NC GS 110-90 · Violation

Name of Operation: Mo'Naes Tender Care Facility ID: 26002594 Consultant: YOLANDA PRIDGEN Operation Type: Family CC Home Case Number: Visit Date: 5/1/2025 Number Present: 5 Completed Date: 5/1/2025 Age: From 1 To 2 Total Minutes: 195 Time In: 09:00 AM Time Out: 12:15 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 requirements. The previous Temporary Time Period visit was completed October 25, 2024, and prior to today’s visit, the eighteen month compliance history score was 91% as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a one star license effective, November 21, 2024. The information on record with DCDEE was verified by Vicky Stewart and requested to change the facility’s contact phone number. Current Inspection is as follows: Sanitation Classification of Superior with zero (0) demerits completed May 9, 2024. V. Stewart, Owner/Operator, was present and assisted me while observing the indoor and outdoor areas. I observed preschool aged children, ages one to two-years-old, engaged in free play activities in the child care area of the home. Children played with dolls, stuffed animals, framed puzzles, soft stacking blocks, toy vehicles, and manipulated a Mr. Potato Head. V. Stewart and children sat on the carpeted floor and read Brown Bear Brown Bear. She then led children to read a book about the body and played a matching game where children matched the word with the correct body part. Children climbed in and out of a large pop-up tunnel and identifying each color. The operator transitioned children to complete hand washing routines at the bathroom located in the hallway of the home. For morning snack, children were served Teddy Graham crackers and applesauce. Lunch was not observed however the menu stated children would be served corndog nuggets, mixed vegetables, fruit cup, and milk. A checklist was used to note the requirements monitored during the visit. A FCCH Operator’s Statements of Responsibility and Verification of Required Information for Operator forms were completed and operator’s file was monitored. Two (2) children’s records were monitored. The most recent fire drill, shelter-in-place drill, and monthly outdoor inspection were all completed on April 30, 2025. At the completion of the visit, the Visit Summary was completed and reviewed with V. Stewart. The following violation was observed: Violation Number Comment Rule 705 All medicines, including refrigerated and unrefrigerated, were not kept in locked storage. Accessible to children in the hallway bathroom, a bottle of medicated foot powder was stored on an open shelf over the toilet. The violation was corrected when the operator removed the container and placed it in a lock area of the home. .1719(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. The violations observed and documented today may impact the compliance history score. The violations observed and documented today were corrected immediately therefore a compliance letter is not required. Facility Specific TA/Consultation/Reminders: Storage of Medication: The violation for storage of medication was cited today. This includes both medicated and over the counter medication. In the hallway bathroom, a bottle of medicated foot powder was stored on an open shelf. Properly storing medication is important because if in reach of children, may present a poison hazard. I shared that additional information regarding the storage of medication can be found in Sanitation Rule .2028(d) and provided you with a copy of the “Hazardous Items Storage for Child Care” resource from our website. We also discussed the following strategies for achieving and maintaining compliance: review the resource with staff at your next staff meeting; have staff practice administering medicine and return to locked storage before completing the administration record (practice helps create and reinforce a routine); remind each team of staff to check behind the other; and/or periodically visit classrooms throughout the day and check medication boxes to ensure they are locked. Please feel free to contact me at yolanda.pridgen@dhhs.nc.gov or 910-305-2371 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 .0201 · Violation

Name of Operation: Mo'Naes Tender Care Facility ID: 26002594 Consultant: RHONDA BLACKMON Operation Type: Family CC Home Case Number: Visit Date: 10/25/2024 Number Present: 3 Completed Date: 10/25/2024 Age: From 1 To 2 Total Minutes: 150 Time In: 09:15 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a third temporary time period visit. The previous visit was completed August 23, 2024, and prior to today’s visit, the eighteen-month compliance history score was 90% as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a temporary license effective, May 20, 2024 to November 20, 2024. The information on record with DCDEE was verified as correct by Vicky Stewart. Current Inspection is as follows: Sanitation Classification of Superior with zero (0) demerits completed May 9, 2024. V. Stewart, Teacher, was present and assisted me during the visit. Children, ages one to two-years-old, participated in free play activities in the child care space. They manipulated magnetic tiles, stacked rings, and participated in dramatic play. A child, two-years-old, pretended to be a doctor and practiced examining children’s health by listening to their heartbeat, checking their pulse, and looking inside their ears. Afterwards, they stacked blocks, sorted dinosaurs, and manipulated musical toys. The indoor and outdoor environments were monitored for applicable child care requirements. A diapering routine was observed prior to lunch. Lunch served was French bread pizza with tomato sauce, cheese, and pepperoni, green beans, mixed fruit, and milk. V. Stewart’s personnel file and the children’s records were monitored during today’s visit. In addition, required program records were also monitored. At the completion of the visit, the Visit Summary was completed and reviewed with V. Stewart. The following violations were observed: Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. A health assessment was not on file within thirty (30) days for three children, identified on the family child care home worksheet. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. An immunization record was not on file within thirty (30) days of enrollment for a child, identified on the family child care home enrollment worksheet. GS 110-91(1); .1721(a)(2) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. A bowl of small foam rubber blocks and art materials in plastic bags were accessible to children under the age of three in the primary care space. When prompted, the operator removed the items identified and placed them on top of a shelf, five feet from the finished floor. .1719(a)(18) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. The violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00 p.m. on November 8, 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: Rhonda Blackmon Lead Child Care Consultant P.O. Box 279 Linden, NC 28356 Rhonda.blackmon@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 Technical Assistance Specific to Today’s Visit: Children’s Records: Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Review children's files often to ensure the program is maintaining accurate licensing records. Organization and completeness of records is important to ensure easy access to information in emergency situations. For the files that contained the checklist, the form was incomplete and not updated to reflect dates of submission for required documentation and files were missing required paperwork. Three (3) files monitored today were missing the health assessment. Additionally, one (1) file was missing the immunization record. As a reminder, current health assessments and immunization records are required to be on file within thirty (30) days of enrollment. We discussed using the resource from the DCDEE website and tracking required information by checking off the items on the form as they’re received and setting reminders or creating a task list for items due after the first day of enrollment. Rated License Assessment: V. Stewart did not submit an application for a voluntary star-rated license. The facility meets minimum licensing requirements and has earned a one-star child care license. As a reminder, the facility will not be eligible to enroll families that receive subsidized child care assistance at the end of the Temporary License. At this time, there are no families enrolled that receive subsidized child care assistance. V. Stewart stated that she understands and is enrolled in EDU 119 at Fayetteville Technical Community College and is working with Kathleen Hoffler, Region 5 Family Child Care Consultant, to make quality improvements in her child care business. Moving forward, V. Stewart will not enroll any families that receive subsidized child care assistance. The completed packet will be submitted for review and processing at the end of the temporary time period. A new license will be mailed directly to you and must be posted upon receipt. The facility file will be transferred to the child care consultant in the assigned territory once the new license has been issued. At this time, the consultant for this facility will be: Angela Stevens Post Office Box 25126 Fayetteville, NC 28314 Office: 910-308-2537 Email: Angela.stevens@dhhs.nc.gov Training: V. Stewart shall complete the Emergency Preparedness and Response in Child Care training by May 20, 2025. V. Stewart will have four (4) months from the date of completion to go online at https://rmp.nc.gov/portal/portal.aspx and complete the EPR Plan. As a reminder, you must review the EPR Plan annually or when information in the plan changes to ensure all information is current. Additional caregivers and substitutes shall review the EPR Plan during orientation and/or on an annual basis with V. Stewart. Documentation of the review shall be maintained on file. In Addition, V. Stewart shall complete the CCDF health and safety trainings within twelve months of being licensed (May 20, 2025). The CCDF Health and Safety trainings are now available in the DCDEE Moodle Learning platform (https://www.dcdee.moodle.nc.gov/). Indicator Month: Discussions occurred regarding the indictor month for annual compliance monitoring visits at a licensed child care facility. I informed V. Stewart that when a facility becomes licensed, it is assigned an “annual compliance” month. The annual compliance month is the month in which the facility’s Temporary License was issued (May). I stated the annual compliance month does not change if the facility is issued a 2 – 5 Star License, a Provisional License, or a Probationary License. Child care consultants use the annual compliance month to determine when to schedule each facility’s annual compliance visit. In accordance with Child Care Rule 10A NCAC 09 .0201, representatives of the DCDEE may visit your program at any time and must complete at least one full monitoring visit at least annually. To best support you and the children in care, our goal is to visit programs more frequently. Visit the DCDEE website (www.ncchildcare.dhhsnc.gov) for updated requirements, forms, and other pertinent information. Contact me at 910-709-4168 if you have any questions or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

10A NCAC 09.1721 · Violation

Name of Operation: Mo'Naes Tender Care Facility ID: 26002594 Consultant: RHONDA BLACKMON Operation Type: Family CC Home Case Number: Visit Date: 10/25/2024 Number Present: 3 Completed Date: 10/25/2024 Age: From 1 To 2 Total Minutes: 150 Time In: 09:15 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a third temporary time period visit. The previous visit was completed August 23, 2024, and prior to today’s visit, the eighteen-month compliance history score was 90% as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a temporary license effective, May 20, 2024 to November 20, 2024. The information on record with DCDEE was verified as correct by Vicky Stewart. Current Inspection is as follows: Sanitation Classification of Superior with zero (0) demerits completed May 9, 2024. V. Stewart, Teacher, was present and assisted me during the visit. Children, ages one to two-years-old, participated in free play activities in the child care space. They manipulated magnetic tiles, stacked rings, and participated in dramatic play. A child, two-years-old, pretended to be a doctor and practiced examining children’s health by listening to their heartbeat, checking their pulse, and looking inside their ears. Afterwards, they stacked blocks, sorted dinosaurs, and manipulated musical toys. The indoor and outdoor environments were monitored for applicable child care requirements. A diapering routine was observed prior to lunch. Lunch served was French bread pizza with tomato sauce, cheese, and pepperoni, green beans, mixed fruit, and milk. V. Stewart’s personnel file and the children’s records were monitored during today’s visit. In addition, required program records were also monitored. At the completion of the visit, the Visit Summary was completed and reviewed with V. Stewart. The following violations were observed: Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. A health assessment was not on file within thirty (30) days for three children, identified on the family child care home worksheet. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. An immunization record was not on file within thirty (30) days of enrollment for a child, identified on the family child care home enrollment worksheet. GS 110-91(1); .1721(a)(2) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. A bowl of small foam rubber blocks and art materials in plastic bags were accessible to children under the age of three in the primary care space. When prompted, the operator removed the items identified and placed them on top of a shelf, five feet from the finished floor. .1719(a)(18) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. The violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00 p.m. on November 8, 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: Rhonda Blackmon Lead Child Care Consultant P.O. Box 279 Linden, NC 28356 Rhonda.blackmon@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 Technical Assistance Specific to Today’s Visit: Children’s Records: Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Review children's files often to ensure the program is maintaining accurate licensing records. Organization and completeness of records is important to ensure easy access to information in emergency situations. For the files that contained the checklist, the form was incomplete and not updated to reflect dates of submission for required documentation and files were missing required paperwork. Three (3) files monitored today were missing the health assessment. Additionally, one (1) file was missing the immunization record. As a reminder, current health assessments and immunization records are required to be on file within thirty (30) days of enrollment. We discussed using the resource from the DCDEE website and tracking required information by checking off the items on the form as they’re received and setting reminders or creating a task list for items due after the first day of enrollment. Rated License Assessment: V. Stewart did not submit an application for a voluntary star-rated license. The facility meets minimum licensing requirements and has earned a one-star child care license. As a reminder, the facility will not be eligible to enroll families that receive subsidized child care assistance at the end of the Temporary License. At this time, there are no families enrolled that receive subsidized child care assistance. V. Stewart stated that she understands and is enrolled in EDU 119 at Fayetteville Technical Community College and is working with Kathleen Hoffler, Region 5 Family Child Care Consultant, to make quality improvements in her child care business. Moving forward, V. Stewart will not enroll any families that receive subsidized child care assistance. The completed packet will be submitted for review and processing at the end of the temporary time period. A new license will be mailed directly to you and must be posted upon receipt. The facility file will be transferred to the child care consultant in the assigned territory once the new license has been issued. At this time, the consultant for this facility will be: Angela Stevens Post Office Box 25126 Fayetteville, NC 28314 Office: 910-308-2537 Email: Angela.stevens@dhhs.nc.gov Training: V. Stewart shall complete the Emergency Preparedness and Response in Child Care training by May 20, 2025. V. Stewart will have four (4) months from the date of completion to go online at https://rmp.nc.gov/portal/portal.aspx and complete the EPR Plan. As a reminder, you must review the EPR Plan annually or when information in the plan changes to ensure all information is current. Additional caregivers and substitutes shall review the EPR Plan during orientation and/or on an annual basis with V. Stewart. Documentation of the review shall be maintained on file. In Addition, V. Stewart shall complete the CCDF health and safety trainings within twelve months of being licensed (May 20, 2025). The CCDF Health and Safety trainings are now available in the DCDEE Moodle Learning platform (https://www.dcdee.moodle.nc.gov/). Indicator Month: Discussions occurred regarding the indictor month for annual compliance monitoring visits at a licensed child care facility. I informed V. Stewart that when a facility becomes licensed, it is assigned an “annual compliance” month. The annual compliance month is the month in which the facility’s Temporary License was issued (May). I stated the annual compliance month does not change if the facility is issued a 2 – 5 Star License, a Provisional License, or a Probationary License. Child care consultants use the annual compliance month to determine when to schedule each facility’s annual compliance visit. In accordance with Child Care Rule 10A NCAC 09 .0201, representatives of the DCDEE may visit your program at any time and must complete at least one full monitoring visit at least annually. To best support you and the children in care, our goal is to visit programs more frequently. Visit the DCDEE website (www.ncchildcare.dhhsnc.gov) for updated requirements, forms, and other pertinent information. Contact me at 910-709-4168 if you have any questions or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: Mo'Naes Tender Care Facility ID: 26002594 Consultant: RHONDA BLACKMON Operation Type: Family CC Home Case Number: Visit Date: 10/25/2024 Number Present: 3 Completed Date: 10/25/2024 Age: From 1 To 2 Total Minutes: 150 Time In: 09:15 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a third temporary time period visit. The previous visit was completed August 23, 2024, and prior to today’s visit, the eighteen-month compliance history score was 90% as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a temporary license effective, May 20, 2024 to November 20, 2024. The information on record with DCDEE was verified as correct by Vicky Stewart. Current Inspection is as follows: Sanitation Classification of Superior with zero (0) demerits completed May 9, 2024. V. Stewart, Teacher, was present and assisted me during the visit. Children, ages one to two-years-old, participated in free play activities in the child care space. They manipulated magnetic tiles, stacked rings, and participated in dramatic play. A child, two-years-old, pretended to be a doctor and practiced examining children’s health by listening to their heartbeat, checking their pulse, and looking inside their ears. Afterwards, they stacked blocks, sorted dinosaurs, and manipulated musical toys. The indoor and outdoor environments were monitored for applicable child care requirements. A diapering routine was observed prior to lunch. Lunch served was French bread pizza with tomato sauce, cheese, and pepperoni, green beans, mixed fruit, and milk. V. Stewart’s personnel file and the children’s records were monitored during today’s visit. In addition, required program records were also monitored. At the completion of the visit, the Visit Summary was completed and reviewed with V. Stewart. The following violations were observed: Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. A health assessment was not on file within thirty (30) days for three children, identified on the family child care home worksheet. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. An immunization record was not on file within thirty (30) days of enrollment for a child, identified on the family child care home enrollment worksheet. GS 110-91(1); .1721(a)(2) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. A bowl of small foam rubber blocks and art materials in plastic bags were accessible to children under the age of three in the primary care space. When prompted, the operator removed the items identified and placed them on top of a shelf, five feet from the finished floor. .1719(a)(18) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. The violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00 p.m. on November 8, 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: Rhonda Blackmon Lead Child Care Consultant P.O. Box 279 Linden, NC 28356 Rhonda.blackmon@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 Technical Assistance Specific to Today’s Visit: Children’s Records: Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Review children's files often to ensure the program is maintaining accurate licensing records. Organization and completeness of records is important to ensure easy access to information in emergency situations. For the files that contained the checklist, the form was incomplete and not updated to reflect dates of submission for required documentation and files were missing required paperwork. Three (3) files monitored today were missing the health assessment. Additionally, one (1) file was missing the immunization record. As a reminder, current health assessments and immunization records are required to be on file within thirty (30) days of enrollment. We discussed using the resource from the DCDEE website and tracking required information by checking off the items on the form as they’re received and setting reminders or creating a task list for items due after the first day of enrollment. Rated License Assessment: V. Stewart did not submit an application for a voluntary star-rated license. The facility meets minimum licensing requirements and has earned a one-star child care license. As a reminder, the facility will not be eligible to enroll families that receive subsidized child care assistance at the end of the Temporary License. At this time, there are no families enrolled that receive subsidized child care assistance. V. Stewart stated that she understands and is enrolled in EDU 119 at Fayetteville Technical Community College and is working with Kathleen Hoffler, Region 5 Family Child Care Consultant, to make quality improvements in her child care business. Moving forward, V. Stewart will not enroll any families that receive subsidized child care assistance. The completed packet will be submitted for review and processing at the end of the temporary time period. A new license will be mailed directly to you and must be posted upon receipt. The facility file will be transferred to the child care consultant in the assigned territory once the new license has been issued. At this time, the consultant for this facility will be: Angela Stevens Post Office Box 25126 Fayetteville, NC 28314 Office: 910-308-2537 Email: Angela.stevens@dhhs.nc.gov Training: V. Stewart shall complete the Emergency Preparedness and Response in Child Care training by May 20, 2025. V. Stewart will have four (4) months from the date of completion to go online at https://rmp.nc.gov/portal/portal.aspx and complete the EPR Plan. As a reminder, you must review the EPR Plan annually or when information in the plan changes to ensure all information is current. Additional caregivers and substitutes shall review the EPR Plan during orientation and/or on an annual basis with V. Stewart. Documentation of the review shall be maintained on file. In Addition, V. Stewart shall complete the CCDF health and safety trainings within twelve months of being licensed (May 20, 2025). The CCDF Health and Safety trainings are now available in the DCDEE Moodle Learning platform (https://www.dcdee.moodle.nc.gov/). Indicator Month: Discussions occurred regarding the indictor month for annual compliance monitoring visits at a licensed child care facility. I informed V. Stewart that when a facility becomes licensed, it is assigned an “annual compliance” month. The annual compliance month is the month in which the facility’s Temporary License was issued (May). I stated the annual compliance month does not change if the facility is issued a 2 – 5 Star License, a Provisional License, or a Probationary License. Child care consultants use the annual compliance month to determine when to schedule each facility’s annual compliance visit. In accordance with Child Care Rule 10A NCAC 09 .0201, representatives of the DCDEE may visit your program at any time and must complete at least one full monitoring visit at least annually. To best support you and the children in care, our goal is to visit programs more frequently. Visit the DCDEE website (www.ncchildcare.dhhsnc.gov) for updated requirements, forms, and other pertinent information. Contact me at 910-709-4168 if you have any questions or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: Mo'Naes Tender Care Facility ID: 26002594 Consultant: RHONDA BLACKMON Operation Type: Family CC Home Case Number: Visit Date: 10/25/2024 Number Present: 3 Completed Date: 10/25/2024 Age: From 1 To 2 Total Minutes: 150 Time In: 09:15 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a third temporary time period visit. The previous visit was completed August 23, 2024, and prior to today’s visit, the eighteen-month compliance history score was 90% as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a temporary license effective, May 20, 2024 to November 20, 2024. The information on record with DCDEE was verified as correct by Vicky Stewart. Current Inspection is as follows: Sanitation Classification of Superior with zero (0) demerits completed May 9, 2024. V. Stewart, Teacher, was present and assisted me during the visit. Children, ages one to two-years-old, participated in free play activities in the child care space. They manipulated magnetic tiles, stacked rings, and participated in dramatic play. A child, two-years-old, pretended to be a doctor and practiced examining children’s health by listening to their heartbeat, checking their pulse, and looking inside their ears. Afterwards, they stacked blocks, sorted dinosaurs, and manipulated musical toys. The indoor and outdoor environments were monitored for applicable child care requirements. A diapering routine was observed prior to lunch. Lunch served was French bread pizza with tomato sauce, cheese, and pepperoni, green beans, mixed fruit, and milk. V. Stewart’s personnel file and the children’s records were monitored during today’s visit. In addition, required program records were also monitored. At the completion of the visit, the Visit Summary was completed and reviewed with V. Stewart. The following violations were observed: Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. A health assessment was not on file within thirty (30) days for three children, identified on the family child care home worksheet. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. An immunization record was not on file within thirty (30) days of enrollment for a child, identified on the family child care home enrollment worksheet. GS 110-91(1); .1721(a)(2) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. A bowl of small foam rubber blocks and art materials in plastic bags were accessible to children under the age of three in the primary care space. When prompted, the operator removed the items identified and placed them on top of a shelf, five feet from the finished floor. .1719(a)(18) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. The violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00 p.m. on November 8, 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: Rhonda Blackmon Lead Child Care Consultant P.O. Box 279 Linden, NC 28356 Rhonda.blackmon@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 Technical Assistance Specific to Today’s Visit: Children’s Records: Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Review children's files often to ensure the program is maintaining accurate licensing records. Organization and completeness of records is important to ensure easy access to information in emergency situations. For the files that contained the checklist, the form was incomplete and not updated to reflect dates of submission for required documentation and files were missing required paperwork. Three (3) files monitored today were missing the health assessment. Additionally, one (1) file was missing the immunization record. As a reminder, current health assessments and immunization records are required to be on file within thirty (30) days of enrollment. We discussed using the resource from the DCDEE website and tracking required information by checking off the items on the form as they’re received and setting reminders or creating a task list for items due after the first day of enrollment. Rated License Assessment: V. Stewart did not submit an application for a voluntary star-rated license. The facility meets minimum licensing requirements and has earned a one-star child care license. As a reminder, the facility will not be eligible to enroll families that receive subsidized child care assistance at the end of the Temporary License. At this time, there are no families enrolled that receive subsidized child care assistance. V. Stewart stated that she understands and is enrolled in EDU 119 at Fayetteville Technical Community College and is working with Kathleen Hoffler, Region 5 Family Child Care Consultant, to make quality improvements in her child care business. Moving forward, V. Stewart will not enroll any families that receive subsidized child care assistance. The completed packet will be submitted for review and processing at the end of the temporary time period. A new license will be mailed directly to you and must be posted upon receipt. The facility file will be transferred to the child care consultant in the assigned territory once the new license has been issued. At this time, the consultant for this facility will be: Angela Stevens Post Office Box 25126 Fayetteville, NC 28314 Office: 910-308-2537 Email: Angela.stevens@dhhs.nc.gov Training: V. Stewart shall complete the Emergency Preparedness and Response in Child Care training by May 20, 2025. V. Stewart will have four (4) months from the date of completion to go online at https://rmp.nc.gov/portal/portal.aspx and complete the EPR Plan. As a reminder, you must review the EPR Plan annually or when information in the plan changes to ensure all information is current. Additional caregivers and substitutes shall review the EPR Plan during orientation and/or on an annual basis with V. Stewart. Documentation of the review shall be maintained on file. In Addition, V. Stewart shall complete the CCDF health and safety trainings within twelve months of being licensed (May 20, 2025). The CCDF Health and Safety trainings are now available in the DCDEE Moodle Learning platform (https://www.dcdee.moodle.nc.gov/). Indicator Month: Discussions occurred regarding the indictor month for annual compliance monitoring visits at a licensed child care facility. I informed V. Stewart that when a facility becomes licensed, it is assigned an “annual compliance” month. The annual compliance month is the month in which the facility’s Temporary License was issued (May). I stated the annual compliance month does not change if the facility is issued a 2 – 5 Star License, a Provisional License, or a Probationary License. Child care consultants use the annual compliance month to determine when to schedule each facility’s annual compliance visit. In accordance with Child Care Rule 10A NCAC 09 .0201, representatives of the DCDEE may visit your program at any time and must complete at least one full monitoring visit at least annually. To best support you and the children in care, our goal is to visit programs more frequently. Visit the DCDEE website (www.ncchildcare.dhhsnc.gov) for updated requirements, forms, and other pertinent information. Contact me at 910-709-4168 if you have any questions or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.1721 · Violation

Name of Operation: Mo'Naes Tender Care Facility ID: 26002594 Consultant: RHONDA BLACKMON Operation Type: Family CC Home Case Number: Visit Date: 8/23/2024 Number Present: 3 Completed Date: 8/23/2024 Age: From 2 To 6 Total Minutes: 150 Time In: 10:15 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a second temporary time period visit. The previous temporary time period visit was completed June 26, 2024, and prior to today’s visit, the eighteen-month compliance history score was 94%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a temporary license effective, May 20, 2024 to November 20, 2024. The information on record with DCDEE was verified as correct by Vicky Stewart. Current Inspection is as follows: Sanitation Classification of Superior with two demerits completed May 9, 2024. V. Stewart, Operator/Teacher, was present and assisted me during the visit. I completed a walk-through of the indoor and outdoor areas. Preschool-age children participated in free play activities in the following activity areas: blocks/block play, manipulatives, and art/creative play. Children pushed cars and trucks on the carpeted floor, manipulated squishy toys, and colored on white paper with magic markers and crayons. After free play activities, children cleaned up and transitioned to the tables for A.M. snack. A.M. snack served was peanut butter sticks with grape jelly, and bottled water. V. Stewart gave the children a “Wet Ones” wipe to clean their hands. Children did not wash their hands with running water and soap prior to eating A.M. snack. During snack, V. Stewart engaged the children in conversation and asked open-ended questions regarding their open house activities. While monitoring the indoor area, I observed three packs of “Wet Ones” wipes, a bottle of Advanced Hand Sanitizer, and two bottles of Mr. Teals Sleep Spray with a warning, “Keep out of Reach of Children” stored on a white three tier plastic cart next to the dramatic play area, accessible to children in care. When prompted, V. Stewart removed the items mentioned and placed them inside a clear plastic box stored on top of a wooden shelf in the primary care space that is more than five feet from the finished floor. After snack, V. Stewart assisted the children with hand washing and personal care routines. Children returned to the primary care space and participated in a large group activity. V. Stewart and the children played, “Scramble” and a counting activity with UNO cards. Children records were monitored on June 26, 2024. No new children have enrolled in the facility. V. Stewart’s personnel file and program records were monitored today. At the completion of the visit, the Visit Summary was reviewed with V. Stewart. The following violations were observed during the visit: Violation Number Comment Rule 714 Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division. The operator stated that a monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division. 10A NCAC .1721(e)(5)(A-F) 816 Each child's hands were not washed before and after eating. Each child's hands were not washed with running water and soap before eating A.M. snack (peanut butter sticks, grape jelly, and bottled water). .1725(a)(7)(B) 1853 The operator did not conduct a monthly fire drill. The operator stated that a fire drill has not been conducted since the Temporary License was issued on May 20, 2024. .1719(a)(15) & .1721( e)(2) 1889 Products that are labeled "keep out of reach of children" without any other warnings, were not stored on a shelf or in an unlocked cabinet that is five feet above the finished floor. A bottle of Advance hand sanitizer, three packs of "Wet Ones" wipes, and two bottles of Dr. Teals Sleep Spray labeled "keep out of reach of children" without any other warnings, were not stored on a shelf or in an unlocked cabinet that is five feet above the finished floor. When prompted, the operator placed the items in a clear plastic box on top of a wooden shelf, more than five feet above the finished floor. .1719(a)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. The violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on September 6, 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: Rhonda Blackmon Lead Child Care Consultant P.O. Box 279 Linden, NC 28356 Rhonda.blackmon@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 Technical Assistance Specific to Today’s Visit: Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. Items that are required to be stored above five feet from the finished floor include the Advance Hand Sanitizer, Wet Ones Wipes, and Dr. Teals Sleep Spray located on the three-tier white plastic cart next to the dramatic play area. When prompted, V. Stewart placed them in a clear plastic box on top of the wooden shelf in the primary care space, more than five feet from the finished floor. Consider posting reminder signs to alert staff and household members about the importance of storing hazardous items five feet from the finished floor or in locked storage to protect children from potential injury. Program Records: Rule 10A NCAC 09.1721 (e)(5) requires the Outdoor Inspection Checklist for FCCHs to be completed monthly and kept for review by a representative of the Division. During today’s visit, V. Stewart stated that she has not completed a monthly check for hazards on the outdoor play area and documented it on the form supplied by the Division. V. Stewart has a blank copy of the inspection form on file. We reviewed the information required to be documented on the form. Additionally, V. Stewart has a blank copy of the Emergency Drill Log & Report form for FCCHs on file. Family child care home operators must conduct one fire drill each month and keep a written record of monthly fire drills. The record must include the date of each drill, time of day, the length of time taken to evacuate the home and the operator’s signature. For additional guidance, please refer to Child Care Rules .1719(a)(15) and .1721(e)(2). Healthy Practices: Hand hygiene is the most important way to reduce the spread of infection. Many studies have shown that improperly cleansed hands are the primary carriers of infections. Deficiencies in hand hygiene have contributed to many outbreaks of diarrhea among children and caregivers/teachers in child care facilities. When staff and children are indoors, they must hand wash with running water and soap. Hand sanitizer may only be used in lieu of hand washing when there is no access to running water and soap. Thorough handwashing with soap and water can protect you and others from a range of infectious diseases. Liquid soap is better than bar soap in a child care setting. Remember to have children wash hands upon arrival, after playing outside, before and after meal times, after toileting, and after wiping noses. Rated License Assessment: As discussed on May 3, 2024, the FCCH must transition to a 3-5 Star Rated License to continue to be eligible to receive subsidized child care assistance after six (6) months. During today’s visit, V. Stewart stated that she’s enrolled in EDU 119 at FTCC for the Fall II semester. V. Stewart does not want to apply for a voluntary star-rated license during the temporary time period. Currently, all families enrolled in the facility are private pay. As a reminder, the facility will not be eligible to enroll families that receive subsidized child care assistance at the end of the Temporary License. V. Stewart stated that she understands and will not enroll any families that receive subsidized child care assistance. If the facility meets minimum licensing requirements at the end of the six-month temporary time period, a one-star child care license may be issued. Training: V. Stewart shall complete the Emergency Preparedness and Response in Child Care training by May 20, 2025. V. Stewart will have four (4) months from the date of completion to go online at https://rmp.nc.gov/portal/portal.aspx and complete the EPR Plan. As a reminder, you shall review the EPR Plan annually or when information in the plan changes to ensure all information is current. Additional caregivers and substitutes shall review the EPR Plan during orientation and/or on an annual basis with V. Stewart. Documentation of the review shall be maintained on file. In Addition, V. Stewart shall complete the CCDF health and safety trainings within twelve months of being licensed (May 20, 2025). The CCDF Health and Safety trainings are now available in the DCDEE Moodle Learning platform (https://www.dcdee.moodle.nc.gov/). You already know the Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, the DCDEE has established a new email address and phone number for Moodle Support. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. 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 Please feel free to contact me at 910-709-4168 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: Mo'Naes Tender Care Facility ID: 26002594 Consultant: RHONDA BLACKMON Operation Type: Family CC Home Case Number: Visit Date: 8/23/2024 Number Present: 3 Completed Date: 8/23/2024 Age: From 2 To 6 Total Minutes: 150 Time In: 10:15 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a second temporary time period visit. The previous temporary time period visit was completed June 26, 2024, and prior to today’s visit, the eighteen-month compliance history score was 94%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a temporary license effective, May 20, 2024 to November 20, 2024. The information on record with DCDEE was verified as correct by Vicky Stewart. Current Inspection is as follows: Sanitation Classification of Superior with two demerits completed May 9, 2024. V. Stewart, Operator/Teacher, was present and assisted me during the visit. I completed a walk-through of the indoor and outdoor areas. Preschool-age children participated in free play activities in the following activity areas: blocks/block play, manipulatives, and art/creative play. Children pushed cars and trucks on the carpeted floor, manipulated squishy toys, and colored on white paper with magic markers and crayons. After free play activities, children cleaned up and transitioned to the tables for A.M. snack. A.M. snack served was peanut butter sticks with grape jelly, and bottled water. V. Stewart gave the children a “Wet Ones” wipe to clean their hands. Children did not wash their hands with running water and soap prior to eating A.M. snack. During snack, V. Stewart engaged the children in conversation and asked open-ended questions regarding their open house activities. While monitoring the indoor area, I observed three packs of “Wet Ones” wipes, a bottle of Advanced Hand Sanitizer, and two bottles of Mr. Teals Sleep Spray with a warning, “Keep out of Reach of Children” stored on a white three tier plastic cart next to the dramatic play area, accessible to children in care. When prompted, V. Stewart removed the items mentioned and placed them inside a clear plastic box stored on top of a wooden shelf in the primary care space that is more than five feet from the finished floor. After snack, V. Stewart assisted the children with hand washing and personal care routines. Children returned to the primary care space and participated in a large group activity. V. Stewart and the children played, “Scramble” and a counting activity with UNO cards. Children records were monitored on June 26, 2024. No new children have enrolled in the facility. V. Stewart’s personnel file and program records were monitored today. At the completion of the visit, the Visit Summary was reviewed with V. Stewart. The following violations were observed during the visit: Violation Number Comment Rule 714 Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division. The operator stated that a monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division. 10A NCAC .1721(e)(5)(A-F) 816 Each child's hands were not washed before and after eating. Each child's hands were not washed with running water and soap before eating A.M. snack (peanut butter sticks, grape jelly, and bottled water). .1725(a)(7)(B) 1853 The operator did not conduct a monthly fire drill. The operator stated that a fire drill has not been conducted since the Temporary License was issued on May 20, 2024. .1719(a)(15) & .1721( e)(2) 1889 Products that are labeled "keep out of reach of children" without any other warnings, were not stored on a shelf or in an unlocked cabinet that is five feet above the finished floor. A bottle of Advance hand sanitizer, three packs of "Wet Ones" wipes, and two bottles of Dr. Teals Sleep Spray labeled "keep out of reach of children" without any other warnings, were not stored on a shelf or in an unlocked cabinet that is five feet above the finished floor. When prompted, the operator placed the items in a clear plastic box on top of a wooden shelf, more than five feet above the finished floor. .1719(a)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. The violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on September 6, 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: Rhonda Blackmon Lead Child Care Consultant P.O. Box 279 Linden, NC 28356 Rhonda.blackmon@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 Technical Assistance Specific to Today’s Visit: Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. Items that are required to be stored above five feet from the finished floor include the Advance Hand Sanitizer, Wet Ones Wipes, and Dr. Teals Sleep Spray located on the three-tier white plastic cart next to the dramatic play area. When prompted, V. Stewart placed them in a clear plastic box on top of the wooden shelf in the primary care space, more than five feet from the finished floor. Consider posting reminder signs to alert staff and household members about the importance of storing hazardous items five feet from the finished floor or in locked storage to protect children from potential injury. Program Records: Rule 10A NCAC 09.1721 (e)(5) requires the Outdoor Inspection Checklist for FCCHs to be completed monthly and kept for review by a representative of the Division. During today’s visit, V. Stewart stated that she has not completed a monthly check for hazards on the outdoor play area and documented it on the form supplied by the Division. V. Stewart has a blank copy of the inspection form on file. We reviewed the information required to be documented on the form. Additionally, V. Stewart has a blank copy of the Emergency Drill Log & Report form for FCCHs on file. Family child care home operators must conduct one fire drill each month and keep a written record of monthly fire drills. The record must include the date of each drill, time of day, the length of time taken to evacuate the home and the operator’s signature. For additional guidance, please refer to Child Care Rules .1719(a)(15) and .1721(e)(2). Healthy Practices: Hand hygiene is the most important way to reduce the spread of infection. Many studies have shown that improperly cleansed hands are the primary carriers of infections. Deficiencies in hand hygiene have contributed to many outbreaks of diarrhea among children and caregivers/teachers in child care facilities. When staff and children are indoors, they must hand wash with running water and soap. Hand sanitizer may only be used in lieu of hand washing when there is no access to running water and soap. Thorough handwashing with soap and water can protect you and others from a range of infectious diseases. Liquid soap is better than bar soap in a child care setting. Remember to have children wash hands upon arrival, after playing outside, before and after meal times, after toileting, and after wiping noses. Rated License Assessment: As discussed on May 3, 2024, the FCCH must transition to a 3-5 Star Rated License to continue to be eligible to receive subsidized child care assistance after six (6) months. During today’s visit, V. Stewart stated that she’s enrolled in EDU 119 at FTCC for the Fall II semester. V. Stewart does not want to apply for a voluntary star-rated license during the temporary time period. Currently, all families enrolled in the facility are private pay. As a reminder, the facility will not be eligible to enroll families that receive subsidized child care assistance at the end of the Temporary License. V. Stewart stated that she understands and will not enroll any families that receive subsidized child care assistance. If the facility meets minimum licensing requirements at the end of the six-month temporary time period, a one-star child care license may be issued. Training: V. Stewart shall complete the Emergency Preparedness and Response in Child Care training by May 20, 2025. V. Stewart will have four (4) months from the date of completion to go online at https://rmp.nc.gov/portal/portal.aspx and complete the EPR Plan. As a reminder, you shall review the EPR Plan annually or when information in the plan changes to ensure all information is current. Additional caregivers and substitutes shall review the EPR Plan during orientation and/or on an annual basis with V. Stewart. Documentation of the review shall be maintained on file. In Addition, V. Stewart shall complete the CCDF health and safety trainings within twelve months of being licensed (May 20, 2025). The CCDF Health and Safety trainings are now available in the DCDEE Moodle Learning platform (https://www.dcdee.moodle.nc.gov/). You already know the Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, the DCDEE has established a new email address and phone number for Moodle Support. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. 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 Please feel free to contact me at 910-709-4168 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 .1721 · Violation

Name of Operation: Mo'Naes Tender Care Facility ID: 26002594 Consultant: RHONDA BLACKMON Operation Type: Family CC Home Case Number: Visit Date: 6/26/2024 Number Present: 4 Completed Date: 6/26/2024 Age: From 1 To 6 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a first temporary time period visit. This program currently operates with a temporary license effective, May 20, 2024 to November 20, 2024. The information on record with DCDEE was verified as correct by Vicky Stewart. Current Inspection is as follows: Sanitation Classification of Superior with zero demerits completed May 9, 2024. V. Stewart, Operator/Teacher, was present and assisted me during the visit. I requested to conduct a walk-through of the indoor and outdoor areas. Permission was granted. Preschool-age children colored and drew on white paper at the tables with crayons and pencils. Afterwards, they transitioned to the book area and V. Stewart read the book, “The Night Before Kindergarten.” V. Stewart asked open-ended questions and engaged the children in conversation. After story time, children participated in personal care and hand washing routines. Upon their return to the primary care space, children participated in free play activities. Children finger-painted with red and green paint, looked at books, pushed small vehicles on the carpeted map with highways, and played in the dramatic play area. A child cooked on the pretend stove, served food, and selected items for the shopping cart. A child, six-years-old, completed a “sentence unscramble.” Prior to lunch being served V. Stewart and the children transitioned outdoors for free play activities. After outdoor play, children washed their hands and transitioned to the tables for lunch. Lunch served was pancakes, turkey sausage, sliced tomatoes, applesauce, and milk. V. Stewart’s personnel file, children’s files, and required program records were also monitored. At the completion of the visit, this Visit Summary was printed, reviewed, and a copy left with V. Stewart. The following violations were observed: Violation Number Comment Rule 540 The written schedule did not include a daily gross motor activity which may occur indoors or outdoors. The activity plan dated June 24-28, 2024, did not include a daily gross motor activity which may occur indoors or outdoors. .1718(a )(7)(E ) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. A signed statement was not on file for four children, identified on the FCCH enrollment record, attesting that the Summary of the NC Child Care Law was given to each child's parent/guardian before the child was enrolled in the home. GS 110-102 1895 Application did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns. The application on file for two children, ages five and six-years-old, did not include health care needs or concerns. The health care needs section on the application was incomplete. .1721 (a ) (3)(D) 2031 Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy. Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents of two children, ages one and four-years-old, at time of enrollment. .1726(b)&(c) 2041 Application did not include the names and the phone numbers of the child's physician and the persons to be contacted in an emergency situation. The application on file for two children, ages five and six-years-old, did not include the names and the phone numbers of the child's physician and preferred hospital. 10A NCAC 09 .1721(a)(3)(G)(H) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. The violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00 p.m. on July 10, 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: Rhonda Blackmon Lead Child Care Consultant P.O. Box 279 Linden, NC 28356 Rhonda.blackmon@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 Technical Assistance Specific to Today’s Visit: Activity Plans and Schedules: Reflect that children have at least four different activities daily, at least one of which is outdoors, if weather conditions permit. The remaining three activities should occur in the following areas (art/creative play, children’s books, blocks and block building, manipulatives, and/or family living/dramatic play). Include both free choice and adult-directed activities, that allow children to choose to participate with the whole group, in a small group or independently. During today’s visit, the activity plan did not include a gross motor activity. As a reminder: Each child shall have the opportunity for a minimum of one hour of outdoor play each day that weather conditions permit. The operator shall provide space and time for vigorous indoor activities when children cannot play outdoors. For additional guidance, you may refer to child care rule 09.1718. Children’s Records: You shall maintain an application for enrollment for each enrolled child, that includes the following information: (A) the child's full name and the name the child is to be called; (B) the child's date of birth; (C) any allergies and the symptoms and type of response required for allergic reactions; (D) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (E) fears or behavior characteristics that the child has; (F) the names of individuals to whom the operator may release the child as authorized by the person who signs the application; (G) the names and phone numbers of persons to be contacted in an emergency situation; (H) the name and phone number of the child's physician; and (I) authorization for the operator to seek emergency medical care in the parent's absence. During today’s visit, the applications for two children (J.H. and I.H.) were missing health care needs and emergency medical care information. Review all completed applications to ensure the required information is documented and current. Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Review children's files often to ensure the program is maintaining accurate licensing records. Organization and completeness of records is important to ensure easy access to information in emergency situations. For the files that contained the checklist, the form was incomplete and not updated to reflect dates of submission for required documentation and files were missing required paperwork. Four files monitored today were missing documentation of receipt of Summary of Child Care Law (J.H., I.H., K.M., and W.U.) and documentation of review and receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy (K.M., and W.U.). Rated License Assessment: The FCCH must transition to a 3-5 Star Rated License to continue to be eligible to receive subsidized care after six (6) months. During today’s visit, I informed you that the enhanced standards are based on two components: education and program standards. The requirements to complete for each point level in both education and the program standards were reviewed. V. Stewart stated she’s enrolled in EDU 119 at Fayetteville Technical Community College, and she’s obtained a copy of the FCCERS-R to assist her with the three-month self-study/assessment. As a reminder, official transcripts must be submitted for ALL completed college-level coursework, certificates, diplomas and/or degrees. Please do not upload in your WORKS account copies of in-service training documentation as these are not considered college coursework. Photocopies of transcripts, student or internet copies, and grade reports are NOT accepted. Official transcripts must be submitted electronically or mailed to the Division of Child Development and Early Education, Attn: Workforce Education Unit, 2201 Mail Service Center, Raleigh NC 27699-2201. The NCRLAP website (www.ncrlap.org) has a wealth of information on the Environment Rating Scales and overall quality issues for child care. You can download NC Additional Notes for the FCCERS-R and find additional information that will assist you with quality environments. Training videos are available on the following topics: Overview of the Assessment Process, Using Materials with Non-Mobile Infants, A Safe Place for Gross Motor Play, Hand washing and Other Basic Health Considerations, and Language for Learning. The Application for Assessment for a Two Component Star Rated License was reviewed and emailed to V. Stewart. We discussed completing a three (3) month self-study/assessment using the FCCERS-R. For additional guidance, refer to the following documents emailed to you: 1. What is a Self-Study Process? 2. The Self-Study Process for NC’s Family Child Care Homes Planning Form 3. The Self-Study Process for NC’s Family Child Care Homes Key Points If interested in applying for a voluntary 2-5 Star Rated License, email the rated license application packet to the email address listed above by August 1, 2024. A packet of forms, brochures, and technical assistance handouts were reviewed and provided to V. Stewart. The forms identified staff education requirements, program requirements, and options to achieve a Quality Point. Refer to child care requirement 09.2829 to determine which option the facility is meeting for the one quality point. Training: V. Stewart shall complete the Emergency Preparedness and Response in Child Care training by May 20, 2025. V. Stewart has (4) months from the date of completion to go online at https://rmp.nc.gov/portal/portal.aspx and complete the EPR Plan. Fire drills will be completed monthly and lock down or shelter in place drills shall be completed at least every three months. V. Stewart shall complete the CCDF Health and Safety training requirements. The health and safety trainings must be completed within twelve (12) months of being licensed (May 20, 2025). The CCDF Health and Safety trainings are now available in the DCDEE Moodle learning platform (https://www.dcdee.moodle.nc.gov/). Recognizing and Responding to Suspicions of Maltreatment: Child care staff are expected to be well informed about child abuse and neglect issues and adequately trained to prevent and recognize potential maltreatment. V. Stewart shall complete the training within 90 days of licensure (August 20, 2024). You may access the training at: www.preventchildabusenc.org. AWARD$ Plus Program: The Infant Toddler Educator AWARD$ program has recently gone through some exciting programmatic updates. The original AWARD$ program was only available to teachers working full-time in Birth to Three classrooms that had an AA in ECE or higher degree and were employed by 4- and 5-star programs. The education requirement has been reduced as an incentive to support teachers seeking to increase their education in any star rated licensed program. Visit www.childcareservices.org/award for additional information. The Challenging Behaviors Hotline has opened. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. Child care licensing requirements are established to ensure a safe and healthy child care environment. It is your responsibility to maintain compliance with all applicable laws and rules at all times. Periodically review the child care law and rules. Visit the DCDEE website and click on the “What’s New” tab to stay abreast of all updates. Please feel free to contact me at 910-709-4168 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.

GS 110-102 · Violation

Name of Operation: Mo'Naes Tender Care Facility ID: 26002594 Consultant: RHONDA BLACKMON Operation Type: Family CC Home Case Number: Visit Date: 6/26/2024 Number Present: 4 Completed Date: 6/26/2024 Age: From 1 To 6 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a first temporary time period visit. This program currently operates with a temporary license effective, May 20, 2024 to November 20, 2024. The information on record with DCDEE was verified as correct by Vicky Stewart. Current Inspection is as follows: Sanitation Classification of Superior with zero demerits completed May 9, 2024. V. Stewart, Operator/Teacher, was present and assisted me during the visit. I requested to conduct a walk-through of the indoor and outdoor areas. Permission was granted. Preschool-age children colored and drew on white paper at the tables with crayons and pencils. Afterwards, they transitioned to the book area and V. Stewart read the book, “The Night Before Kindergarten.” V. Stewart asked open-ended questions and engaged the children in conversation. After story time, children participated in personal care and hand washing routines. Upon their return to the primary care space, children participated in free play activities. Children finger-painted with red and green paint, looked at books, pushed small vehicles on the carpeted map with highways, and played in the dramatic play area. A child cooked on the pretend stove, served food, and selected items for the shopping cart. A child, six-years-old, completed a “sentence unscramble.” Prior to lunch being served V. Stewart and the children transitioned outdoors for free play activities. After outdoor play, children washed their hands and transitioned to the tables for lunch. Lunch served was pancakes, turkey sausage, sliced tomatoes, applesauce, and milk. V. Stewart’s personnel file, children’s files, and required program records were also monitored. At the completion of the visit, this Visit Summary was printed, reviewed, and a copy left with V. Stewart. The following violations were observed: Violation Number Comment Rule 540 The written schedule did not include a daily gross motor activity which may occur indoors or outdoors. The activity plan dated June 24-28, 2024, did not include a daily gross motor activity which may occur indoors or outdoors. .1718(a )(7)(E ) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. A signed statement was not on file for four children, identified on the FCCH enrollment record, attesting that the Summary of the NC Child Care Law was given to each child's parent/guardian before the child was enrolled in the home. GS 110-102 1895 Application did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns. The application on file for two children, ages five and six-years-old, did not include health care needs or concerns. The health care needs section on the application was incomplete. .1721 (a ) (3)(D) 2031 Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy. Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents of two children, ages one and four-years-old, at time of enrollment. .1726(b)&(c) 2041 Application did not include the names and the phone numbers of the child's physician and the persons to be contacted in an emergency situation. The application on file for two children, ages five and six-years-old, did not include the names and the phone numbers of the child's physician and preferred hospital. 10A NCAC 09 .1721(a)(3)(G)(H) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. The violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00 p.m. on July 10, 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: Rhonda Blackmon Lead Child Care Consultant P.O. Box 279 Linden, NC 28356 Rhonda.blackmon@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 Technical Assistance Specific to Today’s Visit: Activity Plans and Schedules: Reflect that children have at least four different activities daily, at least one of which is outdoors, if weather conditions permit. The remaining three activities should occur in the following areas (art/creative play, children’s books, blocks and block building, manipulatives, and/or family living/dramatic play). Include both free choice and adult-directed activities, that allow children to choose to participate with the whole group, in a small group or independently. During today’s visit, the activity plan did not include a gross motor activity. As a reminder: Each child shall have the opportunity for a minimum of one hour of outdoor play each day that weather conditions permit. The operator shall provide space and time for vigorous indoor activities when children cannot play outdoors. For additional guidance, you may refer to child care rule 09.1718. Children’s Records: You shall maintain an application for enrollment for each enrolled child, that includes the following information: (A) the child's full name and the name the child is to be called; (B) the child's date of birth; (C) any allergies and the symptoms and type of response required for allergic reactions; (D) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (E) fears or behavior characteristics that the child has; (F) the names of individuals to whom the operator may release the child as authorized by the person who signs the application; (G) the names and phone numbers of persons to be contacted in an emergency situation; (H) the name and phone number of the child's physician; and (I) authorization for the operator to seek emergency medical care in the parent's absence. During today’s visit, the applications for two children (J.H. and I.H.) were missing health care needs and emergency medical care information. Review all completed applications to ensure the required information is documented and current. Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Review children's files often to ensure the program is maintaining accurate licensing records. Organization and completeness of records is important to ensure easy access to information in emergency situations. For the files that contained the checklist, the form was incomplete and not updated to reflect dates of submission for required documentation and files were missing required paperwork. Four files monitored today were missing documentation of receipt of Summary of Child Care Law (J.H., I.H., K.M., and W.U.) and documentation of review and receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy (K.M., and W.U.). Rated License Assessment: The FCCH must transition to a 3-5 Star Rated License to continue to be eligible to receive subsidized care after six (6) months. During today’s visit, I informed you that the enhanced standards are based on two components: education and program standards. The requirements to complete for each point level in both education and the program standards were reviewed. V. Stewart stated she’s enrolled in EDU 119 at Fayetteville Technical Community College, and she’s obtained a copy of the FCCERS-R to assist her with the three-month self-study/assessment. As a reminder, official transcripts must be submitted for ALL completed college-level coursework, certificates, diplomas and/or degrees. Please do not upload in your WORKS account copies of in-service training documentation as these are not considered college coursework. Photocopies of transcripts, student or internet copies, and grade reports are NOT accepted. Official transcripts must be submitted electronically or mailed to the Division of Child Development and Early Education, Attn: Workforce Education Unit, 2201 Mail Service Center, Raleigh NC 27699-2201. The NCRLAP website (www.ncrlap.org) has a wealth of information on the Environment Rating Scales and overall quality issues for child care. You can download NC Additional Notes for the FCCERS-R and find additional information that will assist you with quality environments. Training videos are available on the following topics: Overview of the Assessment Process, Using Materials with Non-Mobile Infants, A Safe Place for Gross Motor Play, Hand washing and Other Basic Health Considerations, and Language for Learning. The Application for Assessment for a Two Component Star Rated License was reviewed and emailed to V. Stewart. We discussed completing a three (3) month self-study/assessment using the FCCERS-R. For additional guidance, refer to the following documents emailed to you: 1. What is a Self-Study Process? 2. The Self-Study Process for NC’s Family Child Care Homes Planning Form 3. The Self-Study Process for NC’s Family Child Care Homes Key Points If interested in applying for a voluntary 2-5 Star Rated License, email the rated license application packet to the email address listed above by August 1, 2024. A packet of forms, brochures, and technical assistance handouts were reviewed and provided to V. Stewart. The forms identified staff education requirements, program requirements, and options to achieve a Quality Point. Refer to child care requirement 09.2829 to determine which option the facility is meeting for the one quality point. Training: V. Stewart shall complete the Emergency Preparedness and Response in Child Care training by May 20, 2025. V. Stewart has (4) months from the date of completion to go online at https://rmp.nc.gov/portal/portal.aspx and complete the EPR Plan. Fire drills will be completed monthly and lock down or shelter in place drills shall be completed at least every three months. V. Stewart shall complete the CCDF Health and Safety training requirements. The health and safety trainings must be completed within twelve (12) months of being licensed (May 20, 2025). The CCDF Health and Safety trainings are now available in the DCDEE Moodle learning platform (https://www.dcdee.moodle.nc.gov/). Recognizing and Responding to Suspicions of Maltreatment: Child care staff are expected to be well informed about child abuse and neglect issues and adequately trained to prevent and recognize potential maltreatment. V. Stewart shall complete the training within 90 days of licensure (August 20, 2024). You may access the training at: www.preventchildabusenc.org. AWARD$ Plus Program: The Infant Toddler Educator AWARD$ program has recently gone through some exciting programmatic updates. The original AWARD$ program was only available to teachers working full-time in Birth to Three classrooms that had an AA in ECE or higher degree and were employed by 4- and 5-star programs. The education requirement has been reduced as an incentive to support teachers seeking to increase their education in any star rated licensed program. Visit www.childcareservices.org/award for additional information. The Challenging Behaviors Hotline has opened. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. Child care licensing requirements are established to ensure a safe and healthy child care environment. It is your responsibility to maintain compliance with all applicable laws and rules at all times. Periodically review the child care law and rules. Visit the DCDEE website and click on the “What’s New” tab to stay abreast of all updates. Please feel free to contact me at 910-709-4168 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: Mo'Naes Tender Care Facility ID: 26002594 Consultant: RHONDA BLACKMON Operation Type: Family CC Home Case Number: Visit Date: 6/26/2024 Number Present: 4 Completed Date: 6/26/2024 Age: From 1 To 6 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a first temporary time period visit. This program currently operates with a temporary license effective, May 20, 2024 to November 20, 2024. The information on record with DCDEE was verified as correct by Vicky Stewart. Current Inspection is as follows: Sanitation Classification of Superior with zero demerits completed May 9, 2024. V. Stewart, Operator/Teacher, was present and assisted me during the visit. I requested to conduct a walk-through of the indoor and outdoor areas. Permission was granted. Preschool-age children colored and drew on white paper at the tables with crayons and pencils. Afterwards, they transitioned to the book area and V. Stewart read the book, “The Night Before Kindergarten.” V. Stewart asked open-ended questions and engaged the children in conversation. After story time, children participated in personal care and hand washing routines. Upon their return to the primary care space, children participated in free play activities. Children finger-painted with red and green paint, looked at books, pushed small vehicles on the carpeted map with highways, and played in the dramatic play area. A child cooked on the pretend stove, served food, and selected items for the shopping cart. A child, six-years-old, completed a “sentence unscramble.” Prior to lunch being served V. Stewart and the children transitioned outdoors for free play activities. After outdoor play, children washed their hands and transitioned to the tables for lunch. Lunch served was pancakes, turkey sausage, sliced tomatoes, applesauce, and milk. V. Stewart’s personnel file, children’s files, and required program records were also monitored. At the completion of the visit, this Visit Summary was printed, reviewed, and a copy left with V. Stewart. The following violations were observed: Violation Number Comment Rule 540 The written schedule did not include a daily gross motor activity which may occur indoors or outdoors. The activity plan dated June 24-28, 2024, did not include a daily gross motor activity which may occur indoors or outdoors. .1718(a )(7)(E ) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. A signed statement was not on file for four children, identified on the FCCH enrollment record, attesting that the Summary of the NC Child Care Law was given to each child's parent/guardian before the child was enrolled in the home. GS 110-102 1895 Application did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns. The application on file for two children, ages five and six-years-old, did not include health care needs or concerns. The health care needs section on the application was incomplete. .1721 (a ) (3)(D) 2031 Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy. Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents of two children, ages one and four-years-old, at time of enrollment. .1726(b)&(c) 2041 Application did not include the names and the phone numbers of the child's physician and the persons to be contacted in an emergency situation. The application on file for two children, ages five and six-years-old, did not include the names and the phone numbers of the child's physician and preferred hospital. 10A NCAC 09 .1721(a)(3)(G)(H) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. The violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00 p.m. on July 10, 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: Rhonda Blackmon Lead Child Care Consultant P.O. Box 279 Linden, NC 28356 Rhonda.blackmon@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 Technical Assistance Specific to Today’s Visit: Activity Plans and Schedules: Reflect that children have at least four different activities daily, at least one of which is outdoors, if weather conditions permit. The remaining three activities should occur in the following areas (art/creative play, children’s books, blocks and block building, manipulatives, and/or family living/dramatic play). Include both free choice and adult-directed activities, that allow children to choose to participate with the whole group, in a small group or independently. During today’s visit, the activity plan did not include a gross motor activity. As a reminder: Each child shall have the opportunity for a minimum of one hour of outdoor play each day that weather conditions permit. The operator shall provide space and time for vigorous indoor activities when children cannot play outdoors. For additional guidance, you may refer to child care rule 09.1718. Children’s Records: You shall maintain an application for enrollment for each enrolled child, that includes the following information: (A) the child's full name and the name the child is to be called; (B) the child's date of birth; (C) any allergies and the symptoms and type of response required for allergic reactions; (D) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (E) fears or behavior characteristics that the child has; (F) the names of individuals to whom the operator may release the child as authorized by the person who signs the application; (G) the names and phone numbers of persons to be contacted in an emergency situation; (H) the name and phone number of the child's physician; and (I) authorization for the operator to seek emergency medical care in the parent's absence. During today’s visit, the applications for two children (J.H. and I.H.) were missing health care needs and emergency medical care information. Review all completed applications to ensure the required information is documented and current. Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Review children's files often to ensure the program is maintaining accurate licensing records. Organization and completeness of records is important to ensure easy access to information in emergency situations. For the files that contained the checklist, the form was incomplete and not updated to reflect dates of submission for required documentation and files were missing required paperwork. Four files monitored today were missing documentation of receipt of Summary of Child Care Law (J.H., I.H., K.M., and W.U.) and documentation of review and receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy (K.M., and W.U.). Rated License Assessment: The FCCH must transition to a 3-5 Star Rated License to continue to be eligible to receive subsidized care after six (6) months. During today’s visit, I informed you that the enhanced standards are based on two components: education and program standards. The requirements to complete for each point level in both education and the program standards were reviewed. V. Stewart stated she’s enrolled in EDU 119 at Fayetteville Technical Community College, and she’s obtained a copy of the FCCERS-R to assist her with the three-month self-study/assessment. As a reminder, official transcripts must be submitted for ALL completed college-level coursework, certificates, diplomas and/or degrees. Please do not upload in your WORKS account copies of in-service training documentation as these are not considered college coursework. Photocopies of transcripts, student or internet copies, and grade reports are NOT accepted. Official transcripts must be submitted electronically or mailed to the Division of Child Development and Early Education, Attn: Workforce Education Unit, 2201 Mail Service Center, Raleigh NC 27699-2201. The NCRLAP website (www.ncrlap.org) has a wealth of information on the Environment Rating Scales and overall quality issues for child care. You can download NC Additional Notes for the FCCERS-R and find additional information that will assist you with quality environments. Training videos are available on the following topics: Overview of the Assessment Process, Using Materials with Non-Mobile Infants, A Safe Place for Gross Motor Play, Hand washing and Other Basic Health Considerations, and Language for Learning. The Application for Assessment for a Two Component Star Rated License was reviewed and emailed to V. Stewart. We discussed completing a three (3) month self-study/assessment using the FCCERS-R. For additional guidance, refer to the following documents emailed to you: 1. What is a Self-Study Process? 2. The Self-Study Process for NC’s Family Child Care Homes Planning Form 3. The Self-Study Process for NC’s Family Child Care Homes Key Points If interested in applying for a voluntary 2-5 Star Rated License, email the rated license application packet to the email address listed above by August 1, 2024. A packet of forms, brochures, and technical assistance handouts were reviewed and provided to V. Stewart. The forms identified staff education requirements, program requirements, and options to achieve a Quality Point. Refer to child care requirement 09.2829 to determine which option the facility is meeting for the one quality point. Training: V. Stewart shall complete the Emergency Preparedness and Response in Child Care training by May 20, 2025. V. Stewart has (4) months from the date of completion to go online at https://rmp.nc.gov/portal/portal.aspx and complete the EPR Plan. Fire drills will be completed monthly and lock down or shelter in place drills shall be completed at least every three months. V. Stewart shall complete the CCDF Health and Safety training requirements. The health and safety trainings must be completed within twelve (12) months of being licensed (May 20, 2025). The CCDF Health and Safety trainings are now available in the DCDEE Moodle learning platform (https://www.dcdee.moodle.nc.gov/). Recognizing and Responding to Suspicions of Maltreatment: Child care staff are expected to be well informed about child abuse and neglect issues and adequately trained to prevent and recognize potential maltreatment. V. Stewart shall complete the training within 90 days of licensure (August 20, 2024). You may access the training at: www.preventchildabusenc.org. AWARD$ Plus Program: The Infant Toddler Educator AWARD$ program has recently gone through some exciting programmatic updates. The original AWARD$ program was only available to teachers working full-time in Birth to Three classrooms that had an AA in ECE or higher degree and were employed by 4- and 5-star programs. The education requirement has been reduced as an incentive to support teachers seeking to increase their education in any star rated licensed program. Visit www.childcareservices.org/award for additional information. The Challenging Behaviors Hotline has opened. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. Child care licensing requirements are established to ensure a safe and healthy child care environment. It is your responsibility to maintain compliance with all applicable laws and rules at all times. Periodically review the child care law and rules. Visit the DCDEE website and click on the “What’s New” tab to stay abreast of all updates. Please feel free to contact me at 910-709-4168 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