10A NCAC 09 .0902 · Violation

Name of Operation: LITTLE BLESSINGS #2 Facility ID: 26002516 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: Visit Date: 9/18/2025 Number Present: 30 Completed Date: 9/18/2025 Age: From 0 To 5 Total Minutes: 300 Time In: 08:45 AM Time Out: 11:30 AM Time In: 12:30 PM Time Out: 02:45 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous annual compliance visit was completed on September 23, 2024, and prior to today’s visit the eighteen-month compliance history score was at 92% which is above the 75%, required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a four-Star License issued July 21, 2025. The License was based on the program earning five points in education standards, four points in program standards, and one quality point by choosing to meet an education option: the child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division. The information on record with DCDEE was verified as correct by Country Martin, Administrator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior completed 6/18/2025. Fire Classification of daytime care only completed 8/28/2025 Ms. Martin was present while I observed the indoor and outdoor areas. In space #1, and #2, the children were observed participating in free choice play. The children were playing with blocks, cars, and other manipulative toys. The children in space #4, were observed playing with plastic blocks, and soft toys. One child was observed laying on a pillow drinking a bottle of milk. In space #5, and #6, the children were participating in large group time. The teachers did a review of the number, color, shape, and Alphabet for the week. Lunch served today was cheese, egg, spinach, tomatoes, fruit cocktail, wheat toast, and milk. At the completion of the visit, the Visit Summary was reviewed with Shawna Marinez, Assistant. The following violations were observed: Violation Number Comment Rule 530 Each infant was not held for bottle feeding until he/she can hold his own bottle. In space #4, there was and infant child laying on his back drinking a bottle of milk. This was corrected by the teacher placing the child in a highchair while the child finished the bottle. 10A NCAC 09 .0902(b) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space #2, there were sippy cups and two bottles in a basket that were not fully prepared, dated, or labeled. This was corrected by the teachers labeling the sippy cups and the two bottles with the child's name and today's date. 15A NCAC 18A .2804(d) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In the bathroom near space #2, and the bathroom in the infant classroom there were two packages of baby wipes, and a box of latex gloves sitting on a shelf and was not five feet from the floor and was made assessable to children. This was corrected by the administrator placing the packages of baby wipes and the latex gloves on a shelf that's five feet from the floor. .2820(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. two teachers were not modeling appropriate eating behaviors. In space#2, there was a McDonald's drink of ice coffee sitting on a shelf and in space #6, there was a cup of hot tea sitting on a self. This was corrected by the administrator having the teacher's to discard the ice coffee and the tea and giving the instruction that they are to only have water in the classrooms. .0901(i) 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. No compliance letter is due. All violations were corrected during visit. TA: A violation was cited during today’s visit for not labeling bottles and sippy cups. Refer to child care rule 15A NCAC 18A .2804(d): We discussed the following strategies. Ensure that parents are aware of the labeling of bottles and sippy cups. Ensure that teachers are checking the items when parents return them to the facility each day. Reminders: NCFELD: During today’s visit, I discussed access and use of the NCFELD book in the development of activity planning as required by NC Child Care Rule 10A NCAC .0508 Activity Schedules and Plans. Your program have a copy of the publication. (If not – add this: A copy was left with you.) Additionally, the publication is available on-line, free of charge, at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/N/NC_Foundations.pdf Training on use of the publication is available through our Partnership for Children, so please encourage Lead Teachers to visit their website ( https://ccpfc.org/ ) and complete the training. The provider stated that she does have one book but would like to have another one due to the added on of another building. A book was left with her today. 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 Do you have children who bite? Do children struggle to focus during circle time? Do challenging behaviors cause difficult transitions? Do you spend all day managing behavior? Are you at your wits' end? Help is available for these and other behavior challenges! The Challenging Behaviors Hotline has opened and is provided for Free. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. Please feel free to contact me at sandra.johnson@dhhs.nc.gov or 910-408-8985 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.

NC GS 110-90 · Violation

Name of Operation: LITTLE BLESSINGS #2 Facility ID: 26002516 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: Visit Date: 9/18/2025 Number Present: 30 Completed Date: 9/18/2025 Age: From 0 To 5 Total Minutes: 300 Time In: 08:45 AM Time Out: 11:30 AM Time In: 12:30 PM Time Out: 02:45 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous annual compliance visit was completed on September 23, 2024, and prior to today’s visit the eighteen-month compliance history score was at 92% which is above the 75%, required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a four-Star License issued July 21, 2025. The License was based on the program earning five points in education standards, four points in program standards, and one quality point by choosing to meet an education option: the child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division. The information on record with DCDEE was verified as correct by Country Martin, Administrator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior completed 6/18/2025. Fire Classification of daytime care only completed 8/28/2025 Ms. Martin was present while I observed the indoor and outdoor areas. In space #1, and #2, the children were observed participating in free choice play. The children were playing with blocks, cars, and other manipulative toys. The children in space #4, were observed playing with plastic blocks, and soft toys. One child was observed laying on a pillow drinking a bottle of milk. In space #5, and #6, the children were participating in large group time. The teachers did a review of the number, color, shape, and Alphabet for the week. Lunch served today was cheese, egg, spinach, tomatoes, fruit cocktail, wheat toast, and milk. At the completion of the visit, the Visit Summary was reviewed with Shawna Marinez, Assistant. The following violations were observed: Violation Number Comment Rule 530 Each infant was not held for bottle feeding until he/she can hold his own bottle. In space #4, there was and infant child laying on his back drinking a bottle of milk. This was corrected by the teacher placing the child in a highchair while the child finished the bottle. 10A NCAC 09 .0902(b) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space #2, there were sippy cups and two bottles in a basket that were not fully prepared, dated, or labeled. This was corrected by the teachers labeling the sippy cups and the two bottles with the child's name and today's date. 15A NCAC 18A .2804(d) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In the bathroom near space #2, and the bathroom in the infant classroom there were two packages of baby wipes, and a box of latex gloves sitting on a shelf and was not five feet from the floor and was made assessable to children. This was corrected by the administrator placing the packages of baby wipes and the latex gloves on a shelf that's five feet from the floor. .2820(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. two teachers were not modeling appropriate eating behaviors. In space#2, there was a McDonald's drink of ice coffee sitting on a shelf and in space #6, there was a cup of hot tea sitting on a self. This was corrected by the administrator having the teacher's to discard the ice coffee and the tea and giving the instruction that they are to only have water in the classrooms. .0901(i) 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. No compliance letter is due. All violations were corrected during visit. TA: A violation was cited during today’s visit for not labeling bottles and sippy cups. Refer to child care rule 15A NCAC 18A .2804(d): We discussed the following strategies. Ensure that parents are aware of the labeling of bottles and sippy cups. Ensure that teachers are checking the items when parents return them to the facility each day. Reminders: NCFELD: During today’s visit, I discussed access and use of the NCFELD book in the development of activity planning as required by NC Child Care Rule 10A NCAC .0508 Activity Schedules and Plans. Your program have a copy of the publication. (If not – add this: A copy was left with you.) Additionally, the publication is available on-line, free of charge, at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/N/NC_Foundations.pdf Training on use of the publication is available through our Partnership for Children, so please encourage Lead Teachers to visit their website ( https://ccpfc.org/ ) and complete the training. The provider stated that she does have one book but would like to have another one due to the added on of another building. A book was left with her today. 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 Do you have children who bite? Do children struggle to focus during circle time? Do challenging behaviors cause difficult transitions? Do you spend all day managing behavior? Are you at your wits' end? Help is available for these and other behavior challenges! The Challenging Behaviors Hotline has opened and is provided for Free. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. Please feel free to contact me at sandra.johnson@dhhs.nc.gov or 910-408-8985 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 .2818 · Violation

Name of Operation: LITTLE BLESSINGS #2 Facility ID: 26002516 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: Visit Date: 3/27/2025 Number Present: 28 Completed Date: 3/27/2025 Age: From 0 To 6 Total Minutes: 190 Time In: 10:25 AM Time Out: 01:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a routine unannounced visit. The previous Annual Compliance Visit was completed September 23, 2024 and prior to today’s visit, the eighteen-month compliance history score was at 90% which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a four-Star License issued April 13, 2022. The License was based on the program earning five (5) points in education standards, four (4) points in program standards, and one quality point by choosing to meet an education option: the child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division. The information on record with the DCDEE was verified as correct by Country Martin, Administrator, and the owner corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior completed 6/7/2024. Fire Approved for daytime and night care 8/28/2024. Ms. Martin was present while I observed the indoor and outdoor areas. Upon entering the facility children were observed playing with art materials, blocks, and dress-up clothes, Children were also observed participating in outdoor activities. In space number 4 there were two teachers with eleven children 0 to 1 year of age. Another teacher entered the space about 2 minutes after I did. Lunch served today was sausage, eggs, waffles, green beans, peaches, and milk. Observation was completed from 10:30am to 10:45am for the children in space #2. The children were observed participating in outdoor activities. They were seen playing with push toys, trucks, and bubbles, The teachers walked about the space while talking with the children and playing with the bubbles that were blown from a bubble machine that also played children songs. The children really enjoyed the bubbles. They ran about the space chasing the bubbles, laughing, and smiling while talking to the teachers. Observation was completed from 10:45 a.m. to 11a.m., in space #4. The children were observed walking and crawling about the space playing with soft toys, grasping toys, soft block, and musical shaking toys. Both teachers were holding a child and talking to the children while another teacher was cleaning up. While also assisting the children that were moving freely within the space. At the completion of the visit, the Visit Summary was reviewed with Ms. Martin. The following violation was observed. Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. In space #4, there were two teachers with eleven children 0 to 1 year of age. This was corrected when the third teacher entered the space about 2 minutes after I did. 10A NCAC 09 .2818 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. Violation observed and documented today may impact the compliance history score. The violation was corrected during today’s visit. However, a follow-up visit is required within two weeks of today’s visit. TA: A violation was cited for Enhanced Staff Child Ratio. Refer to child care rule 10A NCAC 09 .2818. We discussed several strategies. Make sure staff understand the Staff Child Ratio Charts that are posted in the classroom. Make sure staff know who to contact when they have more children in the classroom then they should. Based on today’s classrooms observation, I discussed with Ms. Martin the positive interactions and various learning opportunities provided to the children throughout the visit. I encouraged Ms. Martin to share with the teachers to be flexible in the posted schedule based on the children’s interest and attention span. I encouraged Ms. Martin to share with the teachers to continue the positive interactions and conversations between them and the children and to keep encouraging conversation with the children. Reminders: 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 Visit the DCDEE website at https://ncchildcare.ncdhhs.gov for updated requirements, forms, and other pertinent information. Please feel free to contact me at sandra.johnson@dhhs.nc.gov or 910-408-8985 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.

NC GS 110-90 · Violation

Name of Operation: LITTLE BLESSINGS #2 Facility ID: 26002516 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: Visit Date: 3/27/2025 Number Present: 28 Completed Date: 3/27/2025 Age: From 0 To 6 Total Minutes: 190 Time In: 10:25 AM Time Out: 01:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a routine unannounced visit. The previous Annual Compliance Visit was completed September 23, 2024 and prior to today’s visit, the eighteen-month compliance history score was at 90% which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a four-Star License issued April 13, 2022. The License was based on the program earning five (5) points in education standards, four (4) points in program standards, and one quality point by choosing to meet an education option: the child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division. The information on record with the DCDEE was verified as correct by Country Martin, Administrator, and the owner corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior completed 6/7/2024. Fire Approved for daytime and night care 8/28/2024. Ms. Martin was present while I observed the indoor and outdoor areas. Upon entering the facility children were observed playing with art materials, blocks, and dress-up clothes, Children were also observed participating in outdoor activities. In space number 4 there were two teachers with eleven children 0 to 1 year of age. Another teacher entered the space about 2 minutes after I did. Lunch served today was sausage, eggs, waffles, green beans, peaches, and milk. Observation was completed from 10:30am to 10:45am for the children in space #2. The children were observed participating in outdoor activities. They were seen playing with push toys, trucks, and bubbles, The teachers walked about the space while talking with the children and playing with the bubbles that were blown from a bubble machine that also played children songs. The children really enjoyed the bubbles. They ran about the space chasing the bubbles, laughing, and smiling while talking to the teachers. Observation was completed from 10:45 a.m. to 11a.m., in space #4. The children were observed walking and crawling about the space playing with soft toys, grasping toys, soft block, and musical shaking toys. Both teachers were holding a child and talking to the children while another teacher was cleaning up. While also assisting the children that were moving freely within the space. At the completion of the visit, the Visit Summary was reviewed with Ms. Martin. The following violation was observed. Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. In space #4, there were two teachers with eleven children 0 to 1 year of age. This was corrected when the third teacher entered the space about 2 minutes after I did. 10A NCAC 09 .2818 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. Violation observed and documented today may impact the compliance history score. The violation was corrected during today’s visit. However, a follow-up visit is required within two weeks of today’s visit. TA: A violation was cited for Enhanced Staff Child Ratio. Refer to child care rule 10A NCAC 09 .2818. We discussed several strategies. Make sure staff understand the Staff Child Ratio Charts that are posted in the classroom. Make sure staff know who to contact when they have more children in the classroom then they should. Based on today’s classrooms observation, I discussed with Ms. Martin the positive interactions and various learning opportunities provided to the children throughout the visit. I encouraged Ms. Martin to share with the teachers to be flexible in the posted schedule based on the children’s interest and attention span. I encouraged Ms. Martin to share with the teachers to continue the positive interactions and conversations between them and the children and to keep encouraging conversation with the children. Reminders: 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 Visit the DCDEE website at https://ncchildcare.ncdhhs.gov for updated requirements, forms, and other pertinent information. Please feel free to contact me at sandra.johnson@dhhs.nc.gov or 910-408-8985 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0606 · Violation

Name of Operation: LITTLE BLESSINGS #2 Facility ID: 26002516 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: Visit Date: 9/23/2024 Number Present: 26 Completed Date: 9/23/2024 Age: From 0 To 6 Total Minutes: 405 Time In: 09:00 AM Time Out: 01:20 PM Time In: 02:20 PM Time Out: 04:45 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous annual compliance visit was completed on September 26, 2023, and prior to today’s visit the eighteen-month compliance history score was at 94% which is above the 75%, required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a four-Star License issued April 13, 2022. The License was based on the program earning five points in education standards, four points in program standards, and one quality point by choosing to meet an education option: the child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division. The information on record with DCDEE was verified as correct by Country Martin, Administrator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior completed 8/31/2024. Fire Classification of daytime care only completed 8/29/2024. Ms. Martin was present while I observed the indoor and outdoor areas. In space #1, and #2, the children were observed playing outdoors. The children played with balls and on small play structures, they were also observed participating in an art activity outside. Lunch served today was peperoni rolls, sliced apples, mixed vegetable, and milk. Ms. Martin gave Ms. Shawna Marinez permission to sign for the visit summary today via a phone call. Ms. Martin was called away during the visit to her other facility. At the completion of the visit, the Visit Summary was reviewed with Ms. Martin And Shawna Marinez. The following violations were observed: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space # 4, there was one bottle not labeled, and one bottle that was dated 9/22/2024 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. There were eight children's feeding plan that was not signed by parent, or was not sign by center staff, or was not dated. .0902(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC was not reviewed with two staff annually. 10A NCAC 09 .0802(a) 871 Center staff did not comply with the safe sleep policy. During a fire drill the center staff had placed a sleeping child in a crib on a pillow while rolling the child in the crib to a designated space outdoors. 10A NCAC 09 .0606(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One new staff did not have TB on or before the first day of employment. Start date 4/10/24 and date of TB 4/11/2024. .0701(a) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One new staff CPR expired on 8/30/2024. .1102(d) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The trained staff did not review EPR Plan annually with two staff. .0607(e) 1832 Application did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns. Two children's application did not include health care needs or concerns. .0801 (a)(5) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on October 7, 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: Sandra Johnson Child Care Consultant P.O. Box 64401 Fayetteville, NC 28306 sandra.johnson@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 TA: A violation was cited during today’s visit for not following the safe sleep policy: Refer to Child Care Rule 10A NCAC 09 .0606(a). We discussed the following strategies: Ensure that the safe sleep policy has been reviewed with all safe. Ensure that no items are being placed in any off the children’s crib. Reminders: 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 Do you have children who bite? Do children struggle to focus during circle time? Do challenging behaviors cause difficult transitions? Do you spend all day managing behavior? Are you at your wits' end? Help is available for these and other behavior challenges! The Challenging Behaviors Hotline has opened and is provided for Free. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. Please feel free to contact me at sandra.johnson@dhhs.nc.gov or 910-408-8985 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 .0802 · Violation

Name of Operation: LITTLE BLESSINGS #2 Facility ID: 26002516 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: Visit Date: 9/23/2024 Number Present: 26 Completed Date: 9/23/2024 Age: From 0 To 6 Total Minutes: 405 Time In: 09:00 AM Time Out: 01:20 PM Time In: 02:20 PM Time Out: 04:45 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous annual compliance visit was completed on September 26, 2023, and prior to today’s visit the eighteen-month compliance history score was at 94% which is above the 75%, required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a four-Star License issued April 13, 2022. The License was based on the program earning five points in education standards, four points in program standards, and one quality point by choosing to meet an education option: the child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division. The information on record with DCDEE was verified as correct by Country Martin, Administrator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior completed 8/31/2024. Fire Classification of daytime care only completed 8/29/2024. Ms. Martin was present while I observed the indoor and outdoor areas. In space #1, and #2, the children were observed playing outdoors. The children played with balls and on small play structures, they were also observed participating in an art activity outside. Lunch served today was peperoni rolls, sliced apples, mixed vegetable, and milk. Ms. Martin gave Ms. Shawna Marinez permission to sign for the visit summary today via a phone call. Ms. Martin was called away during the visit to her other facility. At the completion of the visit, the Visit Summary was reviewed with Ms. Martin And Shawna Marinez. The following violations were observed: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space # 4, there was one bottle not labeled, and one bottle that was dated 9/22/2024 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. There were eight children's feeding plan that was not signed by parent, or was not sign by center staff, or was not dated. .0902(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC was not reviewed with two staff annually. 10A NCAC 09 .0802(a) 871 Center staff did not comply with the safe sleep policy. During a fire drill the center staff had placed a sleeping child in a crib on a pillow while rolling the child in the crib to a designated space outdoors. 10A NCAC 09 .0606(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One new staff did not have TB on or before the first day of employment. Start date 4/10/24 and date of TB 4/11/2024. .0701(a) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One new staff CPR expired on 8/30/2024. .1102(d) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The trained staff did not review EPR Plan annually with two staff. .0607(e) 1832 Application did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns. Two children's application did not include health care needs or concerns. .0801 (a)(5) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on October 7, 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: Sandra Johnson Child Care Consultant P.O. Box 64401 Fayetteville, NC 28306 sandra.johnson@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 TA: A violation was cited during today’s visit for not following the safe sleep policy: Refer to Child Care Rule 10A NCAC 09 .0606(a). We discussed the following strategies: Ensure that the safe sleep policy has been reviewed with all safe. Ensure that no items are being placed in any off the children’s crib. Reminders: 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 Do you have children who bite? Do children struggle to focus during circle time? Do challenging behaviors cause difficult transitions? Do you spend all day managing behavior? Are you at your wits' end? Help is available for these and other behavior challenges! The Challenging Behaviors Hotline has opened and is provided for Free. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. Please feel free to contact me at sandra.johnson@dhhs.nc.gov or 910-408-8985 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: LITTLE BLESSINGS #2 Facility ID: 26002516 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: Visit Date: 9/23/2024 Number Present: 26 Completed Date: 9/23/2024 Age: From 0 To 6 Total Minutes: 405 Time In: 09:00 AM Time Out: 01:20 PM Time In: 02:20 PM Time Out: 04:45 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous annual compliance visit was completed on September 26, 2023, and prior to today’s visit the eighteen-month compliance history score was at 94% which is above the 75%, required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a four-Star License issued April 13, 2022. The License was based on the program earning five points in education standards, four points in program standards, and one quality point by choosing to meet an education option: the child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division. The information on record with DCDEE was verified as correct by Country Martin, Administrator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior completed 8/31/2024. Fire Classification of daytime care only completed 8/29/2024. Ms. Martin was present while I observed the indoor and outdoor areas. In space #1, and #2, the children were observed playing outdoors. The children played with balls and on small play structures, they were also observed participating in an art activity outside. Lunch served today was peperoni rolls, sliced apples, mixed vegetable, and milk. Ms. Martin gave Ms. Shawna Marinez permission to sign for the visit summary today via a phone call. Ms. Martin was called away during the visit to her other facility. At the completion of the visit, the Visit Summary was reviewed with Ms. Martin And Shawna Marinez. The following violations were observed: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space # 4, there was one bottle not labeled, and one bottle that was dated 9/22/2024 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. There were eight children's feeding plan that was not signed by parent, or was not sign by center staff, or was not dated. .0902(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC was not reviewed with two staff annually. 10A NCAC 09 .0802(a) 871 Center staff did not comply with the safe sleep policy. During a fire drill the center staff had placed a sleeping child in a crib on a pillow while rolling the child in the crib to a designated space outdoors. 10A NCAC 09 .0606(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One new staff did not have TB on or before the first day of employment. Start date 4/10/24 and date of TB 4/11/2024. .0701(a) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One new staff CPR expired on 8/30/2024. .1102(d) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The trained staff did not review EPR Plan annually with two staff. .0607(e) 1832 Application did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns. Two children's application did not include health care needs or concerns. .0801 (a)(5) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on October 7, 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: Sandra Johnson Child Care Consultant P.O. Box 64401 Fayetteville, NC 28306 sandra.johnson@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 TA: A violation was cited during today’s visit for not following the safe sleep policy: Refer to Child Care Rule 10A NCAC 09 .0606(a). We discussed the following strategies: Ensure that the safe sleep policy has been reviewed with all safe. Ensure that no items are being placed in any off the children’s crib. Reminders: 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 Do you have children who bite? Do children struggle to focus during circle time? Do challenging behaviors cause difficult transitions? Do you spend all day managing behavior? Are you at your wits' end? Help is available for these and other behavior challenges! The Challenging Behaviors Hotline has opened and is provided for Free. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. Please feel free to contact me at sandra.johnson@dhhs.nc.gov or 910-408-8985 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: LITTLE BLESSINGS #2 Facility ID: 26002516 Consultant: AMY TENILLE LOWERY Operation Type: Center Case Number: 0324-058A Visit Date: 3/11/2024 Number Present: 20 Completed Date: 3/11/2024 Age: From 0 To 5 Total Minutes: 75 Time In: 10:15 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Country Martin, Administrator, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Martin, and two additional staff members. Limited monitoring of child care requirements occurred during today’s visit. The following violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A staff member attempted to get a child up off the floor by picking the child up by one hand causing an injury that required medical treatment. G.S. 110-91(10) Violations must be corrected immediately. Within one week March 18, 2024, you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at the information listed below. You may contact me at Tenille Lowery, Investigations Consultant, (910) 733-1129, tenille.lowery@dhhs.nc.gov, Fax: (919) 715-1013, Mail: 2201 Mail Services Center, Raleigh, NC 27699-2201 or my supervisor, Melissa Loehr, Southeastern Investigations Supervisor, melissa.loehr@dhhs.nc.gov. Thank you for your time. 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.

10A NCAC 09 .0606 · Violation

Name of Operation: LITTLE BLESSINGS #2 Facility ID: 26002516 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: Visit Date: 9/26/2023 Number Present: 16 Completed Date: 9/26/2023 Age: From 0 To 12 Total Minutes: 300 Time In: 08:45 AM Time Out: 11:30 AM Time In: 12:30 PM Time Out: 02:45 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous annual compliance visit was completed on October 2, 2022, and prior to today’s visit the eighteen-month compliance history score was at 98% which is above the 75%, required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a four-Star License issued April 13, 2022. The License was based on the program earning five points in education standards, four points in program standards, and one quality point by choosing to meet an education option: the child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division. The information on record with DCDEE was verified as correct by Country Martin, Administrator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior completed 8/31/2023. Fire Classification of daytime care only completed 8/29/2023. Ms. Martin was present while I observed the indoor and outdoor areas. In space #1, two children were observed sitting at a table playing uno. In space #2, five children, two years of age were observed dancing and watching music and movement songs on a television that hung on the wall in the classroom. In space #3, the children were sitting on a small carpet drawing the letters of the alphabet on a dry erase board using markers. In space #4, two infant children were observed laying in their cribs, one child was asleep with a pillow in the crib and one child had a blanket in his crib. Lunch served today was sliced hot dogs, hot dog buns, pears, tomato soup, and milk. At the completion of the visit, the Visit Summary was reviewed with Ms. Martin. The following violations were observed: Violation Number Comment Rule 533 Breast milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. The bottles that were prepared did not have the date the bottles were prepared. This was corrected by the teacher adding the dates to the bottles. 15A NCAC 18A .2804(d) 544 Screen time was offered to children under three years of age. In space #2, there were five children two years of age watching videos on tv screen, while dancing to music and movement songs. This was corrected by the teacher covering up the tv screen while the children listen and danced to the songs. .0510(f) 871 Center staff did not comply with the safe sleep policy. In space #4, an infant was asleep with in a crib with a pillow. In another crib were a child was laying, there was a blanket in the crib with the child. This was corrected when the teacher removed all items out of the cribs. 10A NCAC 09 .0606(a) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. In space #4, The safe sleep policy was not posted. This was corrected by the operator posting the safe sleep policy on the parent board in space #4. This was corrected when the teacher removed the items from the crib. .0606(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. All items were corrected during today's visit. No compliance letter is due. TA: A violation was cited during today’s visit for not following the safe sleep policy: Refer to Child Care Rule 10A NCAC 09 .0606(a). We discussed the following strategies: Ensure that the safe sleep policy has been reviewed with all safe. Monitor items that are being brought from home and ensure that parents aren’t putting items in their child’s crib. Reminders: Do you have children who bite? Do children struggle to focus during circle time? Do challenging behaviors cause difficult transitions? Do you spend all day managing behavior? Are you at your wits' end? Help is available for these and other behavior challenges! The Challenging Behaviors Hotline has opened and is provided for Free. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. July 2023 Child Care Rule Changes: The DCDEE is excited to share information about the July 2023 child care rule changes. The NC Child Care Commission revised rules related to staff/child ratios for multi-age groups; cooperative arrangements; and enhanced space requirements. These rule changes may or may not impact your facility. The multi-age group staff/child ratio changes support a previous rule change submitted by Early Head Start and the new rule for defining cooperative arrangements provides clarification to a previous change in statute. A new July 2023 New Rule/Rule Amendments Overview module has been added to the Child Care Rules Training on DCDEE Moodle. If you are unfamiliar with the Child Care Rule Rollout within Moodle, learn how to navigate Moodle. To access Moodle, you will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, register for an individual NCID at https://ncid.nc.gov/ncidsspr/. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. QRIS Modernization (Two–Five Star Rated Licenses): 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. DCDEE are developing a plan that will be reviewed by the legislature in Spring 2024. During the next few months, we are collecting information from parents, teachers, administrators, operators, and partners to consider in the plan. You are invited to participate in opportunities for Commission members and Division staff to listen and learn about your experiences and challenges within our Star Rated License system. An email with upcoming community outreach meetings and/or webinar dates will be sent in an email from DCDEE. Feel free to share this information with ECE colleagues and parents too. Please feel free to contact me at sandra.johnson@dhhs.nc.gov or 910-408-8985 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.

NC GS 110-90 · Violation

Name of Operation: LITTLE BLESSINGS #2 Facility ID: 26002516 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: Visit Date: 9/26/2023 Number Present: 16 Completed Date: 9/26/2023 Age: From 0 To 12 Total Minutes: 300 Time In: 08:45 AM Time Out: 11:30 AM Time In: 12:30 PM Time Out: 02:45 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous annual compliance visit was completed on October 2, 2022, and prior to today’s visit the eighteen-month compliance history score was at 98% which is above the 75%, required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a four-Star License issued April 13, 2022. The License was based on the program earning five points in education standards, four points in program standards, and one quality point by choosing to meet an education option: the child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division. The information on record with DCDEE was verified as correct by Country Martin, Administrator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior completed 8/31/2023. Fire Classification of daytime care only completed 8/29/2023. Ms. Martin was present while I observed the indoor and outdoor areas. In space #1, two children were observed sitting at a table playing uno. In space #2, five children, two years of age were observed dancing and watching music and movement songs on a television that hung on the wall in the classroom. In space #3, the children were sitting on a small carpet drawing the letters of the alphabet on a dry erase board using markers. In space #4, two infant children were observed laying in their cribs, one child was asleep with a pillow in the crib and one child had a blanket in his crib. Lunch served today was sliced hot dogs, hot dog buns, pears, tomato soup, and milk. At the completion of the visit, the Visit Summary was reviewed with Ms. Martin. The following violations were observed: Violation Number Comment Rule 533 Breast milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. The bottles that were prepared did not have the date the bottles were prepared. This was corrected by the teacher adding the dates to the bottles. 15A NCAC 18A .2804(d) 544 Screen time was offered to children under three years of age. In space #2, there were five children two years of age watching videos on tv screen, while dancing to music and movement songs. This was corrected by the teacher covering up the tv screen while the children listen and danced to the songs. .0510(f) 871 Center staff did not comply with the safe sleep policy. In space #4, an infant was asleep with in a crib with a pillow. In another crib were a child was laying, there was a blanket in the crib with the child. This was corrected when the teacher removed all items out of the cribs. 10A NCAC 09 .0606(a) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. In space #4, The safe sleep policy was not posted. This was corrected by the operator posting the safe sleep policy on the parent board in space #4. This was corrected when the teacher removed the items from the crib. .0606(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. All items were corrected during today's visit. No compliance letter is due. TA: A violation was cited during today’s visit for not following the safe sleep policy: Refer to Child Care Rule 10A NCAC 09 .0606(a). We discussed the following strategies: Ensure that the safe sleep policy has been reviewed with all safe. Monitor items that are being brought from home and ensure that parents aren’t putting items in their child’s crib. Reminders: Do you have children who bite? Do children struggle to focus during circle time? Do challenging behaviors cause difficult transitions? Do you spend all day managing behavior? Are you at your wits' end? Help is available for these and other behavior challenges! The Challenging Behaviors Hotline has opened and is provided for Free. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. July 2023 Child Care Rule Changes: The DCDEE is excited to share information about the July 2023 child care rule changes. The NC Child Care Commission revised rules related to staff/child ratios for multi-age groups; cooperative arrangements; and enhanced space requirements. These rule changes may or may not impact your facility. The multi-age group staff/child ratio changes support a previous rule change submitted by Early Head Start and the new rule for defining cooperative arrangements provides clarification to a previous change in statute. A new July 2023 New Rule/Rule Amendments Overview module has been added to the Child Care Rules Training on DCDEE Moodle. If you are unfamiliar with the Child Care Rule Rollout within Moodle, learn how to navigate Moodle. To access Moodle, you will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, register for an individual NCID at https://ncid.nc.gov/ncidsspr/. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. QRIS Modernization (Two–Five Star Rated Licenses): 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. DCDEE are developing a plan that will be reviewed by the legislature in Spring 2024. During the next few months, we are collecting information from parents, teachers, administrators, operators, and partners to consider in the plan. You are invited to participate in opportunities for Commission members and Division staff to listen and learn about your experiences and challenges within our Star Rated License system. An email with upcoming community outreach meetings and/or webinar dates will be sent in an email from DCDEE. Feel free to share this information with ECE colleagues and parents too. Please feel free to contact me at sandra.johnson@dhhs.nc.gov or 910-408-8985 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