Carolyn's Little Hands

10A NCAC 09 .1703 · Violation

Name of Operation: CAROLYN'S LITTLE HANDS Facility ID: 26002533 Consultant: TIFFANY REED Operation Type: Family CC Home Case Number: Visit Date: 4/2/2026 Number Present: 1 Completed Date: 4/2/2026 Age: From 2 To 2 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including health and safety training. The previous annual compliance visit was conducted on April 11, 2025, and prior to today’s visit, the eighteen-month compliance history score was at 99%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three (3) -Star License issued November 3, 2022. The License was based on the program earning six (6) points in education standards, one (1) point in program standards, and one (1) quality point by choosing to meet a programmatic option for: Infant capacity restricted to no more than two children under one year of age. The information on record with DCDEE was verified as correct by Carolyn Terry, Operator. Current Inspections are as follows: Sanitation Classification of Superior was completed on April 29, 2025. C. Terry, Operator, greeted me upon my arrival. One child was present in the caregiving space. The child had access to blocks, manipulatives, dramatic play, creative art, and literacy materials. The child was observed participating in free-choice activities. The child played with a toy train, toy school bus, toy trucks, and toy cars. While playing with the toy train in a carpeted area, the child said, “Choo-choo!” The child was also observed pretending to be a doctor. The child gave the operator seven shots. The operator said, “How many shots do I need?!” Additionally, the child was observed pretending to cook and serve the operator food. The outdoor learning environment was monitored for health and safety requirements. Routine care and handwashing practices were observed. Lunch consisted of baked chicken, green beans, applesauce, whole wheat bread, and milk. The operator’s file was reviewed. The operator did not meet the required amount of annual ongoing training hours, based on her education and experience. The operator did not complete ITS-SIDS training within the past three years. One child’s file was 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 March 05, 2026. The most recent quarterly (lockdown) drill was completed on January 12, 2026. The most recent outdoor inspection was completed on April 01, 2026. A lead-in-water test has not been completed at the facility within the past three years. At the completion of the visit, the Visit Summary was reviewed with C. Terry. The following violations were observed: Violation Number Comment Rule 1301 Operator did not complete the required number of on-going training hours as specified in rule. The operator did not complete her required amount of annual ongoing training hours (8 Hours Required; 6 hours completed). GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1306 Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training. The operator did not completed ITS-SIDS training within three years of the previous ITS-SIDS training (1/18/2023). .1703(a)(4) 2058 The family child care home operator did not collect and submit samples of water from each outlet used for drinking or food preparation for lead analysis to the local health department or a laboratory certified to analyze for lead in drinking water by the North Carolina State Laboratory of Public Health. A lead-in-water analysis has not been completed at the facility within the past three years. 10A NCAC 09 .1725(a)(2) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. 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 April 16, 2026, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 407 Hope Mills, NC 28348 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 Technical Assistance/Reminders: Annual On-Going Training Requirements A violation was cited today for the family child care home operator not meeting the required annual on-going training hours, based on experience and education. According to Child Care Rule .1703(d), after the first year of employment, the family child care home operator, and staff who work with children shall complete on-going training activities as follows: • 4 Year Degree or Higher in Child Care Related Field – 5 Hours • 2 Year Degree in Child Care Related Field – 8 Hours • North Carolina Early Childhood Administration Credential – 8 Hours • North Carolina Early Childhood Credential – 10 Hours • 10 Years of Early Childhood Work Experience – 15 Hours • None of the Above – 20 Hours The operator stated that she was not aware that she had to complete annual training hours. We discussed the child care rule regarding on-going training requirements. According to the operator’s education and experience, she will need to complete eight on-going training hours annually. ITS-SIDS Training Requirements A violation was cited today for the operator not taking an ITS-SIDS course within the past three years. Most SIDS deaths in child care occur within the first week of child care due to unaccustomed prone (on the stomach) sleeping; the risk of SIDS increases eighteen times when an infant who sleeps supine (on the back) at home is placed in the prone position in child care. Use of safe sleep policies, training of caregivers, continued education of parents/guardians, expanded training efforts for child care professionals, statewide regulations and mandates, and increased monitoring and observation of infants while they are sleeping are critical to reduce the risk of SIDS in child care. More information about ITS-SIDS training requirements can be found in child care rule 10A NCAC 09 .1703(a)(4). Lead-in-Water Testing A violation was cited today for not having a lead-in-water test completed within the past three years. FCCH operators shall test, once every three years, all water outlets used for drinking or food preparation. Samples shall also be collected and tested within 30 calendar days of completion of any renovations or repairs that may impact the facility's drinking water infrastructure, such as repair or replacement of all or part of drinking water service lines or faucets, at impacted outlets. The operator shall provide documentation of testing results for review by the Department upon request. To test the drinking water at your FCCH for free, you must register for a pre-enrollment webinar with RTI international. Go to www.cleanwaterforcarolinakids.org to sign up for the required webinar. The operator stated that she was not aware that she was required to complete a lead-in-water test. The operator registered for the webinar during today’s visit. The webinar will occur on April 09, 2026. For more information regarding the rule requirement, refer to child care rule 10A NCAC 09 .1725(a)(2). Sanitation Inspection According to your records, your sanitation inspection is due to expire on April 29, 2026. I encouraged the operator to contact the Cumberland County Environmental Health department at (910)433-3618 to schedule and obtain an updated inspection prior to the expiration date. 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. Rhonda Blackmon, Licensing Supervisor, may also be contacted 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 .1705 · Violation

Name of Operation: CAROLYN'S LITTLE HANDS Facility ID: 26002533 Consultant: TIFFANY REED Operation Type: Family CC Home Case Number: Visit Date: 4/2/2026 Number Present: 1 Completed Date: 4/2/2026 Age: From 2 To 2 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including health and safety training. The previous annual compliance visit was conducted on April 11, 2025, and prior to today’s visit, the eighteen-month compliance history score was at 99%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three (3) -Star License issued November 3, 2022. The License was based on the program earning six (6) points in education standards, one (1) point in program standards, and one (1) quality point by choosing to meet a programmatic option for: Infant capacity restricted to no more than two children under one year of age. The information on record with DCDEE was verified as correct by Carolyn Terry, Operator. Current Inspections are as follows: Sanitation Classification of Superior was completed on April 29, 2025. C. Terry, Operator, greeted me upon my arrival. One child was present in the caregiving space. The child had access to blocks, manipulatives, dramatic play, creative art, and literacy materials. The child was observed participating in free-choice activities. The child played with a toy train, toy school bus, toy trucks, and toy cars. While playing with the toy train in a carpeted area, the child said, “Choo-choo!” The child was also observed pretending to be a doctor. The child gave the operator seven shots. The operator said, “How many shots do I need?!” Additionally, the child was observed pretending to cook and serve the operator food. The outdoor learning environment was monitored for health and safety requirements. Routine care and handwashing practices were observed. Lunch consisted of baked chicken, green beans, applesauce, whole wheat bread, and milk. The operator’s file was reviewed. The operator did not meet the required amount of annual ongoing training hours, based on her education and experience. The operator did not complete ITS-SIDS training within the past three years. One child’s file was 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 March 05, 2026. The most recent quarterly (lockdown) drill was completed on January 12, 2026. The most recent outdoor inspection was completed on April 01, 2026. A lead-in-water test has not been completed at the facility within the past three years. At the completion of the visit, the Visit Summary was reviewed with C. Terry. The following violations were observed: Violation Number Comment Rule 1301 Operator did not complete the required number of on-going training hours as specified in rule. The operator did not complete her required amount of annual ongoing training hours (8 Hours Required; 6 hours completed). GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1306 Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training. The operator did not completed ITS-SIDS training within three years of the previous ITS-SIDS training (1/18/2023). .1703(a)(4) 2058 The family child care home operator did not collect and submit samples of water from each outlet used for drinking or food preparation for lead analysis to the local health department or a laboratory certified to analyze for lead in drinking water by the North Carolina State Laboratory of Public Health. A lead-in-water analysis has not been completed at the facility within the past three years. 10A NCAC 09 .1725(a)(2) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. 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 April 16, 2026, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 407 Hope Mills, NC 28348 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 Technical Assistance/Reminders: Annual On-Going Training Requirements A violation was cited today for the family child care home operator not meeting the required annual on-going training hours, based on experience and education. According to Child Care Rule .1703(d), after the first year of employment, the family child care home operator, and staff who work with children shall complete on-going training activities as follows: • 4 Year Degree or Higher in Child Care Related Field – 5 Hours • 2 Year Degree in Child Care Related Field – 8 Hours • North Carolina Early Childhood Administration Credential – 8 Hours • North Carolina Early Childhood Credential – 10 Hours • 10 Years of Early Childhood Work Experience – 15 Hours • None of the Above – 20 Hours The operator stated that she was not aware that she had to complete annual training hours. We discussed the child care rule regarding on-going training requirements. According to the operator’s education and experience, she will need to complete eight on-going training hours annually. ITS-SIDS Training Requirements A violation was cited today for the operator not taking an ITS-SIDS course within the past three years. Most SIDS deaths in child care occur within the first week of child care due to unaccustomed prone (on the stomach) sleeping; the risk of SIDS increases eighteen times when an infant who sleeps supine (on the back) at home is placed in the prone position in child care. Use of safe sleep policies, training of caregivers, continued education of parents/guardians, expanded training efforts for child care professionals, statewide regulations and mandates, and increased monitoring and observation of infants while they are sleeping are critical to reduce the risk of SIDS in child care. More information about ITS-SIDS training requirements can be found in child care rule 10A NCAC 09 .1703(a)(4). Lead-in-Water Testing A violation was cited today for not having a lead-in-water test completed within the past three years. FCCH operators shall test, once every three years, all water outlets used for drinking or food preparation. Samples shall also be collected and tested within 30 calendar days of completion of any renovations or repairs that may impact the facility's drinking water infrastructure, such as repair or replacement of all or part of drinking water service lines or faucets, at impacted outlets. The operator shall provide documentation of testing results for review by the Department upon request. To test the drinking water at your FCCH for free, you must register for a pre-enrollment webinar with RTI international. Go to www.cleanwaterforcarolinakids.org to sign up for the required webinar. The operator stated that she was not aware that she was required to complete a lead-in-water test. The operator registered for the webinar during today’s visit. The webinar will occur on April 09, 2026. For more information regarding the rule requirement, refer to child care rule 10A NCAC 09 .1725(a)(2). Sanitation Inspection According to your records, your sanitation inspection is due to expire on April 29, 2026. I encouraged the operator to contact the Cumberland County Environmental Health department at (910)433-3618 to schedule and obtain an updated inspection prior to the expiration date. 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. Rhonda Blackmon, Licensing Supervisor, may also be contacted 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 .1725 · Violation

Name of Operation: CAROLYN'S LITTLE HANDS Facility ID: 26002533 Consultant: TIFFANY REED Operation Type: Family CC Home Case Number: Visit Date: 4/2/2026 Number Present: 1 Completed Date: 4/2/2026 Age: From 2 To 2 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including health and safety training. The previous annual compliance visit was conducted on April 11, 2025, and prior to today’s visit, the eighteen-month compliance history score was at 99%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three (3) -Star License issued November 3, 2022. The License was based on the program earning six (6) points in education standards, one (1) point in program standards, and one (1) quality point by choosing to meet a programmatic option for: Infant capacity restricted to no more than two children under one year of age. The information on record with DCDEE was verified as correct by Carolyn Terry, Operator. Current Inspections are as follows: Sanitation Classification of Superior was completed on April 29, 2025. C. Terry, Operator, greeted me upon my arrival. One child was present in the caregiving space. The child had access to blocks, manipulatives, dramatic play, creative art, and literacy materials. The child was observed participating in free-choice activities. The child played with a toy train, toy school bus, toy trucks, and toy cars. While playing with the toy train in a carpeted area, the child said, “Choo-choo!” The child was also observed pretending to be a doctor. The child gave the operator seven shots. The operator said, “How many shots do I need?!” Additionally, the child was observed pretending to cook and serve the operator food. The outdoor learning environment was monitored for health and safety requirements. Routine care and handwashing practices were observed. Lunch consisted of baked chicken, green beans, applesauce, whole wheat bread, and milk. The operator’s file was reviewed. The operator did not meet the required amount of annual ongoing training hours, based on her education and experience. The operator did not complete ITS-SIDS training within the past three years. One child’s file was 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 March 05, 2026. The most recent quarterly (lockdown) drill was completed on January 12, 2026. The most recent outdoor inspection was completed on April 01, 2026. A lead-in-water test has not been completed at the facility within the past three years. At the completion of the visit, the Visit Summary was reviewed with C. Terry. The following violations were observed: Violation Number Comment Rule 1301 Operator did not complete the required number of on-going training hours as specified in rule. The operator did not complete her required amount of annual ongoing training hours (8 Hours Required; 6 hours completed). GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1306 Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training. The operator did not completed ITS-SIDS training within three years of the previous ITS-SIDS training (1/18/2023). .1703(a)(4) 2058 The family child care home operator did not collect and submit samples of water from each outlet used for drinking or food preparation for lead analysis to the local health department or a laboratory certified to analyze for lead in drinking water by the North Carolina State Laboratory of Public Health. A lead-in-water analysis has not been completed at the facility within the past three years. 10A NCAC 09 .1725(a)(2) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. 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 April 16, 2026, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 407 Hope Mills, NC 28348 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 Technical Assistance/Reminders: Annual On-Going Training Requirements A violation was cited today for the family child care home operator not meeting the required annual on-going training hours, based on experience and education. According to Child Care Rule .1703(d), after the first year of employment, the family child care home operator, and staff who work with children shall complete on-going training activities as follows: • 4 Year Degree or Higher in Child Care Related Field – 5 Hours • 2 Year Degree in Child Care Related Field – 8 Hours • North Carolina Early Childhood Administration Credential – 8 Hours • North Carolina Early Childhood Credential – 10 Hours • 10 Years of Early Childhood Work Experience – 15 Hours • None of the Above – 20 Hours The operator stated that she was not aware that she had to complete annual training hours. We discussed the child care rule regarding on-going training requirements. According to the operator’s education and experience, she will need to complete eight on-going training hours annually. ITS-SIDS Training Requirements A violation was cited today for the operator not taking an ITS-SIDS course within the past three years. Most SIDS deaths in child care occur within the first week of child care due to unaccustomed prone (on the stomach) sleeping; the risk of SIDS increases eighteen times when an infant who sleeps supine (on the back) at home is placed in the prone position in child care. Use of safe sleep policies, training of caregivers, continued education of parents/guardians, expanded training efforts for child care professionals, statewide regulations and mandates, and increased monitoring and observation of infants while they are sleeping are critical to reduce the risk of SIDS in child care. More information about ITS-SIDS training requirements can be found in child care rule 10A NCAC 09 .1703(a)(4). Lead-in-Water Testing A violation was cited today for not having a lead-in-water test completed within the past three years. FCCH operators shall test, once every three years, all water outlets used for drinking or food preparation. Samples shall also be collected and tested within 30 calendar days of completion of any renovations or repairs that may impact the facility's drinking water infrastructure, such as repair or replacement of all or part of drinking water service lines or faucets, at impacted outlets. The operator shall provide documentation of testing results for review by the Department upon request. To test the drinking water at your FCCH for free, you must register for a pre-enrollment webinar with RTI international. Go to www.cleanwaterforcarolinakids.org to sign up for the required webinar. The operator stated that she was not aware that she was required to complete a lead-in-water test. The operator registered for the webinar during today’s visit. The webinar will occur on April 09, 2026. For more information regarding the rule requirement, refer to child care rule 10A NCAC 09 .1725(a)(2). Sanitation Inspection According to your records, your sanitation inspection is due to expire on April 29, 2026. I encouraged the operator to contact the Cumberland County Environmental Health department at (910)433-3618 to schedule and obtain an updated inspection prior to the expiration date. 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. Rhonda Blackmon, Licensing Supervisor, may also be contacted 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

GS 110-91 · Violation

Name of Operation: CAROLYN'S LITTLE HANDS Facility ID: 26002533 Consultant: TIFFANY REED Operation Type: Family CC Home Case Number: Visit Date: 4/2/2026 Number Present: 1 Completed Date: 4/2/2026 Age: From 2 To 2 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including health and safety training. The previous annual compliance visit was conducted on April 11, 2025, and prior to today’s visit, the eighteen-month compliance history score was at 99%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three (3) -Star License issued November 3, 2022. The License was based on the program earning six (6) points in education standards, one (1) point in program standards, and one (1) quality point by choosing to meet a programmatic option for: Infant capacity restricted to no more than two children under one year of age. The information on record with DCDEE was verified as correct by Carolyn Terry, Operator. Current Inspections are as follows: Sanitation Classification of Superior was completed on April 29, 2025. C. Terry, Operator, greeted me upon my arrival. One child was present in the caregiving space. The child had access to blocks, manipulatives, dramatic play, creative art, and literacy materials. The child was observed participating in free-choice activities. The child played with a toy train, toy school bus, toy trucks, and toy cars. While playing with the toy train in a carpeted area, the child said, “Choo-choo!” The child was also observed pretending to be a doctor. The child gave the operator seven shots. The operator said, “How many shots do I need?!” Additionally, the child was observed pretending to cook and serve the operator food. The outdoor learning environment was monitored for health and safety requirements. Routine care and handwashing practices were observed. Lunch consisted of baked chicken, green beans, applesauce, whole wheat bread, and milk. The operator’s file was reviewed. The operator did not meet the required amount of annual ongoing training hours, based on her education and experience. The operator did not complete ITS-SIDS training within the past three years. One child’s file was 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 March 05, 2026. The most recent quarterly (lockdown) drill was completed on January 12, 2026. The most recent outdoor inspection was completed on April 01, 2026. A lead-in-water test has not been completed at the facility within the past three years. At the completion of the visit, the Visit Summary was reviewed with C. Terry. The following violations were observed: Violation Number Comment Rule 1301 Operator did not complete the required number of on-going training hours as specified in rule. The operator did not complete her required amount of annual ongoing training hours (8 Hours Required; 6 hours completed). GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1306 Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training. The operator did not completed ITS-SIDS training within three years of the previous ITS-SIDS training (1/18/2023). .1703(a)(4) 2058 The family child care home operator did not collect and submit samples of water from each outlet used for drinking or food preparation for lead analysis to the local health department or a laboratory certified to analyze for lead in drinking water by the North Carolina State Laboratory of Public Health. A lead-in-water analysis has not been completed at the facility within the past three years. 10A NCAC 09 .1725(a)(2) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. 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 April 16, 2026, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 407 Hope Mills, NC 28348 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 Technical Assistance/Reminders: Annual On-Going Training Requirements A violation was cited today for the family child care home operator not meeting the required annual on-going training hours, based on experience and education. According to Child Care Rule .1703(d), after the first year of employment, the family child care home operator, and staff who work with children shall complete on-going training activities as follows: • 4 Year Degree or Higher in Child Care Related Field – 5 Hours • 2 Year Degree in Child Care Related Field – 8 Hours • North Carolina Early Childhood Administration Credential – 8 Hours • North Carolina Early Childhood Credential – 10 Hours • 10 Years of Early Childhood Work Experience – 15 Hours • None of the Above – 20 Hours The operator stated that she was not aware that she had to complete annual training hours. We discussed the child care rule regarding on-going training requirements. According to the operator’s education and experience, she will need to complete eight on-going training hours annually. ITS-SIDS Training Requirements A violation was cited today for the operator not taking an ITS-SIDS course within the past three years. Most SIDS deaths in child care occur within the first week of child care due to unaccustomed prone (on the stomach) sleeping; the risk of SIDS increases eighteen times when an infant who sleeps supine (on the back) at home is placed in the prone position in child care. Use of safe sleep policies, training of caregivers, continued education of parents/guardians, expanded training efforts for child care professionals, statewide regulations and mandates, and increased monitoring and observation of infants while they are sleeping are critical to reduce the risk of SIDS in child care. More information about ITS-SIDS training requirements can be found in child care rule 10A NCAC 09 .1703(a)(4). Lead-in-Water Testing A violation was cited today for not having a lead-in-water test completed within the past three years. FCCH operators shall test, once every three years, all water outlets used for drinking or food preparation. Samples shall also be collected and tested within 30 calendar days of completion of any renovations or repairs that may impact the facility's drinking water infrastructure, such as repair or replacement of all or part of drinking water service lines or faucets, at impacted outlets. The operator shall provide documentation of testing results for review by the Department upon request. To test the drinking water at your FCCH for free, you must register for a pre-enrollment webinar with RTI international. Go to www.cleanwaterforcarolinakids.org to sign up for the required webinar. The operator stated that she was not aware that she was required to complete a lead-in-water test. The operator registered for the webinar during today’s visit. The webinar will occur on April 09, 2026. For more information regarding the rule requirement, refer to child care rule 10A NCAC 09 .1725(a)(2). Sanitation Inspection According to your records, your sanitation inspection is due to expire on April 29, 2026. I encouraged the operator to contact the Cumberland County Environmental Health department at (910)433-3618 to schedule and obtain an updated inspection prior to the expiration date. 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. Rhonda Blackmon, Licensing Supervisor, may also be contacted 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

NC GS 110-90 · Violation

Name of Operation: CAROLYN'S LITTLE HANDS Facility ID: 26002533 Consultant: TIFFANY REED Operation Type: Family CC Home Case Number: Visit Date: 4/2/2026 Number Present: 1 Completed Date: 4/2/2026 Age: From 2 To 2 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including health and safety training. The previous annual compliance visit was conducted on April 11, 2025, and prior to today’s visit, the eighteen-month compliance history score was at 99%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three (3) -Star License issued November 3, 2022. The License was based on the program earning six (6) points in education standards, one (1) point in program standards, and one (1) quality point by choosing to meet a programmatic option for: Infant capacity restricted to no more than two children under one year of age. The information on record with DCDEE was verified as correct by Carolyn Terry, Operator. Current Inspections are as follows: Sanitation Classification of Superior was completed on April 29, 2025. C. Terry, Operator, greeted me upon my arrival. One child was present in the caregiving space. The child had access to blocks, manipulatives, dramatic play, creative art, and literacy materials. The child was observed participating in free-choice activities. The child played with a toy train, toy school bus, toy trucks, and toy cars. While playing with the toy train in a carpeted area, the child said, “Choo-choo!” The child was also observed pretending to be a doctor. The child gave the operator seven shots. The operator said, “How many shots do I need?!” Additionally, the child was observed pretending to cook and serve the operator food. The outdoor learning environment was monitored for health and safety requirements. Routine care and handwashing practices were observed. Lunch consisted of baked chicken, green beans, applesauce, whole wheat bread, and milk. The operator’s file was reviewed. The operator did not meet the required amount of annual ongoing training hours, based on her education and experience. The operator did not complete ITS-SIDS training within the past three years. One child’s file was 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 March 05, 2026. The most recent quarterly (lockdown) drill was completed on January 12, 2026. The most recent outdoor inspection was completed on April 01, 2026. A lead-in-water test has not been completed at the facility within the past three years. At the completion of the visit, the Visit Summary was reviewed with C. Terry. The following violations were observed: Violation Number Comment Rule 1301 Operator did not complete the required number of on-going training hours as specified in rule. The operator did not complete her required amount of annual ongoing training hours (8 Hours Required; 6 hours completed). GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1306 Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training. The operator did not completed ITS-SIDS training within three years of the previous ITS-SIDS training (1/18/2023). .1703(a)(4) 2058 The family child care home operator did not collect and submit samples of water from each outlet used for drinking or food preparation for lead analysis to the local health department or a laboratory certified to analyze for lead in drinking water by the North Carolina State Laboratory of Public Health. A lead-in-water analysis has not been completed at the facility within the past three years. 10A NCAC 09 .1725(a)(2) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. 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 April 16, 2026, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 407 Hope Mills, NC 28348 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 Technical Assistance/Reminders: Annual On-Going Training Requirements A violation was cited today for the family child care home operator not meeting the required annual on-going training hours, based on experience and education. According to Child Care Rule .1703(d), after the first year of employment, the family child care home operator, and staff who work with children shall complete on-going training activities as follows: • 4 Year Degree or Higher in Child Care Related Field – 5 Hours • 2 Year Degree in Child Care Related Field – 8 Hours • North Carolina Early Childhood Administration Credential – 8 Hours • North Carolina Early Childhood Credential – 10 Hours • 10 Years of Early Childhood Work Experience – 15 Hours • None of the Above – 20 Hours The operator stated that she was not aware that she had to complete annual training hours. We discussed the child care rule regarding on-going training requirements. According to the operator’s education and experience, she will need to complete eight on-going training hours annually. ITS-SIDS Training Requirements A violation was cited today for the operator not taking an ITS-SIDS course within the past three years. Most SIDS deaths in child care occur within the first week of child care due to unaccustomed prone (on the stomach) sleeping; the risk of SIDS increases eighteen times when an infant who sleeps supine (on the back) at home is placed in the prone position in child care. Use of safe sleep policies, training of caregivers, continued education of parents/guardians, expanded training efforts for child care professionals, statewide regulations and mandates, and increased monitoring and observation of infants while they are sleeping are critical to reduce the risk of SIDS in child care. More information about ITS-SIDS training requirements can be found in child care rule 10A NCAC 09 .1703(a)(4). Lead-in-Water Testing A violation was cited today for not having a lead-in-water test completed within the past three years. FCCH operators shall test, once every three years, all water outlets used for drinking or food preparation. Samples shall also be collected and tested within 30 calendar days of completion of any renovations or repairs that may impact the facility's drinking water infrastructure, such as repair or replacement of all or part of drinking water service lines or faucets, at impacted outlets. The operator shall provide documentation of testing results for review by the Department upon request. To test the drinking water at your FCCH for free, you must register for a pre-enrollment webinar with RTI international. Go to www.cleanwaterforcarolinakids.org to sign up for the required webinar. The operator stated that she was not aware that she was required to complete a lead-in-water test. The operator registered for the webinar during today’s visit. The webinar will occur on April 09, 2026. For more information regarding the rule requirement, refer to child care rule 10A NCAC 09 .1725(a)(2). Sanitation Inspection According to your records, your sanitation inspection is due to expire on April 29, 2026. I encouraged the operator to contact the Cumberland County Environmental Health department at (910)433-3618 to schedule and obtain an updated inspection prior to the expiration date. 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. Rhonda Blackmon, Licensing Supervisor, may also be contacted 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

GS 110-91 · Violation

Name of Operation: CAROLYN'S LITTLE HANDS Facility ID: 26002533 Consultant: NANCY STRATFORD Operation Type: Family CC Home Case Number: Visit Date: 4/11/2025 Number Present: 1 Completed Date: 4/11/2025 Age: From 4 To 4 Total Minutes: 230 Time In: 09:00 AM Time Out: 12:50 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous annual compliance visit was conducted on April 18, 2024, and prior to today’s visit, the eighteen-month compliance history score was at 96%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three (3) -Star License issued November 3, 2022. The License was based on the program earning six (6) points in education standards, one (1) points in program standards, and one (1) quality point by choosing to meet a programmatic option for: Infant capacity restricted to no more than two children under one year of age. The information on record with DCDEE was verified as correct by Carolyn Terry, Administrator. Current Inspections are as follows: Sanitation Classification of Superior completed February 26, 2024. A violation was cited today for the sanitation inspection. I observed one child playing in the playroom of the home. The caregiver talked to the child and the child talked with their caregiver. The child pretended to cook and play with musical phones. The caregiver helped the children with toileting and handwashing, and she also prepared their lunch. Lunch served was ground turkey, wheat noodles, baked beans, apple sauce, and milk. At the completion of the visit, the Visit Summary was reviewed with Ms. Terry. The following violations were observed: Violation Number Comment Rule 1544 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 last sanitation inspection was dated for February 26, 2024. The sanitation inspection was not completed at least one year from the last completed inspection. GS 110-91 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 April 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: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 nancy.stratford@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Facility Specific TA/Consultation/Reminders : Sanitation Inspection: A violation was cited for a Sanitation Inspection. The Sanitation Inspection was dated for February 26, 2024. The sanitation inspection was not completed annually. Once you receive a Sanitation Inspection, please update your compliance letter by indicating an approved sanitation inspection was completed. Once your facility has received a Sanitation Inspection, please provide me with a scanned copy of the report by email. My mailing address is: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: CAROLYN'S LITTLE HANDS Facility ID: 26002533 Consultant: NANCY STRATFORD Operation Type: Family CC Home Case Number: Visit Date: 4/11/2025 Number Present: 1 Completed Date: 4/11/2025 Age: From 4 To 4 Total Minutes: 230 Time In: 09:00 AM Time Out: 12:50 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous annual compliance visit was conducted on April 18, 2024, and prior to today’s visit, the eighteen-month compliance history score was at 96%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three (3) -Star License issued November 3, 2022. The License was based on the program earning six (6) points in education standards, one (1) points in program standards, and one (1) quality point by choosing to meet a programmatic option for: Infant capacity restricted to no more than two children under one year of age. The information on record with DCDEE was verified as correct by Carolyn Terry, Administrator. Current Inspections are as follows: Sanitation Classification of Superior completed February 26, 2024. A violation was cited today for the sanitation inspection. I observed one child playing in the playroom of the home. The caregiver talked to the child and the child talked with their caregiver. The child pretended to cook and play with musical phones. The caregiver helped the children with toileting and handwashing, and she also prepared their lunch. Lunch served was ground turkey, wheat noodles, baked beans, apple sauce, and milk. At the completion of the visit, the Visit Summary was reviewed with Ms. Terry. The following violations were observed: Violation Number Comment Rule 1544 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 last sanitation inspection was dated for February 26, 2024. The sanitation inspection was not completed at least one year from the last completed inspection. GS 110-91 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 April 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: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 nancy.stratford@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Facility Specific TA/Consultation/Reminders : Sanitation Inspection: A violation was cited for a Sanitation Inspection. The Sanitation Inspection was dated for February 26, 2024. The sanitation inspection was not completed annually. Once you receive a Sanitation Inspection, please update your compliance letter by indicating an approved sanitation inspection was completed. Once your facility has received a Sanitation Inspection, please provide me with a scanned copy of the report by email. My mailing address is: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .17149 · Violation

Name of Operation: CAROLYN'S LITTLE HANDS Facility ID: 26002533 Consultant: JENNIFER STRICKLAND Operation Type: Family CC Home Case Number: Visit Date: 4/18/2024 Number Present: 2 Completed Date: 4/18/2024 Age: From 2 To 4 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an Annual Compliance Visit, including Health and Safety Training. The previous annual compliance visit was conducted on October 25, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 97%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three (3) -Star License issued November 3, 2022. The License was based on the program earning six (6) points in education standards, one (1) points in program standards, and one (1) quality point by choosing to meet a programmatic option for: Infant capacity restricted to no more than two children under one year of age. The information on record with DCDEE was verified as correct by Carolyn Terry, Administrator. Current Inspections are as follows: Sanitation Classification of Superior, completed February 26, 2024. I observed children in the playroom of the home; the children were walking exploring their space. The caregiver helped the children with toileting, and handwashing, and she also prepared their lunch. Lunch served was corn dogs, corn, mixed fruit, and milk. At the completion of the visit, the Visit Summary was reviewed with Ms. Terry. The following violations were observed. Violation Number Comment Rule 1856 The operator did not complete the Emergency Preparedness and Response in Child Care training within the required timeframe and/or documentation of completion of the training was not on file. The operator fail to complete required training by May 2, 2023. .1714(b) 1857 The operator did not develop an Emergency Preparedness and Response Plan within four months of completing the Emergency Preparedness and Response in Child Care training and/or the Plan was not completed on the template provided by the Division. The operator fail to complete the Emergency Preparedness and Response Plan by September 2, 2023. .1714(c) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. 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 2, 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. If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Mail or email the information to: Jennifer Strickland Child Care Consultant P.O. Box 641 Fayetteville, NC 28302 jennifer.a.strickland@dhhs.nc.gov Facility Specific TA/Consultation/Reminders: Emergency Preparedness and Response in Child Care training: A violation was cited today because the operator did not complete the Emergency Preparedness and Response in Child Care training within the required timeframe and/or documentation of completion of the training was not on file. Refer to rule 10A NCAC 09 .17149(b) Emergency Preparedness and Response Plan nor develop within four months of completing the Emergency Preparedness and Response in Child Care training and/or the Plan was not completed on the template provided by the Division. Refer to rule 10A NCAC 09 .17149(c) Child Care Health Consultant: The Cumberland County Department of Public Health current Child Care Health Consultant is Nicole Richardson. Her contact number is: 910-678-7706 and her email address: nrrichardson@cumberlandcountync.gov Visit the website https://nccchcassociation.org/resources/ , under resources there are several links that may be beneficial for your Family Child Care Home. For example, Caring for Our Children, My Plate, Safe Kids NC, and many others. The following website will also provide more information about the Child Care Health Consultants. The Child Care Health Consultant provides support in the following areas, but not limited to: oral health, illness, infectious disease, emergency preparedness, health related areas, nutrition, environmental health, and physical activity. For addition information areas, visit the website, https://healthychildcare.unc.edu/child-care-health-consultants/about-cchc/ DCDEE Website/ Child Care Consultant Contact Information Visit the DCDEE website (https://ncchildcare.ncdhhs.gov) for updated requirements, forms, and other pertinent information. Please feel free to contact me at jennifer.a.strickland@dhhs.nc.gov or 910- 882-2378 if you have any questions or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: CAROLYN'S LITTLE HANDS Facility ID: 26002533 Consultant: JENNIFER STRICKLAND Operation Type: Family CC Home Case Number: Visit Date: 4/18/2024 Number Present: 2 Completed Date: 4/18/2024 Age: From 2 To 4 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an Annual Compliance Visit, including Health and Safety Training. The previous annual compliance visit was conducted on October 25, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 97%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three (3) -Star License issued November 3, 2022. The License was based on the program earning six (6) points in education standards, one (1) points in program standards, and one (1) quality point by choosing to meet a programmatic option for: Infant capacity restricted to no more than two children under one year of age. The information on record with DCDEE was verified as correct by Carolyn Terry, Administrator. Current Inspections are as follows: Sanitation Classification of Superior, completed February 26, 2024. I observed children in the playroom of the home; the children were walking exploring their space. The caregiver helped the children with toileting, and handwashing, and she also prepared their lunch. Lunch served was corn dogs, corn, mixed fruit, and milk. At the completion of the visit, the Visit Summary was reviewed with Ms. Terry. The following violations were observed. Violation Number Comment Rule 1856 The operator did not complete the Emergency Preparedness and Response in Child Care training within the required timeframe and/or documentation of completion of the training was not on file. The operator fail to complete required training by May 2, 2023. .1714(b) 1857 The operator did not develop an Emergency Preparedness and Response Plan within four months of completing the Emergency Preparedness and Response in Child Care training and/or the Plan was not completed on the template provided by the Division. The operator fail to complete the Emergency Preparedness and Response Plan by September 2, 2023. .1714(c) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. 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 2, 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. If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Mail or email the information to: Jennifer Strickland Child Care Consultant P.O. Box 641 Fayetteville, NC 28302 jennifer.a.strickland@dhhs.nc.gov Facility Specific TA/Consultation/Reminders: Emergency Preparedness and Response in Child Care training: A violation was cited today because the operator did not complete the Emergency Preparedness and Response in Child Care training within the required timeframe and/or documentation of completion of the training was not on file. Refer to rule 10A NCAC 09 .17149(b) Emergency Preparedness and Response Plan nor develop within four months of completing the Emergency Preparedness and Response in Child Care training and/or the Plan was not completed on the template provided by the Division. Refer to rule 10A NCAC 09 .17149(c) Child Care Health Consultant: The Cumberland County Department of Public Health current Child Care Health Consultant is Nicole Richardson. Her contact number is: 910-678-7706 and her email address: nrrichardson@cumberlandcountync.gov Visit the website https://nccchcassociation.org/resources/ , under resources there are several links that may be beneficial for your Family Child Care Home. For example, Caring for Our Children, My Plate, Safe Kids NC, and many others. The following website will also provide more information about the Child Care Health Consultants. The Child Care Health Consultant provides support in the following areas, but not limited to: oral health, illness, infectious disease, emergency preparedness, health related areas, nutrition, environmental health, and physical activity. For addition information areas, visit the website, https://healthychildcare.unc.edu/child-care-health-consultants/about-cchc/ DCDEE Website/ Child Care Consultant Contact Information Visit the DCDEE website (https://ncchildcare.ncdhhs.gov) for updated requirements, forms, and other pertinent information. Please feel free to contact me at jennifer.a.strickland@dhhs.nc.gov or 910- 882-2378 if you have any questions or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: CAROLYN'S LITTLE HANDS Facility ID: 26002533 Consultant: NANCY STRATFORD Operation Type: Family CC Home Case Number: Visit Date: 10/19/2023 Number Present: 3 Completed Date: 10/23/2023 Age: From 3 To 3 Total Minutes: 120 Time In: 09:00 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Family CC Home 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 April 27, 2027, and prior to today’s visit, the eighteen-month compliance history score was at 97%, which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three-Star License issued November 3, 2022. The License was based on the program earning six points in education standards, one points in program standards, and one quality point by choosing to meet a programmatic option for: Infant capacity restricted to no more than two children under one year of age. The information on record with DCDEE was verified as correct by Ms. Carolyn Terry. Current Inspections are as follows: Sanitation Classification of Superior, completed September 13, 2023. I observed children in the playroom of the home. The children were playing with toys. After cleaning up their toys, the children completed toileting and handwashing routines. A violation was cited for three Clorox wipes stored in an unlocked cabinet under the bathroom sink. The children transitioned to the playroom of the home and listened to their caregiver read a book. The children talked about the pictures in the book. The caregiver allowed the children to select another book to read. Lunch served was hamburger, green beans, apple sauce, bread, and milk. At the completion of the visit, the Visit Summary was reviewed with Ms. Carolyn Terry. The following violation was observed: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. There were three containers of Clorex wipes stored in an unlocked cabinet in the bathroom used by children. The containers of Clorex wipes was stored five feet on a shelf in the closet. .1719 (a)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. The violation observed and documented today may impact the compliance history score. The violation observed and documented today was corrected during today’s visit. A compliance letter is not required. Facility Specific TA/Consultation/Reminders: In the Family Child Care Home, technical assistance is provided on positive behavior management. You can visit the website, http://csefel.vanderbilt.edu/ for resources to help manage behaviors. This website is the Center on the Social and Emotional Foundations for Early Learning (CSEFEL) that focuses on promoting the social emotional development and school readiness of young children birth to age 5. There are books that can be printed out and utilized in your facility to help manage children’s behaviors. For example, Tucker Turtle Takes Time to Tuck and Think. There are some resources and training that are free of charge. The steps to access the resources are located on the main page, select For Teachers and Caregivers, and then you will see the option for the book to print. Once you print the book, the staff can utilize sheet protectors and use a binder. It may be best to print a cover page on the front of the binder. For additional accessories, provide a soft turtle to use as a prop. The staff members can place these items in the cozy area as a way for the children to transition, when he or she is having a difficult moment. The book promotes strategies for helping young children manage behaviors when they are upset. My mailing address is: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times