, and prior to today’s visit, the eighteen-month compliance history score was 87% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued January 10, 2020. The license was based on the program earning 5 points in education standards, 5 points in program standards, and one quality point by choosing to meet a programmatic option of reducing the group size by one in each group from the seven-point level as required in Rule .2818(c). The information on record was verified as correct by Cynthia Mosley, Administrator. Current Inspections are as follows: Sanitation Classification of ‘Approved’ was completed on May 13, 2024. Fire Classification of ‘Approved for Day Time and Night Care’ was completed on August 06, 2024. C. Mosley was present while I observed the indoor and outdoor areas. Twelve (12) children and two (2) teachers were present upon my arrival. Children were observed participating in free-choice activities. Children had access to fine motor, blocks, literacy, dramatic-play, creative-art and music materials. In Space #1, infant feeding plans were not posted in the classroom. In the refrigerator, eight bottles containing prepared formula were not labeled with the name of each child and the current date. A spray bottle containing sanitizer solution was stored on top of the refrigerator, below five feet from the finished floor. In Space #2, a spray bottle containing cleaning solution was stored on top of a cubby shelf, below five feet from the finished floor. A container of disinfectant wipes, labeled “keep out of reach of children”, was stored on top of a cubby shelf, below five feet from the finished floor. In the outdoor play area, children were observed riding tricycles, playing with toy trucks, and playing with balls. Children had access to riding toys, rocking toys, balls, a child-sized basketball hoop, hula hoops, slides, and sand play toys. Routine care and handwashing practices were observed. Lunch consisted of fish sticks, pasta, tomato sauce, carrots, apple slices, and milk. Four staff files were reviewed. Two staff members did not have documentation on file of a health questionnaire or emergency information that has been completed within the past twelve months. One staff member did not have a medical report on file. One staff member did not have documentation of completing the required Recognizing and Responding to Suspicions of Child Maltreatment training within the past five years. One staff member did not meet the required amount of annual on-going training hours, based on education and child care experience. Three children’s records were reviewed, and all documentation was in compliance with applicable child care rules. Program files, including the EPR Plan, were reviewed and all documentation was in compliance with applicable child care rules. The most recent fire inspection report was received during today’s visit. Transportation requirements were monitored and observed in compliance with applicable child care rules. At the completion of the visit, the Visit Summary was reviewed with C. Mosley. The following violations were 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 administrator did not submit the most recent fire inspection report to DCDEE within 7 days of the inspection (Inspection Date: 8/06/2024 Date Received: 9/19/2024). 10A NCAC 09 .0304(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space #1, eight unlabeled bottles containing prepared formula were stored in the refrigerator. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). In Space #1, individual infant feeding plans were not posted for five infants. The administrator printed copies of the feeding plans from each child's file and posted them on the wall in Space #1. 10A NCAC 09 .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #1, a spray bottle containing sanitizing solution was stored on top of the refrigerator, below five feet from the finished floor. In Space #2, a spray bottle containing cleaning solution was stored on top of a cubby shelf, below five feet from the finished floor. A container of disinfecting wipes, labeled "keep out of reach of children", was stored on top of a cubby shelf, below five feet from the finished floor. The administrator moved the items to shelving that measured higher than five feet from the finished 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. One staff member did not have a medical report on file. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two staff members did not have an annual health questionnaire on file. Both of the staff members completed a health questionnaire during today's visit. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Two staff members did not have an updated emergency information form on file that was completed within the past year. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member did not complete the required amount of on-going training hours, based on their education and experience (8 Hours Required; 7 Hours Received). .1103(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One staff member did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within the past five years. .1103(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. 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 October 03, 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: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA Hazardous Items Storage A violation was cited today for storing hazardous items within children’s reach. According to child care sanitation rule 15A NCAC 18A .2820(b-c), 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Non-aerosol sanitizing, disinfecting, and detergent solutions, hand sanitizers, and hand lotions shall be kept out of reach of children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent (soapy water) solutions. Hand soap other than that which is in bulk containers is not required to be kept out of reach of children or in locked storage. Infant Feeding Plans A violation was cited today for infant feeding plans not being posted for quick reference in the space that provides care for infants. According to child care rule 10A NCAC 09 .0902(a), the parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. On-Going Training Requirements A violation was cited today for a staff member not meeting their required on-going annual hours. According to Child Care Rule .1103(a), after the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually, as follows: - 4 Year Degree in ECE or Higher 5 Clock Hours - 2 Year Degree in ECE 8 Clock Hours - NC Child Care Administration Credential 8 Clock Hours - NC Early Childhood Credential 10 Clock Hours - 10 Years Documented EC Work Experience 15 Clock Hours - No Other Criteria 20 Clock Hours Staff Record Keeping Requirements A violation was cited today for a staff member not having a medical report on file. According to Child Care Rule .0701(d), staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Health and Safety Training Requirements A violation was cited today for a staff member not completing the required Recognizing and Responding to Suspicions of Child Maltreatment training within the past five years. According to child care rule 10A NCAC 09 .1103(b), health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Reminders 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. School Age Connection Session I am thrilled to share the “Let’s Get Connected” professional development opportunity. This in-person event focuses on creating a safe and inclusive community for sharing and learning new concepts. This learning event is for directors and school-age staff only (newly hired and/or seasoned Group Leaders). The session is offered at the Partnership for Children of Cumberland County on November 11, 2024, from 10:00am – 12:00pm. A flyer containing registration information was left with the administrator. DCDEE Child Care Consultant Contact Info Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 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: C3 CYNTHIA'S CUDDLING CARE Facility ID: 26002382 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 9/19/2024 Number Present: 12 Completed Date: 9/19/2024 Age: From 0 To 4 Total Minutes: 330 Time In: 09:00 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s 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 on September 28, 2023, and prior to today’s visit, the eighteen-month compliance history score was 87% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued January 10, 2020. The license was based on the program earning 5 points in education standards, 5 points in program standards, and one quality point by choosing to meet a programmatic option of reducing the group size by one in each group from the seven-point level as required in Rule .2818(c). The information on record was verified as correct by Cynthia Mosley, Administrator. Current Inspections are as follows: Sanitation Classification of ‘Approved’ was completed on May 13, 2024. Fire Classification of ‘Approved for Day Time and Night Care’ was completed on August 06, 2024. C. Mosley was present while I observed the indoor and outdoor areas. Twelve (12) children and two (2) teachers were present upon my arrival. Children were observed participating in free-choice activities. Children had access to fine motor, blocks, literacy, dramatic-play, creative-art and music materials. In Space #1, infant feeding plans were not posted in the classroom. In the refrigerator, eight bottles containing prepared formula were not labeled with the name of each child and the current date. A spray bottle containing sanitizer solution was stored on top of the refrigerator, below five feet from the finished floor. In Space #2, a spray bottle containing cleaning solution was stored on top of a cubby shelf, below five feet from the finished floor. A container of disinfectant wipes, labeled “keep out of reach of children”, was stored on top of a cubby shelf, below five feet from the finished floor. In the outdoor play area, children were observed riding tricycles, playing with toy trucks, and playing with balls. Children had access to riding toys, rocking toys, balls, a child-sized basketball hoop, hula hoops, slides, and sand play toys. Routine care and handwashing practices were observed. Lunch consisted of fish sticks, pasta, tomato sauce, carrots, apple slices, and milk. Four staff files were reviewed. Two staff members did not have documentation on file of a health questionnaire or emergency information that has been completed within the past twelve months. One staff member did not have a medical report on file. One staff member did not have documentation of completing the required Recognizing and Responding to Suspicions of Child Maltreatment training within the past five years. One staff member did not meet the required amount of annual on-going training hours, based on education and child care experience. Three children’s records were reviewed, and all documentation was in compliance with applicable child care rules. Program files, including the EPR Plan, were reviewed and all documentation was in compliance with applicable child care rules. The most recent fire inspection report was received during today’s visit. Transportation requirements were monitored and observed in compliance with applicable child care rules. At the completion of the visit, the Visit Summary was reviewed with C. Mosley. The following violations were 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 administrator did not submit the most recent fire inspection report to DCDEE within 7 days of the inspection (Inspection Date: 8/06/2024 Date Received: 9/19/2024). 10A NCAC 09 .0304(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space #1, eight unlabeled bottles containing prepared formula were stored in the refrigerator. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). In Space #1, individual infant feeding plans were not posted for five infants. The administrator printed copies of the feeding plans from each child's file and posted them on the wall in Space #1. 10A NCAC 09 .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #1, a spray bottle containing sanitizing solution was stored on top of the refrigerator, below five feet from the finished floor. In Space #2, a spray bottle containing cleaning solution was stored on top of a cubby shelf, below five feet from the finished floor. A container of disinfecting wipes, labeled "keep out of reach of children", was stored on top of a cubby shelf, below five feet from the finished floor. The administrator moved the items to shelving that measured higher than five feet from the finished 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. One staff member did not have a medical report on file. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two staff members did not have an annual health questionnaire on file. Both of the staff members completed a health questionnaire during today's visit. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Two staff members did not have an updated emergency information form on file that was completed within the past year. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member did not complete the required amount of on-going training hours, based on their education and experience (8 Hours Required; 7 Hours Received). .1103(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One staff member did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within the past five years. .1103(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. 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 October 03, 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: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA Hazardous Items Storage A violation was cited today for storing hazardous items within children’s reach. According to child care sanitation rule 15A NCAC 18A .2820(b-c), 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Non-aerosol sanitizing, disinfecting, and detergent solutions, hand sanitizers, and hand lotions shall be kept out of reach of children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent (soapy water) solutions. Hand soap other than that which is in bulk containers is not required to be kept out of reach of children or in locked storage. Infant Feeding Plans A violation was cited today for infant feeding plans not being posted for quick reference in the space that provides care for infants. According to child care rule 10A NCAC 09 .0902(a), the parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. On-Going Training Requirements A violation was cited today for a staff member not meeting their required on-going annual hours. According to Child Care Rule .1103(a), after the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually, as follows: - 4 Year Degree in ECE or Higher 5 Clock Hours - 2 Year Degree in ECE 8 Clock Hours - NC Child Care Administration Credential 8 Clock Hours - NC Early Childhood Credential 10 Clock Hours - 10 Years Documented EC Work Experience 15 Clock Hours - No Other Criteria 20 Clock Hours Staff Record Keeping Requirements A violation was cited today for a staff member not having a medical report on file. According to Child Care Rule .0701(d), staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Health and Safety Training Requirements A violation was cited today for a staff member not completing the required Recognizing and Responding to Suspicions of Child Maltreatment training within the past five years. According to child care rule 10A NCAC 09 .1103(b), health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Reminders 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. School Age Connection Session I am thrilled to share the “Let’s Get Connected” professional development opportunity. This in-person event focuses on creating a safe and inclusive community for sharing and learning new concepts. This learning event is for directors and school-age staff only (newly hired and/or seasoned Group Leaders). The session is offered at the Partnership for Children of Cumberland County on November 11, 2024, from 10:00am – 12:00pm. A flyer containing registration information was left with the administrator. DCDEE Child Care Consultant Contact Info Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 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 .0902 · Violation

Name of Operation: C3 CYNTHIA'S CUDDLING CARE Facility ID: 26002382 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 9/19/2024 Number Present: 12 Completed Date: 9/19/2024 Age: From 0 To 4 Total Minutes: 330 Time In: 09:00 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s 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 on September 28, 2023, and prior to today’s visit, the eighteen-month compliance history score was 87% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued January 10, 2020. The license was based on the program earning 5 points in education standards, 5 points in program standards, and one quality point by choosing to meet a programmatic option of reducing the group size by one in each group from the seven-point level as required in Rule .2818(c). The information on record was verified as correct by Cynthia Mosley, Administrator. Current Inspections are as follows: Sanitation Classification of ‘Approved’ was completed on May 13, 2024. Fire Classification of ‘Approved for Day Time and Night Care’ was completed on August 06, 2024. C. Mosley was present while I observed the indoor and outdoor areas. Twelve (12) children and two (2) teachers were present upon my arrival. Children were observed participating in free-choice activities. Children had access to fine motor, blocks, literacy, dramatic-play, creative-art and music materials. In Space #1, infant feeding plans were not posted in the classroom. In the refrigerator, eight bottles containing prepared formula were not labeled with the name of each child and the current date. A spray bottle containing sanitizer solution was stored on top of the refrigerator, below five feet from the finished floor. In Space #2, a spray bottle containing cleaning solution was stored on top of a cubby shelf, below five feet from the finished floor. A container of disinfectant wipes, labeled “keep out of reach of children”, was stored on top of a cubby shelf, below five feet from the finished floor. In the outdoor play area, children were observed riding tricycles, playing with toy trucks, and playing with balls. Children had access to riding toys, rocking toys, balls, a child-sized basketball hoop, hula hoops, slides, and sand play toys. Routine care and handwashing practices were observed. Lunch consisted of fish sticks, pasta, tomato sauce, carrots, apple slices, and milk. Four staff files were reviewed. Two staff members did not have documentation on file of a health questionnaire or emergency information that has been completed within the past twelve months. One staff member did not have a medical report on file. One staff member did not have documentation of completing the required Recognizing and Responding to Suspicions of Child Maltreatment training within the past five years. One staff member did not meet the required amount of annual on-going training hours, based on education and child care experience. Three children’s records were reviewed, and all documentation was in compliance with applicable child care rules. Program files, including the EPR Plan, were reviewed and all documentation was in compliance with applicable child care rules. The most recent fire inspection report was received during today’s visit. Transportation requirements were monitored and observed in compliance with applicable child care rules. At the completion of the visit, the Visit Summary was reviewed with C. Mosley. The following violations were 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 administrator did not submit the most recent fire inspection report to DCDEE within 7 days of the inspection (Inspection Date: 8/06/2024 Date Received: 9/19/2024). 10A NCAC 09 .0304(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space #1, eight unlabeled bottles containing prepared formula were stored in the refrigerator. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). In Space #1, individual infant feeding plans were not posted for five infants. The administrator printed copies of the feeding plans from each child's file and posted them on the wall in Space #1. 10A NCAC 09 .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #1, a spray bottle containing sanitizing solution was stored on top of the refrigerator, below five feet from the finished floor. In Space #2, a spray bottle containing cleaning solution was stored on top of a cubby shelf, below five feet from the finished floor. A container of disinfecting wipes, labeled "keep out of reach of children", was stored on top of a cubby shelf, below five feet from the finished floor. The administrator moved the items to shelving that measured higher than five feet from the finished 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. One staff member did not have a medical report on file. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two staff members did not have an annual health questionnaire on file. Both of the staff members completed a health questionnaire during today's visit. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Two staff members did not have an updated emergency information form on file that was completed within the past year. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member did not complete the required amount of on-going training hours, based on their education and experience (8 Hours Required; 7 Hours Received). .1103(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One staff member did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within the past five years. .1103(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. 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 October 03, 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: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA Hazardous Items Storage A violation was cited today for storing hazardous items within children’s reach. According to child care sanitation rule 15A NCAC 18A .2820(b-c), 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Non-aerosol sanitizing, disinfecting, and detergent solutions, hand sanitizers, and hand lotions shall be kept out of reach of children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent (soapy water) solutions. Hand soap other than that which is in bulk containers is not required to be kept out of reach of children or in locked storage. Infant Feeding Plans A violation was cited today for infant feeding plans not being posted for quick reference in the space that provides care for infants. According to child care rule 10A NCAC 09 .0902(a), the parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. On-Going Training Requirements A violation was cited today for a staff member not meeting their required on-going annual hours. According to Child Care Rule .1103(a), after the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually, as follows: - 4 Year Degree in ECE or Higher 5 Clock Hours - 2 Year Degree in ECE 8 Clock Hours - NC Child Care Administration Credential 8 Clock Hours - NC Early Childhood Credential 10 Clock Hours - 10 Years Documented EC Work Experience 15 Clock Hours - No Other Criteria 20 Clock Hours Staff Record Keeping Requirements A violation was cited today for a staff member not having a medical report on file. According to Child Care Rule .0701(d), staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Health and Safety Training Requirements A violation was cited today for a staff member not completing the required Recognizing and Responding to Suspicions of Child Maltreatment training within the past five years. According to child care rule 10A NCAC 09 .1103(b), health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Reminders 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. School Age Connection Session I am thrilled to share the “Let’s Get Connected” professional development opportunity. This in-person event focuses on creating a safe and inclusive community for sharing and learning new concepts. This learning event is for directors and school-age staff only (newly hired and/or seasoned Group Leaders). The session is offered at the Partnership for Children of Cumberland County on November 11, 2024, from 10:00am – 12:00pm. A flyer containing registration information was left with the administrator. DCDEE Child Care Consultant Contact Info Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 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 .1102 · Violation

Name of Operation: C3 CYNTHIA'S CUDDLING CARE Facility ID: 26002382 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 9/19/2024 Number Present: 12 Completed Date: 9/19/2024 Age: From 0 To 4 Total Minutes: 330 Time In: 09:00 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s 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 on September 28, 2023, and prior to today’s visit, the eighteen-month compliance history score was 87% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued January 10, 2020. The license was based on the program earning 5 points in education standards, 5 points in program standards, and one quality point by choosing to meet a programmatic option of reducing the group size by one in each group from the seven-point level as required in Rule .2818(c). The information on record was verified as correct by Cynthia Mosley, Administrator. Current Inspections are as follows: Sanitation Classification of ‘Approved’ was completed on May 13, 2024. Fire Classification of ‘Approved for Day Time and Night Care’ was completed on August 06, 2024. C. Mosley was present while I observed the indoor and outdoor areas. Twelve (12) children and two (2) teachers were present upon my arrival. Children were observed participating in free-choice activities. Children had access to fine motor, blocks, literacy, dramatic-play, creative-art and music materials. In Space #1, infant feeding plans were not posted in the classroom. In the refrigerator, eight bottles containing prepared formula were not labeled with the name of each child and the current date. A spray bottle containing sanitizer solution was stored on top of the refrigerator, below five feet from the finished floor. In Space #2, a spray bottle containing cleaning solution was stored on top of a cubby shelf, below five feet from the finished floor. A container of disinfectant wipes, labeled “keep out of reach of children”, was stored on top of a cubby shelf, below five feet from the finished floor. In the outdoor play area, children were observed riding tricycles, playing with toy trucks, and playing with balls. Children had access to riding toys, rocking toys, balls, a child-sized basketball hoop, hula hoops, slides, and sand play toys. Routine care and handwashing practices were observed. Lunch consisted of fish sticks, pasta, tomato sauce, carrots, apple slices, and milk. Four staff files were reviewed. Two staff members did not have documentation on file of a health questionnaire or emergency information that has been completed within the past twelve months. One staff member did not have a medical report on file. One staff member did not have documentation of completing the required Recognizing and Responding to Suspicions of Child Maltreatment training within the past five years. One staff member did not meet the required amount of annual on-going training hours, based on education and child care experience. Three children’s records were reviewed, and all documentation was in compliance with applicable child care rules. Program files, including the EPR Plan, were reviewed and all documentation was in compliance with applicable child care rules. The most recent fire inspection report was received during today’s visit. Transportation requirements were monitored and observed in compliance with applicable child care rules. At the completion of the visit, the Visit Summary was reviewed with C. Mosley. The following violations were 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 administrator did not submit the most recent fire inspection report to DCDEE within 7 days of the inspection (Inspection Date: 8/06/2024 Date Received: 9/19/2024). 10A NCAC 09 .0304(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space #1, eight unlabeled bottles containing prepared formula were stored in the refrigerator. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). In Space #1, individual infant feeding plans were not posted for five infants. The administrator printed copies of the feeding plans from each child's file and posted them on the wall in Space #1. 10A NCAC 09 .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #1, a spray bottle containing sanitizing solution was stored on top of the refrigerator, below five feet from the finished floor. In Space #2, a spray bottle containing cleaning solution was stored on top of a cubby shelf, below five feet from the finished floor. A container of disinfecting wipes, labeled "keep out of reach of children", was stored on top of a cubby shelf, below five feet from the finished floor. The administrator moved the items to shelving that measured higher than five feet from the finished 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. One staff member did not have a medical report on file. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two staff members did not have an annual health questionnaire on file. Both of the staff members completed a health questionnaire during today's visit. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Two staff members did not have an updated emergency information form on file that was completed within the past year. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member did not complete the required amount of on-going training hours, based on their education and experience (8 Hours Required; 7 Hours Received). .1103(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One staff member did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within the past five years. .1103(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. 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 October 03, 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: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA Hazardous Items Storage A violation was cited today for storing hazardous items within children’s reach. According to child care sanitation rule 15A NCAC 18A .2820(b-c), 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Non-aerosol sanitizing, disinfecting, and detergent solutions, hand sanitizers, and hand lotions shall be kept out of reach of children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent (soapy water) solutions. Hand soap other than that which is in bulk containers is not required to be kept out of reach of children or in locked storage. Infant Feeding Plans A violation was cited today for infant feeding plans not being posted for quick reference in the space that provides care for infants. According to child care rule 10A NCAC 09 .0902(a), the parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. On-Going Training Requirements A violation was cited today for a staff member not meeting their required on-going annual hours. According to Child Care Rule .1103(a), after the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually, as follows: - 4 Year Degree in ECE or Higher 5 Clock Hours - 2 Year Degree in ECE 8 Clock Hours - NC Child Care Administration Credential 8 Clock Hours - NC Early Childhood Credential 10 Clock Hours - 10 Years Documented EC Work Experience 15 Clock Hours - No Other Criteria 20 Clock Hours Staff Record Keeping Requirements A violation was cited today for a staff member not having a medical report on file. According to Child Care Rule .0701(d), staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Health and Safety Training Requirements A violation was cited today for a staff member not completing the required Recognizing and Responding to Suspicions of Child Maltreatment training within the past five years. According to child care rule 10A NCAC 09 .1103(b), health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Reminders 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. School Age Connection Session I am thrilled to share the “Let’s Get Connected” professional development opportunity. This in-person event focuses on creating a safe and inclusive community for sharing and learning new concepts. This learning event is for directors and school-age staff only (newly hired and/or seasoned Group Leaders). The session is offered at the Partnership for Children of Cumberland County on November 11, 2024, from 10:00am – 12:00pm. A flyer containing registration information was left with the administrator. DCDEE Child Care Consultant Contact Info Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 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 .1103 · Violation

Name of Operation: C3 CYNTHIA'S CUDDLING CARE Facility ID: 26002382 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 9/19/2024 Number Present: 12 Completed Date: 9/19/2024 Age: From 0 To 4 Total Minutes: 330 Time In: 09:00 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s 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 on September 28, 2023, and prior to today’s visit, the eighteen-month compliance history score was 87% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued January 10, 2020. The license was based on the program earning 5 points in education standards, 5 points in program standards, and one quality point by choosing to meet a programmatic option of reducing the group size by one in each group from the seven-point level as required in Rule .2818(c). The information on record was verified as correct by Cynthia Mosley, Administrator. Current Inspections are as follows: Sanitation Classification of ‘Approved’ was completed on May 13, 2024. Fire Classification of ‘Approved for Day Time and Night Care’ was completed on August 06, 2024. C. Mosley was present while I observed the indoor and outdoor areas. Twelve (12) children and two (2) teachers were present upon my arrival. Children were observed participating in free-choice activities. Children had access to fine motor, blocks, literacy, dramatic-play, creative-art and music materials. In Space #1, infant feeding plans were not posted in the classroom. In the refrigerator, eight bottles containing prepared formula were not labeled with the name of each child and the current date. A spray bottle containing sanitizer solution was stored on top of the refrigerator, below five feet from the finished floor. In Space #2, a spray bottle containing cleaning solution was stored on top of a cubby shelf, below five feet from the finished floor. A container of disinfectant wipes, labeled “keep out of reach of children”, was stored on top of a cubby shelf, below five feet from the finished floor. In the outdoor play area, children were observed riding tricycles, playing with toy trucks, and playing with balls. Children had access to riding toys, rocking toys, balls, a child-sized basketball hoop, hula hoops, slides, and sand play toys. Routine care and handwashing practices were observed. Lunch consisted of fish sticks, pasta, tomato sauce, carrots, apple slices, and milk. Four staff files were reviewed. Two staff members did not have documentation on file of a health questionnaire or emergency information that has been completed within the past twelve months. One staff member did not have a medical report on file. One staff member did not have documentation of completing the required Recognizing and Responding to Suspicions of Child Maltreatment training within the past five years. One staff member did not meet the required amount of annual on-going training hours, based on education and child care experience. Three children’s records were reviewed, and all documentation was in compliance with applicable child care rules. Program files, including the EPR Plan, were reviewed and all documentation was in compliance with applicable child care rules. The most recent fire inspection report was received during today’s visit. Transportation requirements were monitored and observed in compliance with applicable child care rules. At the completion of the visit, the Visit Summary was reviewed with C. Mosley. The following violations were 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 administrator did not submit the most recent fire inspection report to DCDEE within 7 days of the inspection (Inspection Date: 8/06/2024 Date Received: 9/19/2024). 10A NCAC 09 .0304(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space #1, eight unlabeled bottles containing prepared formula were stored in the refrigerator. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). In Space #1, individual infant feeding plans were not posted for five infants. The administrator printed copies of the feeding plans from each child's file and posted them on the wall in Space #1. 10A NCAC 09 .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #1, a spray bottle containing sanitizing solution was stored on top of the refrigerator, below five feet from the finished floor. In Space #2, a spray bottle containing cleaning solution was stored on top of a cubby shelf, below five feet from the finished floor. A container of disinfecting wipes, labeled "keep out of reach of children", was stored on top of a cubby shelf, below five feet from the finished floor. The administrator moved the items to shelving that measured higher than five feet from the finished 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. One staff member did not have a medical report on file. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two staff members did not have an annual health questionnaire on file. Both of the staff members completed a health questionnaire during today's visit. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Two staff members did not have an updated emergency information form on file that was completed within the past year. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member did not complete the required amount of on-going training hours, based on their education and experience (8 Hours Required; 7 Hours Received). .1103(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One staff member did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within the past five years. .1103(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. 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 October 03, 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: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA Hazardous Items Storage A violation was cited today for storing hazardous items within children’s reach. According to child care sanitation rule 15A NCAC 18A .2820(b-c), 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Non-aerosol sanitizing, disinfecting, and detergent solutions, hand sanitizers, and hand lotions shall be kept out of reach of children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent (soapy water) solutions. Hand soap other than that which is in bulk containers is not required to be kept out of reach of children or in locked storage. Infant Feeding Plans A violation was cited today for infant feeding plans not being posted for quick reference in the space that provides care for infants. According to child care rule 10A NCAC 09 .0902(a), the parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. On-Going Training Requirements A violation was cited today for a staff member not meeting their required on-going annual hours. According to Child Care Rule .1103(a), after the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually, as follows: - 4 Year Degree in ECE or Higher 5 Clock Hours - 2 Year Degree in ECE 8 Clock Hours - NC Child Care Administration Credential 8 Clock Hours - NC Early Childhood Credential 10 Clock Hours - 10 Years Documented EC Work Experience 15 Clock Hours - No Other Criteria 20 Clock Hours Staff Record Keeping Requirements A violation was cited today for a staff member not having a medical report on file. According to Child Care Rule .0701(d), staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Health and Safety Training Requirements A violation was cited today for a staff member not completing the required Recognizing and Responding to Suspicions of Child Maltreatment training within the past five years. According to child care rule 10A NCAC 09 .1103(b), health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Reminders 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. School Age Connection Session I am thrilled to share the “Let’s Get Connected” professional development opportunity. This in-person event focuses on creating a safe and inclusive community for sharing and learning new concepts. This learning event is for directors and school-age staff only (newly hired and/or seasoned Group Leaders). The session is offered at the Partnership for Children of Cumberland County on November 11, 2024, from 10:00am – 12:00pm. A flyer containing registration information was left with the administrator. DCDEE Child Care Consultant Contact Info Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 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: C3 CYNTHIA'S CUDDLING CARE Facility ID: 26002382 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 9/19/2024 Number Present: 12 Completed Date: 9/19/2024 Age: From 0 To 4 Total Minutes: 330 Time In: 09:00 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s 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 on September 28, 2023, and prior to today’s visit, the eighteen-month compliance history score was 87% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued January 10, 2020. The license was based on the program earning 5 points in education standards, 5 points in program standards, and one quality point by choosing to meet a programmatic option of reducing the group size by one in each group from the seven-point level as required in Rule .2818(c). The information on record was verified as correct by Cynthia Mosley, Administrator. Current Inspections are as follows: Sanitation Classification of ‘Approved’ was completed on May 13, 2024. Fire Classification of ‘Approved for Day Time and Night Care’ was completed on August 06, 2024. C. Mosley was present while I observed the indoor and outdoor areas. Twelve (12) children and two (2) teachers were present upon my arrival. Children were observed participating in free-choice activities. Children had access to fine motor, blocks, literacy, dramatic-play, creative-art and music materials. In Space #1, infant feeding plans were not posted in the classroom. In the refrigerator, eight bottles containing prepared formula were not labeled with the name of each child and the current date. A spray bottle containing sanitizer solution was stored on top of the refrigerator, below five feet from the finished floor. In Space #2, a spray bottle containing cleaning solution was stored on top of a cubby shelf, below five feet from the finished floor. A container of disinfectant wipes, labeled “keep out of reach of children”, was stored on top of a cubby shelf, below five feet from the finished floor. In the outdoor play area, children were observed riding tricycles, playing with toy trucks, and playing with balls. Children had access to riding toys, rocking toys, balls, a child-sized basketball hoop, hula hoops, slides, and sand play toys. Routine care and handwashing practices were observed. Lunch consisted of fish sticks, pasta, tomato sauce, carrots, apple slices, and milk. Four staff files were reviewed. Two staff members did not have documentation on file of a health questionnaire or emergency information that has been completed within the past twelve months. One staff member did not have a medical report on file. One staff member did not have documentation of completing the required Recognizing and Responding to Suspicions of Child Maltreatment training within the past five years. One staff member did not meet the required amount of annual on-going training hours, based on education and child care experience. Three children’s records were reviewed, and all documentation was in compliance with applicable child care rules. Program files, including the EPR Plan, were reviewed and all documentation was in compliance with applicable child care rules. The most recent fire inspection report was received during today’s visit. Transportation requirements were monitored and observed in compliance with applicable child care rules. At the completion of the visit, the Visit Summary was reviewed with C. Mosley. The following violations were 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 administrator did not submit the most recent fire inspection report to DCDEE within 7 days of the inspection (Inspection Date: 8/06/2024 Date Received: 9/19/2024). 10A NCAC 09 .0304(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space #1, eight unlabeled bottles containing prepared formula were stored in the refrigerator. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). In Space #1, individual infant feeding plans were not posted for five infants. The administrator printed copies of the feeding plans from each child's file and posted them on the wall in Space #1. 10A NCAC 09 .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #1, a spray bottle containing sanitizing solution was stored on top of the refrigerator, below five feet from the finished floor. In Space #2, a spray bottle containing cleaning solution was stored on top of a cubby shelf, below five feet from the finished floor. A container of disinfecting wipes, labeled "keep out of reach of children", was stored on top of a cubby shelf, below five feet from the finished floor. The administrator moved the items to shelving that measured higher than five feet from the finished 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. One staff member did not have a medical report on file. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two staff members did not have an annual health questionnaire on file. Both of the staff members completed a health questionnaire during today's visit. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Two staff members did not have an updated emergency information form on file that was completed within the past year. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member did not complete the required amount of on-going training hours, based on their education and experience (8 Hours Required; 7 Hours Received). .1103(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One staff member did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within the past five years. .1103(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. 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 October 03, 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: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA Hazardous Items Storage A violation was cited today for storing hazardous items within children’s reach. According to child care sanitation rule 15A NCAC 18A .2820(b-c), 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Non-aerosol sanitizing, disinfecting, and detergent solutions, hand sanitizers, and hand lotions shall be kept out of reach of children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent (soapy water) solutions. Hand soap other than that which is in bulk containers is not required to be kept out of reach of children or in locked storage. Infant Feeding Plans A violation was cited today for infant feeding plans not being posted for quick reference in the space that provides care for infants. According to child care rule 10A NCAC 09 .0902(a), the parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. On-Going Training Requirements A violation was cited today for a staff member not meeting their required on-going annual hours. According to Child Care Rule .1103(a), after the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually, as follows: - 4 Year Degree in ECE or Higher 5 Clock Hours - 2 Year Degree in ECE 8 Clock Hours - NC Child Care Administration Credential 8 Clock Hours - NC Early Childhood Credential 10 Clock Hours - 10 Years Documented EC Work Experience 15 Clock Hours - No Other Criteria 20 Clock Hours Staff Record Keeping Requirements A violation was cited today for a staff member not having a medical report on file. According to Child Care Rule .0701(d), staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Health and Safety Training Requirements A violation was cited today for a staff member not completing the required Recognizing and Responding to Suspicions of Child Maltreatment training within the past five years. According to child care rule 10A NCAC 09 .1103(b), health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Reminders 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. School Age Connection Session I am thrilled to share the “Let’s Get Connected” professional development opportunity. This in-person event focuses on creating a safe and inclusive community for sharing and learning new concepts. This learning event is for directors and school-age staff only (newly hired and/or seasoned Group Leaders). The session is offered at the Partnership for Children of Cumberland County on November 11, 2024, from 10:00am – 12:00pm. A flyer containing registration information was left with the administrator. DCDEE Child Care Consultant Contact Info Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 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: C3 CYNTHIA'S CUDDLING CARE Facility ID: 26002382 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 2/27/2024 Number Present: 15 Completed Date: 2/27/2024 Age: From 0 To 4 Total Minutes: 270 Time In: 10:00 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a Routine Unannounced visit. The previous Annual Compliance Visit was completed September 28, 2023 and prior to today’s visit, the eighteen-month compliance history score was 88% which is at or above 75%, as required by North Carolina General Statute 110-90(4) (c-d). This program currently operates with a Four-Star License issued January 10, 2020. The License was based on the program earning 5 points in education standards, 5 points in program standards, and one quality point by choosing to meet the programmatic option of reducing the group size by one in each group from the seven-point level as required in Rule .2818(c). The information on record with DCDEE was verified as correct by Cynthia Mosley, Administrator. Current Inspections are as follows: Sanitation Classification of Approved was completed on April 18, 2023. Fire Classification of Passed was completed on August 23, 2023. C. Mosley was present while I observed the indoor and outdoor areas. Upon my arrival, fifteen (15) children were present. In Space #1, children were observed participating in free-choice activities. Children had access to blocks, fine motor, dramatic play, and literacy materials. An infant was observed wrapped in a blanket, placed inside a baby swing, placed inside a crib. The baby was awake and alert. A plastic grocery bag was observed stored on top of a cubby shelf, below five feet from the finished floor. A two-year-old child was observed in the same space as an infant. The group from Space #2 was observed in the outdoor play area, engaging in free-choice activities. On the playground, children had access to riding toys, playhouse structures, a slide, a bicycle merry-go-round, balls, sand toys, and hula hoops. When it started raining, the group came back inside, washed their hands, sat at child-sized tables, and waited for lunch to be served. While waiting, the teacher sang songs, counted, and reviewed letters and numbers with the children. Lunch consisted of shredded chicken with gravy, rice, broccoli, pineapples, and milk. Two recently-hired staff files were reviewed. One staff member did not have a signed acknowledgment on file stating that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was reviewed prior to providing care for children under 5 years of age. One staff member had a signed Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement on file, but it did not contain the date it was signed. At the completion of the visit, the Visit Summary was reviewed with C. Mosley. The following violations were observed: Violation Number Comment Rule 316 Children under one year of age were not kept separate from children two years and older. A two-year-old child and an infant were observed in Space #1. The two-year-old child was moved to another space. 10A NCAC 09 .0713(a)(5) 496 Each child under the age of 12 months was not given supervised tummy time positioned on his/her stomach while awake and alert each day. In Space #1, an infant was observed alert and awake in a crib. When this was brought to the teacher's attention, she took the infant out of the crib and placed her on a carpeted area for supervised tummy time activities. .0510(e)(6) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space #1, a plastic grocery bag was stored on top of a cubby shelf, below five feet from the finished floor. .0604(q) 871 Center staff did not comply with the safe sleep policy. In Space #1, an infant was observed wrapped in a blanket while sitting in an infant swing. The swing, containing the infant, was observed inside a crib. When this was brought to the teacher's attention, she took the infant and swing out of the crib. The infant was moved to a carpeted area for supervised tummy time activities. 10A NCAC 09 .0606(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. C. Campbell, Teacher, did not have an signed acknowledgement on file, stating that the PSBSAHT policy was reviewed prior to providing care to children. L. Turner, teacher, did not have an acknowledgment on file with all required information (the signed acknowledgement was missing the date). .0608(d)(1-4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. TA/Consultation: Safe Sleep Environment A violation was cited today for not following the facility’s safe sleep policy. According to Child Care Rule .0606(a), each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: • specifies that caregivers shall place infants aged 12 months or younger on their backs for sleeping; • specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; • specifies that children shall not be swaddled; • specifies that nothing shall be placed over the head or face of an infant aged 12 months or younger when the infant is laid down to sleep; • specifies that the temperature in the room where infants aged 12 months or younger are sleeping does not exceed 75° F; • specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes; • specifies how caregivers shall document compliance with visually checking on sleeping infants aged 12 months or younger; • specifies that pacifiers that attach to infant clothing shall not be used with sleeping infants; • specifies that infants aged 12 months or younger sleep alone in a crib, bassinet, play pen, mat, or cot; • specifies that infants aged 12 months or younger are prohibited from sleeping in sitting devices, including car safety seats, strollers, swings, and infant carriers. Infants that fall asleep in sitting devices shall be moved to a crib, bassinet, play pen, mat, or cot; and • specifies any other steps the center shall take to provide a safe sleep environment for infants aged 12 months or younger. I encouraged the administrator to have staff review the safe sleep policy and to post it in a more prominent area in the child care space. Daily Activities A violation was cited today for placing an infant who was awake and alert in a crib. According to Child Care Rule .0510(e)(6), each child under the age of 12 months shall be given supervised tummy time positioned on his or her stomach while awake and alert each day. Grouping of Children A violation was cited today for having a 2-year-old and an infant in the same space. According to Child Care Rule .0713(a)(5), children under one year of age shall be kept separate from children two years of age and over. Safe Indoor Environment A violation was cited today for children under three years of age having access to a plastic bag. According to Child Care Rule .0604(q), plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. Infant/Toddler Age Group Observation I discussed with C. Mosley the results from classroom observations conducted during today’s visit in Space #1. I encouraged the staff to continue being available to provide comfort to children and respond to their individual needs by listening and watching for their verbal and physical cues. This is important because when infants and toddlers see their teachers as a source of comfort and security, they will be more willing to try new things, explore and learn. I also encouraged the staff to review the current safe sleep environment requirements. Preschool Age Group Observation I discussed with C. Mosley the results from classroom observations conducted during today’s visit in Space #2. I suggested for the staff to think of ways to maximize students’ interest, engagement, and ability to learn from lessons and activities at each child’s developmental level. For example, when writing first names, children may copy their name while others may need to trace their name or glue objects on the first letter of their name. Offer children a range of activities along with choices for what they can do when they are done. I also suggested for the staff to use meal times as learning opportunities. Meal times can offer opportunities to discuss where food comes from, how food is prepared, or connect concepts such as colors and letters to food. Rated License Reassessment We had a discussion about the upcoming rated license reassessment. We discussed the amount of points that could be applied towards education standards with the staff members’ current level of education. We discussed that only two points could be applied towards program standards without going through the environmental rating scales (ITERS/ECERS/SACERS). C. Mosley stated that she is interested in having the environmental rating scales completed. She has been receiving technical assistance from the Partnership for Children to help her prepare for the environmental rating scales visit. A copy of the rated license reassessment packet was left with C. Mosley. Reminders: Sanitation Inspection According to your records, your sanitation inspection is due to expire on April 18, 2024. I encouraged the administrator to contact the Cumberland County Environmental Health Department at (910) 433-3618 to schedule and obtain an updated inspection before the expiration date. DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.l.reed@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0713 · Violation

Name of Operation: C3 CYNTHIA'S CUDDLING CARE Facility ID: 26002382 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 2/27/2024 Number Present: 15 Completed Date: 2/27/2024 Age: From 0 To 4 Total Minutes: 270 Time In: 10:00 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a Routine Unannounced visit. The previous Annual Compliance Visit was completed September 28, 2023 and prior to today’s visit, the eighteen-month compliance history score was 88% which is at or above 75%, as required by North Carolina General Statute 110-90(4) (c-d). This program currently operates with a Four-Star License issued January 10, 2020. The License was based on the program earning 5 points in education standards, 5 points in program standards, and one quality point by choosing to meet the programmatic option of reducing the group size by one in each group from the seven-point level as required in Rule .2818(c). The information on record with DCDEE was verified as correct by Cynthia Mosley, Administrator. Current Inspections are as follows: Sanitation Classification of Approved was completed on April 18, 2023. Fire Classification of Passed was completed on August 23, 2023. C. Mosley was present while I observed the indoor and outdoor areas. Upon my arrival, fifteen (15) children were present. In Space #1, children were observed participating in free-choice activities. Children had access to blocks, fine motor, dramatic play, and literacy materials. An infant was observed wrapped in a blanket, placed inside a baby swing, placed inside a crib. The baby was awake and alert. A plastic grocery bag was observed stored on top of a cubby shelf, below five feet from the finished floor. A two-year-old child was observed in the same space as an infant. The group from Space #2 was observed in the outdoor play area, engaging in free-choice activities. On the playground, children had access to riding toys, playhouse structures, a slide, a bicycle merry-go-round, balls, sand toys, and hula hoops. When it started raining, the group came back inside, washed their hands, sat at child-sized tables, and waited for lunch to be served. While waiting, the teacher sang songs, counted, and reviewed letters and numbers with the children. Lunch consisted of shredded chicken with gravy, rice, broccoli, pineapples, and milk. Two recently-hired staff files were reviewed. One staff member did not have a signed acknowledgment on file stating that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was reviewed prior to providing care for children under 5 years of age. One staff member had a signed Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement on file, but it did not contain the date it was signed. At the completion of the visit, the Visit Summary was reviewed with C. Mosley. The following violations were observed: Violation Number Comment Rule 316 Children under one year of age were not kept separate from children two years and older. A two-year-old child and an infant were observed in Space #1. The two-year-old child was moved to another space. 10A NCAC 09 .0713(a)(5) 496 Each child under the age of 12 months was not given supervised tummy time positioned on his/her stomach while awake and alert each day. In Space #1, an infant was observed alert and awake in a crib. When this was brought to the teacher's attention, she took the infant out of the crib and placed her on a carpeted area for supervised tummy time activities. .0510(e)(6) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space #1, a plastic grocery bag was stored on top of a cubby shelf, below five feet from the finished floor. .0604(q) 871 Center staff did not comply with the safe sleep policy. In Space #1, an infant was observed wrapped in a blanket while sitting in an infant swing. The swing, containing the infant, was observed inside a crib. When this was brought to the teacher's attention, she took the infant and swing out of the crib. The infant was moved to a carpeted area for supervised tummy time activities. 10A NCAC 09 .0606(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. C. Campbell, Teacher, did not have an signed acknowledgement on file, stating that the PSBSAHT policy was reviewed prior to providing care to children. L. Turner, teacher, did not have an acknowledgment on file with all required information (the signed acknowledgement was missing the date). .0608(d)(1-4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. TA/Consultation: Safe Sleep Environment A violation was cited today for not following the facility’s safe sleep policy. According to Child Care Rule .0606(a), each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: • specifies that caregivers shall place infants aged 12 months or younger on their backs for sleeping; • specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; • specifies that children shall not be swaddled; • specifies that nothing shall be placed over the head or face of an infant aged 12 months or younger when the infant is laid down to sleep; • specifies that the temperature in the room where infants aged 12 months or younger are sleeping does not exceed 75° F; • specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes; • specifies how caregivers shall document compliance with visually checking on sleeping infants aged 12 months or younger; • specifies that pacifiers that attach to infant clothing shall not be used with sleeping infants; • specifies that infants aged 12 months or younger sleep alone in a crib, bassinet, play pen, mat, or cot; • specifies that infants aged 12 months or younger are prohibited from sleeping in sitting devices, including car safety seats, strollers, swings, and infant carriers. Infants that fall asleep in sitting devices shall be moved to a crib, bassinet, play pen, mat, or cot; and • specifies any other steps the center shall take to provide a safe sleep environment for infants aged 12 months or younger. I encouraged the administrator to have staff review the safe sleep policy and to post it in a more prominent area in the child care space. Daily Activities A violation was cited today for placing an infant who was awake and alert in a crib. According to Child Care Rule .0510(e)(6), each child under the age of 12 months shall be given supervised tummy time positioned on his or her stomach while awake and alert each day. Grouping of Children A violation was cited today for having a 2-year-old and an infant in the same space. According to Child Care Rule .0713(a)(5), children under one year of age shall be kept separate from children two years of age and over. Safe Indoor Environment A violation was cited today for children under three years of age having access to a plastic bag. According to Child Care Rule .0604(q), plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. Infant/Toddler Age Group Observation I discussed with C. Mosley the results from classroom observations conducted during today’s visit in Space #1. I encouraged the staff to continue being available to provide comfort to children and respond to their individual needs by listening and watching for their verbal and physical cues. This is important because when infants and toddlers see their teachers as a source of comfort and security, they will be more willing to try new things, explore and learn. I also encouraged the staff to review the current safe sleep environment requirements. Preschool Age Group Observation I discussed with C. Mosley the results from classroom observations conducted during today’s visit in Space #2. I suggested for the staff to think of ways to maximize students’ interest, engagement, and ability to learn from lessons and activities at each child’s developmental level. For example, when writing first names, children may copy their name while others may need to trace their name or glue objects on the first letter of their name. Offer children a range of activities along with choices for what they can do when they are done. I also suggested for the staff to use meal times as learning opportunities. Meal times can offer opportunities to discuss where food comes from, how food is prepared, or connect concepts such as colors and letters to food. Rated License Reassessment We had a discussion about the upcoming rated license reassessment. We discussed the amount of points that could be applied towards education standards with the staff members’ current level of education. We discussed that only two points could be applied towards program standards without going through the environmental rating scales (ITERS/ECERS/SACERS). C. Mosley stated that she is interested in having the environmental rating scales completed. She has been receiving technical assistance from the Partnership for Children to help her prepare for the environmental rating scales visit. A copy of the rated license reassessment packet was left with C. Mosley. Reminders: Sanitation Inspection According to your records, your sanitation inspection is due to expire on April 18, 2024. I encouraged the administrator to contact the Cumberland County Environmental Health Department at (910) 433-3618 to schedule and obtain an updated inspection before the expiration date. DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.l.reed@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: C3 CYNTHIA'S CUDDLING CARE Facility ID: 26002382 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 2/27/2024 Number Present: 15 Completed Date: 2/27/2024 Age: From 0 To 4 Total Minutes: 270 Time In: 10:00 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a Routine Unannounced visit. The previous Annual Compliance Visit was completed September 28, 2023 and prior to today’s visit, the eighteen-month compliance history score was 88% which is at or above 75%, as required by North Carolina General Statute 110-90(4) (c-d). This program currently operates with a Four-Star License issued January 10, 2020. The License was based on the program earning 5 points in education standards, 5 points in program standards, and one quality point by choosing to meet the programmatic option of reducing the group size by one in each group from the seven-point level as required in Rule .2818(c). The information on record with DCDEE was verified as correct by Cynthia Mosley, Administrator. Current Inspections are as follows: Sanitation Classification of Approved was completed on April 18, 2023. Fire Classification of Passed was completed on August 23, 2023. C. Mosley was present while I observed the indoor and outdoor areas. Upon my arrival, fifteen (15) children were present. In Space #1, children were observed participating in free-choice activities. Children had access to blocks, fine motor, dramatic play, and literacy materials. An infant was observed wrapped in a blanket, placed inside a baby swing, placed inside a crib. The baby was awake and alert. A plastic grocery bag was observed stored on top of a cubby shelf, below five feet from the finished floor. A two-year-old child was observed in the same space as an infant. The group from Space #2 was observed in the outdoor play area, engaging in free-choice activities. On the playground, children had access to riding toys, playhouse structures, a slide, a bicycle merry-go-round, balls, sand toys, and hula hoops. When it started raining, the group came back inside, washed their hands, sat at child-sized tables, and waited for lunch to be served. While waiting, the teacher sang songs, counted, and reviewed letters and numbers with the children. Lunch consisted of shredded chicken with gravy, rice, broccoli, pineapples, and milk. Two recently-hired staff files were reviewed. One staff member did not have a signed acknowledgment on file stating that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was reviewed prior to providing care for children under 5 years of age. One staff member had a signed Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement on file, but it did not contain the date it was signed. At the completion of the visit, the Visit Summary was reviewed with C. Mosley. The following violations were observed: Violation Number Comment Rule 316 Children under one year of age were not kept separate from children two years and older. A two-year-old child and an infant were observed in Space #1. The two-year-old child was moved to another space. 10A NCAC 09 .0713(a)(5) 496 Each child under the age of 12 months was not given supervised tummy time positioned on his/her stomach while awake and alert each day. In Space #1, an infant was observed alert and awake in a crib. When this was brought to the teacher's attention, she took the infant out of the crib and placed her on a carpeted area for supervised tummy time activities. .0510(e)(6) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space #1, a plastic grocery bag was stored on top of a cubby shelf, below five feet from the finished floor. .0604(q) 871 Center staff did not comply with the safe sleep policy. In Space #1, an infant was observed wrapped in a blanket while sitting in an infant swing. The swing, containing the infant, was observed inside a crib. When this was brought to the teacher's attention, she took the infant and swing out of the crib. The infant was moved to a carpeted area for supervised tummy time activities. 10A NCAC 09 .0606(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. C. Campbell, Teacher, did not have an signed acknowledgement on file, stating that the PSBSAHT policy was reviewed prior to providing care to children. L. Turner, teacher, did not have an acknowledgment on file with all required information (the signed acknowledgement was missing the date). .0608(d)(1-4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. TA/Consultation: Safe Sleep Environment A violation was cited today for not following the facility’s safe sleep policy. According to Child Care Rule .0606(a), each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: • specifies that caregivers shall place infants aged 12 months or younger on their backs for sleeping; • specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; • specifies that children shall not be swaddled; • specifies that nothing shall be placed over the head or face of an infant aged 12 months or younger when the infant is laid down to sleep; • specifies that the temperature in the room where infants aged 12 months or younger are sleeping does not exceed 75° F; • specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes; • specifies how caregivers shall document compliance with visually checking on sleeping infants aged 12 months or younger; • specifies that pacifiers that attach to infant clothing shall not be used with sleeping infants; • specifies that infants aged 12 months or younger sleep alone in a crib, bassinet, play pen, mat, or cot; • specifies that infants aged 12 months or younger are prohibited from sleeping in sitting devices, including car safety seats, strollers, swings, and infant carriers. Infants that fall asleep in sitting devices shall be moved to a crib, bassinet, play pen, mat, or cot; and • specifies any other steps the center shall take to provide a safe sleep environment for infants aged 12 months or younger. I encouraged the administrator to have staff review the safe sleep policy and to post it in a more prominent area in the child care space. Daily Activities A violation was cited today for placing an infant who was awake and alert in a crib. According to Child Care Rule .0510(e)(6), each child under the age of 12 months shall be given supervised tummy time positioned on his or her stomach while awake and alert each day. Grouping of Children A violation was cited today for having a 2-year-old and an infant in the same space. According to Child Care Rule .0713(a)(5), children under one year of age shall be kept separate from children two years of age and over. Safe Indoor Environment A violation was cited today for children under three years of age having access to a plastic bag. According to Child Care Rule .0604(q), plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. Infant/Toddler Age Group Observation I discussed with C. Mosley the results from classroom observations conducted during today’s visit in Space #1. I encouraged the staff to continue being available to provide comfort to children and respond to their individual needs by listening and watching for their verbal and physical cues. This is important because when infants and toddlers see their teachers as a source of comfort and security, they will be more willing to try new things, explore and learn. I also encouraged the staff to review the current safe sleep environment requirements. Preschool Age Group Observation I discussed with C. Mosley the results from classroom observations conducted during today’s visit in Space #2. I suggested for the staff to think of ways to maximize students’ interest, engagement, and ability to learn from lessons and activities at each child’s developmental level. For example, when writing first names, children may copy their name while others may need to trace their name or glue objects on the first letter of their name. Offer children a range of activities along with choices for what they can do when they are done. I also suggested for the staff to use meal times as learning opportunities. Meal times can offer opportunities to discuss where food comes from, how food is prepared, or connect concepts such as colors and letters to food. Rated License Reassessment We had a discussion about the upcoming rated license reassessment. We discussed the amount of points that could be applied towards education standards with the staff members’ current level of education. We discussed that only two points could be applied towards program standards without going through the environmental rating scales (ITERS/ECERS/SACERS). C. Mosley stated that she is interested in having the environmental rating scales completed. She has been receiving technical assistance from the Partnership for Children to help her prepare for the environmental rating scales visit. A copy of the rated license reassessment packet was left with C. Mosley. Reminders: Sanitation Inspection According to your records, your sanitation inspection is due to expire on April 18, 2024. I encouraged the administrator to contact the Cumberland County Environmental Health Department at (910) 433-3618 to schedule and obtain an updated inspection before the expiration date. DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.l.reed@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: C3 CYNTHIA'S CUDDLING CARE Facility ID: 26002382 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 9/28/2023 Number Present: 15 Completed Date: 9/28/2023 Age: From 0 To 4 Total Minutes: 285 Time In: 09:00 AM Time Out: 01:45 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 on October 06, 2022, and prior to today’s visit, the eighteen-month compliance history score was 88% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued January 10, 2020. The license was based on the program earning 5 points in education standards, 5 points in program standards, and one quality point by choosing to meet a programmatic option of reducing the group size by one in each group from the seven-point level as required in Rule .2818(c). The information on record was verified as correct by Cynthia Mosley, Owner/Administrator. Current Inspections are as follows: Sanitation Classification of Approved was completed on April 18, 2022. Fire Classification of Passed was completed on August 23, 2023. C. Mosley was present while I observed the indoor and outdoor areas. Fifteen (15) children and three (3) teachers were present upon my arrival. Children were observed participating in free-choice activities. Children had access to the following activity areas: fine motor, blocks, literacy, dramatic-play, and music and movement. Lunch consisted of hotdog with bun, mixed vegetables, pineapple tidbits, and milk. Routine care and handwashing practices were observed. In Space #1, an infant was observed awake and alert in a crib, with toys and a bottle of formula. In Space #2, plastic bags containing diapers and clothes were stored in cubby shelves, below five feet from the finished floor. In the outdoor play area, children were observed running around the space with their teacher, racing. Children were also observed exercising with their teacher and exploring the equipment on the playground. A climber in Outdoor Play Area #2 was not installed over resilient surfacing. Four staff files were reviewed. Two staff members did not meet their required annual ongoing training hours, according to their education and work experience. One staff member did not have a medical report or TB test results on file. Three children’s records were reviewed, and all documentation was in compliance. Program files, including the EPR Plan, were reviewed. The most recent fire inspection report was received during today’s visit. The inspection report was completed on the incorrect form. C. Mosley emailed the fire department to ask for the inspection information to be transferred to the Adult Day Care & Child Care Fire Inspection Form. Transportation requirements were monitored and in compliance. At the completion of the visit, the Visit Summary was reviewed with C. Mosley. The following violations were 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. A fire inspection was not obtained within 12 months of the previous inspection. The most recent fire inspection, received during today's visit, was completed on 8/23/2023. The previous inspection was completed on 8/12/2022. 10A NCAC 09 .0304(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. In Outdoor Play Area #2, a climber was not installed over resilient surfacing. Grass and compacted dirt were observed under the climber. .0605(j) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space #2, plastic bags containing clothes and diapers were stored in cubby shelves, below five feet from the finished floor. .0604(q) 871 Center staff did not comply with the safe sleep policy. In Space #1, an infant was observed in a crib with toys and a bottle containing formula. The items were immediately removed by the teacher when the child care consultant brought it to her attention. 10A NCAC 09 .0606(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Milton Mosley, Teacher, did not meet his required on-going training hours (10 Hours Required; 1.5 Hours Received). Marwa Ghoul, Teacher, did not meet her required number of on-going training hours (20 Hours Required; 6.5 Hours Received). .1103(a) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Lisa Morrison, Teacher, did not have a medical report or negative TB test results on file. .0701(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. 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 October 12, 2023, 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: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA Safe Sleep Environment A violation was cited today for items being stored in a crib with an infant. According to Child Care Rule .0606(a)(2), each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger. Safe Indoor Environment A violation was cited today for plastic being stored below five feet from the finished floor, in a classroom that serves children under the age of three. According to Child Care Rule .0604(q), plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. On-Going Training Requirements A violation was cited today for staff members not meeting their required on-going annual hours. According to Child Care Rule .1103(a), after the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually, as follows: - 4 Year Degree in ECE or Higher 5 Clock Hours - 2 Year Degree in ECE 8 Clock Hours - NC Child Care Administration Credential 8 Clock Hours - NC Early Childhood Credential 10 Clock Hours - 10 Years Documented EC Work Experience 15 Clock Hours - No Other Criteria 20 Clock Hours Staff Record Keeping Requirements A violation was cited today for a staff member not having a medical report or TB test results on file. According to Child Care Rule .0701(d), staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Outdoor Learning Environment A violation was cited today for stationary equipment not being installed over resilient surfacing. All stationary outdoor equipment more than 18 inches high shall be installed over protective surfacing. Please refer to Child Care Rule .0605(j) for more information about this requirement. Fire Inspection A violation was cited today for not obtaining a fire inspection within 12 months of the previous inspection. According to Child Care Rule .0304(a), each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Reminders July 2023 Child Care Rule Changes The DCDEE is excited to share information about the July 2023 child care rule changes. The NC Child Care Commission revised rules related to staff/child ratios for multi-age groups; cooperative arrangements; and enhanced space requirements. These rule changes may or may not impact your facility. The multi-age group staff/child ratio changes support a previous rule change submitted by Early Head Start and the new rule for defining cooperative arrangements provides clarification to a previous change in statute. July 2023 New Child Care Rule Rollout A New Rule Amendments Overview module has been added to the Child Care Rules Training on DCDEE Moodle. If you are unfamiliar with the Child Care Rule Rollout within Moodle, learn how to navigate Moodle. To access Moodle, you will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, register for an individual NCID at https://ncid.nc.gov/ncidsspr/. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814- 6326. 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. Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 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: C3 CYNTHIA'S CUDDLING CARE Facility ID: 26002382 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 9/28/2023 Number Present: 15 Completed Date: 9/28/2023 Age: From 0 To 4 Total Minutes: 285 Time In: 09:00 AM Time Out: 01:45 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 on October 06, 2022, and prior to today’s visit, the eighteen-month compliance history score was 88% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued January 10, 2020. The license was based on the program earning 5 points in education standards, 5 points in program standards, and one quality point by choosing to meet a programmatic option of reducing the group size by one in each group from the seven-point level as required in Rule .2818(c). The information on record was verified as correct by Cynthia Mosley, Owner/Administrator. Current Inspections are as follows: Sanitation Classification of Approved was completed on April 18, 2022. Fire Classification of Passed was completed on August 23, 2023. C. Mosley was present while I observed the indoor and outdoor areas. Fifteen (15) children and three (3) teachers were present upon my arrival. Children were observed participating in free-choice activities. Children had access to the following activity areas: fine motor, blocks, literacy, dramatic-play, and music and movement. Lunch consisted of hotdog with bun, mixed vegetables, pineapple tidbits, and milk. Routine care and handwashing practices were observed. In Space #1, an infant was observed awake and alert in a crib, with toys and a bottle of formula. In Space #2, plastic bags containing diapers and clothes were stored in cubby shelves, below five feet from the finished floor. In the outdoor play area, children were observed running around the space with their teacher, racing. Children were also observed exercising with their teacher and exploring the equipment on the playground. A climber in Outdoor Play Area #2 was not installed over resilient surfacing. Four staff files were reviewed. Two staff members did not meet their required annual ongoing training hours, according to their education and work experience. One staff member did not have a medical report or TB test results on file. Three children’s records were reviewed, and all documentation was in compliance. Program files, including the EPR Plan, were reviewed. The most recent fire inspection report was received during today’s visit. The inspection report was completed on the incorrect form. C. Mosley emailed the fire department to ask for the inspection information to be transferred to the Adult Day Care & Child Care Fire Inspection Form. Transportation requirements were monitored and in compliance. At the completion of the visit, the Visit Summary was reviewed with C. Mosley. The following violations were 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. A fire inspection was not obtained within 12 months of the previous inspection. The most recent fire inspection, received during today's visit, was completed on 8/23/2023. The previous inspection was completed on 8/12/2022. 10A NCAC 09 .0304(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. In Outdoor Play Area #2, a climber was not installed over resilient surfacing. Grass and compacted dirt were observed under the climber. .0605(j) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space #2, plastic bags containing clothes and diapers were stored in cubby shelves, below five feet from the finished floor. .0604(q) 871 Center staff did not comply with the safe sleep policy. In Space #1, an infant was observed in a crib with toys and a bottle containing formula. The items were immediately removed by the teacher when the child care consultant brought it to her attention. 10A NCAC 09 .0606(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Milton Mosley, Teacher, did not meet his required on-going training hours (10 Hours Required; 1.5 Hours Received). Marwa Ghoul, Teacher, did not meet her required number of on-going training hours (20 Hours Required; 6.5 Hours Received). .1103(a) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Lisa Morrison, Teacher, did not have a medical report or negative TB test results on file. .0701(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. 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 October 12, 2023, 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: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA Safe Sleep Environment A violation was cited today for items being stored in a crib with an infant. According to Child Care Rule .0606(a)(2), each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger. Safe Indoor Environment A violation was cited today for plastic being stored below five feet from the finished floor, in a classroom that serves children under the age of three. According to Child Care Rule .0604(q), plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. On-Going Training Requirements A violation was cited today for staff members not meeting their required on-going annual hours. According to Child Care Rule .1103(a), after the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually, as follows: - 4 Year Degree in ECE or Higher 5 Clock Hours - 2 Year Degree in ECE 8 Clock Hours - NC Child Care Administration Credential 8 Clock Hours - NC Early Childhood Credential 10 Clock Hours - 10 Years Documented EC Work Experience 15 Clock Hours - No Other Criteria 20 Clock Hours Staff Record Keeping Requirements A violation was cited today for a staff member not having a medical report or TB test results on file. According to Child Care Rule .0701(d), staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Outdoor Learning Environment A violation was cited today for stationary equipment not being installed over resilient surfacing. All stationary outdoor equipment more than 18 inches high shall be installed over protective surfacing. Please refer to Child Care Rule .0605(j) for more information about this requirement. Fire Inspection A violation was cited today for not obtaining a fire inspection within 12 months of the previous inspection. According to Child Care Rule .0304(a), each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Reminders July 2023 Child Care Rule Changes The DCDEE is excited to share information about the July 2023 child care rule changes. The NC Child Care Commission revised rules related to staff/child ratios for multi-age groups; cooperative arrangements; and enhanced space requirements. These rule changes may or may not impact your facility. The multi-age group staff/child ratio changes support a previous rule change submitted by Early Head Start and the new rule for defining cooperative arrangements provides clarification to a previous change in statute. July 2023 New Child Care Rule Rollout A New Rule Amendments Overview module has been added to the Child Care Rules Training on DCDEE Moodle. If you are unfamiliar with the Child Care Rule Rollout within Moodle, learn how to navigate Moodle. To access Moodle, you will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, register for an individual NCID at https://ncid.nc.gov/ncidsspr/. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814- 6326. 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. Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 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: C3 CYNTHIA'S CUDDLING CARE Facility ID: 26002382 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 9/28/2023 Number Present: 15 Completed Date: 9/28/2023 Age: From 0 To 4 Total Minutes: 285 Time In: 09:00 AM Time Out: 01:45 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 on October 06, 2022, and prior to today’s visit, the eighteen-month compliance history score was 88% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued January 10, 2020. The license was based on the program earning 5 points in education standards, 5 points in program standards, and one quality point by choosing to meet a programmatic option of reducing the group size by one in each group from the seven-point level as required in Rule .2818(c). The information on record was verified as correct by Cynthia Mosley, Owner/Administrator. Current Inspections are as follows: Sanitation Classification of Approved was completed on April 18, 2022. Fire Classification of Passed was completed on August 23, 2023. C. Mosley was present while I observed the indoor and outdoor areas. Fifteen (15) children and three (3) teachers were present upon my arrival. Children were observed participating in free-choice activities. Children had access to the following activity areas: fine motor, blocks, literacy, dramatic-play, and music and movement. Lunch consisted of hotdog with bun, mixed vegetables, pineapple tidbits, and milk. Routine care and handwashing practices were observed. In Space #1, an infant was observed awake and alert in a crib, with toys and a bottle of formula. In Space #2, plastic bags containing diapers and clothes were stored in cubby shelves, below five feet from the finished floor. In the outdoor play area, children were observed running around the space with their teacher, racing. Children were also observed exercising with their teacher and exploring the equipment on the playground. A climber in Outdoor Play Area #2 was not installed over resilient surfacing. Four staff files were reviewed. Two staff members did not meet their required annual ongoing training hours, according to their education and work experience. One staff member did not have a medical report or TB test results on file. Three children’s records were reviewed, and all documentation was in compliance. Program files, including the EPR Plan, were reviewed. The most recent fire inspection report was received during today’s visit. The inspection report was completed on the incorrect form. C. Mosley emailed the fire department to ask for the inspection information to be transferred to the Adult Day Care & Child Care Fire Inspection Form. Transportation requirements were monitored and in compliance. At the completion of the visit, the Visit Summary was reviewed with C. Mosley. The following violations were 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. A fire inspection was not obtained within 12 months of the previous inspection. The most recent fire inspection, received during today's visit, was completed on 8/23/2023. The previous inspection was completed on 8/12/2022. 10A NCAC 09 .0304(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. In Outdoor Play Area #2, a climber was not installed over resilient surfacing. Grass and compacted dirt were observed under the climber. .0605(j) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space #2, plastic bags containing clothes and diapers were stored in cubby shelves, below five feet from the finished floor. .0604(q) 871 Center staff did not comply with the safe sleep policy. In Space #1, an infant was observed in a crib with toys and a bottle containing formula. The items were immediately removed by the teacher when the child care consultant brought it to her attention. 10A NCAC 09 .0606(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Milton Mosley, Teacher, did not meet his required on-going training hours (10 Hours Required; 1.5 Hours Received). Marwa Ghoul, Teacher, did not meet her required number of on-going training hours (20 Hours Required; 6.5 Hours Received). .1103(a) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Lisa Morrison, Teacher, did not have a medical report or negative TB test results on file. .0701(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. 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 October 12, 2023, 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: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA Safe Sleep Environment A violation was cited today for items being stored in a crib with an infant. According to Child Care Rule .0606(a)(2), each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger. Safe Indoor Environment A violation was cited today for plastic being stored below five feet from the finished floor, in a classroom that serves children under the age of three. According to Child Care Rule .0604(q), plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. On-Going Training Requirements A violation was cited today for staff members not meeting their required on-going annual hours. According to Child Care Rule .1103(a), after the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually, as follows: - 4 Year Degree in ECE or Higher 5 Clock Hours - 2 Year Degree in ECE 8 Clock Hours - NC Child Care Administration Credential 8 Clock Hours - NC Early Childhood Credential 10 Clock Hours - 10 Years Documented EC Work Experience 15 Clock Hours - No Other Criteria 20 Clock Hours Staff Record Keeping Requirements A violation was cited today for a staff member not having a medical report or TB test results on file. According to Child Care Rule .0701(d), staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Outdoor Learning Environment A violation was cited today for stationary equipment not being installed over resilient surfacing. All stationary outdoor equipment more than 18 inches high shall be installed over protective surfacing. Please refer to Child Care Rule .0605(j) for more information about this requirement. Fire Inspection A violation was cited today for not obtaining a fire inspection within 12 months of the previous inspection. According to Child Care Rule .0304(a), each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Reminders July 2023 Child Care Rule Changes The DCDEE is excited to share information about the July 2023 child care rule changes. The NC Child Care Commission revised rules related to staff/child ratios for multi-age groups; cooperative arrangements; and enhanced space requirements. These rule changes may or may not impact your facility. The multi-age group staff/child ratio changes support a previous rule change submitted by Early Head Start and the new rule for defining cooperative arrangements provides clarification to a previous change in statute. July 2023 New Child Care Rule Rollout A New Rule Amendments Overview module has been added to the Child Care Rules Training on DCDEE Moodle. If you are unfamiliar with the Child Care Rule Rollout within Moodle, learn how to navigate Moodle. To access Moodle, you will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, register for an individual NCID at https://ncid.nc.gov/ncidsspr/. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814- 6326. 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. Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 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