10A NCAC 09 .1703 · Violation

Name of Operation: KIDS R TUFF Facility ID: 26001805 Consultant: TIFFANY REED Operation Type: Family CC Home Case Number: Visit Date: 6/30/2025 Number Present: 2 Completed Date: 6/30/2025 Age: From 5 To 11 Total Minutes: 240 Time In: 09:00 AM Time Out: 01:00 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 completed on July 02, 2024, and prior to today’s visit, the eighteen-month compliance history score was 97% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Five- Star License issued February 18, 2020. The License was based on the program earning 6 points in education standards, 7 points in program standards, and one quality point by choosing to meet a programmatic option by 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 Hilda Tuff, Operator. Inspections are as follows: Sanitation Classification of Superior completed January 16, 2025. Upon my arrival, I was greeted by Hilda Tuff, Operator, and an additional teacher. Two children were present. The children were observed participating in free-choice activities. Children had access to blocks, fine-motor, creative art, dramatic-play, and literacy materials. One child was observed in a carpeted area, building structures with blocks. Another child was observed sitting in a carpeted area, reading a book about Australian animals. Due to the heat advisory, the children were not observed participating in outdoor play. The outdoor learning environment was monitored for health and safety requirements, and was observed in compliance with applicable child care rules. Two staff files were reviewed. Two staff members did not submit the required forms to complete a criminal background check prior to the expiration date of their qualification letters. Two staff members did not complete the required amount of annual on-going training hours, based on their education and experience. One staff member did not have documentation on file of completing health and safety training within the past five years. One child’s record was reviewed, and all documentation was observed in compliance with applicable child care rules. Program records were reviewed. The most recent fire drill was completed on June 02, 2025. The most recent lockdown drill was completed on April 09, 2025. The most recent outdoor inspection was completed on June 02, 2025. Transportation requirements were monitored, and were observed in compliance with applicable child care rules. A copy of the most recent sanitation inspection report was received during today's visit. Routine care and handwashing practices were observed. Lunch consisted of chicken fingers, tater tots, applesauce, sliced bread, and milk. At the completion of the visit, the visit summary was reviewed with H. Tuff, Operator. The following violations were observed: Violation Number Comment Rule 916 Operator did not maintain a record of on-going training in which he/she has participated. Records of on-going training were not completed or on file for two staff members. 10A NCAC 09 .1705(b)(4)(C) 930 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years from the date of issuance). Two staff members did not complete a criminal background check prior to the expiration date of their qualification letters. G.S. 110-90.2 & .2703(n) & (o) 1301 Operator did not complete the required number of on-going training hours as specified in rule. Hilda Tuff, Operator, did not complete the required number of annual on-going training hours, based on her education and experience (8 Hours Required; 3 Hours Completed). Marcell Tuff, Additional Teacher, did not complete the required number of annual on-going training hours, based on his education and experience (20 Hours Required; 0 Hours Completed). GS 110-91(11); 10A NCAC 09 .1705(b)(5) 2022 Operator and/or staff members did not complete the required health and safety trainings within the specified time frame. Marcell Tuff, additional teacher, did not have documentation on file of completing health and safety training within the past five years. .1703(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 July 14, 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 Technical Assistance Criminal Background Check Requirements A violation was cited today for staff members having expired criminal background check qualifying letters on file. Performing diligent background screenings protects the safety of children and protects the child care facility against future legal challenges. Background screenings should be repeated periodically, mirroring state laws and/or requirements. If there are concerns about an employee’s performance or behavior, background screenings should be conducted as needed. To complete a DCDEE criminal background check application, visit the ABCMS website at https://ncabcms.nc.gov/DCDEE/Applicant/. For more information about criminal background check requirements, refer to Child Care Rule 10A NCAC 09 .2703. Annual On-Going Training Requirements A violation was cited today for staff members not completing the required amount of annual on-going training hours, based on their education and experience. Because of the nature of teaching tasks, teachers must attain multifaceted knowledge and skills. Staff members who are better trained are better able to prevent, recognize, and correct health and safety problems. Additionally, the training and education of teachers is an indicator of child care quality. I encouraged the operator and additional teacher to contact the Partnership for Children of Cumberland County at (910) 867-9700 or visit their website at www.ccpfc.org to register for and complete upcoming trainings as soon as possible. For more information about annual on-going training requirements, refer to child care rule 10A NCAC 09 .1703(d). Health and Safety Training Requirements A violation was cited today for a staff member not having documentation on file of completing health and safety training within the past five years. Children may come to child care with identified special health care needs or may develop them while attending child care. Staff must be trained in recognizing health problems as well as in implementing care plans for previously identified needs. Teachers who engage in health and safety training are more likely to decrease morbidity and mortality in their setting and are better able to prevent, recognize, and correct health and safety problems. The additional teacher stated that he will register for and complete the health and safety training courses on DCDEE Moodle as soon as possible. For more information about health and safety training requirements, refer to child care rule 10A NCAC 09 .1703(b-c). Reminders: 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 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

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

10A NCAC 09 .1705 · Violation

Name of Operation: KIDS R TUFF Facility ID: 26001805 Consultant: TIFFANY REED Operation Type: Family CC Home Case Number: Visit Date: 6/30/2025 Number Present: 2 Completed Date: 6/30/2025 Age: From 5 To 11 Total Minutes: 240 Time In: 09:00 AM Time Out: 01:00 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 completed on July 02, 2024, and prior to today’s visit, the eighteen-month compliance history score was 97% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Five- Star License issued February 18, 2020. The License was based on the program earning 6 points in education standards, 7 points in program standards, and one quality point by choosing to meet a programmatic option by 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 Hilda Tuff, Operator. Inspections are as follows: Sanitation Classification of Superior completed January 16, 2025. Upon my arrival, I was greeted by Hilda Tuff, Operator, and an additional teacher. Two children were present. The children were observed participating in free-choice activities. Children had access to blocks, fine-motor, creative art, dramatic-play, and literacy materials. One child was observed in a carpeted area, building structures with blocks. Another child was observed sitting in a carpeted area, reading a book about Australian animals. Due to the heat advisory, the children were not observed participating in outdoor play. The outdoor learning environment was monitored for health and safety requirements, and was observed in compliance with applicable child care rules. Two staff files were reviewed. Two staff members did not submit the required forms to complete a criminal background check prior to the expiration date of their qualification letters. Two staff members did not complete the required amount of annual on-going training hours, based on their education and experience. One staff member did not have documentation on file of completing health and safety training within the past five years. One child’s record was reviewed, and all documentation was observed in compliance with applicable child care rules. Program records were reviewed. The most recent fire drill was completed on June 02, 2025. The most recent lockdown drill was completed on April 09, 2025. The most recent outdoor inspection was completed on June 02, 2025. Transportation requirements were monitored, and were observed in compliance with applicable child care rules. A copy of the most recent sanitation inspection report was received during today's visit. Routine care and handwashing practices were observed. Lunch consisted of chicken fingers, tater tots, applesauce, sliced bread, and milk. At the completion of the visit, the visit summary was reviewed with H. Tuff, Operator. The following violations were observed: Violation Number Comment Rule 916 Operator did not maintain a record of on-going training in which he/she has participated. Records of on-going training were not completed or on file for two staff members. 10A NCAC 09 .1705(b)(4)(C) 930 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years from the date of issuance). Two staff members did not complete a criminal background check prior to the expiration date of their qualification letters. G.S. 110-90.2 & .2703(n) & (o) 1301 Operator did not complete the required number of on-going training hours as specified in rule. Hilda Tuff, Operator, did not complete the required number of annual on-going training hours, based on her education and experience (8 Hours Required; 3 Hours Completed). Marcell Tuff, Additional Teacher, did not complete the required number of annual on-going training hours, based on his education and experience (20 Hours Required; 0 Hours Completed). GS 110-91(11); 10A NCAC 09 .1705(b)(5) 2022 Operator and/or staff members did not complete the required health and safety trainings within the specified time frame. Marcell Tuff, additional teacher, did not have documentation on file of completing health and safety training within the past five years. .1703(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 July 14, 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 Technical Assistance Criminal Background Check Requirements A violation was cited today for staff members having expired criminal background check qualifying letters on file. Performing diligent background screenings protects the safety of children and protects the child care facility against future legal challenges. Background screenings should be repeated periodically, mirroring state laws and/or requirements. If there are concerns about an employee’s performance or behavior, background screenings should be conducted as needed. To complete a DCDEE criminal background check application, visit the ABCMS website at https://ncabcms.nc.gov/DCDEE/Applicant/. For more information about criminal background check requirements, refer to Child Care Rule 10A NCAC 09 .2703. Annual On-Going Training Requirements A violation was cited today for staff members not completing the required amount of annual on-going training hours, based on their education and experience. Because of the nature of teaching tasks, teachers must attain multifaceted knowledge and skills. Staff members who are better trained are better able to prevent, recognize, and correct health and safety problems. Additionally, the training and education of teachers is an indicator of child care quality. I encouraged the operator and additional teacher to contact the Partnership for Children of Cumberland County at (910) 867-9700 or visit their website at www.ccpfc.org to register for and complete upcoming trainings as soon as possible. For more information about annual on-going training requirements, refer to child care rule 10A NCAC 09 .1703(d). Health and Safety Training Requirements A violation was cited today for a staff member not having documentation on file of completing health and safety training within the past five years. Children may come to child care with identified special health care needs or may develop them while attending child care. Staff must be trained in recognizing health problems as well as in implementing care plans for previously identified needs. Teachers who engage in health and safety training are more likely to decrease morbidity and mortality in their setting and are better able to prevent, recognize, and correct health and safety problems. The additional teacher stated that he will register for and complete the health and safety training courses on DCDEE Moodle as soon as possible. For more information about health and safety training requirements, refer to child care rule 10A NCAC 09 .1703(b-c). Reminders: 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 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 .2703 · Violation

Name of Operation: KIDS R TUFF Facility ID: 26001805 Consultant: TIFFANY REED Operation Type: Family CC Home Case Number: Visit Date: 6/30/2025 Number Present: 2 Completed Date: 6/30/2025 Age: From 5 To 11 Total Minutes: 240 Time In: 09:00 AM Time Out: 01:00 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 completed on July 02, 2024, and prior to today’s visit, the eighteen-month compliance history score was 97% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Five- Star License issued February 18, 2020. The License was based on the program earning 6 points in education standards, 7 points in program standards, and one quality point by choosing to meet a programmatic option by 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 Hilda Tuff, Operator. Inspections are as follows: Sanitation Classification of Superior completed January 16, 2025. Upon my arrival, I was greeted by Hilda Tuff, Operator, and an additional teacher. Two children were present. The children were observed participating in free-choice activities. Children had access to blocks, fine-motor, creative art, dramatic-play, and literacy materials. One child was observed in a carpeted area, building structures with blocks. Another child was observed sitting in a carpeted area, reading a book about Australian animals. Due to the heat advisory, the children were not observed participating in outdoor play. The outdoor learning environment was monitored for health and safety requirements, and was observed in compliance with applicable child care rules. Two staff files were reviewed. Two staff members did not submit the required forms to complete a criminal background check prior to the expiration date of their qualification letters. Two staff members did not complete the required amount of annual on-going training hours, based on their education and experience. One staff member did not have documentation on file of completing health and safety training within the past five years. One child’s record was reviewed, and all documentation was observed in compliance with applicable child care rules. Program records were reviewed. The most recent fire drill was completed on June 02, 2025. The most recent lockdown drill was completed on April 09, 2025. The most recent outdoor inspection was completed on June 02, 2025. Transportation requirements were monitored, and were observed in compliance with applicable child care rules. A copy of the most recent sanitation inspection report was received during today's visit. Routine care and handwashing practices were observed. Lunch consisted of chicken fingers, tater tots, applesauce, sliced bread, and milk. At the completion of the visit, the visit summary was reviewed with H. Tuff, Operator. The following violations were observed: Violation Number Comment Rule 916 Operator did not maintain a record of on-going training in which he/she has participated. Records of on-going training were not completed or on file for two staff members. 10A NCAC 09 .1705(b)(4)(C) 930 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years from the date of issuance). Two staff members did not complete a criminal background check prior to the expiration date of their qualification letters. G.S. 110-90.2 & .2703(n) & (o) 1301 Operator did not complete the required number of on-going training hours as specified in rule. Hilda Tuff, Operator, did not complete the required number of annual on-going training hours, based on her education and experience (8 Hours Required; 3 Hours Completed). Marcell Tuff, Additional Teacher, did not complete the required number of annual on-going training hours, based on his education and experience (20 Hours Required; 0 Hours Completed). GS 110-91(11); 10A NCAC 09 .1705(b)(5) 2022 Operator and/or staff members did not complete the required health and safety trainings within the specified time frame. Marcell Tuff, additional teacher, did not have documentation on file of completing health and safety training within the past five years. .1703(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 July 14, 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 Technical Assistance Criminal Background Check Requirements A violation was cited today for staff members having expired criminal background check qualifying letters on file. Performing diligent background screenings protects the safety of children and protects the child care facility against future legal challenges. Background screenings should be repeated periodically, mirroring state laws and/or requirements. If there are concerns about an employee’s performance or behavior, background screenings should be conducted as needed. To complete a DCDEE criminal background check application, visit the ABCMS website at https://ncabcms.nc.gov/DCDEE/Applicant/. For more information about criminal background check requirements, refer to Child Care Rule 10A NCAC 09 .2703. Annual On-Going Training Requirements A violation was cited today for staff members not completing the required amount of annual on-going training hours, based on their education and experience. Because of the nature of teaching tasks, teachers must attain multifaceted knowledge and skills. Staff members who are better trained are better able to prevent, recognize, and correct health and safety problems. Additionally, the training and education of teachers is an indicator of child care quality. I encouraged the operator and additional teacher to contact the Partnership for Children of Cumberland County at (910) 867-9700 or visit their website at www.ccpfc.org to register for and complete upcoming trainings as soon as possible. For more information about annual on-going training requirements, refer to child care rule 10A NCAC 09 .1703(d). Health and Safety Training Requirements A violation was cited today for a staff member not having documentation on file of completing health and safety training within the past five years. Children may come to child care with identified special health care needs or may develop them while attending child care. Staff must be trained in recognizing health problems as well as in implementing care plans for previously identified needs. Teachers who engage in health and safety training are more likely to decrease morbidity and mortality in their setting and are better able to prevent, recognize, and correct health and safety problems. The additional teacher stated that he will register for and complete the health and safety training courses on DCDEE Moodle as soon as possible. For more information about health and safety training requirements, refer to child care rule 10A NCAC 09 .1703(b-c). Reminders: 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 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. 110-90 · Violation

Name of Operation: KIDS R TUFF Facility ID: 26001805 Consultant: TIFFANY REED Operation Type: Family CC Home Case Number: Visit Date: 6/30/2025 Number Present: 2 Completed Date: 6/30/2025 Age: From 5 To 11 Total Minutes: 240 Time In: 09:00 AM Time Out: 01:00 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 completed on July 02, 2024, and prior to today’s visit, the eighteen-month compliance history score was 97% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Five- Star License issued February 18, 2020. The License was based on the program earning 6 points in education standards, 7 points in program standards, and one quality point by choosing to meet a programmatic option by 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 Hilda Tuff, Operator. Inspections are as follows: Sanitation Classification of Superior completed January 16, 2025. Upon my arrival, I was greeted by Hilda Tuff, Operator, and an additional teacher. Two children were present. The children were observed participating in free-choice activities. Children had access to blocks, fine-motor, creative art, dramatic-play, and literacy materials. One child was observed in a carpeted area, building structures with blocks. Another child was observed sitting in a carpeted area, reading a book about Australian animals. Due to the heat advisory, the children were not observed participating in outdoor play. The outdoor learning environment was monitored for health and safety requirements, and was observed in compliance with applicable child care rules. Two staff files were reviewed. Two staff members did not submit the required forms to complete a criminal background check prior to the expiration date of their qualification letters. Two staff members did not complete the required amount of annual on-going training hours, based on their education and experience. One staff member did not have documentation on file of completing health and safety training within the past five years. One child’s record was reviewed, and all documentation was observed in compliance with applicable child care rules. Program records were reviewed. The most recent fire drill was completed on June 02, 2025. The most recent lockdown drill was completed on April 09, 2025. The most recent outdoor inspection was completed on June 02, 2025. Transportation requirements were monitored, and were observed in compliance with applicable child care rules. A copy of the most recent sanitation inspection report was received during today's visit. Routine care and handwashing practices were observed. Lunch consisted of chicken fingers, tater tots, applesauce, sliced bread, and milk. At the completion of the visit, the visit summary was reviewed with H. Tuff, Operator. The following violations were observed: Violation Number Comment Rule 916 Operator did not maintain a record of on-going training in which he/she has participated. Records of on-going training were not completed or on file for two staff members. 10A NCAC 09 .1705(b)(4)(C) 930 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years from the date of issuance). Two staff members did not complete a criminal background check prior to the expiration date of their qualification letters. G.S. 110-90.2 & .2703(n) & (o) 1301 Operator did not complete the required number of on-going training hours as specified in rule. Hilda Tuff, Operator, did not complete the required number of annual on-going training hours, based on her education and experience (8 Hours Required; 3 Hours Completed). Marcell Tuff, Additional Teacher, did not complete the required number of annual on-going training hours, based on his education and experience (20 Hours Required; 0 Hours Completed). GS 110-91(11); 10A NCAC 09 .1705(b)(5) 2022 Operator and/or staff members did not complete the required health and safety trainings within the specified time frame. Marcell Tuff, additional teacher, did not have documentation on file of completing health and safety training within the past five years. .1703(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 July 14, 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 Technical Assistance Criminal Background Check Requirements A violation was cited today for staff members having expired criminal background check qualifying letters on file. Performing diligent background screenings protects the safety of children and protects the child care facility against future legal challenges. Background screenings should be repeated periodically, mirroring state laws and/or requirements. If there are concerns about an employee’s performance or behavior, background screenings should be conducted as needed. To complete a DCDEE criminal background check application, visit the ABCMS website at https://ncabcms.nc.gov/DCDEE/Applicant/. For more information about criminal background check requirements, refer to Child Care Rule 10A NCAC 09 .2703. Annual On-Going Training Requirements A violation was cited today for staff members not completing the required amount of annual on-going training hours, based on their education and experience. Because of the nature of teaching tasks, teachers must attain multifaceted knowledge and skills. Staff members who are better trained are better able to prevent, recognize, and correct health and safety problems. Additionally, the training and education of teachers is an indicator of child care quality. I encouraged the operator and additional teacher to contact the Partnership for Children of Cumberland County at (910) 867-9700 or visit their website at www.ccpfc.org to register for and complete upcoming trainings as soon as possible. For more information about annual on-going training requirements, refer to child care rule 10A NCAC 09 .1703(d). Health and Safety Training Requirements A violation was cited today for a staff member not having documentation on file of completing health and safety training within the past five years. Children may come to child care with identified special health care needs or may develop them while attending child care. Staff must be trained in recognizing health problems as well as in implementing care plans for previously identified needs. Teachers who engage in health and safety training are more likely to decrease morbidity and mortality in their setting and are better able to prevent, recognize, and correct health and safety problems. The additional teacher stated that he will register for and complete the health and safety training courses on DCDEE Moodle as soon as possible. For more information about health and safety training requirements, refer to child care rule 10A NCAC 09 .1703(b-c). Reminders: 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 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

GS 110-91 · Violation

Name of Operation: KIDS R TUFF Facility ID: 26001805 Consultant: TIFFANY REED Operation Type: Family CC Home Case Number: Visit Date: 6/30/2025 Number Present: 2 Completed Date: 6/30/2025 Age: From 5 To 11 Total Minutes: 240 Time In: 09:00 AM Time Out: 01:00 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 completed on July 02, 2024, and prior to today’s visit, the eighteen-month compliance history score was 97% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Five- Star License issued February 18, 2020. The License was based on the program earning 6 points in education standards, 7 points in program standards, and one quality point by choosing to meet a programmatic option by 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 Hilda Tuff, Operator. Inspections are as follows: Sanitation Classification of Superior completed January 16, 2025. Upon my arrival, I was greeted by Hilda Tuff, Operator, and an additional teacher. Two children were present. The children were observed participating in free-choice activities. Children had access to blocks, fine-motor, creative art, dramatic-play, and literacy materials. One child was observed in a carpeted area, building structures with blocks. Another child was observed sitting in a carpeted area, reading a book about Australian animals. Due to the heat advisory, the children were not observed participating in outdoor play. The outdoor learning environment was monitored for health and safety requirements, and was observed in compliance with applicable child care rules. Two staff files were reviewed. Two staff members did not submit the required forms to complete a criminal background check prior to the expiration date of their qualification letters. Two staff members did not complete the required amount of annual on-going training hours, based on their education and experience. One staff member did not have documentation on file of completing health and safety training within the past five years. One child’s record was reviewed, and all documentation was observed in compliance with applicable child care rules. Program records were reviewed. The most recent fire drill was completed on June 02, 2025. The most recent lockdown drill was completed on April 09, 2025. The most recent outdoor inspection was completed on June 02, 2025. Transportation requirements were monitored, and were observed in compliance with applicable child care rules. A copy of the most recent sanitation inspection report was received during today's visit. Routine care and handwashing practices were observed. Lunch consisted of chicken fingers, tater tots, applesauce, sliced bread, and milk. At the completion of the visit, the visit summary was reviewed with H. Tuff, Operator. The following violations were observed: Violation Number Comment Rule 916 Operator did not maintain a record of on-going training in which he/she has participated. Records of on-going training were not completed or on file for two staff members. 10A NCAC 09 .1705(b)(4)(C) 930 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years from the date of issuance). Two staff members did not complete a criminal background check prior to the expiration date of their qualification letters. G.S. 110-90.2 & .2703(n) & (o) 1301 Operator did not complete the required number of on-going training hours as specified in rule. Hilda Tuff, Operator, did not complete the required number of annual on-going training hours, based on her education and experience (8 Hours Required; 3 Hours Completed). Marcell Tuff, Additional Teacher, did not complete the required number of annual on-going training hours, based on his education and experience (20 Hours Required; 0 Hours Completed). GS 110-91(11); 10A NCAC 09 .1705(b)(5) 2022 Operator and/or staff members did not complete the required health and safety trainings within the specified time frame. Marcell Tuff, additional teacher, did not have documentation on file of completing health and safety training within the past five years. .1703(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 July 14, 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 Technical Assistance Criminal Background Check Requirements A violation was cited today for staff members having expired criminal background check qualifying letters on file. Performing diligent background screenings protects the safety of children and protects the child care facility against future legal challenges. Background screenings should be repeated periodically, mirroring state laws and/or requirements. If there are concerns about an employee’s performance or behavior, background screenings should be conducted as needed. To complete a DCDEE criminal background check application, visit the ABCMS website at https://ncabcms.nc.gov/DCDEE/Applicant/. For more information about criminal background check requirements, refer to Child Care Rule 10A NCAC 09 .2703. Annual On-Going Training Requirements A violation was cited today for staff members not completing the required amount of annual on-going training hours, based on their education and experience. Because of the nature of teaching tasks, teachers must attain multifaceted knowledge and skills. Staff members who are better trained are better able to prevent, recognize, and correct health and safety problems. Additionally, the training and education of teachers is an indicator of child care quality. I encouraged the operator and additional teacher to contact the Partnership for Children of Cumberland County at (910) 867-9700 or visit their website at www.ccpfc.org to register for and complete upcoming trainings as soon as possible. For more information about annual on-going training requirements, refer to child care rule 10A NCAC 09 .1703(d). Health and Safety Training Requirements A violation was cited today for a staff member not having documentation on file of completing health and safety training within the past five years. Children may come to child care with identified special health care needs or may develop them while attending child care. Staff must be trained in recognizing health problems as well as in implementing care plans for previously identified needs. Teachers who engage in health and safety training are more likely to decrease morbidity and mortality in their setting and are better able to prevent, recognize, and correct health and safety problems. The additional teacher stated that he will register for and complete the health and safety training courses on DCDEE Moodle as soon as possible. For more information about health and safety training requirements, refer to child care rule 10A NCAC 09 .1703(b-c). Reminders: 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 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: KIDS R TUFF Facility ID: 26001805 Consultant: TIFFANY REED Operation Type: Family CC Home Case Number: Visit Date: 6/30/2025 Number Present: 2 Completed Date: 6/30/2025 Age: From 5 To 11 Total Minutes: 240 Time In: 09:00 AM Time Out: 01:00 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 completed on July 02, 2024, and prior to today’s visit, the eighteen-month compliance history score was 97% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Five- Star License issued February 18, 2020. The License was based on the program earning 6 points in education standards, 7 points in program standards, and one quality point by choosing to meet a programmatic option by 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 Hilda Tuff, Operator. Inspections are as follows: Sanitation Classification of Superior completed January 16, 2025. Upon my arrival, I was greeted by Hilda Tuff, Operator, and an additional teacher. Two children were present. The children were observed participating in free-choice activities. Children had access to blocks, fine-motor, creative art, dramatic-play, and literacy materials. One child was observed in a carpeted area, building structures with blocks. Another child was observed sitting in a carpeted area, reading a book about Australian animals. Due to the heat advisory, the children were not observed participating in outdoor play. The outdoor learning environment was monitored for health and safety requirements, and was observed in compliance with applicable child care rules. Two staff files were reviewed. Two staff members did not submit the required forms to complete a criminal background check prior to the expiration date of their qualification letters. Two staff members did not complete the required amount of annual on-going training hours, based on their education and experience. One staff member did not have documentation on file of completing health and safety training within the past five years. One child’s record was reviewed, and all documentation was observed in compliance with applicable child care rules. Program records were reviewed. The most recent fire drill was completed on June 02, 2025. The most recent lockdown drill was completed on April 09, 2025. The most recent outdoor inspection was completed on June 02, 2025. Transportation requirements were monitored, and were observed in compliance with applicable child care rules. A copy of the most recent sanitation inspection report was received during today's visit. Routine care and handwashing practices were observed. Lunch consisted of chicken fingers, tater tots, applesauce, sliced bread, and milk. At the completion of the visit, the visit summary was reviewed with H. Tuff, Operator. The following violations were observed: Violation Number Comment Rule 916 Operator did not maintain a record of on-going training in which he/she has participated. Records of on-going training were not completed or on file for two staff members. 10A NCAC 09 .1705(b)(4)(C) 930 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years from the date of issuance). Two staff members did not complete a criminal background check prior to the expiration date of their qualification letters. G.S. 110-90.2 & .2703(n) & (o) 1301 Operator did not complete the required number of on-going training hours as specified in rule. Hilda Tuff, Operator, did not complete the required number of annual on-going training hours, based on her education and experience (8 Hours Required; 3 Hours Completed). Marcell Tuff, Additional Teacher, did not complete the required number of annual on-going training hours, based on his education and experience (20 Hours Required; 0 Hours Completed). GS 110-91(11); 10A NCAC 09 .1705(b)(5) 2022 Operator and/or staff members did not complete the required health and safety trainings within the specified time frame. Marcell Tuff, additional teacher, did not have documentation on file of completing health and safety training within the past five years. .1703(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 July 14, 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 Technical Assistance Criminal Background Check Requirements A violation was cited today for staff members having expired criminal background check qualifying letters on file. Performing diligent background screenings protects the safety of children and protects the child care facility against future legal challenges. Background screenings should be repeated periodically, mirroring state laws and/or requirements. If there are concerns about an employee’s performance or behavior, background screenings should be conducted as needed. To complete a DCDEE criminal background check application, visit the ABCMS website at https://ncabcms.nc.gov/DCDEE/Applicant/. For more information about criminal background check requirements, refer to Child Care Rule 10A NCAC 09 .2703. Annual On-Going Training Requirements A violation was cited today for staff members not completing the required amount of annual on-going training hours, based on their education and experience. Because of the nature of teaching tasks, teachers must attain multifaceted knowledge and skills. Staff members who are better trained are better able to prevent, recognize, and correct health and safety problems. Additionally, the training and education of teachers is an indicator of child care quality. I encouraged the operator and additional teacher to contact the Partnership for Children of Cumberland County at (910) 867-9700 or visit their website at www.ccpfc.org to register for and complete upcoming trainings as soon as possible. For more information about annual on-going training requirements, refer to child care rule 10A NCAC 09 .1703(d). Health and Safety Training Requirements A violation was cited today for a staff member not having documentation on file of completing health and safety training within the past five years. Children may come to child care with identified special health care needs or may develop them while attending child care. Staff must be trained in recognizing health problems as well as in implementing care plans for previously identified needs. Teachers who engage in health and safety training are more likely to decrease morbidity and mortality in their setting and are better able to prevent, recognize, and correct health and safety problems. The additional teacher stated that he will register for and complete the health and safety training courses on DCDEE Moodle as soon as possible. For more information about health and safety training requirements, refer to child care rule 10A NCAC 09 .1703(b-c). Reminders: 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 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 .1719 · Violation

Name of Operation: KIDS R TUFF Facility ID: 26001805 Consultant: TIFFANY REED Operation Type: Family CC Home Case Number: Visit Date: 1/2/2025 Number Present: 4 Completed Date: 1/2/2025 Age: From 2 To 7 Total Minutes: 160 Time In: 01:00 PM Time Out: 03:40 PM 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 on July 02, 2024 and prior to today’s visit, the eighteen-month compliance history score was 98% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Five- Star License issued February 18, 2020. The License was based on the program earning 6 points in education standards, 7 points in program standards, and one quality point by choosing to meet a programmatic option of restricting the infant capacity to no more than two children under one year of age. The information on record with DCDEE was verified as correct. Inspections are as follows: Sanitation Classification of Superior completed July 18, 2024. Upon my arrival, I was greeted by Marcell Tuff, additional caregiver. Four children were present. The children were observed participating in free-choice activities. Children had access to blocks, fine-motor, creative art, dramatic-play, and literacy materials. One child was observed playing with a balloon. Program files were reviewed. The most recent fire drill was completed on December 02, 2024. The most recent lockdown drill was completed on October 03, 2024. The most recent outdoor inspection was completed on December 29, 2024. Hilda Tuff, Operator, arrived at the facility at 2:45pm. Routine care and handwashing practices were observed. Snack consisted of cheese crackers and milk. At the completion of the visit, the visit summary was reviewed with H. Tuff, Operator. The following violations were observed: Violation Number Comment Rule 1924 Balloons were accessible to children. In the designated caregiving space, a school-aged child was observed playing with a balloon. When it was brought to the additional caregiver's attention, he removed the balloon from the caregiving space. .1719(a)(19) 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. Technical Assistance Safe Indoor Environment A violation was cited today for balloons being accessible to children. According to Child Care Rule 10A NCAC 09 .1719(a)(19), the operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to ensuring that jump ropes and rubber bands are not accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. The additional caregiver made the balloons inaccessible to children by removing the balloons from the caregiving space. Preschool Group Observation I discussed with H. Tuff the results from my observations conducted during today’s visit. I encouraged the operator and additional caregiver to continue to use visual supervision of all children by talking to each other and moving about the classroom. I also encouraged them to continue to show awareness, reacting quickly, and solving problems in a comforting way. Additionally, I encouraged them to continue to facilitate positive peer interaction, modeling positive social interaction, and explaining children’s actions, intentions, and feelings to other children. School Age Group Observation I discussed with H. Tuff the results from my observations conducted during today’s visit. I encouraged the additional caregiver to interact with children more by showing interest, commenting, and asking questions about what they are doing and the comments they make. I also encouraged the additional caregiver to continue taking moments to check-in with each child to see how they are doing and what their needs are. Reminders Shelter-In-Place/Lockdown Drill Requirements According to your records, your most recent lockdown drill was completed on October 03, 2024. To remain in compliance with Child Care Rule 10A NCAC 09 .1719(a)(16), a quarterly shelter-in-place or lockdown drill will need to be completed by January 03, 2025. 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 Training 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: KIDS R TUFF Facility ID: 26001805 Consultant: TIFFANY REED Operation Type: Family CC Home Case Number: Visit Date: 1/2/2025 Number Present: 4 Completed Date: 1/2/2025 Age: From 2 To 7 Total Minutes: 160 Time In: 01:00 PM Time Out: 03:40 PM 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 on July 02, 2024 and prior to today’s visit, the eighteen-month compliance history score was 98% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Five- Star License issued February 18, 2020. The License was based on the program earning 6 points in education standards, 7 points in program standards, and one quality point by choosing to meet a programmatic option of restricting the infant capacity to no more than two children under one year of age. The information on record with DCDEE was verified as correct. Inspections are as follows: Sanitation Classification of Superior completed July 18, 2024. Upon my arrival, I was greeted by Marcell Tuff, additional caregiver. Four children were present. The children were observed participating in free-choice activities. Children had access to blocks, fine-motor, creative art, dramatic-play, and literacy materials. One child was observed playing with a balloon. Program files were reviewed. The most recent fire drill was completed on December 02, 2024. The most recent lockdown drill was completed on October 03, 2024. The most recent outdoor inspection was completed on December 29, 2024. Hilda Tuff, Operator, arrived at the facility at 2:45pm. Routine care and handwashing practices were observed. Snack consisted of cheese crackers and milk. At the completion of the visit, the visit summary was reviewed with H. Tuff, Operator. The following violations were observed: Violation Number Comment Rule 1924 Balloons were accessible to children. In the designated caregiving space, a school-aged child was observed playing with a balloon. When it was brought to the additional caregiver's attention, he removed the balloon from the caregiving space. .1719(a)(19) 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. Technical Assistance Safe Indoor Environment A violation was cited today for balloons being accessible to children. According to Child Care Rule 10A NCAC 09 .1719(a)(19), the operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to ensuring that jump ropes and rubber bands are not accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. The additional caregiver made the balloons inaccessible to children by removing the balloons from the caregiving space. Preschool Group Observation I discussed with H. Tuff the results from my observations conducted during today’s visit. I encouraged the operator and additional caregiver to continue to use visual supervision of all children by talking to each other and moving about the classroom. I also encouraged them to continue to show awareness, reacting quickly, and solving problems in a comforting way. Additionally, I encouraged them to continue to facilitate positive peer interaction, modeling positive social interaction, and explaining children’s actions, intentions, and feelings to other children. School Age Group Observation I discussed with H. Tuff the results from my observations conducted during today’s visit. I encouraged the additional caregiver to interact with children more by showing interest, commenting, and asking questions about what they are doing and the comments they make. I also encouraged the additional caregiver to continue taking moments to check-in with each child to see how they are doing and what their needs are. Reminders Shelter-In-Place/Lockdown Drill Requirements According to your records, your most recent lockdown drill was completed on October 03, 2024. To remain in compliance with Child Care Rule 10A NCAC 09 .1719(a)(16), a quarterly shelter-in-place or lockdown drill will need to be completed by January 03, 2025. 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 Training 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 .0102 · Violation

Name of Operation: KIDS R TUFF Facility ID: 26001805 Consultant: ANGELA STEVENS Operation Type: Family CC Home Case Number: Visit Date: 7/2/2024 Number Present: 3 Completed Date: 7/2/2024 Age: From 5 To 10 Total Minutes: 210 Time In: 08:30 AM Time Out: 12:00 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 completed July 11, 2023 and prior to today’s visit, the eighteen-month compliance history score was 99% which at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Five- Star License issued February 18, 2020. The License was based on the program earning 6 points in education standards, 7 points in program standards, and one quality point by choosing to meet a programmatic option by infant capacity restricted to no more than two children under one year of age. The information on record with DCDEE was verified as correct. Inspections are as follows: Sanitation Classification of Superior completed February 15, 2024. Upon my arrival, Marcell Tuff assistant, was present. I observed three school age children in the playroom of the home; playing with age appropriate toys and materials. Free choice materials were available. Children moved freely about the space. Lunch documented on the menu were oven baked chicken, green peas, mashed potatoes, wheat bread, and milk. At the completion of the visit, the Visit Summary was reviewed with H. Tuff The following violation(s) were observed. Violation Number Comment Rule 519 Individuals who provide care for less than 5 hours a week, during planned absences of the operator, had not completed first aid and CPR as described in Rule .1702(b)(2) Additional Caregiver M. Tuff, did not have first aid and CPR on file for review. .1729(b) 919 Accurate records were not maintained for all staff and children. One school-age child present did not have a children's file available for review during today's visit. 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 violation(s) observed and documented today must be corrected immediately. Additionally, by 5:00pm on July 16,2024 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: Angela Stevens Child Care Consultant P.O. Box 25126 Fayetteville, NC 28314 angela.stevens@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 TA/Consultation/DCDEE Updates: TA: A violation were cited because a school age child present did not have a file available to review. You stated the child were a neighbor who occasionally comes over when the parent has to run errands. I made you aware that this is considered drop- in care. So therefore the a file will need to be available to review. We discussed the following strategies: Use the check list on the DCDEE website, under provider forms to make sure have all required documents for each child at the facility. Provide the form to parent and give a date to when the form must be returned or review and have parent sign right away. For additional information refer to 10A NCAC 09 .1701(i)(1-6) and 10A NCAC 09 .1722(a-h) 10A NCAC 09 .0102(14) Additional caregiver and substitute provider qualifications: Today we reviewed the requirement for additional caregivers. We discussed placing a reminder to renew requirements such as CPR/First AID on a calendar. For additional information regarding additional caregiver and substitute provider qualifications please refer to 10A NCAC 09 .1729 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. QRIS System: The North Carolina Child Care Commission and the NCDHHS Division of Child Development and Early Education (DCDEE) are collaborating to modernize North Carolina's Quality Rating and Improvement System (QRIS) commonly known as the Star Rated License. Please visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/. for additional information regarding the QRIS model. DCDEE website and Consultant information: Please visit DCDEE’s website for the latest child care updates at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: Angela.Stevens@dhhs.nc.gov or 910-308-2537 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

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

10A NCAC 09 .1701 · Violation

Name of Operation: KIDS R TUFF Facility ID: 26001805 Consultant: ANGELA STEVENS Operation Type: Family CC Home Case Number: Visit Date: 7/2/2024 Number Present: 3 Completed Date: 7/2/2024 Age: From 5 To 10 Total Minutes: 210 Time In: 08:30 AM Time Out: 12:00 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 completed July 11, 2023 and prior to today’s visit, the eighteen-month compliance history score was 99% which at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Five- Star License issued February 18, 2020. The License was based on the program earning 6 points in education standards, 7 points in program standards, and one quality point by choosing to meet a programmatic option by infant capacity restricted to no more than two children under one year of age. The information on record with DCDEE was verified as correct. Inspections are as follows: Sanitation Classification of Superior completed February 15, 2024. Upon my arrival, Marcell Tuff assistant, was present. I observed three school age children in the playroom of the home; playing with age appropriate toys and materials. Free choice materials were available. Children moved freely about the space. Lunch documented on the menu were oven baked chicken, green peas, mashed potatoes, wheat bread, and milk. At the completion of the visit, the Visit Summary was reviewed with H. Tuff The following violation(s) were observed. Violation Number Comment Rule 519 Individuals who provide care for less than 5 hours a week, during planned absences of the operator, had not completed first aid and CPR as described in Rule .1702(b)(2) Additional Caregiver M. Tuff, did not have first aid and CPR on file for review. .1729(b) 919 Accurate records were not maintained for all staff and children. One school-age child present did not have a children's file available for review during today's visit. 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 violation(s) observed and documented today must be corrected immediately. Additionally, by 5:00pm on July 16,2024 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: Angela Stevens Child Care Consultant P.O. Box 25126 Fayetteville, NC 28314 angela.stevens@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 TA/Consultation/DCDEE Updates: TA: A violation were cited because a school age child present did not have a file available to review. You stated the child were a neighbor who occasionally comes over when the parent has to run errands. I made you aware that this is considered drop- in care. So therefore the a file will need to be available to review. We discussed the following strategies: Use the check list on the DCDEE website, under provider forms to make sure have all required documents for each child at the facility. Provide the form to parent and give a date to when the form must be returned or review and have parent sign right away. For additional information refer to 10A NCAC 09 .1701(i)(1-6) and 10A NCAC 09 .1722(a-h) 10A NCAC 09 .0102(14) Additional caregiver and substitute provider qualifications: Today we reviewed the requirement for additional caregivers. We discussed placing a reminder to renew requirements such as CPR/First AID on a calendar. For additional information regarding additional caregiver and substitute provider qualifications please refer to 10A NCAC 09 .1729 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. QRIS System: The North Carolina Child Care Commission and the NCDHHS Division of Child Development and Early Education (DCDEE) are collaborating to modernize North Carolina's Quality Rating and Improvement System (QRIS) commonly known as the Star Rated License. Please visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/. for additional information regarding the QRIS model. DCDEE website and Consultant information: Please visit DCDEE’s website for the latest child care updates at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: Angela.Stevens@dhhs.nc.gov or 910-308-2537 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 .1722 · Violation

Name of Operation: KIDS R TUFF Facility ID: 26001805 Consultant: ANGELA STEVENS Operation Type: Family CC Home Case Number: Visit Date: 7/2/2024 Number Present: 3 Completed Date: 7/2/2024 Age: From 5 To 10 Total Minutes: 210 Time In: 08:30 AM Time Out: 12:00 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 completed July 11, 2023 and prior to today’s visit, the eighteen-month compliance history score was 99% which at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Five- Star License issued February 18, 2020. The License was based on the program earning 6 points in education standards, 7 points in program standards, and one quality point by choosing to meet a programmatic option by infant capacity restricted to no more than two children under one year of age. The information on record with DCDEE was verified as correct. Inspections are as follows: Sanitation Classification of Superior completed February 15, 2024. Upon my arrival, Marcell Tuff assistant, was present. I observed three school age children in the playroom of the home; playing with age appropriate toys and materials. Free choice materials were available. Children moved freely about the space. Lunch documented on the menu were oven baked chicken, green peas, mashed potatoes, wheat bread, and milk. At the completion of the visit, the Visit Summary was reviewed with H. Tuff The following violation(s) were observed. Violation Number Comment Rule 519 Individuals who provide care for less than 5 hours a week, during planned absences of the operator, had not completed first aid and CPR as described in Rule .1702(b)(2) Additional Caregiver M. Tuff, did not have first aid and CPR on file for review. .1729(b) 919 Accurate records were not maintained for all staff and children. One school-age child present did not have a children's file available for review during today's visit. 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 violation(s) observed and documented today must be corrected immediately. Additionally, by 5:00pm on July 16,2024 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: Angela Stevens Child Care Consultant P.O. Box 25126 Fayetteville, NC 28314 angela.stevens@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 TA/Consultation/DCDEE Updates: TA: A violation were cited because a school age child present did not have a file available to review. You stated the child were a neighbor who occasionally comes over when the parent has to run errands. I made you aware that this is considered drop- in care. So therefore the a file will need to be available to review. We discussed the following strategies: Use the check list on the DCDEE website, under provider forms to make sure have all required documents for each child at the facility. Provide the form to parent and give a date to when the form must be returned or review and have parent sign right away. For additional information refer to 10A NCAC 09 .1701(i)(1-6) and 10A NCAC 09 .1722(a-h) 10A NCAC 09 .0102(14) Additional caregiver and substitute provider qualifications: Today we reviewed the requirement for additional caregivers. We discussed placing a reminder to renew requirements such as CPR/First AID on a calendar. For additional information regarding additional caregiver and substitute provider qualifications please refer to 10A NCAC 09 .1729 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. QRIS System: The North Carolina Child Care Commission and the NCDHHS Division of Child Development and Early Education (DCDEE) are collaborating to modernize North Carolina's Quality Rating and Improvement System (QRIS) commonly known as the Star Rated License. Please visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/. for additional information regarding the QRIS model. DCDEE website and Consultant information: Please visit DCDEE’s website for the latest child care updates at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: Angela.Stevens@dhhs.nc.gov or 910-308-2537 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 .1729 · Violation

Name of Operation: KIDS R TUFF Facility ID: 26001805 Consultant: ANGELA STEVENS Operation Type: Family CC Home Case Number: Visit Date: 7/2/2024 Number Present: 3 Completed Date: 7/2/2024 Age: From 5 To 10 Total Minutes: 210 Time In: 08:30 AM Time Out: 12:00 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 completed July 11, 2023 and prior to today’s visit, the eighteen-month compliance history score was 99% which at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Five- Star License issued February 18, 2020. The License was based on the program earning 6 points in education standards, 7 points in program standards, and one quality point by choosing to meet a programmatic option by infant capacity restricted to no more than two children under one year of age. The information on record with DCDEE was verified as correct. Inspections are as follows: Sanitation Classification of Superior completed February 15, 2024. Upon my arrival, Marcell Tuff assistant, was present. I observed three school age children in the playroom of the home; playing with age appropriate toys and materials. Free choice materials were available. Children moved freely about the space. Lunch documented on the menu were oven baked chicken, green peas, mashed potatoes, wheat bread, and milk. At the completion of the visit, the Visit Summary was reviewed with H. Tuff The following violation(s) were observed. Violation Number Comment Rule 519 Individuals who provide care for less than 5 hours a week, during planned absences of the operator, had not completed first aid and CPR as described in Rule .1702(b)(2) Additional Caregiver M. Tuff, did not have first aid and CPR on file for review. .1729(b) 919 Accurate records were not maintained for all staff and children. One school-age child present did not have a children's file available for review during today's visit. 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 violation(s) observed and documented today must be corrected immediately. Additionally, by 5:00pm on July 16,2024 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: Angela Stevens Child Care Consultant P.O. Box 25126 Fayetteville, NC 28314 angela.stevens@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 TA/Consultation/DCDEE Updates: TA: A violation were cited because a school age child present did not have a file available to review. You stated the child were a neighbor who occasionally comes over when the parent has to run errands. I made you aware that this is considered drop- in care. So therefore the a file will need to be available to review. We discussed the following strategies: Use the check list on the DCDEE website, under provider forms to make sure have all required documents for each child at the facility. Provide the form to parent and give a date to when the form must be returned or review and have parent sign right away. For additional information refer to 10A NCAC 09 .1701(i)(1-6) and 10A NCAC 09 .1722(a-h) 10A NCAC 09 .0102(14) Additional caregiver and substitute provider qualifications: Today we reviewed the requirement for additional caregivers. We discussed placing a reminder to renew requirements such as CPR/First AID on a calendar. For additional information regarding additional caregiver and substitute provider qualifications please refer to 10A NCAC 09 .1729 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. QRIS System: The North Carolina Child Care Commission and the NCDHHS Division of Child Development and Early Education (DCDEE) are collaborating to modernize North Carolina's Quality Rating and Improvement System (QRIS) commonly known as the Star Rated License. Please visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/. for additional information regarding the QRIS model. DCDEE website and Consultant information: Please visit DCDEE’s website for the latest child care updates at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: Angela.Stevens@dhhs.nc.gov or 910-308-2537 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: KIDS R TUFF Facility ID: 26001805 Consultant: ANGELA STEVENS Operation Type: Family CC Home Case Number: Visit Date: 7/2/2024 Number Present: 3 Completed Date: 7/2/2024 Age: From 5 To 10 Total Minutes: 210 Time In: 08:30 AM Time Out: 12:00 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 completed July 11, 2023 and prior to today’s visit, the eighteen-month compliance history score was 99% which at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Five- Star License issued February 18, 2020. The License was based on the program earning 6 points in education standards, 7 points in program standards, and one quality point by choosing to meet a programmatic option by infant capacity restricted to no more than two children under one year of age. The information on record with DCDEE was verified as correct. Inspections are as follows: Sanitation Classification of Superior completed February 15, 2024. Upon my arrival, Marcell Tuff assistant, was present. I observed three school age children in the playroom of the home; playing with age appropriate toys and materials. Free choice materials were available. Children moved freely about the space. Lunch documented on the menu were oven baked chicken, green peas, mashed potatoes, wheat bread, and milk. At the completion of the visit, the Visit Summary was reviewed with H. Tuff The following violation(s) were observed. Violation Number Comment Rule 519 Individuals who provide care for less than 5 hours a week, during planned absences of the operator, had not completed first aid and CPR as described in Rule .1702(b)(2) Additional Caregiver M. Tuff, did not have first aid and CPR on file for review. .1729(b) 919 Accurate records were not maintained for all staff and children. One school-age child present did not have a children's file available for review during today's visit. 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 violation(s) observed and documented today must be corrected immediately. Additionally, by 5:00pm on July 16,2024 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: Angela Stevens Child Care Consultant P.O. Box 25126 Fayetteville, NC 28314 angela.stevens@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 TA/Consultation/DCDEE Updates: TA: A violation were cited because a school age child present did not have a file available to review. You stated the child were a neighbor who occasionally comes over when the parent has to run errands. I made you aware that this is considered drop- in care. So therefore the a file will need to be available to review. We discussed the following strategies: Use the check list on the DCDEE website, under provider forms to make sure have all required documents for each child at the facility. Provide the form to parent and give a date to when the form must be returned or review and have parent sign right away. For additional information refer to 10A NCAC 09 .1701(i)(1-6) and 10A NCAC 09 .1722(a-h) 10A NCAC 09 .0102(14) Additional caregiver and substitute provider qualifications: Today we reviewed the requirement for additional caregivers. We discussed placing a reminder to renew requirements such as CPR/First AID on a calendar. For additional information regarding additional caregiver and substitute provider qualifications please refer to 10A NCAC 09 .1729 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. QRIS System: The North Carolina Child Care Commission and the NCDHHS Division of Child Development and Early Education (DCDEE) are collaborating to modernize North Carolina's Quality Rating and Improvement System (QRIS) commonly known as the Star Rated License. Please visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/. for additional information regarding the QRIS model. DCDEE website and Consultant information: Please visit DCDEE’s website for the latest child care updates at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: Angela.Stevens@dhhs.nc.gov or 910-308-2537 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: KIDS R TUFF Facility ID: 26001805 Consultant: ANGELA STEVENS Operation Type: Family CC Home Case Number: Visit Date: 7/2/2024 Number Present: 3 Completed Date: 7/2/2024 Age: From 5 To 10 Total Minutes: 210 Time In: 08:30 AM Time Out: 12:00 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 completed July 11, 2023 and prior to today’s visit, the eighteen-month compliance history score was 99% which at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Five- Star License issued February 18, 2020. The License was based on the program earning 6 points in education standards, 7 points in program standards, and one quality point by choosing to meet a programmatic option by infant capacity restricted to no more than two children under one year of age. The information on record with DCDEE was verified as correct. Inspections are as follows: Sanitation Classification of Superior completed February 15, 2024. Upon my arrival, Marcell Tuff assistant, was present. I observed three school age children in the playroom of the home; playing with age appropriate toys and materials. Free choice materials were available. Children moved freely about the space. Lunch documented on the menu were oven baked chicken, green peas, mashed potatoes, wheat bread, and milk. At the completion of the visit, the Visit Summary was reviewed with H. Tuff The following violation(s) were observed. Violation Number Comment Rule 519 Individuals who provide care for less than 5 hours a week, during planned absences of the operator, had not completed first aid and CPR as described in Rule .1702(b)(2) Additional Caregiver M. Tuff, did not have first aid and CPR on file for review. .1729(b) 919 Accurate records were not maintained for all staff and children. One school-age child present did not have a children's file available for review during today's visit. 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 violation(s) observed and documented today must be corrected immediately. Additionally, by 5:00pm on July 16,2024 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: Angela Stevens Child Care Consultant P.O. Box 25126 Fayetteville, NC 28314 angela.stevens@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 TA/Consultation/DCDEE Updates: TA: A violation were cited because a school age child present did not have a file available to review. You stated the child were a neighbor who occasionally comes over when the parent has to run errands. I made you aware that this is considered drop- in care. So therefore the a file will need to be available to review. We discussed the following strategies: Use the check list on the DCDEE website, under provider forms to make sure have all required documents for each child at the facility. Provide the form to parent and give a date to when the form must be returned or review and have parent sign right away. For additional information refer to 10A NCAC 09 .1701(i)(1-6) and 10A NCAC 09 .1722(a-h) 10A NCAC 09 .0102(14) Additional caregiver and substitute provider qualifications: Today we reviewed the requirement for additional caregivers. We discussed placing a reminder to renew requirements such as CPR/First AID on a calendar. For additional information regarding additional caregiver and substitute provider qualifications please refer to 10A NCAC 09 .1729 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. QRIS System: The North Carolina Child Care Commission and the NCDHHS Division of Child Development and Early Education (DCDEE) are collaborating to modernize North Carolina's Quality Rating and Improvement System (QRIS) commonly known as the Star Rated License. Please visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/. for additional information regarding the QRIS model. DCDEE website and Consultant information: Please visit DCDEE’s website for the latest child care updates at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: Angela.Stevens@dhhs.nc.gov or 910-308-2537 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