NC GS 110-90 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: NANCY STRATFORD Operation Type: Center Case Number: 1025-322L Visit Date: 10/29/2025 Number Present: 73 Completed Date: 10/29/2025 Age: From 0 To 4 Total Minutes: 315 Time In: 09:00 AM Time Out: 12:30 PM Time In: 01:30 PM Time Out: 03:15 PM List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to investigate allegations regarding violations of child care requirements. The previous Annual Compliance Visit was completed March 10, 2025, and prior to today’s visit, the eighteen-month compliance history score was 93% which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued September 30, 2024. The License was based on the program earning seven points in education standards, two points in program standards, and one quality point by choosing to meet the education option for: The child care administrator with at least 10 years of documented child care administration work experience in a licensed program that can be verified by the division. The information on record with DCDEE was verified as correct by Lawanda Thomas, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior completed June 26, 2025. Fire Classification of Approved completed April 1, 2025. Ms. Thomas was present and accompanied me while observing the indoor areas. In Space #1, there was one infant sleeping in their crib, three infants were sitting on the carpet with soft toys. In Space #6, the children were observed sitting at the table, gluing yellow strips. In space #9, the children were observed playing with soft toys, balls, blocks, and cars. Lunch served was spaghetti, green beans, mixed fruit, bread, and milk. The concerns were discussed with Ms. Thomas and to inform her of the purpose of my visit. Interviews were conducted with the Administrator, Ms. Thomas and one staff providing care at the approximate time the incident occurred, and five other staff. There are allegations of violations of child care requirements, including: • Supervision Regarding the concerns for children are not adequately supervised, observations and interviews were conducted. Observations of the teacher and child interactions were observed in all classrooms. During the interviews, the staff member named in the report stated that she supervises her children, and she is unaware of children being left unsupervised. Pertaining to the supervision allegation for the outdoor area, two staff members stated that the staff member left a child on the playground, while the staff member named in the report stated that there was another teacher (B) on the playground, and the teacher agreed to receive her child. The staff member named in the report left the outdoor area, because the child was now being supervised with teacher B. During interviews teacher (B) confirmed that she had agreed to supervise the child on the playground and the staff member named in the report did not leave the child unsupervised. Pertaining to the supervision allegation for a child left unsupervised in the hallway, three staff stated that a child was left unsupervised in the hallway. One staff member stated the child was “roaming” the hallway. The staff member named in the report stated that she was unable to get to the child. She did not call an administrator or ask for help. The administrator stated that another staff member called her on the two-way radio, to let her know that the two-year-old child had entered in the classroom from the back door and may be coming down the hallway. The administrator saw the child in the hallway and brought the child back to the teacher. All staff confirmed that there is one two-year-old child that knows how to open doors, and the staff members monitor closely to ensure that the child does not open the doors to leave out of the classroom. The administrator stated that she reviews the cameras periodically to determine the location of all children. During today’s visit, the video was not available because it was stated that the camera is “live” and does not record. Based on the information received, the allegation for supervision is substantiated. At the completion of the visit, the Visit Summary was reviewed with Ms. Thomas. The following violation is observed: Violation Number Comment Rule 303 Children were not adequately supervised at all times. During interviews, it was confirmed that one two-year-old child left out of the playground area, and then walked through a classroom into the hallway. The staff member responsible for the child did not notify anyone, and the staff member did not attempt to get to the child. The child was unsupervised, until the administrator walked to the classroom and the child was trying to come out. .1801(a)(1-5) 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 violation observed and documented today may impact the compliance history score. The violation observed and documented today must be corrected immediately. Additionally, by 5:00pm on November 12, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 nancy.stratford@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Facility Specific TA/Consultation/Reminders : Administrative Action: Due to the substantiated complaint, it may result in administrative action. Corrective Action: When speaking with the administrator, Ms. Thomas, she stated that she will be providing supervision training for all staff. The administrator will put in the playground accountability forms in place to help with the headcounts of all children. The administrator will be providing corrective action plan for staff involved in the incident. The administrator will be reviewing procedures for reporting incidents that occur within the program. The supervision plan will be reviewed. The administrator will also give scenarios for incidents that could occur. Challenging Behaviors Hotline During interviews, it was discussed that there are some concerns with challenging behaviors. I have provided resources below: Do you have children who bite? Do children struggle to focus during circle time? Do challenging behaviors cause difficult transitions? Do you spend all day managing behavior? Are you at your wits' end? Help is available for these and other behavior challenges! The Challenging Behaviors Hotline has opened and is provided for Free. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. Door Safety Locks: Today, we talked about strategies to help provide quality care for the children. We talked about door safety precautions. There are certain door safety items that you can purchase. There is a latch that is installed. You will need to get approved by the fire marshal before installing. My mailing address is: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 10/8/2025 Number Present: 79 Completed Date: 10/8/2025 Age: From 0 To 5 Total Minutes: 235 Time In: 09:20 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a routine unannounced visit. The previous Annual Compliance Visit was completed March 10, 2025, and prior to today’s visit, the eighteen-month compliance history score was 93% which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued September 30, 2024. The License was based on the program earning seven points in education standards, two points in program standards, and one quality point by choosing to meet the education option for: The child care administrator with at least 10 years of documented child care administration work experience in a licensed program that can be verified by the division. The information on record with DCDEE was verified as correct by Lawanda Thomas, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior completed June 26, 2025. Fire Classification of Approved completed April 1, 2025. Ms. Thomas was present and accompanied me while observing the indoor and outdoor areas. In Space #1, the children were walking around exploring their space. The children were playing with soft toys, shakers, musical toys, and blocks. In Space #5, the children were observed painting, playing at the water table, teacher-directed activity, building with tools, and manipulatives. A violation was observed for equipment and furnishings. In space #9, the children were observed sitting at the table. The teacher was talking to the children. A violation was observed for the electrical outlet. Lunch served spaghetti, green beans, blueberries, and milk. Program files were reviewed. The most recent fire drill was completed on September 26, 2025. The three-month drill was not completed. A violation was observed. The most recent playground inspection was completed on September 26, 2025. At the completion of the visit, the Visit Summary was reviewed with Ms. Thomas. The following violations were observed: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. In Space #5, there was a child-sized cabinet that was not in good repair. There was a broken piece in the corner. This was corrected when the administrator replaced the cabinet with a different one in good repair. G.S. 110-91(6); .0601(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There was one electrical outlet that did not contain a safety plug. This was corrected when the teacher covered the electrical outlet with a safety plug. 10A NCAC 09 .0604(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place or lockdown drills was not completed for the month of September 2025. .0604(u);.0302(d)(8) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today was corrected during today’s visit. A compliance letter is not required. Facility Specific TA/Consultation/Reminders : During today’s visit we discussed the QRIS Modernization Pathways. You stated that you are unsure which pathway your program will select. I encourage you to review the information for the different pathway. We reviewed pathway #1 during today’s visit, and talked about the ITERS,3ECERS-3, SACERS-U score requirements. I walked you through the application process on the DCDEE website and where to locate the required forms. Your goal is to complete the requirements for a pathway of your choice by April 2026. In addition, reach out to the partnership for children for technical assistance in preparation for the ITER-3 , ECERS-3, and SACERS-U. Observations/Technical Assistance/Transitions: Today, I provided some resources that can assist when transitioning. It is helpful to let children know in advance before making transitions. Provide reminders five minutes before changing an activity. Allow opportunities for “job roles” for some of the children that may struggle with transitions. In addition, sometimes, providing a visual schedule helps create a smooth transition. In the toddler classroom, the children were coming indoors, the caregiver could provide a fun way of introducing handwashing so that all the children will be excited about handwashing. The caregiver can make up a fun handwashing song. All the children can either line up or sit down. Once the children wash their hands, make sure that there is an activity ready for the children. If the caregiver would like the children to drink water, the children can be given water. An observation was observed in the infant classroom and the toddler/preschool classroom. In both classrooms, both staff members provided opportunities for learning and development. The staff members talked to the children and encouraged the children to conversate. Today I am providing technical assistance with literature and language. It is important to make sure that during transitions, or any time, conversation should be occurring. The teachers can talked to the children about what they are doing (self-talk), or the teachers can talk to the children about what they are doing (parallel talk). NCRLAP During today’s visit, I spoke with the teacher about the QRIS, (Pathway to the Stars), and the updated Environment Rating Scale ECERS-3. The staff members can review the website, www.ncrlap.org for additional information and resources. In addition, make sure that all staff information is current in WORKS. Electrical Outlets: A violation was cited today for electrical outlets. This was corrected during today’s visit. Today, we talked about different strategies to ensure that the facility is operating in compliance with Child Care Rules. Before the children arrive, it is best practice to conduct a walk-though of the classroom to make sure that all electrical outlets are covered, in addition, make sure the area used by children is safe from all hazards and potential hazards. Refer to Child Care Rule: 10A NCAC 09 .0604 for more information regarding this rule requirement. Shelter-In Place or Lockdown Drill Log: Shelter-in-place drills will need to be completed every three months. We discussed placing dates on the calendar for upcoming due dates for drills to ensure that drills are conducted as indicated in Rule 10A NCAC 09 .1719(a)(16) &.1721(e)(7). 10A NCAC 09 .0102 In addition, we also discussed some concerns you were having with locations to use for your drills. We talked about making sure all doors were closed and the children will need to be away from all doors and windows. Also be reminded, of things that could fly through the window. Today, you were able to practice with your children for the shelter in place drill. The information was recorded on the log. Natural Outdoor Learning Initiative: The DCDEE has a new initiative – Natural Outdoor Learning Initiative. Through this initiative, we hope to: increase knowledge and confidence for everyone in developing and implementing best practices to support the creation, programming, and safe use of naturalized outdoor spaces in child care facilities. You can learn more by visiting the NLI website, where you will also find many resources, including an updated Toolkit designed to help you enhance your outdoor learning environment. The downloadable NLI Toolkit is available at: https://naturalearning.org/preschool-outdoor-toolkit. Challenging Behaviors: Do you have children who bite? Do children struggle to focus during circle time? Do challenging behaviors cause difficult transitions? Do you spend all day managing behavior? Are you at your wits' end? Help is available for these and other behavior challenges! The Challenging Behaviors Hotline has opened and is provided for Free. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. In addition: CSEFEL: Center on the Social and Emotional Foundations for Early Learning Child Care Health Consultant: The Cumberland County Department of Public Health current Child Care Health Consultant is Nicole Richardson. Her contact number is: 910-678-7706 and her email address: nrrichardson@cumberlandcountync.gov Visit the website https://nccchcassociation.org/resources/ , under resources there are several links that may be beneficial for your Family Child Care Home. For example, Caring for Our Children, My Plate, Safe Kids NC, and many others. The following website will also provide more information about the Child Care Health Consultants. The Child Care Health Consultant provides support in the following areas, but not limited to: oral health, illness, infectious disease, emergency preparedness, health related areas, nutrition, environmental health, and physical activity. For addition information areas, visit the website, https://healthychildcare.unc.edu/child-care-health-consultants/about-cchc/ . Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

10A NCAC 09 .0102 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 10/8/2025 Number Present: 79 Completed Date: 10/8/2025 Age: From 0 To 5 Total Minutes: 235 Time In: 09:20 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a routine unannounced visit. The previous Annual Compliance Visit was completed March 10, 2025, and prior to today’s visit, the eighteen-month compliance history score was 93% which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued September 30, 2024. The License was based on the program earning seven points in education standards, two points in program standards, and one quality point by choosing to meet the education option for: The child care administrator with at least 10 years of documented child care administration work experience in a licensed program that can be verified by the division. The information on record with DCDEE was verified as correct by Lawanda Thomas, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior completed June 26, 2025. Fire Classification of Approved completed April 1, 2025. Ms. Thomas was present and accompanied me while observing the indoor and outdoor areas. In Space #1, the children were walking around exploring their space. The children were playing with soft toys, shakers, musical toys, and blocks. In Space #5, the children were observed painting, playing at the water table, teacher-directed activity, building with tools, and manipulatives. A violation was observed for equipment and furnishings. In space #9, the children were observed sitting at the table. The teacher was talking to the children. A violation was observed for the electrical outlet. Lunch served spaghetti, green beans, blueberries, and milk. Program files were reviewed. The most recent fire drill was completed on September 26, 2025. The three-month drill was not completed. A violation was observed. The most recent playground inspection was completed on September 26, 2025. At the completion of the visit, the Visit Summary was reviewed with Ms. Thomas. The following violations were observed: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. In Space #5, there was a child-sized cabinet that was not in good repair. There was a broken piece in the corner. This was corrected when the administrator replaced the cabinet with a different one in good repair. G.S. 110-91(6); .0601(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There was one electrical outlet that did not contain a safety plug. This was corrected when the teacher covered the electrical outlet with a safety plug. 10A NCAC 09 .0604(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place or lockdown drills was not completed for the month of September 2025. .0604(u);.0302(d)(8) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today was corrected during today’s visit. A compliance letter is not required. Facility Specific TA/Consultation/Reminders : During today’s visit we discussed the QRIS Modernization Pathways. You stated that you are unsure which pathway your program will select. I encourage you to review the information for the different pathway. We reviewed pathway #1 during today’s visit, and talked about the ITERS,3ECERS-3, SACERS-U score requirements. I walked you through the application process on the DCDEE website and where to locate the required forms. Your goal is to complete the requirements for a pathway of your choice by April 2026. In addition, reach out to the partnership for children for technical assistance in preparation for the ITER-3 , ECERS-3, and SACERS-U. Observations/Technical Assistance/Transitions: Today, I provided some resources that can assist when transitioning. It is helpful to let children know in advance before making transitions. Provide reminders five minutes before changing an activity. Allow opportunities for “job roles” for some of the children that may struggle with transitions. In addition, sometimes, providing a visual schedule helps create a smooth transition. In the toddler classroom, the children were coming indoors, the caregiver could provide a fun way of introducing handwashing so that all the children will be excited about handwashing. The caregiver can make up a fun handwashing song. All the children can either line up or sit down. Once the children wash their hands, make sure that there is an activity ready for the children. If the caregiver would like the children to drink water, the children can be given water. An observation was observed in the infant classroom and the toddler/preschool classroom. In both classrooms, both staff members provided opportunities for learning and development. The staff members talked to the children and encouraged the children to conversate. Today I am providing technical assistance with literature and language. It is important to make sure that during transitions, or any time, conversation should be occurring. The teachers can talked to the children about what they are doing (self-talk), or the teachers can talk to the children about what they are doing (parallel talk). NCRLAP During today’s visit, I spoke with the teacher about the QRIS, (Pathway to the Stars), and the updated Environment Rating Scale ECERS-3. The staff members can review the website, www.ncrlap.org for additional information and resources. In addition, make sure that all staff information is current in WORKS. Electrical Outlets: A violation was cited today for electrical outlets. This was corrected during today’s visit. Today, we talked about different strategies to ensure that the facility is operating in compliance with Child Care Rules. Before the children arrive, it is best practice to conduct a walk-though of the classroom to make sure that all electrical outlets are covered, in addition, make sure the area used by children is safe from all hazards and potential hazards. Refer to Child Care Rule: 10A NCAC 09 .0604 for more information regarding this rule requirement. Shelter-In Place or Lockdown Drill Log: Shelter-in-place drills will need to be completed every three months. We discussed placing dates on the calendar for upcoming due dates for drills to ensure that drills are conducted as indicated in Rule 10A NCAC 09 .1719(a)(16) &.1721(e)(7). 10A NCAC 09 .0102 In addition, we also discussed some concerns you were having with locations to use for your drills. We talked about making sure all doors were closed and the children will need to be away from all doors and windows. Also be reminded, of things that could fly through the window. Today, you were able to practice with your children for the shelter in place drill. The information was recorded on the log. Natural Outdoor Learning Initiative: The DCDEE has a new initiative – Natural Outdoor Learning Initiative. Through this initiative, we hope to: increase knowledge and confidence for everyone in developing and implementing best practices to support the creation, programming, and safe use of naturalized outdoor spaces in child care facilities. You can learn more by visiting the NLI website, where you will also find many resources, including an updated Toolkit designed to help you enhance your outdoor learning environment. The downloadable NLI Toolkit is available at: https://naturalearning.org/preschool-outdoor-toolkit. Challenging Behaviors: Do you have children who bite? Do children struggle to focus during circle time? Do challenging behaviors cause difficult transitions? Do you spend all day managing behavior? Are you at your wits' end? Help is available for these and other behavior challenges! The Challenging Behaviors Hotline has opened and is provided for Free. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. In addition: CSEFEL: Center on the Social and Emotional Foundations for Early Learning Child Care Health Consultant: The Cumberland County Department of Public Health current Child Care Health Consultant is Nicole Richardson. Her contact number is: 910-678-7706 and her email address: nrrichardson@cumberlandcountync.gov Visit the website https://nccchcassociation.org/resources/ , under resources there are several links that may be beneficial for your Family Child Care Home. For example, Caring for Our Children, My Plate, Safe Kids NC, and many others. The following website will also provide more information about the Child Care Health Consultants. The Child Care Health Consultant provides support in the following areas, but not limited to: oral health, illness, infectious disease, emergency preparedness, health related areas, nutrition, environmental health, and physical activity. For addition information areas, visit the website, https://healthychildcare.unc.edu/child-care-health-consultants/about-cchc/ . Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 10/8/2025 Number Present: 79 Completed Date: 10/8/2025 Age: From 0 To 5 Total Minutes: 235 Time In: 09:20 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a routine unannounced visit. The previous Annual Compliance Visit was completed March 10, 2025, and prior to today’s visit, the eighteen-month compliance history score was 93% which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued September 30, 2024. The License was based on the program earning seven points in education standards, two points in program standards, and one quality point by choosing to meet the education option for: The child care administrator with at least 10 years of documented child care administration work experience in a licensed program that can be verified by the division. The information on record with DCDEE was verified as correct by Lawanda Thomas, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior completed June 26, 2025. Fire Classification of Approved completed April 1, 2025. Ms. Thomas was present and accompanied me while observing the indoor and outdoor areas. In Space #1, the children were walking around exploring their space. The children were playing with soft toys, shakers, musical toys, and blocks. In Space #5, the children were observed painting, playing at the water table, teacher-directed activity, building with tools, and manipulatives. A violation was observed for equipment and furnishings. In space #9, the children were observed sitting at the table. The teacher was talking to the children. A violation was observed for the electrical outlet. Lunch served spaghetti, green beans, blueberries, and milk. Program files were reviewed. The most recent fire drill was completed on September 26, 2025. The three-month drill was not completed. A violation was observed. The most recent playground inspection was completed on September 26, 2025. At the completion of the visit, the Visit Summary was reviewed with Ms. Thomas. The following violations were observed: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. In Space #5, there was a child-sized cabinet that was not in good repair. There was a broken piece in the corner. This was corrected when the administrator replaced the cabinet with a different one in good repair. G.S. 110-91(6); .0601(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There was one electrical outlet that did not contain a safety plug. This was corrected when the teacher covered the electrical outlet with a safety plug. 10A NCAC 09 .0604(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place or lockdown drills was not completed for the month of September 2025. .0604(u);.0302(d)(8) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today was corrected during today’s visit. A compliance letter is not required. Facility Specific TA/Consultation/Reminders : During today’s visit we discussed the QRIS Modernization Pathways. You stated that you are unsure which pathway your program will select. I encourage you to review the information for the different pathway. We reviewed pathway #1 during today’s visit, and talked about the ITERS,3ECERS-3, SACERS-U score requirements. I walked you through the application process on the DCDEE website and where to locate the required forms. Your goal is to complete the requirements for a pathway of your choice by April 2026. In addition, reach out to the partnership for children for technical assistance in preparation for the ITER-3 , ECERS-3, and SACERS-U. Observations/Technical Assistance/Transitions: Today, I provided some resources that can assist when transitioning. It is helpful to let children know in advance before making transitions. Provide reminders five minutes before changing an activity. Allow opportunities for “job roles” for some of the children that may struggle with transitions. In addition, sometimes, providing a visual schedule helps create a smooth transition. In the toddler classroom, the children were coming indoors, the caregiver could provide a fun way of introducing handwashing so that all the children will be excited about handwashing. The caregiver can make up a fun handwashing song. All the children can either line up or sit down. Once the children wash their hands, make sure that there is an activity ready for the children. If the caregiver would like the children to drink water, the children can be given water. An observation was observed in the infant classroom and the toddler/preschool classroom. In both classrooms, both staff members provided opportunities for learning and development. The staff members talked to the children and encouraged the children to conversate. Today I am providing technical assistance with literature and language. It is important to make sure that during transitions, or any time, conversation should be occurring. The teachers can talked to the children about what they are doing (self-talk), or the teachers can talk to the children about what they are doing (parallel talk). NCRLAP During today’s visit, I spoke with the teacher about the QRIS, (Pathway to the Stars), and the updated Environment Rating Scale ECERS-3. The staff members can review the website, www.ncrlap.org for additional information and resources. In addition, make sure that all staff information is current in WORKS. Electrical Outlets: A violation was cited today for electrical outlets. This was corrected during today’s visit. Today, we talked about different strategies to ensure that the facility is operating in compliance with Child Care Rules. Before the children arrive, it is best practice to conduct a walk-though of the classroom to make sure that all electrical outlets are covered, in addition, make sure the area used by children is safe from all hazards and potential hazards. Refer to Child Care Rule: 10A NCAC 09 .0604 for more information regarding this rule requirement. Shelter-In Place or Lockdown Drill Log: Shelter-in-place drills will need to be completed every three months. We discussed placing dates on the calendar for upcoming due dates for drills to ensure that drills are conducted as indicated in Rule 10A NCAC 09 .1719(a)(16) &.1721(e)(7). 10A NCAC 09 .0102 In addition, we also discussed some concerns you were having with locations to use for your drills. We talked about making sure all doors were closed and the children will need to be away from all doors and windows. Also be reminded, of things that could fly through the window. Today, you were able to practice with your children for the shelter in place drill. The information was recorded on the log. Natural Outdoor Learning Initiative: The DCDEE has a new initiative – Natural Outdoor Learning Initiative. Through this initiative, we hope to: increase knowledge and confidence for everyone in developing and implementing best practices to support the creation, programming, and safe use of naturalized outdoor spaces in child care facilities. You can learn more by visiting the NLI website, where you will also find many resources, including an updated Toolkit designed to help you enhance your outdoor learning environment. The downloadable NLI Toolkit is available at: https://naturalearning.org/preschool-outdoor-toolkit. Challenging Behaviors: Do you have children who bite? Do children struggle to focus during circle time? Do challenging behaviors cause difficult transitions? Do you spend all day managing behavior? Are you at your wits' end? Help is available for these and other behavior challenges! The Challenging Behaviors Hotline has opened and is provided for Free. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. In addition: CSEFEL: Center on the Social and Emotional Foundations for Early Learning Child Care Health Consultant: The Cumberland County Department of Public Health current Child Care Health Consultant is Nicole Richardson. Her contact number is: 910-678-7706 and her email address: nrrichardson@cumberlandcountync.gov Visit the website https://nccchcassociation.org/resources/ , under resources there are several links that may be beneficial for your Family Child Care Home. For example, Caring for Our Children, My Plate, Safe Kids NC, and many others. The following website will also provide more information about the Child Care Health Consultants. The Child Care Health Consultant provides support in the following areas, but not limited to: oral health, illness, infectious disease, emergency preparedness, health related areas, nutrition, environmental health, and physical activity. For addition information areas, visit the website, https://healthychildcare.unc.edu/child-care-health-consultants/about-cchc/ . Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1719 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 10/8/2025 Number Present: 79 Completed Date: 10/8/2025 Age: From 0 To 5 Total Minutes: 235 Time In: 09:20 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a routine unannounced visit. The previous Annual Compliance Visit was completed March 10, 2025, and prior to today’s visit, the eighteen-month compliance history score was 93% which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued September 30, 2024. The License was based on the program earning seven points in education standards, two points in program standards, and one quality point by choosing to meet the education option for: The child care administrator with at least 10 years of documented child care administration work experience in a licensed program that can be verified by the division. The information on record with DCDEE was verified as correct by Lawanda Thomas, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior completed June 26, 2025. Fire Classification of Approved completed April 1, 2025. Ms. Thomas was present and accompanied me while observing the indoor and outdoor areas. In Space #1, the children were walking around exploring their space. The children were playing with soft toys, shakers, musical toys, and blocks. In Space #5, the children were observed painting, playing at the water table, teacher-directed activity, building with tools, and manipulatives. A violation was observed for equipment and furnishings. In space #9, the children were observed sitting at the table. The teacher was talking to the children. A violation was observed for the electrical outlet. Lunch served spaghetti, green beans, blueberries, and milk. Program files were reviewed. The most recent fire drill was completed on September 26, 2025. The three-month drill was not completed. A violation was observed. The most recent playground inspection was completed on September 26, 2025. At the completion of the visit, the Visit Summary was reviewed with Ms. Thomas. The following violations were observed: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. In Space #5, there was a child-sized cabinet that was not in good repair. There was a broken piece in the corner. This was corrected when the administrator replaced the cabinet with a different one in good repair. G.S. 110-91(6); .0601(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There was one electrical outlet that did not contain a safety plug. This was corrected when the teacher covered the electrical outlet with a safety plug. 10A NCAC 09 .0604(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place or lockdown drills was not completed for the month of September 2025. .0604(u);.0302(d)(8) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today was corrected during today’s visit. A compliance letter is not required. Facility Specific TA/Consultation/Reminders : During today’s visit we discussed the QRIS Modernization Pathways. You stated that you are unsure which pathway your program will select. I encourage you to review the information for the different pathway. We reviewed pathway #1 during today’s visit, and talked about the ITERS,3ECERS-3, SACERS-U score requirements. I walked you through the application process on the DCDEE website and where to locate the required forms. Your goal is to complete the requirements for a pathway of your choice by April 2026. In addition, reach out to the partnership for children for technical assistance in preparation for the ITER-3 , ECERS-3, and SACERS-U. Observations/Technical Assistance/Transitions: Today, I provided some resources that can assist when transitioning. It is helpful to let children know in advance before making transitions. Provide reminders five minutes before changing an activity. Allow opportunities for “job roles” for some of the children that may struggle with transitions. In addition, sometimes, providing a visual schedule helps create a smooth transition. In the toddler classroom, the children were coming indoors, the caregiver could provide a fun way of introducing handwashing so that all the children will be excited about handwashing. The caregiver can make up a fun handwashing song. All the children can either line up or sit down. Once the children wash their hands, make sure that there is an activity ready for the children. If the caregiver would like the children to drink water, the children can be given water. An observation was observed in the infant classroom and the toddler/preschool classroom. In both classrooms, both staff members provided opportunities for learning and development. The staff members talked to the children and encouraged the children to conversate. Today I am providing technical assistance with literature and language. It is important to make sure that during transitions, or any time, conversation should be occurring. The teachers can talked to the children about what they are doing (self-talk), or the teachers can talk to the children about what they are doing (parallel talk). NCRLAP During today’s visit, I spoke with the teacher about the QRIS, (Pathway to the Stars), and the updated Environment Rating Scale ECERS-3. The staff members can review the website, www.ncrlap.org for additional information and resources. In addition, make sure that all staff information is current in WORKS. Electrical Outlets: A violation was cited today for electrical outlets. This was corrected during today’s visit. Today, we talked about different strategies to ensure that the facility is operating in compliance with Child Care Rules. Before the children arrive, it is best practice to conduct a walk-though of the classroom to make sure that all electrical outlets are covered, in addition, make sure the area used by children is safe from all hazards and potential hazards. Refer to Child Care Rule: 10A NCAC 09 .0604 for more information regarding this rule requirement. Shelter-In Place or Lockdown Drill Log: Shelter-in-place drills will need to be completed every three months. We discussed placing dates on the calendar for upcoming due dates for drills to ensure that drills are conducted as indicated in Rule 10A NCAC 09 .1719(a)(16) &.1721(e)(7). 10A NCAC 09 .0102 In addition, we also discussed some concerns you were having with locations to use for your drills. We talked about making sure all doors were closed and the children will need to be away from all doors and windows. Also be reminded, of things that could fly through the window. Today, you were able to practice with your children for the shelter in place drill. The information was recorded on the log. Natural Outdoor Learning Initiative: The DCDEE has a new initiative – Natural Outdoor Learning Initiative. Through this initiative, we hope to: increase knowledge and confidence for everyone in developing and implementing best practices to support the creation, programming, and safe use of naturalized outdoor spaces in child care facilities. You can learn more by visiting the NLI website, where you will also find many resources, including an updated Toolkit designed to help you enhance your outdoor learning environment. The downloadable NLI Toolkit is available at: https://naturalearning.org/preschool-outdoor-toolkit. Challenging Behaviors: Do you have children who bite? Do children struggle to focus during circle time? Do challenging behaviors cause difficult transitions? Do you spend all day managing behavior? Are you at your wits' end? Help is available for these and other behavior challenges! The Challenging Behaviors Hotline has opened and is provided for Free. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. In addition: CSEFEL: Center on the Social and Emotional Foundations for Early Learning Child Care Health Consultant: The Cumberland County Department of Public Health current Child Care Health Consultant is Nicole Richardson. Her contact number is: 910-678-7706 and her email address: nrrichardson@cumberlandcountync.gov Visit the website https://nccchcassociation.org/resources/ , under resources there are several links that may be beneficial for your Family Child Care Home. For example, Caring for Our Children, My Plate, Safe Kids NC, and many others. The following website will also provide more information about the Child Care Health Consultants. The Child Care Health Consultant provides support in the following areas, but not limited to: oral health, illness, infectious disease, emergency preparedness, health related areas, nutrition, environmental health, and physical activity. For addition information areas, visit the website, https://healthychildcare.unc.edu/child-care-health-consultants/about-cchc/ . Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 10/8/2025 Number Present: 79 Completed Date: 10/8/2025 Age: From 0 To 5 Total Minutes: 235 Time In: 09:20 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a routine unannounced visit. The previous Annual Compliance Visit was completed March 10, 2025, and prior to today’s visit, the eighteen-month compliance history score was 93% which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued September 30, 2024. The License was based on the program earning seven points in education standards, two points in program standards, and one quality point by choosing to meet the education option for: The child care administrator with at least 10 years of documented child care administration work experience in a licensed program that can be verified by the division. The information on record with DCDEE was verified as correct by Lawanda Thomas, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior completed June 26, 2025. Fire Classification of Approved completed April 1, 2025. Ms. Thomas was present and accompanied me while observing the indoor and outdoor areas. In Space #1, the children were walking around exploring their space. The children were playing with soft toys, shakers, musical toys, and blocks. In Space #5, the children were observed painting, playing at the water table, teacher-directed activity, building with tools, and manipulatives. A violation was observed for equipment and furnishings. In space #9, the children were observed sitting at the table. The teacher was talking to the children. A violation was observed for the electrical outlet. Lunch served spaghetti, green beans, blueberries, and milk. Program files were reviewed. The most recent fire drill was completed on September 26, 2025. The three-month drill was not completed. A violation was observed. The most recent playground inspection was completed on September 26, 2025. At the completion of the visit, the Visit Summary was reviewed with Ms. Thomas. The following violations were observed: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. In Space #5, there was a child-sized cabinet that was not in good repair. There was a broken piece in the corner. This was corrected when the administrator replaced the cabinet with a different one in good repair. G.S. 110-91(6); .0601(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There was one electrical outlet that did not contain a safety plug. This was corrected when the teacher covered the electrical outlet with a safety plug. 10A NCAC 09 .0604(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place or lockdown drills was not completed for the month of September 2025. .0604(u);.0302(d)(8) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today was corrected during today’s visit. A compliance letter is not required. Facility Specific TA/Consultation/Reminders : During today’s visit we discussed the QRIS Modernization Pathways. You stated that you are unsure which pathway your program will select. I encourage you to review the information for the different pathway. We reviewed pathway #1 during today’s visit, and talked about the ITERS,3ECERS-3, SACERS-U score requirements. I walked you through the application process on the DCDEE website and where to locate the required forms. Your goal is to complete the requirements for a pathway of your choice by April 2026. In addition, reach out to the partnership for children for technical assistance in preparation for the ITER-3 , ECERS-3, and SACERS-U. Observations/Technical Assistance/Transitions: Today, I provided some resources that can assist when transitioning. It is helpful to let children know in advance before making transitions. Provide reminders five minutes before changing an activity. Allow opportunities for “job roles” for some of the children that may struggle with transitions. In addition, sometimes, providing a visual schedule helps create a smooth transition. In the toddler classroom, the children were coming indoors, the caregiver could provide a fun way of introducing handwashing so that all the children will be excited about handwashing. The caregiver can make up a fun handwashing song. All the children can either line up or sit down. Once the children wash their hands, make sure that there is an activity ready for the children. If the caregiver would like the children to drink water, the children can be given water. An observation was observed in the infant classroom and the toddler/preschool classroom. In both classrooms, both staff members provided opportunities for learning and development. The staff members talked to the children and encouraged the children to conversate. Today I am providing technical assistance with literature and language. It is important to make sure that during transitions, or any time, conversation should be occurring. The teachers can talked to the children about what they are doing (self-talk), or the teachers can talk to the children about what they are doing (parallel talk). NCRLAP During today’s visit, I spoke with the teacher about the QRIS, (Pathway to the Stars), and the updated Environment Rating Scale ECERS-3. The staff members can review the website, www.ncrlap.org for additional information and resources. In addition, make sure that all staff information is current in WORKS. Electrical Outlets: A violation was cited today for electrical outlets. This was corrected during today’s visit. Today, we talked about different strategies to ensure that the facility is operating in compliance with Child Care Rules. Before the children arrive, it is best practice to conduct a walk-though of the classroom to make sure that all electrical outlets are covered, in addition, make sure the area used by children is safe from all hazards and potential hazards. Refer to Child Care Rule: 10A NCAC 09 .0604 for more information regarding this rule requirement. Shelter-In Place or Lockdown Drill Log: Shelter-in-place drills will need to be completed every three months. We discussed placing dates on the calendar for upcoming due dates for drills to ensure that drills are conducted as indicated in Rule 10A NCAC 09 .1719(a)(16) &.1721(e)(7). 10A NCAC 09 .0102 In addition, we also discussed some concerns you were having with locations to use for your drills. We talked about making sure all doors were closed and the children will need to be away from all doors and windows. Also be reminded, of things that could fly through the window. Today, you were able to practice with your children for the shelter in place drill. The information was recorded on the log. Natural Outdoor Learning Initiative: The DCDEE has a new initiative – Natural Outdoor Learning Initiative. Through this initiative, we hope to: increase knowledge and confidence for everyone in developing and implementing best practices to support the creation, programming, and safe use of naturalized outdoor spaces in child care facilities. You can learn more by visiting the NLI website, where you will also find many resources, including an updated Toolkit designed to help you enhance your outdoor learning environment. The downloadable NLI Toolkit is available at: https://naturalearning.org/preschool-outdoor-toolkit. Challenging Behaviors: Do you have children who bite? Do children struggle to focus during circle time? Do challenging behaviors cause difficult transitions? Do you spend all day managing behavior? Are you at your wits' end? Help is available for these and other behavior challenges! The Challenging Behaviors Hotline has opened and is provided for Free. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. In addition: CSEFEL: Center on the Social and Emotional Foundations for Early Learning Child Care Health Consultant: The Cumberland County Department of Public Health current Child Care Health Consultant is Nicole Richardson. Her contact number is: 910-678-7706 and her email address: nrrichardson@cumberlandcountync.gov Visit the website https://nccchcassociation.org/resources/ , under resources there are several links that may be beneficial for your Family Child Care Home. For example, Caring for Our Children, My Plate, Safe Kids NC, and many others. The following website will also provide more information about the Child Care Health Consultants. The Child Care Health Consultant provides support in the following areas, but not limited to: oral health, illness, infectious disease, emergency preparedness, health related areas, nutrition, environmental health, and physical activity. For addition information areas, visit the website, https://healthychildcare.unc.edu/child-care-health-consultants/about-cchc/ . Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: NANCY STRATFORD Operation Type: Center Case Number: Visit Date: 10/8/2025 Number Present: 79 Completed Date: 10/8/2025 Age: From 0 To 5 Total Minutes: 235 Time In: 09:20 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a routine unannounced visit. The previous Annual Compliance Visit was completed March 10, 2025, and prior to today’s visit, the eighteen-month compliance history score was 93% which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued September 30, 2024. The License was based on the program earning seven points in education standards, two points in program standards, and one quality point by choosing to meet the education option for: The child care administrator with at least 10 years of documented child care administration work experience in a licensed program that can be verified by the division. The information on record with DCDEE was verified as correct by Lawanda Thomas, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior completed June 26, 2025. Fire Classification of Approved completed April 1, 2025. Ms. Thomas was present and accompanied me while observing the indoor and outdoor areas. In Space #1, the children were walking around exploring their space. The children were playing with soft toys, shakers, musical toys, and blocks. In Space #5, the children were observed painting, playing at the water table, teacher-directed activity, building with tools, and manipulatives. A violation was observed for equipment and furnishings. In space #9, the children were observed sitting at the table. The teacher was talking to the children. A violation was observed for the electrical outlet. Lunch served spaghetti, green beans, blueberries, and milk. Program files were reviewed. The most recent fire drill was completed on September 26, 2025. The three-month drill was not completed. A violation was observed. The most recent playground inspection was completed on September 26, 2025. At the completion of the visit, the Visit Summary was reviewed with Ms. Thomas. The following violations were observed: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. In Space #5, there was a child-sized cabinet that was not in good repair. There was a broken piece in the corner. This was corrected when the administrator replaced the cabinet with a different one in good repair. G.S. 110-91(6); .0601(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There was one electrical outlet that did not contain a safety plug. This was corrected when the teacher covered the electrical outlet with a safety plug. 10A NCAC 09 .0604(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place or lockdown drills was not completed for the month of September 2025. .0604(u);.0302(d)(8) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today was corrected during today’s visit. A compliance letter is not required. Facility Specific TA/Consultation/Reminders : During today’s visit we discussed the QRIS Modernization Pathways. You stated that you are unsure which pathway your program will select. I encourage you to review the information for the different pathway. We reviewed pathway #1 during today’s visit, and talked about the ITERS,3ECERS-3, SACERS-U score requirements. I walked you through the application process on the DCDEE website and where to locate the required forms. Your goal is to complete the requirements for a pathway of your choice by April 2026. In addition, reach out to the partnership for children for technical assistance in preparation for the ITER-3 , ECERS-3, and SACERS-U. Observations/Technical Assistance/Transitions: Today, I provided some resources that can assist when transitioning. It is helpful to let children know in advance before making transitions. Provide reminders five minutes before changing an activity. Allow opportunities for “job roles” for some of the children that may struggle with transitions. In addition, sometimes, providing a visual schedule helps create a smooth transition. In the toddler classroom, the children were coming indoors, the caregiver could provide a fun way of introducing handwashing so that all the children will be excited about handwashing. The caregiver can make up a fun handwashing song. All the children can either line up or sit down. Once the children wash their hands, make sure that there is an activity ready for the children. If the caregiver would like the children to drink water, the children can be given water. An observation was observed in the infant classroom and the toddler/preschool classroom. In both classrooms, both staff members provided opportunities for learning and development. The staff members talked to the children and encouraged the children to conversate. Today I am providing technical assistance with literature and language. It is important to make sure that during transitions, or any time, conversation should be occurring. The teachers can talked to the children about what they are doing (self-talk), or the teachers can talk to the children about what they are doing (parallel talk). NCRLAP During today’s visit, I spoke with the teacher about the QRIS, (Pathway to the Stars), and the updated Environment Rating Scale ECERS-3. The staff members can review the website, www.ncrlap.org for additional information and resources. In addition, make sure that all staff information is current in WORKS. Electrical Outlets: A violation was cited today for electrical outlets. This was corrected during today’s visit. Today, we talked about different strategies to ensure that the facility is operating in compliance with Child Care Rules. Before the children arrive, it is best practice to conduct a walk-though of the classroom to make sure that all electrical outlets are covered, in addition, make sure the area used by children is safe from all hazards and potential hazards. Refer to Child Care Rule: 10A NCAC 09 .0604 for more information regarding this rule requirement. Shelter-In Place or Lockdown Drill Log: Shelter-in-place drills will need to be completed every three months. We discussed placing dates on the calendar for upcoming due dates for drills to ensure that drills are conducted as indicated in Rule 10A NCAC 09 .1719(a)(16) &.1721(e)(7). 10A NCAC 09 .0102 In addition, we also discussed some concerns you were having with locations to use for your drills. We talked about making sure all doors were closed and the children will need to be away from all doors and windows. Also be reminded, of things that could fly through the window. Today, you were able to practice with your children for the shelter in place drill. The information was recorded on the log. Natural Outdoor Learning Initiative: The DCDEE has a new initiative – Natural Outdoor Learning Initiative. Through this initiative, we hope to: increase knowledge and confidence for everyone in developing and implementing best practices to support the creation, programming, and safe use of naturalized outdoor spaces in child care facilities. You can learn more by visiting the NLI website, where you will also find many resources, including an updated Toolkit designed to help you enhance your outdoor learning environment. The downloadable NLI Toolkit is available at: https://naturalearning.org/preschool-outdoor-toolkit. Challenging Behaviors: Do you have children who bite? Do children struggle to focus during circle time? Do challenging behaviors cause difficult transitions? Do you spend all day managing behavior? Are you at your wits' end? Help is available for these and other behavior challenges! The Challenging Behaviors Hotline has opened and is provided for Free. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. In addition: CSEFEL: Center on the Social and Emotional Foundations for Early Learning Child Care Health Consultant: The Cumberland County Department of Public Health current Child Care Health Consultant is Nicole Richardson. Her contact number is: 910-678-7706 and her email address: nrrichardson@cumberlandcountync.gov Visit the website https://nccchcassociation.org/resources/ , under resources there are several links that may be beneficial for your Family Child Care Home. For example, Caring for Our Children, My Plate, Safe Kids NC, and many others. The following website will also provide more information about the Child Care Health Consultants. The Child Care Health Consultant provides support in the following areas, but not limited to: oral health, illness, infectious disease, emergency preparedness, health related areas, nutrition, environmental health, and physical activity. For addition information areas, visit the website, https://healthychildcare.unc.edu/child-care-health-consultants/about-cchc/ . Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1801 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: NANCY STRATFORD Operation Type: Center Case Number: 0725-410L Visit Date: 8/8/2025 Number Present: 83 Completed Date: 8/8/2025 Age: From 0 To 12 Total Minutes: 340 Time In: 09:00 AM Time Out: 12:45 PM Time In: 01:45 PM Time Out: 03:40 PM List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations regarding violations of child care requirements. The previous Annual Compliance Visit was completed March 10, 2025, and prior to today’s visit, the eighteen-month compliance history score was 86% which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued September 30, 2024. The License was based on the program earning seven points in education standards, two points in program standards, and one quality point by choosing to meet the education option for: The child care administrator with at least 10 years of documented child care administration work experience in a licensed program that can be verified by the division. The information on record with DCDEE was verified as correct by Lawanda Thomas, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior completed June 26, 2025. Fire Classification of Approved completed April 1, 2025. Ms. Thomas was present and accompanied me while observing the indoor and outdoor areas. In Space #1, there was one infant on the floor playing, one infant was being held by their caregiver and drinking their bottle, and one infant was sitting in an infant seat. In Space #2, the children were on the floor playing with musical toys. #10A, the children were sitting at the table writing and coloring. In Space #10B, the children were playing outdoors. Outside the children were running and sliding on the slide. Lunch served was cheese pizza, corn, applesauce, and milk. A violation was observed today for ABCMS requirement and supervision. The concerns were discussed with Ms. Thomas and to inform her of the purpose of my visit. Interviews were conducted with the Administrator, Ms. Thomas and one staff providing care at the approximate time the incident occurred, and another staff. There are allegations of violations of child care requirements, including: • Supervision • Sanitation Requirements • Nutrition Requirements • Staff to child ratio • Attendance records Regarding the concerns for children are not adequately supervised, observations and interviews were conducted. Observations of the teacher and child interactions were observed in all classrooms. The administrator confirmed that there was one caregiver present with six (6) one-year old children on August 7, 2025, and the caregiver was sleeping, while the children were awake in the classroom. The administrator stated that she observed the caregiver sleeping at about 8:30 am. The children were all awake and moving about space. The administrator removed the caregiver from the caregiving space immediately, and then from the premise. On August 8, 2025, the administrator terminated employment for the caregiver prior to my visit. The termination of employment occurred around 7:30 am. In addition, the administrator spoke with the remaining staff about supervision and their policy to make sure that the other staff were reminded and were aware of the requirements for supervision. Regarding the concerns for Sanitation Requirements, observations and interviews were conducted. Observations of the teacher and child interactions were observed in all classrooms. The administrator and staff stated that toys are cleaned daily. The cots are sanitized daily. Today, I observed that the cots are labeled with a number. Next to the cots is a paper that identifies each number with the child’s name. Today, I observed that each child was using the appropriate cot in Space #9. The linen sheets are provided by the facility, and for some classrooms, they are washed once a week, and for the infants, they are cleaned daily. The administrator stated that on the weekends, she cleans and sanitizes the facility. Regarding the concerns for Nutrition Requirements, observations and interviews were conducted. During interviews, it was stated that children are always offered water throughout the day. The facility maintains extra cups if children need cups. The children are not refrained from drinking water or other beverages if they request. Today, I observed that water was open and available in all classrooms. In addition, each classroom takes water outdoors for outdoor play. Regarding the concerns for staff to child ratios, observations and interviews were conducted. Observations of the teacher and child interactions were observed in all classrooms. The staff members stated their procedures for contacting administration when they are close to being over ratio. The administrator stated that sometimes the children may have to go to another classroom to maintain ratios. Regarding the concerns regarding attendance records, observations and interviews were conducted. During today’s visit, each staff member confirmed that all children are accounted for on the attendance sheet. During today’s visit, I was able to confirm that all groups of children were identified on the attendance record. Based on the observations and interview information, the allegation for supervision is substantiated. Based on the observations and interview information, the allegation for sanitation requirements is unsubstantiated. Based on the observations and interview information, the allegation for nutrition requirements is unsubstantiated. Based on the observations and interview information, the allegation for staff to child ratio is unsubstantiated. Based on the observations and interview information, the allegation for attendance records is unsubstantiated. At the completion of the visit, the Visit Summary was reviewed with Ms. Thomas. The following violations were observed: Violation Listing: Comments: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violation(s) observed and documented today must be corrected immediately. Additionally, by 5:00pm on August 22, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 nancy.stratford@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Violation Number Comment Rule 303 Children were not adequately supervised at all times. It was confirmed through interviews, there was one caregiver that was sleeping during caregiving responsibilities. There was a group of six (6) one year old children present with one caregiver. This was corrected when the administrator terminated the employment of the caregiver. In addition, the administrator reviewed the supervision policy with each staff member on August 8, 2025, prior to resuming caregiving responsibilities. .1801(a)(1-5) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The operator did not complete the requirements for the ABCMS provider portal. The operator was unable to provide a staff roster. G.S. 110-90.2 & .2703(r) Administrative Action: Due to the substantiated complaint, it may result in administrative action. Corrective Action: When speaking with the administrator, Ms. Thomas stated that plans were in place involving the supervision incident. On August 7, 2025, the administrator removed the caregiver that was sleeping while the children were awake, from the caregiving space immediately, and then from the premises. On August 8, 2025, the administrator terminated employment for the caregiver prior to my visit. The termination of employment occurred around 7:30 am. In addition, the administrator spoke with the remaining staff about supervision and their policy to make sure that the other staff were reminded and were aware of the requirements for supervision. Supervision Violation: A violation was observed today for supervision. It was confirmed during interviews that a caregiver was sleeping while children were moving about the space. The caregiver was present with a group of children that were one year of age.. Children need to be supervised at all times. Supervision is important to ensure the safety of children. If staff member witness children not being supervised, it is important that each staff member will need to notify administration. If children are not adequately supervised, this may lead to an injury and/or fatality. Refer to Child Care Rule: 10A NCAC 09 .1801 ABCMS Provider Portal Update: A violation was observed for the ABCMS Provider Update. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. Today you stated that you have added some of your staff, but this is not current. Reminder: The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. You must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Should you need assistance contact the Criminal Background Check Unit at (919)814-4401 and someone will assist you. Refer to child care rule G.S. 110-90.2 & .2703(r). Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-90 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: NANCY STRATFORD Operation Type: Center Case Number: 0725-410L Visit Date: 8/8/2025 Number Present: 83 Completed Date: 8/8/2025 Age: From 0 To 12 Total Minutes: 340 Time In: 09:00 AM Time Out: 12:45 PM Time In: 01:45 PM Time Out: 03:40 PM List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations regarding violations of child care requirements. The previous Annual Compliance Visit was completed March 10, 2025, and prior to today’s visit, the eighteen-month compliance history score was 86% which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued September 30, 2024. The License was based on the program earning seven points in education standards, two points in program standards, and one quality point by choosing to meet the education option for: The child care administrator with at least 10 years of documented child care administration work experience in a licensed program that can be verified by the division. The information on record with DCDEE was verified as correct by Lawanda Thomas, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior completed June 26, 2025. Fire Classification of Approved completed April 1, 2025. Ms. Thomas was present and accompanied me while observing the indoor and outdoor areas. In Space #1, there was one infant on the floor playing, one infant was being held by their caregiver and drinking their bottle, and one infant was sitting in an infant seat. In Space #2, the children were on the floor playing with musical toys. #10A, the children were sitting at the table writing and coloring. In Space #10B, the children were playing outdoors. Outside the children were running and sliding on the slide. Lunch served was cheese pizza, corn, applesauce, and milk. A violation was observed today for ABCMS requirement and supervision. The concerns were discussed with Ms. Thomas and to inform her of the purpose of my visit. Interviews were conducted with the Administrator, Ms. Thomas and one staff providing care at the approximate time the incident occurred, and another staff. There are allegations of violations of child care requirements, including: • Supervision • Sanitation Requirements • Nutrition Requirements • Staff to child ratio • Attendance records Regarding the concerns for children are not adequately supervised, observations and interviews were conducted. Observations of the teacher and child interactions were observed in all classrooms. The administrator confirmed that there was one caregiver present with six (6) one-year old children on August 7, 2025, and the caregiver was sleeping, while the children were awake in the classroom. The administrator stated that she observed the caregiver sleeping at about 8:30 am. The children were all awake and moving about space. The administrator removed the caregiver from the caregiving space immediately, and then from the premise. On August 8, 2025, the administrator terminated employment for the caregiver prior to my visit. The termination of employment occurred around 7:30 am. In addition, the administrator spoke with the remaining staff about supervision and their policy to make sure that the other staff were reminded and were aware of the requirements for supervision. Regarding the concerns for Sanitation Requirements, observations and interviews were conducted. Observations of the teacher and child interactions were observed in all classrooms. The administrator and staff stated that toys are cleaned daily. The cots are sanitized daily. Today, I observed that the cots are labeled with a number. Next to the cots is a paper that identifies each number with the child’s name. Today, I observed that each child was using the appropriate cot in Space #9. The linen sheets are provided by the facility, and for some classrooms, they are washed once a week, and for the infants, they are cleaned daily. The administrator stated that on the weekends, she cleans and sanitizes the facility. Regarding the concerns for Nutrition Requirements, observations and interviews were conducted. During interviews, it was stated that children are always offered water throughout the day. The facility maintains extra cups if children need cups. The children are not refrained from drinking water or other beverages if they request. Today, I observed that water was open and available in all classrooms. In addition, each classroom takes water outdoors for outdoor play. Regarding the concerns for staff to child ratios, observations and interviews were conducted. Observations of the teacher and child interactions were observed in all classrooms. The staff members stated their procedures for contacting administration when they are close to being over ratio. The administrator stated that sometimes the children may have to go to another classroom to maintain ratios. Regarding the concerns regarding attendance records, observations and interviews were conducted. During today’s visit, each staff member confirmed that all children are accounted for on the attendance sheet. During today’s visit, I was able to confirm that all groups of children were identified on the attendance record. Based on the observations and interview information, the allegation for supervision is substantiated. Based on the observations and interview information, the allegation for sanitation requirements is unsubstantiated. Based on the observations and interview information, the allegation for nutrition requirements is unsubstantiated. Based on the observations and interview information, the allegation for staff to child ratio is unsubstantiated. Based on the observations and interview information, the allegation for attendance records is unsubstantiated. At the completion of the visit, the Visit Summary was reviewed with Ms. Thomas. The following violations were observed: Violation Listing: Comments: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violation(s) observed and documented today must be corrected immediately. Additionally, by 5:00pm on August 22, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 nancy.stratford@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Violation Number Comment Rule 303 Children were not adequately supervised at all times. It was confirmed through interviews, there was one caregiver that was sleeping during caregiving responsibilities. There was a group of six (6) one year old children present with one caregiver. This was corrected when the administrator terminated the employment of the caregiver. In addition, the administrator reviewed the supervision policy with each staff member on August 8, 2025, prior to resuming caregiving responsibilities. .1801(a)(1-5) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The operator did not complete the requirements for the ABCMS provider portal. The operator was unable to provide a staff roster. G.S. 110-90.2 & .2703(r) Administrative Action: Due to the substantiated complaint, it may result in administrative action. Corrective Action: When speaking with the administrator, Ms. Thomas stated that plans were in place involving the supervision incident. On August 7, 2025, the administrator removed the caregiver that was sleeping while the children were awake, from the caregiving space immediately, and then from the premises. On August 8, 2025, the administrator terminated employment for the caregiver prior to my visit. The termination of employment occurred around 7:30 am. In addition, the administrator spoke with the remaining staff about supervision and their policy to make sure that the other staff were reminded and were aware of the requirements for supervision. Supervision Violation: A violation was observed today for supervision. It was confirmed during interviews that a caregiver was sleeping while children were moving about the space. The caregiver was present with a group of children that were one year of age.. Children need to be supervised at all times. Supervision is important to ensure the safety of children. If staff member witness children not being supervised, it is important that each staff member will need to notify administration. If children are not adequately supervised, this may lead to an injury and/or fatality. Refer to Child Care Rule: 10A NCAC 09 .1801 ABCMS Provider Portal Update: A violation was observed for the ABCMS Provider Update. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. Today you stated that you have added some of your staff, but this is not current. Reminder: The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. You must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Should you need assistance contact the Criminal Background Check Unit at (919)814-4401 and someone will assist you. Refer to child care rule G.S. 110-90.2 & .2703(r). Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: NANCY STRATFORD Operation Type: Center Case Number: 0725-410L Visit Date: 8/8/2025 Number Present: 83 Completed Date: 8/8/2025 Age: From 0 To 12 Total Minutes: 340 Time In: 09:00 AM Time Out: 12:45 PM Time In: 01:45 PM Time Out: 03:40 PM List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations regarding violations of child care requirements. The previous Annual Compliance Visit was completed March 10, 2025, and prior to today’s visit, the eighteen-month compliance history score was 86% which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued September 30, 2024. The License was based on the program earning seven points in education standards, two points in program standards, and one quality point by choosing to meet the education option for: The child care administrator with at least 10 years of documented child care administration work experience in a licensed program that can be verified by the division. The information on record with DCDEE was verified as correct by Lawanda Thomas, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior completed June 26, 2025. Fire Classification of Approved completed April 1, 2025. Ms. Thomas was present and accompanied me while observing the indoor and outdoor areas. In Space #1, there was one infant on the floor playing, one infant was being held by their caregiver and drinking their bottle, and one infant was sitting in an infant seat. In Space #2, the children were on the floor playing with musical toys. #10A, the children were sitting at the table writing and coloring. In Space #10B, the children were playing outdoors. Outside the children were running and sliding on the slide. Lunch served was cheese pizza, corn, applesauce, and milk. A violation was observed today for ABCMS requirement and supervision. The concerns were discussed with Ms. Thomas and to inform her of the purpose of my visit. Interviews were conducted with the Administrator, Ms. Thomas and one staff providing care at the approximate time the incident occurred, and another staff. There are allegations of violations of child care requirements, including: • Supervision • Sanitation Requirements • Nutrition Requirements • Staff to child ratio • Attendance records Regarding the concerns for children are not adequately supervised, observations and interviews were conducted. Observations of the teacher and child interactions were observed in all classrooms. The administrator confirmed that there was one caregiver present with six (6) one-year old children on August 7, 2025, and the caregiver was sleeping, while the children were awake in the classroom. The administrator stated that she observed the caregiver sleeping at about 8:30 am. The children were all awake and moving about space. The administrator removed the caregiver from the caregiving space immediately, and then from the premise. On August 8, 2025, the administrator terminated employment for the caregiver prior to my visit. The termination of employment occurred around 7:30 am. In addition, the administrator spoke with the remaining staff about supervision and their policy to make sure that the other staff were reminded and were aware of the requirements for supervision. Regarding the concerns for Sanitation Requirements, observations and interviews were conducted. Observations of the teacher and child interactions were observed in all classrooms. The administrator and staff stated that toys are cleaned daily. The cots are sanitized daily. Today, I observed that the cots are labeled with a number. Next to the cots is a paper that identifies each number with the child’s name. Today, I observed that each child was using the appropriate cot in Space #9. The linen sheets are provided by the facility, and for some classrooms, they are washed once a week, and for the infants, they are cleaned daily. The administrator stated that on the weekends, she cleans and sanitizes the facility. Regarding the concerns for Nutrition Requirements, observations and interviews were conducted. During interviews, it was stated that children are always offered water throughout the day. The facility maintains extra cups if children need cups. The children are not refrained from drinking water or other beverages if they request. Today, I observed that water was open and available in all classrooms. In addition, each classroom takes water outdoors for outdoor play. Regarding the concerns for staff to child ratios, observations and interviews were conducted. Observations of the teacher and child interactions were observed in all classrooms. The staff members stated their procedures for contacting administration when they are close to being over ratio. The administrator stated that sometimes the children may have to go to another classroom to maintain ratios. Regarding the concerns regarding attendance records, observations and interviews were conducted. During today’s visit, each staff member confirmed that all children are accounted for on the attendance sheet. During today’s visit, I was able to confirm that all groups of children were identified on the attendance record. Based on the observations and interview information, the allegation for supervision is substantiated. Based on the observations and interview information, the allegation for sanitation requirements is unsubstantiated. Based on the observations and interview information, the allegation for nutrition requirements is unsubstantiated. Based on the observations and interview information, the allegation for staff to child ratio is unsubstantiated. Based on the observations and interview information, the allegation for attendance records is unsubstantiated. At the completion of the visit, the Visit Summary was reviewed with Ms. Thomas. The following violations were observed: Violation Listing: Comments: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violation(s) observed and documented today must be corrected immediately. Additionally, by 5:00pm on August 22, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Nancy Stratford Child Care Consultant P.O. Box 371 Godwin, NC 28344 nancy.stratford@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Violation Number Comment Rule 303 Children were not adequately supervised at all times. It was confirmed through interviews, there was one caregiver that was sleeping during caregiving responsibilities. There was a group of six (6) one year old children present with one caregiver. This was corrected when the administrator terminated the employment of the caregiver. In addition, the administrator reviewed the supervision policy with each staff member on August 8, 2025, prior to resuming caregiving responsibilities. .1801(a)(1-5) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The operator did not complete the requirements for the ABCMS provider portal. The operator was unable to provide a staff roster. G.S. 110-90.2 & .2703(r) Administrative Action: Due to the substantiated complaint, it may result in administrative action. Corrective Action: When speaking with the administrator, Ms. Thomas stated that plans were in place involving the supervision incident. On August 7, 2025, the administrator removed the caregiver that was sleeping while the children were awake, from the caregiving space immediately, and then from the premises. On August 8, 2025, the administrator terminated employment for the caregiver prior to my visit. The termination of employment occurred around 7:30 am. In addition, the administrator spoke with the remaining staff about supervision and their policy to make sure that the other staff were reminded and were aware of the requirements for supervision. Supervision Violation: A violation was observed today for supervision. It was confirmed during interviews that a caregiver was sleeping while children were moving about the space. The caregiver was present with a group of children that were one year of age.. Children need to be supervised at all times. Supervision is important to ensure the safety of children. If staff member witness children not being supervised, it is important that each staff member will need to notify administration. If children are not adequately supervised, this may lead to an injury and/or fatality. Refer to Child Care Rule: 10A NCAC 09 .1801 ABCMS Provider Portal Update: A violation was observed for the ABCMS Provider Update. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. Today you stated that you have added some of your staff, but this is not current. Reminder: The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. You must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Should you need assistance contact the Criminal Background Check Unit at (919)814-4401 and someone will assist you. Refer to child care rule G.S. 110-90.2 & .2703(r). Please feel free to contact me at nancy.stratford@dhhs.nc.gov or 910-214-2244 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0902 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: TIFFANY REED Operation Type: Center Case Number: 0625-198L Visit Date: 6/27/2025 Number Present: 95 Completed Date: 6/27/2025 Age: From 0 To 12 Total Minutes: 330 Time In: 02:00 PM Time Out: 07:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations regarding violations of child care requirements. The previous Annual Compliance Visit was completed on March 10, 2025, and prior to today’s visit, the eighteen-month compliance history score was 86%, which is above the 75% required by North Carolina General Statute 110-90(4)(c-d). Your program currently operates with a Four-Star License issued September 30, 2024. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet the educational option of having a child care administrator with at least 10 years of documented child care administration work experience in a licensed program that can be verified by the division. The information on record with DCDEE was verified as correct by LaWanda Thomas, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on June 26, 2025. Fire Classification of Satisfactory was completed on April 01, 2025. There are allegations of violations of child care requirements, including, but not limited to: • Nutrition Requirements • Sanitation Requirements • Inappropriate Discipline • Incident Reporting • Unsafe Environment • Not Meeting the Developmental Needs of Children • Medication Administration LaWanda Thomas, Administrator, was present while I observed the indoor and outdoor areas. Upon my arrival, ninety-five (95) children and fifteen (15) teachers were present. Children were observed resting, eating snack, and participating in free-choice activities. Routine care and handwashing practices were observed. Snack consisted of goldfish cheese crackers, apple slices, and water. Three recently hired staff members’ files were reviewed, and all documentation was observed in compliance with applicable child care rules. Two of the staff members were observed completing orientation and were not in a classroom. A copy of the most recent sanitation inspection report was received during today's visit. The allegations were discussed with the administrator. I interviewed the administrator and five additional teachers. During the interview with the administrator, it was confirmed that a 10-month-old infant was served whole milk instead of formula, when the infant transitioned to another space. It was also confirmed that a staff member did not assist a child with wiping after using the bathroom, resulting in the child going home in soiled underwear. The director had a meeting with the staff member on June 19, 2025, to review the importance of helping children maintain good hygiene. The administrator did not have any concerns about sanitation, incident reporting, unsafe environments, or medication administration. The administrator had an employee recently come to her with a concern regarding another staff member roughly handling a child. The administrator completed an investigation by having a meeting with the staff member, and observing the classroom in person and on the camera. The administrator did not find any evidence of the staff member roughly handling a child. The administrator stated that there has been recent tension between staff members. During the interview with the teachers, it was confirmed that a 10-month-old infant was served whole milk instead of formula. Teachers were confused about what was written on the infant feeding plan. During my observations, groups of children were adequately supervised, nurtured, and cared for according to their developmental needs. I observed staff members assisting children in the bathroom, including assistance with wiping. The bathrooms and classrooms were monitored for cleanliness. Based on the child files that were reviewed, there were no children with documented health conditions without prescribed medication and medication authorization. Camera footage was not available for review. The administrator stated that the cameras only capture live footage. Based on the information gathered and observations made, the allegation of violations of child care requirements pertaining to nutrition requirements is substantiated. Based on the information gathered and observations made, there is not enough sufficient information to confirm the allegation of violations of child care requirements pertaining to sanitation. Based on the information gathered and observations made, there is not enough sufficient information to confirm the allegation of violations of child care requirements pertaining to inappropriate discipline. Based on the information gathered and observations made, there is not enough sufficient information to confirm the allegation of violations of child care requirements pertaining to incident reporting. Based on the information gathered and observations made, the allegation of violations of child care requirements pertaining to not meeting the developmental needs of children is substantiated. Based on the information gathered and observations made, there is not sufficient information to confirm the allegation regarding unsafe environment. Based on the information gathered and observations made, there is not sufficient information to confirm the allegation regarding medication administration. At the completion of the visit, the Visit Summary was reviewed with L. Thomas. The following violations were observed: Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. During interviews conducted during a complaint investigation, it was confirmed that teachers did not follow the infant feeding plan posted for a child in care. A 10-month-old infant was given whole milk instead of formula. During today's visit, infant feeding plans were followed. Containers of formula were labeled with the names of enrolled infants. Prepared and labeled bottles were observed in the refrigerator in the food prep area shared by Spaces #1 and #2. 10A NCAC 09 .0902(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space #7, an unidentified inhaler was stored in a bag on a hook on the wall. There were no medical action plans or medication authorizations on file for the children enrolled in the space. When this was brought to the administrator's attention, she removed the medication from the classroom. .0803(12) 1860 Staff did not provide assistance to each child to ensure good hygiene. During interviews conducted during a complaint investigation, it was confirmed that a staff member did not assist a child with wiping after using the bathroom, resulting in the child going home wearing soiled underwear. During today's visit, I observed teachers assisting children in the bathroom, including assistance with wiping. .0806(e) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. The violations observed and documented today may impact your compliance history score. Facility Specific TA Toileting Requirements A violation was cited today for a staff member not assisting a child with wiping after using the bathroom. Staff are required to assist children with maintaining good hygiene. Staff should monitor children while using the bathroom and assist with wiping or remind them to wipe themselves until they are clean. For more information about toileting and hygiene requirements, refer to child care rule 10A NCAC 09 .0806(e). Nutrition Requirements A violation was cited today for a staff member not following an infant’s feeding plan. Infant feeding plans shall be followed by caregivers in the center for each child under 15 months of age. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. For more information regarding nutrition requirements for infants and toddlers, refer to child care rule 10A NCAC 09 .0902(a). DCDEE Website/Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0806 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: TIFFANY REED Operation Type: Center Case Number: 0625-198L Visit Date: 6/27/2025 Number Present: 95 Completed Date: 6/27/2025 Age: From 0 To 12 Total Minutes: 330 Time In: 02:00 PM Time Out: 07:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations regarding violations of child care requirements. The previous Annual Compliance Visit was completed on March 10, 2025, and prior to today’s visit, the eighteen-month compliance history score was 86%, which is above the 75% required by North Carolina General Statute 110-90(4)(c-d). Your program currently operates with a Four-Star License issued September 30, 2024. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet the educational option of having a child care administrator with at least 10 years of documented child care administration work experience in a licensed program that can be verified by the division. The information on record with DCDEE was verified as correct by LaWanda Thomas, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on June 26, 2025. Fire Classification of Satisfactory was completed on April 01, 2025. There are allegations of violations of child care requirements, including, but not limited to: • Nutrition Requirements • Sanitation Requirements • Inappropriate Discipline • Incident Reporting • Unsafe Environment • Not Meeting the Developmental Needs of Children • Medication Administration LaWanda Thomas, Administrator, was present while I observed the indoor and outdoor areas. Upon my arrival, ninety-five (95) children and fifteen (15) teachers were present. Children were observed resting, eating snack, and participating in free-choice activities. Routine care and handwashing practices were observed. Snack consisted of goldfish cheese crackers, apple slices, and water. Three recently hired staff members’ files were reviewed, and all documentation was observed in compliance with applicable child care rules. Two of the staff members were observed completing orientation and were not in a classroom. A copy of the most recent sanitation inspection report was received during today's visit. The allegations were discussed with the administrator. I interviewed the administrator and five additional teachers. During the interview with the administrator, it was confirmed that a 10-month-old infant was served whole milk instead of formula, when the infant transitioned to another space. It was also confirmed that a staff member did not assist a child with wiping after using the bathroom, resulting in the child going home in soiled underwear. The director had a meeting with the staff member on June 19, 2025, to review the importance of helping children maintain good hygiene. The administrator did not have any concerns about sanitation, incident reporting, unsafe environments, or medication administration. The administrator had an employee recently come to her with a concern regarding another staff member roughly handling a child. The administrator completed an investigation by having a meeting with the staff member, and observing the classroom in person and on the camera. The administrator did not find any evidence of the staff member roughly handling a child. The administrator stated that there has been recent tension between staff members. During the interview with the teachers, it was confirmed that a 10-month-old infant was served whole milk instead of formula. Teachers were confused about what was written on the infant feeding plan. During my observations, groups of children were adequately supervised, nurtured, and cared for according to their developmental needs. I observed staff members assisting children in the bathroom, including assistance with wiping. The bathrooms and classrooms were monitored for cleanliness. Based on the child files that were reviewed, there were no children with documented health conditions without prescribed medication and medication authorization. Camera footage was not available for review. The administrator stated that the cameras only capture live footage. Based on the information gathered and observations made, the allegation of violations of child care requirements pertaining to nutrition requirements is substantiated. Based on the information gathered and observations made, there is not enough sufficient information to confirm the allegation of violations of child care requirements pertaining to sanitation. Based on the information gathered and observations made, there is not enough sufficient information to confirm the allegation of violations of child care requirements pertaining to inappropriate discipline. Based on the information gathered and observations made, there is not enough sufficient information to confirm the allegation of violations of child care requirements pertaining to incident reporting. Based on the information gathered and observations made, the allegation of violations of child care requirements pertaining to not meeting the developmental needs of children is substantiated. Based on the information gathered and observations made, there is not sufficient information to confirm the allegation regarding unsafe environment. Based on the information gathered and observations made, there is not sufficient information to confirm the allegation regarding medication administration. At the completion of the visit, the Visit Summary was reviewed with L. Thomas. The following violations were observed: Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. During interviews conducted during a complaint investigation, it was confirmed that teachers did not follow the infant feeding plan posted for a child in care. A 10-month-old infant was given whole milk instead of formula. During today's visit, infant feeding plans were followed. Containers of formula were labeled with the names of enrolled infants. Prepared and labeled bottles were observed in the refrigerator in the food prep area shared by Spaces #1 and #2. 10A NCAC 09 .0902(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space #7, an unidentified inhaler was stored in a bag on a hook on the wall. There were no medical action plans or medication authorizations on file for the children enrolled in the space. When this was brought to the administrator's attention, she removed the medication from the classroom. .0803(12) 1860 Staff did not provide assistance to each child to ensure good hygiene. During interviews conducted during a complaint investigation, it was confirmed that a staff member did not assist a child with wiping after using the bathroom, resulting in the child going home wearing soiled underwear. During today's visit, I observed teachers assisting children in the bathroom, including assistance with wiping. .0806(e) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. The violations observed and documented today may impact your compliance history score. Facility Specific TA Toileting Requirements A violation was cited today for a staff member not assisting a child with wiping after using the bathroom. Staff are required to assist children with maintaining good hygiene. Staff should monitor children while using the bathroom and assist with wiping or remind them to wipe themselves until they are clean. For more information about toileting and hygiene requirements, refer to child care rule 10A NCAC 09 .0806(e). Nutrition Requirements A violation was cited today for a staff member not following an infant’s feeding plan. Infant feeding plans shall be followed by caregivers in the center for each child under 15 months of age. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. For more information regarding nutrition requirements for infants and toddlers, refer to child care rule 10A NCAC 09 .0902(a). DCDEE Website/Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0902 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: TIFFANY REED Operation Type: Center Case Number: 0625-198L Visit Date: 6/27/2025 Number Present: 95 Completed Date: 6/27/2025 Age: From 0 To 12 Total Minutes: 330 Time In: 02:00 PM Time Out: 07:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations regarding violations of child care requirements. The previous Annual Compliance Visit was completed on March 10, 2025, and prior to today’s visit, the eighteen-month compliance history score was 86%, which is above the 75% required by North Carolina General Statute 110-90(4)(c-d). Your program currently operates with a Four-Star License issued September 30, 2024. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet the educational option of having a child care administrator with at least 10 years of documented child care administration work experience in a licensed program that can be verified by the division. The information on record with DCDEE was verified as correct by LaWanda Thomas, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on June 26, 2025. Fire Classification of Satisfactory was completed on April 01, 2025. There are allegations of violations of child care requirements, including, but not limited to: • Nutrition Requirements • Sanitation Requirements • Inappropriate Discipline • Incident Reporting • Unsafe Environment • Not Meeting the Developmental Needs of Children • Medication Administration LaWanda Thomas, Administrator, was present while I observed the indoor and outdoor areas. Upon my arrival, ninety-five (95) children and fifteen (15) teachers were present. Children were observed resting, eating snack, and participating in free-choice activities. Routine care and handwashing practices were observed. Snack consisted of goldfish cheese crackers, apple slices, and water. Three recently hired staff members’ files were reviewed, and all documentation was observed in compliance with applicable child care rules. Two of the staff members were observed completing orientation and were not in a classroom. A copy of the most recent sanitation inspection report was received during today's visit. The allegations were discussed with the administrator. I interviewed the administrator and five additional teachers. During the interview with the administrator, it was confirmed that a 10-month-old infant was served whole milk instead of formula, when the infant transitioned to another space. It was also confirmed that a staff member did not assist a child with wiping after using the bathroom, resulting in the child going home in soiled underwear. The director had a meeting with the staff member on June 19, 2025, to review the importance of helping children maintain good hygiene. The administrator did not have any concerns about sanitation, incident reporting, unsafe environments, or medication administration. The administrator had an employee recently come to her with a concern regarding another staff member roughly handling a child. The administrator completed an investigation by having a meeting with the staff member, and observing the classroom in person and on the camera. The administrator did not find any evidence of the staff member roughly handling a child. The administrator stated that there has been recent tension between staff members. During the interview with the teachers, it was confirmed that a 10-month-old infant was served whole milk instead of formula. Teachers were confused about what was written on the infant feeding plan. During my observations, groups of children were adequately supervised, nurtured, and cared for according to their developmental needs. I observed staff members assisting children in the bathroom, including assistance with wiping. The bathrooms and classrooms were monitored for cleanliness. Based on the child files that were reviewed, there were no children with documented health conditions without prescribed medication and medication authorization. Camera footage was not available for review. The administrator stated that the cameras only capture live footage. Based on the information gathered and observations made, the allegation of violations of child care requirements pertaining to nutrition requirements is substantiated. Based on the information gathered and observations made, there is not enough sufficient information to confirm the allegation of violations of child care requirements pertaining to sanitation. Based on the information gathered and observations made, there is not enough sufficient information to confirm the allegation of violations of child care requirements pertaining to inappropriate discipline. Based on the information gathered and observations made, there is not enough sufficient information to confirm the allegation of violations of child care requirements pertaining to incident reporting. Based on the information gathered and observations made, the allegation of violations of child care requirements pertaining to not meeting the developmental needs of children is substantiated. Based on the information gathered and observations made, there is not sufficient information to confirm the allegation regarding unsafe environment. Based on the information gathered and observations made, there is not sufficient information to confirm the allegation regarding medication administration. At the completion of the visit, the Visit Summary was reviewed with L. Thomas. The following violations were observed: Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. During interviews conducted during a complaint investigation, it was confirmed that teachers did not follow the infant feeding plan posted for a child in care. A 10-month-old infant was given whole milk instead of formula. During today's visit, infant feeding plans were followed. Containers of formula were labeled with the names of enrolled infants. Prepared and labeled bottles were observed in the refrigerator in the food prep area shared by Spaces #1 and #2. 10A NCAC 09 .0902(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space #7, an unidentified inhaler was stored in a bag on a hook on the wall. There were no medical action plans or medication authorizations on file for the children enrolled in the space. When this was brought to the administrator's attention, she removed the medication from the classroom. .0803(12) 1860 Staff did not provide assistance to each child to ensure good hygiene. During interviews conducted during a complaint investigation, it was confirmed that a staff member did not assist a child with wiping after using the bathroom, resulting in the child going home wearing soiled underwear. During today's visit, I observed teachers assisting children in the bathroom, including assistance with wiping. .0806(e) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. The violations observed and documented today may impact your compliance history score. Facility Specific TA Toileting Requirements A violation was cited today for a staff member not assisting a child with wiping after using the bathroom. Staff are required to assist children with maintaining good hygiene. Staff should monitor children while using the bathroom and assist with wiping or remind them to wipe themselves until they are clean. For more information about toileting and hygiene requirements, refer to child care rule 10A NCAC 09 .0806(e). Nutrition Requirements A violation was cited today for a staff member not following an infant’s feeding plan. Infant feeding plans shall be followed by caregivers in the center for each child under 15 months of age. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. For more information regarding nutrition requirements for infants and toddlers, refer to child care rule 10A NCAC 09 .0902(a). DCDEE Website/Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: TIFFANY REED Operation Type: Center Case Number: 0625-198L Visit Date: 6/27/2025 Number Present: 95 Completed Date: 6/27/2025 Age: From 0 To 12 Total Minutes: 330 Time In: 02:00 PM Time Out: 07:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations regarding violations of child care requirements. The previous Annual Compliance Visit was completed on March 10, 2025, and prior to today’s visit, the eighteen-month compliance history score was 86%, which is above the 75% required by North Carolina General Statute 110-90(4)(c-d). Your program currently operates with a Four-Star License issued September 30, 2024. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet the educational option of having a child care administrator with at least 10 years of documented child care administration work experience in a licensed program that can be verified by the division. The information on record with DCDEE was verified as correct by LaWanda Thomas, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on June 26, 2025. Fire Classification of Satisfactory was completed on April 01, 2025. There are allegations of violations of child care requirements, including, but not limited to: • Nutrition Requirements • Sanitation Requirements • Inappropriate Discipline • Incident Reporting • Unsafe Environment • Not Meeting the Developmental Needs of Children • Medication Administration LaWanda Thomas, Administrator, was present while I observed the indoor and outdoor areas. Upon my arrival, ninety-five (95) children and fifteen (15) teachers were present. Children were observed resting, eating snack, and participating in free-choice activities. Routine care and handwashing practices were observed. Snack consisted of goldfish cheese crackers, apple slices, and water. Three recently hired staff members’ files were reviewed, and all documentation was observed in compliance with applicable child care rules. Two of the staff members were observed completing orientation and were not in a classroom. A copy of the most recent sanitation inspection report was received during today's visit. The allegations were discussed with the administrator. I interviewed the administrator and five additional teachers. During the interview with the administrator, it was confirmed that a 10-month-old infant was served whole milk instead of formula, when the infant transitioned to another space. It was also confirmed that a staff member did not assist a child with wiping after using the bathroom, resulting in the child going home in soiled underwear. The director had a meeting with the staff member on June 19, 2025, to review the importance of helping children maintain good hygiene. The administrator did not have any concerns about sanitation, incident reporting, unsafe environments, or medication administration. The administrator had an employee recently come to her with a concern regarding another staff member roughly handling a child. The administrator completed an investigation by having a meeting with the staff member, and observing the classroom in person and on the camera. The administrator did not find any evidence of the staff member roughly handling a child. The administrator stated that there has been recent tension between staff members. During the interview with the teachers, it was confirmed that a 10-month-old infant was served whole milk instead of formula. Teachers were confused about what was written on the infant feeding plan. During my observations, groups of children were adequately supervised, nurtured, and cared for according to their developmental needs. I observed staff members assisting children in the bathroom, including assistance with wiping. The bathrooms and classrooms were monitored for cleanliness. Based on the child files that were reviewed, there were no children with documented health conditions without prescribed medication and medication authorization. Camera footage was not available for review. The administrator stated that the cameras only capture live footage. Based on the information gathered and observations made, the allegation of violations of child care requirements pertaining to nutrition requirements is substantiated. Based on the information gathered and observations made, there is not enough sufficient information to confirm the allegation of violations of child care requirements pertaining to sanitation. Based on the information gathered and observations made, there is not enough sufficient information to confirm the allegation of violations of child care requirements pertaining to inappropriate discipline. Based on the information gathered and observations made, there is not enough sufficient information to confirm the allegation of violations of child care requirements pertaining to incident reporting. Based on the information gathered and observations made, the allegation of violations of child care requirements pertaining to not meeting the developmental needs of children is substantiated. Based on the information gathered and observations made, there is not sufficient information to confirm the allegation regarding unsafe environment. Based on the information gathered and observations made, there is not sufficient information to confirm the allegation regarding medication administration. At the completion of the visit, the Visit Summary was reviewed with L. Thomas. The following violations were observed: Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. During interviews conducted during a complaint investigation, it was confirmed that teachers did not follow the infant feeding plan posted for a child in care. A 10-month-old infant was given whole milk instead of formula. During today's visit, infant feeding plans were followed. Containers of formula were labeled with the names of enrolled infants. Prepared and labeled bottles were observed in the refrigerator in the food prep area shared by Spaces #1 and #2. 10A NCAC 09 .0902(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space #7, an unidentified inhaler was stored in a bag on a hook on the wall. There were no medical action plans or medication authorizations on file for the children enrolled in the space. When this was brought to the administrator's attention, she removed the medication from the classroom. .0803(12) 1860 Staff did not provide assistance to each child to ensure good hygiene. During interviews conducted during a complaint investigation, it was confirmed that a staff member did not assist a child with wiping after using the bathroom, resulting in the child going home wearing soiled underwear. During today's visit, I observed teachers assisting children in the bathroom, including assistance with wiping. .0806(e) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. The violations observed and documented today may impact your compliance history score. Facility Specific TA Toileting Requirements A violation was cited today for a staff member not assisting a child with wiping after using the bathroom. Staff are required to assist children with maintaining good hygiene. Staff should monitor children while using the bathroom and assist with wiping or remind them to wipe themselves until they are clean. For more information about toileting and hygiene requirements, refer to child care rule 10A NCAC 09 .0806(e). Nutrition Requirements A violation was cited today for a staff member not following an infant’s feeding plan. Infant feeding plans shall be followed by caregivers in the center for each child under 15 months of age. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. For more information regarding nutrition requirements for infants and toddlers, refer to child care rule 10A NCAC 09 .0902(a). DCDEE Website/Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0608 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 6/16/2025 Number Present: 108 Completed Date: 6/16/2025 Age: From 0 To 11 Total Minutes: 210 Time In: 02:00 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an Administrative Action Follow-Up visit. The previous Annual Compliance Visit was completed on March 10, 2025, and prior to today’s visit, the eighteen-month compliance history score was 87%, which is above the 75% required by North Carolina General Statute 110-90(4)(c-d). Your program currently operates with a Four-Star License issued September 30, 2024. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet the educational option of having a child care administrator with at least 10 years of documented child care administration work experience in a licensed program that can be verified by the division. The information on record with DCDEE was verified as correct by Na’Zyia Simmons, Legal Designee. Current Inspections are as follows: Sanitation Classification of Superior was completed on December 16, 2024. Fire Classification of Satisfactory was completed on April 01, 2025. N. Simmons, Legal Designee, was present while I observed the indoor and outdoor areas. One-hundred-and-eight (108) children and fourteen (14) teachers were present. Children were observed eating snack and participating in free-choice activities. Snack consisted of broccoli florets, ranch dip, and orange juice. I monitored for the display of the Administrative Action which included the Cover Letter and the Corrective Action Plan. The Administrative Action was posted on the wall in the facility’s lobby entrance. Three staff members’ files were reviewed. Three staff members did not have a signed acknowledgment on file stating that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was reviewed with them prior to providing care to children. One staff member did not have a valid medical report on file. One staff member did not complete all required health and safety training topics within one year of employment. One staff member did not have documentation on file to verify the completion of CPR and First Aid courses within 90 days of employment. At the completion of the visit, the Visit Summary was reviewed with N. Simmons. The following violations were observed: Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member (M.O.) did not have a valid medical report on file. The medical report was missing the date the health assessment was completed. 10A NCAC 09 .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member (S.A.) did not have documentation on file to verify completing First Aid training within 90 days of employment. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member (S.A.) did not have documentation on file to verify completing CPR training within 90 days of employment. .1102(d) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Three staff members did not have signed acknowledgements on file, stating that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was reviewed with them prior to providing care to children. .0608(d)(1-4) 1898 Staff did not complete the health and safety training within one year of employment. One staff member (S.A.) did not have documentation on file to verify completing all required health and safety training topics within one year of employment. .1102(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on June 30, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA/Reminders: Staff Files Five violations were cited today related to staff files. Maintaining complete records on each staff person employed at the facility is a sound administrative practice. Licensing staff will check the records to assure that applicable licensing requirements are met (such as identifying information, educational qualifications, health assessment on file, record of continuing education, signed statement of agreement to observe policies, and guidelines for reporting suspected child maltreatment). I encouraged the legal designee to have a discussion with the administrator about possibly implementing monthly staff file checks to ensure that all required documentation is obtained and on file prior to due dates and expiration dates. As a reminder, it is required to separate staff personnel files from staff medical files. Additionally, seasonal employees should be included on the staff and training worksheet when submitted to the child care consultant prior to your annual compliance visit. More information regarding staff files can be found in child care rules 10A NCAC 09 .0608, .0701, and .1102. Administrative Action Type: Written Warning The facility was issued an Administrative Action - Written Warning dated April 25, 2025. The administrator stated that she received the Administrative Action in the mail on April 30, 2025. During today’s visit, the Administrative Action was observed posted on the wall in the facility’s lobby entrance. We reviewed the progress of completion of the Administrative Action’s corrective action plan. The Administrative Action- Written Warning must remain available for review by parents and DCDEE Representatives throughout the effective time period of three (3) months. The following stipulations were discussed: Corrective Action Plan 1. The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • Child Care Rule 10A NCAC 09 .0713(a-e), regarding maintaining minimum staff/child ratios and group sizes for the number and ages of children in care • Child Care Rule 10A NCAC 09 .2818, regarding maintaining enhanced staff/child ratios and maximum group sizes Progress: During the Initial Administrative Action visit that was completed on May 05, 2025, all applicable child care rules were observed in compliance. During a complaint visit that was conducted on May 27, 2025, a violation was cited regarding an unsafe outdoor environment. During today’s visit, five violations were cited regarding staff files. 2. Within one (1) week after this Notice is received, LaWanda Thomas, administrator, shall develop a written plan that describes, in detail, the steps that will be taken to ensure compliance with child care requirements related to maintaining staff/child ratios at all times with a staffing pattern plan. The written plan shall include, but not be limited to: • Steps to evaluate the arrival and departure times of children and staff patterns throughout the day to determine the most appropriate staff schedule and to make necessary adjustments as needed • Maintaining a sufficient number of staff members and substitute providers when staff are tardy or absent • Frequent review of the procedures with staff members, as well as, incorporation in the orientation of new staff members • A plan that ensures children are appropriately grouped and adequately supervised throughout the day The written plan shall be submitted to Tiffany Reed, Child Care Consultant, PO Box 9939, Fayetteville, NC 28311, telephone number 910-605-2367, email Tiffany.l.reed@dhhs.nc.gov, for review. Ms. Reed shall notify Ms. Thomas, orally and in writing, as to whether the written plan is sufficient or if modifications are needed. Once notification is received that the plan is sufficient, it shall be immediately implemented and a copy of the plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Progress: On May 07, 2025, I received an email from the administrator with an attachment containing the facility’s staffing pattern plan. I reviewed and approved the staffing pattern plan on May 16, 2025. I notified the administrator of the approval via email and phone. During today’s visit, a copy of the staffing pattern plan was on file. 3. Within two (2) weeks after this Notice is received, Ms. Thomas shall develop/review and revise the facility’s staffing pattern policy and procedures to describe, in detail, the steps the facility will take to ensure that staffing patterns adequately maintain staff/child ratios at all times. The policy and procedures shall include, but not be limited to, the following: • Designation of an administrative staff member to evaluate the arrival and departure times of children and staffing patterns throughout the day to determine the most appropriate staff schedule and to make necessary adjustments as needed • Procedures that ensure children are appropriately grouped and adequately supervised throughout the day • Procedures to follow when staff are tardy or absent • Procedures for informing administration when staff members need to attend to personal care needs or to complete tasks outside the classroom or away from the group • Procedures for when a new staff member assumes responsibility of the children or when a child or children is/are moved to another group • Procedures for informing administration when a teacher has reached the maximum amount of children they can care for, according to the ages of children The written policy and procedures shall be submitted to Ms. Reed for review. Ms. Reed shall notify Ms. Thomas, orally and in writing, as to whether the written policy and procedures meet the requirements of this stipulation or if modifications are needed. Once notification of this stipulation being met is received, the policy and procedures shall be immediately implemented and incorporated into operating procedures. A copy of the policy and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Progress: On May 15, 2025, I received an email from the administrator with an attachment containing the facility’s updated staffing pattern policies and procedures. I reviewed and approved the updated policies and procedures on May 30, 2025. I notified the administrator of the approval via email and phone. During today’s visit, a copy of the updated policies and procedures were on file. 4. Within one (1) week after notification from the Division that the stipulation has been met for the staffing pattern policy related to maintaining staff/child ratios, Ms. Thomas shall conduct a staff meeting with all staff members to discuss the staffing pattern and staff/child ratio policy and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Progress: During today’s visit, there was no documentation available for review to verify that a staff meeting occurred. Unannounced visits will be made by a representative of the Division of Child Development and Early Education to verify compliance with the Written Warning. Documentation to support compliance with the Written Warning is required. Failure to comply with the terms of the Written Warning may result in the issuance of a more stringent administrative action and/or the assessment of a civil penalty. Please let me know if you have any questions or concerns regarding what is required of you for the Administrative Action – Written Warning. If you have questions, please contact me at: (910) 605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0701 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 6/16/2025 Number Present: 108 Completed Date: 6/16/2025 Age: From 0 To 11 Total Minutes: 210 Time In: 02:00 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an Administrative Action Follow-Up visit. The previous Annual Compliance Visit was completed on March 10, 2025, and prior to today’s visit, the eighteen-month compliance history score was 87%, which is above the 75% required by North Carolina General Statute 110-90(4)(c-d). Your program currently operates with a Four-Star License issued September 30, 2024. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet the educational option of having a child care administrator with at least 10 years of documented child care administration work experience in a licensed program that can be verified by the division. The information on record with DCDEE was verified as correct by Na’Zyia Simmons, Legal Designee. Current Inspections are as follows: Sanitation Classification of Superior was completed on December 16, 2024. Fire Classification of Satisfactory was completed on April 01, 2025. N. Simmons, Legal Designee, was present while I observed the indoor and outdoor areas. One-hundred-and-eight (108) children and fourteen (14) teachers were present. Children were observed eating snack and participating in free-choice activities. Snack consisted of broccoli florets, ranch dip, and orange juice. I monitored for the display of the Administrative Action which included the Cover Letter and the Corrective Action Plan. The Administrative Action was posted on the wall in the facility’s lobby entrance. Three staff members’ files were reviewed. Three staff members did not have a signed acknowledgment on file stating that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was reviewed with them prior to providing care to children. One staff member did not have a valid medical report on file. One staff member did not complete all required health and safety training topics within one year of employment. One staff member did not have documentation on file to verify the completion of CPR and First Aid courses within 90 days of employment. At the completion of the visit, the Visit Summary was reviewed with N. Simmons. The following violations were observed: Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member (M.O.) did not have a valid medical report on file. The medical report was missing the date the health assessment was completed. 10A NCAC 09 .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member (S.A.) did not have documentation on file to verify completing First Aid training within 90 days of employment. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member (S.A.) did not have documentation on file to verify completing CPR training within 90 days of employment. .1102(d) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Three staff members did not have signed acknowledgements on file, stating that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was reviewed with them prior to providing care to children. .0608(d)(1-4) 1898 Staff did not complete the health and safety training within one year of employment. One staff member (S.A.) did not have documentation on file to verify completing all required health and safety training topics within one year of employment. .1102(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on June 30, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA/Reminders: Staff Files Five violations were cited today related to staff files. Maintaining complete records on each staff person employed at the facility is a sound administrative practice. Licensing staff will check the records to assure that applicable licensing requirements are met (such as identifying information, educational qualifications, health assessment on file, record of continuing education, signed statement of agreement to observe policies, and guidelines for reporting suspected child maltreatment). I encouraged the legal designee to have a discussion with the administrator about possibly implementing monthly staff file checks to ensure that all required documentation is obtained and on file prior to due dates and expiration dates. As a reminder, it is required to separate staff personnel files from staff medical files. Additionally, seasonal employees should be included on the staff and training worksheet when submitted to the child care consultant prior to your annual compliance visit. More information regarding staff files can be found in child care rules 10A NCAC 09 .0608, .0701, and .1102. Administrative Action Type: Written Warning The facility was issued an Administrative Action - Written Warning dated April 25, 2025. The administrator stated that she received the Administrative Action in the mail on April 30, 2025. During today’s visit, the Administrative Action was observed posted on the wall in the facility’s lobby entrance. We reviewed the progress of completion of the Administrative Action’s corrective action plan. The Administrative Action- Written Warning must remain available for review by parents and DCDEE Representatives throughout the effective time period of three (3) months. The following stipulations were discussed: Corrective Action Plan 1. The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • Child Care Rule 10A NCAC 09 .0713(a-e), regarding maintaining minimum staff/child ratios and group sizes for the number and ages of children in care • Child Care Rule 10A NCAC 09 .2818, regarding maintaining enhanced staff/child ratios and maximum group sizes Progress: During the Initial Administrative Action visit that was completed on May 05, 2025, all applicable child care rules were observed in compliance. During a complaint visit that was conducted on May 27, 2025, a violation was cited regarding an unsafe outdoor environment. During today’s visit, five violations were cited regarding staff files. 2. Within one (1) week after this Notice is received, LaWanda Thomas, administrator, shall develop a written plan that describes, in detail, the steps that will be taken to ensure compliance with child care requirements related to maintaining staff/child ratios at all times with a staffing pattern plan. The written plan shall include, but not be limited to: • Steps to evaluate the arrival and departure times of children and staff patterns throughout the day to determine the most appropriate staff schedule and to make necessary adjustments as needed • Maintaining a sufficient number of staff members and substitute providers when staff are tardy or absent • Frequent review of the procedures with staff members, as well as, incorporation in the orientation of new staff members • A plan that ensures children are appropriately grouped and adequately supervised throughout the day The written plan shall be submitted to Tiffany Reed, Child Care Consultant, PO Box 9939, Fayetteville, NC 28311, telephone number 910-605-2367, email Tiffany.l.reed@dhhs.nc.gov, for review. Ms. Reed shall notify Ms. Thomas, orally and in writing, as to whether the written plan is sufficient or if modifications are needed. Once notification is received that the plan is sufficient, it shall be immediately implemented and a copy of the plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Progress: On May 07, 2025, I received an email from the administrator with an attachment containing the facility’s staffing pattern plan. I reviewed and approved the staffing pattern plan on May 16, 2025. I notified the administrator of the approval via email and phone. During today’s visit, a copy of the staffing pattern plan was on file. 3. Within two (2) weeks after this Notice is received, Ms. Thomas shall develop/review and revise the facility’s staffing pattern policy and procedures to describe, in detail, the steps the facility will take to ensure that staffing patterns adequately maintain staff/child ratios at all times. The policy and procedures shall include, but not be limited to, the following: • Designation of an administrative staff member to evaluate the arrival and departure times of children and staffing patterns throughout the day to determine the most appropriate staff schedule and to make necessary adjustments as needed • Procedures that ensure children are appropriately grouped and adequately supervised throughout the day • Procedures to follow when staff are tardy or absent • Procedures for informing administration when staff members need to attend to personal care needs or to complete tasks outside the classroom or away from the group • Procedures for when a new staff member assumes responsibility of the children or when a child or children is/are moved to another group • Procedures for informing administration when a teacher has reached the maximum amount of children they can care for, according to the ages of children The written policy and procedures shall be submitted to Ms. Reed for review. Ms. Reed shall notify Ms. Thomas, orally and in writing, as to whether the written policy and procedures meet the requirements of this stipulation or if modifications are needed. Once notification of this stipulation being met is received, the policy and procedures shall be immediately implemented and incorporated into operating procedures. A copy of the policy and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Progress: On May 15, 2025, I received an email from the administrator with an attachment containing the facility’s updated staffing pattern policies and procedures. I reviewed and approved the updated policies and procedures on May 30, 2025. I notified the administrator of the approval via email and phone. During today’s visit, a copy of the updated policies and procedures were on file. 4. Within one (1) week after notification from the Division that the stipulation has been met for the staffing pattern policy related to maintaining staff/child ratios, Ms. Thomas shall conduct a staff meeting with all staff members to discuss the staffing pattern and staff/child ratio policy and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Progress: During today’s visit, there was no documentation available for review to verify that a staff meeting occurred. Unannounced visits will be made by a representative of the Division of Child Development and Early Education to verify compliance with the Written Warning. Documentation to support compliance with the Written Warning is required. Failure to comply with the terms of the Written Warning may result in the issuance of a more stringent administrative action and/or the assessment of a civil penalty. Please let me know if you have any questions or concerns regarding what is required of you for the Administrative Action – Written Warning. If you have questions, please contact me at: (910) 605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0713 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 6/16/2025 Number Present: 108 Completed Date: 6/16/2025 Age: From 0 To 11 Total Minutes: 210 Time In: 02:00 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an Administrative Action Follow-Up visit. The previous Annual Compliance Visit was completed on March 10, 2025, and prior to today’s visit, the eighteen-month compliance history score was 87%, which is above the 75% required by North Carolina General Statute 110-90(4)(c-d). Your program currently operates with a Four-Star License issued September 30, 2024. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet the educational option of having a child care administrator with at least 10 years of documented child care administration work experience in a licensed program that can be verified by the division. The information on record with DCDEE was verified as correct by Na’Zyia Simmons, Legal Designee. Current Inspections are as follows: Sanitation Classification of Superior was completed on December 16, 2024. Fire Classification of Satisfactory was completed on April 01, 2025. N. Simmons, Legal Designee, was present while I observed the indoor and outdoor areas. One-hundred-and-eight (108) children and fourteen (14) teachers were present. Children were observed eating snack and participating in free-choice activities. Snack consisted of broccoli florets, ranch dip, and orange juice. I monitored for the display of the Administrative Action which included the Cover Letter and the Corrective Action Plan. The Administrative Action was posted on the wall in the facility’s lobby entrance. Three staff members’ files were reviewed. Three staff members did not have a signed acknowledgment on file stating that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was reviewed with them prior to providing care to children. One staff member did not have a valid medical report on file. One staff member did not complete all required health and safety training topics within one year of employment. One staff member did not have documentation on file to verify the completion of CPR and First Aid courses within 90 days of employment. At the completion of the visit, the Visit Summary was reviewed with N. Simmons. The following violations were observed: Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member (M.O.) did not have a valid medical report on file. The medical report was missing the date the health assessment was completed. 10A NCAC 09 .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member (S.A.) did not have documentation on file to verify completing First Aid training within 90 days of employment. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member (S.A.) did not have documentation on file to verify completing CPR training within 90 days of employment. .1102(d) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Three staff members did not have signed acknowledgements on file, stating that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was reviewed with them prior to providing care to children. .0608(d)(1-4) 1898 Staff did not complete the health and safety training within one year of employment. One staff member (S.A.) did not have documentation on file to verify completing all required health and safety training topics within one year of employment. .1102(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on June 30, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA/Reminders: Staff Files Five violations were cited today related to staff files. Maintaining complete records on each staff person employed at the facility is a sound administrative practice. Licensing staff will check the records to assure that applicable licensing requirements are met (such as identifying information, educational qualifications, health assessment on file, record of continuing education, signed statement of agreement to observe policies, and guidelines for reporting suspected child maltreatment). I encouraged the legal designee to have a discussion with the administrator about possibly implementing monthly staff file checks to ensure that all required documentation is obtained and on file prior to due dates and expiration dates. As a reminder, it is required to separate staff personnel files from staff medical files. Additionally, seasonal employees should be included on the staff and training worksheet when submitted to the child care consultant prior to your annual compliance visit. More information regarding staff files can be found in child care rules 10A NCAC 09 .0608, .0701, and .1102. Administrative Action Type: Written Warning The facility was issued an Administrative Action - Written Warning dated April 25, 2025. The administrator stated that she received the Administrative Action in the mail on April 30, 2025. During today’s visit, the Administrative Action was observed posted on the wall in the facility’s lobby entrance. We reviewed the progress of completion of the Administrative Action’s corrective action plan. The Administrative Action- Written Warning must remain available for review by parents and DCDEE Representatives throughout the effective time period of three (3) months. The following stipulations were discussed: Corrective Action Plan 1. The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • Child Care Rule 10A NCAC 09 .0713(a-e), regarding maintaining minimum staff/child ratios and group sizes for the number and ages of children in care • Child Care Rule 10A NCAC 09 .2818, regarding maintaining enhanced staff/child ratios and maximum group sizes Progress: During the Initial Administrative Action visit that was completed on May 05, 2025, all applicable child care rules were observed in compliance. During a complaint visit that was conducted on May 27, 2025, a violation was cited regarding an unsafe outdoor environment. During today’s visit, five violations were cited regarding staff files. 2. Within one (1) week after this Notice is received, LaWanda Thomas, administrator, shall develop a written plan that describes, in detail, the steps that will be taken to ensure compliance with child care requirements related to maintaining staff/child ratios at all times with a staffing pattern plan. The written plan shall include, but not be limited to: • Steps to evaluate the arrival and departure times of children and staff patterns throughout the day to determine the most appropriate staff schedule and to make necessary adjustments as needed • Maintaining a sufficient number of staff members and substitute providers when staff are tardy or absent • Frequent review of the procedures with staff members, as well as, incorporation in the orientation of new staff members • A plan that ensures children are appropriately grouped and adequately supervised throughout the day The written plan shall be submitted to Tiffany Reed, Child Care Consultant, PO Box 9939, Fayetteville, NC 28311, telephone number 910-605-2367, email Tiffany.l.reed@dhhs.nc.gov, for review. Ms. Reed shall notify Ms. Thomas, orally and in writing, as to whether the written plan is sufficient or if modifications are needed. Once notification is received that the plan is sufficient, it shall be immediately implemented and a copy of the plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Progress: On May 07, 2025, I received an email from the administrator with an attachment containing the facility’s staffing pattern plan. I reviewed and approved the staffing pattern plan on May 16, 2025. I notified the administrator of the approval via email and phone. During today’s visit, a copy of the staffing pattern plan was on file. 3. Within two (2) weeks after this Notice is received, Ms. Thomas shall develop/review and revise the facility’s staffing pattern policy and procedures to describe, in detail, the steps the facility will take to ensure that staffing patterns adequately maintain staff/child ratios at all times. The policy and procedures shall include, but not be limited to, the following: • Designation of an administrative staff member to evaluate the arrival and departure times of children and staffing patterns throughout the day to determine the most appropriate staff schedule and to make necessary adjustments as needed • Procedures that ensure children are appropriately grouped and adequately supervised throughout the day • Procedures to follow when staff are tardy or absent • Procedures for informing administration when staff members need to attend to personal care needs or to complete tasks outside the classroom or away from the group • Procedures for when a new staff member assumes responsibility of the children or when a child or children is/are moved to another group • Procedures for informing administration when a teacher has reached the maximum amount of children they can care for, according to the ages of children The written policy and procedures shall be submitted to Ms. Reed for review. Ms. Reed shall notify Ms. Thomas, orally and in writing, as to whether the written policy and procedures meet the requirements of this stipulation or if modifications are needed. Once notification of this stipulation being met is received, the policy and procedures shall be immediately implemented and incorporated into operating procedures. A copy of the policy and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Progress: On May 15, 2025, I received an email from the administrator with an attachment containing the facility’s updated staffing pattern policies and procedures. I reviewed and approved the updated policies and procedures on May 30, 2025. I notified the administrator of the approval via email and phone. During today’s visit, a copy of the updated policies and procedures were on file. 4. Within one (1) week after notification from the Division that the stipulation has been met for the staffing pattern policy related to maintaining staff/child ratios, Ms. Thomas shall conduct a staff meeting with all staff members to discuss the staffing pattern and staff/child ratio policy and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Progress: During today’s visit, there was no documentation available for review to verify that a staff meeting occurred. Unannounced visits will be made by a representative of the Division of Child Development and Early Education to verify compliance with the Written Warning. Documentation to support compliance with the Written Warning is required. Failure to comply with the terms of the Written Warning may result in the issuance of a more stringent administrative action and/or the assessment of a civil penalty. Please let me know if you have any questions or concerns regarding what is required of you for the Administrative Action – Written Warning. If you have questions, please contact me at: (910) 605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2818 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 6/16/2025 Number Present: 108 Completed Date: 6/16/2025 Age: From 0 To 11 Total Minutes: 210 Time In: 02:00 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an Administrative Action Follow-Up visit. The previous Annual Compliance Visit was completed on March 10, 2025, and prior to today’s visit, the eighteen-month compliance history score was 87%, which is above the 75% required by North Carolina General Statute 110-90(4)(c-d). Your program currently operates with a Four-Star License issued September 30, 2024. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet the educational option of having a child care administrator with at least 10 years of documented child care administration work experience in a licensed program that can be verified by the division. The information on record with DCDEE was verified as correct by Na’Zyia Simmons, Legal Designee. Current Inspections are as follows: Sanitation Classification of Superior was completed on December 16, 2024. Fire Classification of Satisfactory was completed on April 01, 2025. N. Simmons, Legal Designee, was present while I observed the indoor and outdoor areas. One-hundred-and-eight (108) children and fourteen (14) teachers were present. Children were observed eating snack and participating in free-choice activities. Snack consisted of broccoli florets, ranch dip, and orange juice. I monitored for the display of the Administrative Action which included the Cover Letter and the Corrective Action Plan. The Administrative Action was posted on the wall in the facility’s lobby entrance. Three staff members’ files were reviewed. Three staff members did not have a signed acknowledgment on file stating that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was reviewed with them prior to providing care to children. One staff member did not have a valid medical report on file. One staff member did not complete all required health and safety training topics within one year of employment. One staff member did not have documentation on file to verify the completion of CPR and First Aid courses within 90 days of employment. At the completion of the visit, the Visit Summary was reviewed with N. Simmons. The following violations were observed: Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member (M.O.) did not have a valid medical report on file. The medical report was missing the date the health assessment was completed. 10A NCAC 09 .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member (S.A.) did not have documentation on file to verify completing First Aid training within 90 days of employment. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member (S.A.) did not have documentation on file to verify completing CPR training within 90 days of employment. .1102(d) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Three staff members did not have signed acknowledgements on file, stating that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was reviewed with them prior to providing care to children. .0608(d)(1-4) 1898 Staff did not complete the health and safety training within one year of employment. One staff member (S.A.) did not have documentation on file to verify completing all required health and safety training topics within one year of employment. .1102(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on June 30, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA/Reminders: Staff Files Five violations were cited today related to staff files. Maintaining complete records on each staff person employed at the facility is a sound administrative practice. Licensing staff will check the records to assure that applicable licensing requirements are met (such as identifying information, educational qualifications, health assessment on file, record of continuing education, signed statement of agreement to observe policies, and guidelines for reporting suspected child maltreatment). I encouraged the legal designee to have a discussion with the administrator about possibly implementing monthly staff file checks to ensure that all required documentation is obtained and on file prior to due dates and expiration dates. As a reminder, it is required to separate staff personnel files from staff medical files. Additionally, seasonal employees should be included on the staff and training worksheet when submitted to the child care consultant prior to your annual compliance visit. More information regarding staff files can be found in child care rules 10A NCAC 09 .0608, .0701, and .1102. Administrative Action Type: Written Warning The facility was issued an Administrative Action - Written Warning dated April 25, 2025. The administrator stated that she received the Administrative Action in the mail on April 30, 2025. During today’s visit, the Administrative Action was observed posted on the wall in the facility’s lobby entrance. We reviewed the progress of completion of the Administrative Action’s corrective action plan. The Administrative Action- Written Warning must remain available for review by parents and DCDEE Representatives throughout the effective time period of three (3) months. The following stipulations were discussed: Corrective Action Plan 1. The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • Child Care Rule 10A NCAC 09 .0713(a-e), regarding maintaining minimum staff/child ratios and group sizes for the number and ages of children in care • Child Care Rule 10A NCAC 09 .2818, regarding maintaining enhanced staff/child ratios and maximum group sizes Progress: During the Initial Administrative Action visit that was completed on May 05, 2025, all applicable child care rules were observed in compliance. During a complaint visit that was conducted on May 27, 2025, a violation was cited regarding an unsafe outdoor environment. During today’s visit, five violations were cited regarding staff files. 2. Within one (1) week after this Notice is received, LaWanda Thomas, administrator, shall develop a written plan that describes, in detail, the steps that will be taken to ensure compliance with child care requirements related to maintaining staff/child ratios at all times with a staffing pattern plan. The written plan shall include, but not be limited to: • Steps to evaluate the arrival and departure times of children and staff patterns throughout the day to determine the most appropriate staff schedule and to make necessary adjustments as needed • Maintaining a sufficient number of staff members and substitute providers when staff are tardy or absent • Frequent review of the procedures with staff members, as well as, incorporation in the orientation of new staff members • A plan that ensures children are appropriately grouped and adequately supervised throughout the day The written plan shall be submitted to Tiffany Reed, Child Care Consultant, PO Box 9939, Fayetteville, NC 28311, telephone number 910-605-2367, email Tiffany.l.reed@dhhs.nc.gov, for review. Ms. Reed shall notify Ms. Thomas, orally and in writing, as to whether the written plan is sufficient or if modifications are needed. Once notification is received that the plan is sufficient, it shall be immediately implemented and a copy of the plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Progress: On May 07, 2025, I received an email from the administrator with an attachment containing the facility’s staffing pattern plan. I reviewed and approved the staffing pattern plan on May 16, 2025. I notified the administrator of the approval via email and phone. During today’s visit, a copy of the staffing pattern plan was on file. 3. Within two (2) weeks after this Notice is received, Ms. Thomas shall develop/review and revise the facility’s staffing pattern policy and procedures to describe, in detail, the steps the facility will take to ensure that staffing patterns adequately maintain staff/child ratios at all times. The policy and procedures shall include, but not be limited to, the following: • Designation of an administrative staff member to evaluate the arrival and departure times of children and staffing patterns throughout the day to determine the most appropriate staff schedule and to make necessary adjustments as needed • Procedures that ensure children are appropriately grouped and adequately supervised throughout the day • Procedures to follow when staff are tardy or absent • Procedures for informing administration when staff members need to attend to personal care needs or to complete tasks outside the classroom or away from the group • Procedures for when a new staff member assumes responsibility of the children or when a child or children is/are moved to another group • Procedures for informing administration when a teacher has reached the maximum amount of children they can care for, according to the ages of children The written policy and procedures shall be submitted to Ms. Reed for review. Ms. Reed shall notify Ms. Thomas, orally and in writing, as to whether the written policy and procedures meet the requirements of this stipulation or if modifications are needed. Once notification of this stipulation being met is received, the policy and procedures shall be immediately implemented and incorporated into operating procedures. A copy of the policy and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Progress: On May 15, 2025, I received an email from the administrator with an attachment containing the facility’s updated staffing pattern policies and procedures. I reviewed and approved the updated policies and procedures on May 30, 2025. I notified the administrator of the approval via email and phone. During today’s visit, a copy of the updated policies and procedures were on file. 4. Within one (1) week after notification from the Division that the stipulation has been met for the staffing pattern policy related to maintaining staff/child ratios, Ms. Thomas shall conduct a staff meeting with all staff members to discuss the staffing pattern and staff/child ratio policy and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Progress: During today’s visit, there was no documentation available for review to verify that a staff meeting occurred. Unannounced visits will be made by a representative of the Division of Child Development and Early Education to verify compliance with the Written Warning. Documentation to support compliance with the Written Warning is required. Failure to comply with the terms of the Written Warning may result in the issuance of a more stringent administrative action and/or the assessment of a civil penalty. Please let me know if you have any questions or concerns regarding what is required of you for the Administrative Action – Written Warning. If you have questions, please contact me at: (910) 605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 6/16/2025 Number Present: 108 Completed Date: 6/16/2025 Age: From 0 To 11 Total Minutes: 210 Time In: 02:00 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an Administrative Action Follow-Up visit. The previous Annual Compliance Visit was completed on March 10, 2025, and prior to today’s visit, the eighteen-month compliance history score was 87%, which is above the 75% required by North Carolina General Statute 110-90(4)(c-d). Your program currently operates with a Four-Star License issued September 30, 2024. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet the educational option of having a child care administrator with at least 10 years of documented child care administration work experience in a licensed program that can be verified by the division. The information on record with DCDEE was verified as correct by Na’Zyia Simmons, Legal Designee. Current Inspections are as follows: Sanitation Classification of Superior was completed on December 16, 2024. Fire Classification of Satisfactory was completed on April 01, 2025. N. Simmons, Legal Designee, was present while I observed the indoor and outdoor areas. One-hundred-and-eight (108) children and fourteen (14) teachers were present. Children were observed eating snack and participating in free-choice activities. Snack consisted of broccoli florets, ranch dip, and orange juice. I monitored for the display of the Administrative Action which included the Cover Letter and the Corrective Action Plan. The Administrative Action was posted on the wall in the facility’s lobby entrance. Three staff members’ files were reviewed. Three staff members did not have a signed acknowledgment on file stating that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was reviewed with them prior to providing care to children. One staff member did not have a valid medical report on file. One staff member did not complete all required health and safety training topics within one year of employment. One staff member did not have documentation on file to verify the completion of CPR and First Aid courses within 90 days of employment. At the completion of the visit, the Visit Summary was reviewed with N. Simmons. The following violations were observed: Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member (M.O.) did not have a valid medical report on file. The medical report was missing the date the health assessment was completed. 10A NCAC 09 .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member (S.A.) did not have documentation on file to verify completing First Aid training within 90 days of employment. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member (S.A.) did not have documentation on file to verify completing CPR training within 90 days of employment. .1102(d) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Three staff members did not have signed acknowledgements on file, stating that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was reviewed with them prior to providing care to children. .0608(d)(1-4) 1898 Staff did not complete the health and safety training within one year of employment. One staff member (S.A.) did not have documentation on file to verify completing all required health and safety training topics within one year of employment. .1102(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on June 30, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA/Reminders: Staff Files Five violations were cited today related to staff files. Maintaining complete records on each staff person employed at the facility is a sound administrative practice. Licensing staff will check the records to assure that applicable licensing requirements are met (such as identifying information, educational qualifications, health assessment on file, record of continuing education, signed statement of agreement to observe policies, and guidelines for reporting suspected child maltreatment). I encouraged the legal designee to have a discussion with the administrator about possibly implementing monthly staff file checks to ensure that all required documentation is obtained and on file prior to due dates and expiration dates. As a reminder, it is required to separate staff personnel files from staff medical files. Additionally, seasonal employees should be included on the staff and training worksheet when submitted to the child care consultant prior to your annual compliance visit. More information regarding staff files can be found in child care rules 10A NCAC 09 .0608, .0701, and .1102. Administrative Action Type: Written Warning The facility was issued an Administrative Action - Written Warning dated April 25, 2025. The administrator stated that she received the Administrative Action in the mail on April 30, 2025. During today’s visit, the Administrative Action was observed posted on the wall in the facility’s lobby entrance. We reviewed the progress of completion of the Administrative Action’s corrective action plan. The Administrative Action- Written Warning must remain available for review by parents and DCDEE Representatives throughout the effective time period of three (3) months. The following stipulations were discussed: Corrective Action Plan 1. The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • Child Care Rule 10A NCAC 09 .0713(a-e), regarding maintaining minimum staff/child ratios and group sizes for the number and ages of children in care • Child Care Rule 10A NCAC 09 .2818, regarding maintaining enhanced staff/child ratios and maximum group sizes Progress: During the Initial Administrative Action visit that was completed on May 05, 2025, all applicable child care rules were observed in compliance. During a complaint visit that was conducted on May 27, 2025, a violation was cited regarding an unsafe outdoor environment. During today’s visit, five violations were cited regarding staff files. 2. Within one (1) week after this Notice is received, LaWanda Thomas, administrator, shall develop a written plan that describes, in detail, the steps that will be taken to ensure compliance with child care requirements related to maintaining staff/child ratios at all times with a staffing pattern plan. The written plan shall include, but not be limited to: • Steps to evaluate the arrival and departure times of children and staff patterns throughout the day to determine the most appropriate staff schedule and to make necessary adjustments as needed • Maintaining a sufficient number of staff members and substitute providers when staff are tardy or absent • Frequent review of the procedures with staff members, as well as, incorporation in the orientation of new staff members • A plan that ensures children are appropriately grouped and adequately supervised throughout the day The written plan shall be submitted to Tiffany Reed, Child Care Consultant, PO Box 9939, Fayetteville, NC 28311, telephone number 910-605-2367, email Tiffany.l.reed@dhhs.nc.gov, for review. Ms. Reed shall notify Ms. Thomas, orally and in writing, as to whether the written plan is sufficient or if modifications are needed. Once notification is received that the plan is sufficient, it shall be immediately implemented and a copy of the plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Progress: On May 07, 2025, I received an email from the administrator with an attachment containing the facility’s staffing pattern plan. I reviewed and approved the staffing pattern plan on May 16, 2025. I notified the administrator of the approval via email and phone. During today’s visit, a copy of the staffing pattern plan was on file. 3. Within two (2) weeks after this Notice is received, Ms. Thomas shall develop/review and revise the facility’s staffing pattern policy and procedures to describe, in detail, the steps the facility will take to ensure that staffing patterns adequately maintain staff/child ratios at all times. The policy and procedures shall include, but not be limited to, the following: • Designation of an administrative staff member to evaluate the arrival and departure times of children and staffing patterns throughout the day to determine the most appropriate staff schedule and to make necessary adjustments as needed • Procedures that ensure children are appropriately grouped and adequately supervised throughout the day • Procedures to follow when staff are tardy or absent • Procedures for informing administration when staff members need to attend to personal care needs or to complete tasks outside the classroom or away from the group • Procedures for when a new staff member assumes responsibility of the children or when a child or children is/are moved to another group • Procedures for informing administration when a teacher has reached the maximum amount of children they can care for, according to the ages of children The written policy and procedures shall be submitted to Ms. Reed for review. Ms. Reed shall notify Ms. Thomas, orally and in writing, as to whether the written policy and procedures meet the requirements of this stipulation or if modifications are needed. Once notification of this stipulation being met is received, the policy and procedures shall be immediately implemented and incorporated into operating procedures. A copy of the policy and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Progress: On May 15, 2025, I received an email from the administrator with an attachment containing the facility’s updated staffing pattern policies and procedures. I reviewed and approved the updated policies and procedures on May 30, 2025. I notified the administrator of the approval via email and phone. During today’s visit, a copy of the updated policies and procedures were on file. 4. Within one (1) week after notification from the Division that the stipulation has been met for the staffing pattern policy related to maintaining staff/child ratios, Ms. Thomas shall conduct a staff meeting with all staff members to discuss the staffing pattern and staff/child ratio policy and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Progress: During today’s visit, there was no documentation available for review to verify that a staff meeting occurred. Unannounced visits will be made by a representative of the Division of Child Development and Early Education to verify compliance with the Written Warning. Documentation to support compliance with the Written Warning is required. Failure to comply with the terms of the Written Warning may result in the issuance of a more stringent administrative action and/or the assessment of a civil penalty. Please let me know if you have any questions or concerns regarding what is required of you for the Administrative Action – Written Warning. If you have questions, please contact me at: (910) 605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: TIFFANY REED Operation Type: Center Case Number: 0525-126L Visit Date: 5/27/2025 Number Present: 98 Completed Date: 5/27/2025 Age: From 0 To 11 Total Minutes: 240 Time In: 02:00 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations regarding violations of child care requirements. The previous Annual Compliance Visit was completed on March 10, 2025, and prior to today’s visit, the eighteen-month compliance history score was 87%, which is above the 75% required by North Carolina General Statute 110-90(4)(c-d). Your program currently operates with a Four-Star License issued September 30, 2024. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet the educational option of having a child care administrator with at least 10 years of documented child care administration work experience in a licensed program that can be verified by the division. The information on record with DCDEE was verified as correct by LaWanda Thomas, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on December 16, 2024. Fire Classification of Satisfactory was completed on April 01, 2025. There are allegations of violations of child care requirements, including, but not limited to: • Supervision • Safety Requirements LaWanda Thomas, Administrator, was present while I observed the indoor and outdoor areas. Upon my arrival, ninety-eight (98) children and thirteen (13) teachers were present. Children were observed resting, eating snack, and participating in free-choice activities. Routine care and handwashing practices were observed. Snack consisted of club crackers, sliced turkey, banana, and water. One recently hired staff member’s file was reviewed, and all documentation was observed in compliance with applicable child care rules. The allegations were discussed with the administrator. I interviewed the administrator and one additional teacher. During the interview with the administrator, she stated that a parent had recently come to her with a concern about her child eating woodchips on the playground. The administrator also stated that pieces of wood mulch occasionally blow into the infant playground from the school age playground, and that teachers are supposed to check for debris before taking children outside. She does not have any concerns about inadequate supervision, and no additional concerns have been brought to her attention. During the interview with the teacher, she stated that pieces of wood mulch and trash frequently blow into the infant playground. She stated that she does her best to pick up trash and debris on the playground prior to taking children outside, and when she notices debris blowing over the fence into the infant playground. She stated that she was tending to other children when a child put something in his mouth. Even though she was right next to the child, she was not aware that the child put something in his mouth until the child’s parent came outside and brought it to her attention. When it was brought to the teacher’s attention, she immediately took pieces of wood mulch and a piece of plastic from a popsicle wrapper out of the child’s mouth. During my observations, groups of children were adequately supervised, nurtured, and cared for according to their developmental needs. Teachers positioned themselves so they could see or hear children at all times. Camera footage was not available for review. The administrator stated that the cameras only capture live footage. Based on the information gathered and observations made, there is not enough sufficient information to confirm the allegation of violations of child care requirements pertaining to supervision. Based on the information gathered and observations made, the allegation of violations of child care requirements pertaining to safety requirements is substantiated. At the completion of the visit, the Visit Summary was reviewed with L. Thomas. The following violation was observed: Violation Number Comment Rule 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. During the complaint investigation interview process, it was confirmed that the outdoor premises was not checked prior to use by children. An infant put pieces of wood mulch and a used popsicle wrapper in his mouth. During today's visit, the outdoor learning environment was monitored and observed with no trash or debris. 10A NCAC 09 .0604(p) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. The violation observed and documented today may impact your compliance history score. Facility Specific TA Safe Outdoor Learning Environment A violation was cited today for not maintaining a safe outdoor environment. The outdoor environment must be checked daily for trash and debris and disposed of prior to use by children. We discussed possibly choosing a different surfacing material since wood mulch is made of small pieces that can create a choking hazard to children under the age of three. We also discussed having the children and staff from the school age classrooms ensure that trash and debris on their playground are effectively disposed of prior to them going back inside. More information about maintaining a safe outdoor environment can be found in child care rule 10A NCAC 09 .0604(p). DCDEE Website/Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: TIFFANY REED Operation Type: Center Case Number: 0525-126L Visit Date: 5/27/2025 Number Present: 98 Completed Date: 5/27/2025 Age: From 0 To 11 Total Minutes: 240 Time In: 02:00 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations regarding violations of child care requirements. The previous Annual Compliance Visit was completed on March 10, 2025, and prior to today’s visit, the eighteen-month compliance history score was 87%, which is above the 75% required by North Carolina General Statute 110-90(4)(c-d). Your program currently operates with a Four-Star License issued September 30, 2024. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet the educational option of having a child care administrator with at least 10 years of documented child care administration work experience in a licensed program that can be verified by the division. The information on record with DCDEE was verified as correct by LaWanda Thomas, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on December 16, 2024. Fire Classification of Satisfactory was completed on April 01, 2025. There are allegations of violations of child care requirements, including, but not limited to: • Supervision • Safety Requirements LaWanda Thomas, Administrator, was present while I observed the indoor and outdoor areas. Upon my arrival, ninety-eight (98) children and thirteen (13) teachers were present. Children were observed resting, eating snack, and participating in free-choice activities. Routine care and handwashing practices were observed. Snack consisted of club crackers, sliced turkey, banana, and water. One recently hired staff member’s file was reviewed, and all documentation was observed in compliance with applicable child care rules. The allegations were discussed with the administrator. I interviewed the administrator and one additional teacher. During the interview with the administrator, she stated that a parent had recently come to her with a concern about her child eating woodchips on the playground. The administrator also stated that pieces of wood mulch occasionally blow into the infant playground from the school age playground, and that teachers are supposed to check for debris before taking children outside. She does not have any concerns about inadequate supervision, and no additional concerns have been brought to her attention. During the interview with the teacher, she stated that pieces of wood mulch and trash frequently blow into the infant playground. She stated that she does her best to pick up trash and debris on the playground prior to taking children outside, and when she notices debris blowing over the fence into the infant playground. She stated that she was tending to other children when a child put something in his mouth. Even though she was right next to the child, she was not aware that the child put something in his mouth until the child’s parent came outside and brought it to her attention. When it was brought to the teacher’s attention, she immediately took pieces of wood mulch and a piece of plastic from a popsicle wrapper out of the child’s mouth. During my observations, groups of children were adequately supervised, nurtured, and cared for according to their developmental needs. Teachers positioned themselves so they could see or hear children at all times. Camera footage was not available for review. The administrator stated that the cameras only capture live footage. Based on the information gathered and observations made, there is not enough sufficient information to confirm the allegation of violations of child care requirements pertaining to supervision. Based on the information gathered and observations made, the allegation of violations of child care requirements pertaining to safety requirements is substantiated. At the completion of the visit, the Visit Summary was reviewed with L. Thomas. The following violation was observed: Violation Number Comment Rule 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. During the complaint investigation interview process, it was confirmed that the outdoor premises was not checked prior to use by children. An infant put pieces of wood mulch and a used popsicle wrapper in his mouth. During today's visit, the outdoor learning environment was monitored and observed with no trash or debris. 10A NCAC 09 .0604(p) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. The violation observed and documented today may impact your compliance history score. Facility Specific TA Safe Outdoor Learning Environment A violation was cited today for not maintaining a safe outdoor environment. The outdoor environment must be checked daily for trash and debris and disposed of prior to use by children. We discussed possibly choosing a different surfacing material since wood mulch is made of small pieces that can create a choking hazard to children under the age of three. We also discussed having the children and staff from the school age classrooms ensure that trash and debris on their playground are effectively disposed of prior to them going back inside. More information about maintaining a safe outdoor environment can be found in child care rule 10A NCAC 09 .0604(p). DCDEE Website/Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: TIFFANY REED Operation Type: Center Case Number: 0525-126L Visit Date: 5/27/2025 Number Present: 98 Completed Date: 5/27/2025 Age: From 0 To 11 Total Minutes: 240 Time In: 02:00 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations regarding violations of child care requirements. The previous Annual Compliance Visit was completed on March 10, 2025, and prior to today’s visit, the eighteen-month compliance history score was 87%, which is above the 75% required by North Carolina General Statute 110-90(4)(c-d). Your program currently operates with a Four-Star License issued September 30, 2024. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet the educational option of having a child care administrator with at least 10 years of documented child care administration work experience in a licensed program that can be verified by the division. The information on record with DCDEE was verified as correct by LaWanda Thomas, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on December 16, 2024. Fire Classification of Satisfactory was completed on April 01, 2025. There are allegations of violations of child care requirements, including, but not limited to: • Supervision • Safety Requirements LaWanda Thomas, Administrator, was present while I observed the indoor and outdoor areas. Upon my arrival, ninety-eight (98) children and thirteen (13) teachers were present. Children were observed resting, eating snack, and participating in free-choice activities. Routine care and handwashing practices were observed. Snack consisted of club crackers, sliced turkey, banana, and water. One recently hired staff member’s file was reviewed, and all documentation was observed in compliance with applicable child care rules. The allegations were discussed with the administrator. I interviewed the administrator and one additional teacher. During the interview with the administrator, she stated that a parent had recently come to her with a concern about her child eating woodchips on the playground. The administrator also stated that pieces of wood mulch occasionally blow into the infant playground from the school age playground, and that teachers are supposed to check for debris before taking children outside. She does not have any concerns about inadequate supervision, and no additional concerns have been brought to her attention. During the interview with the teacher, she stated that pieces of wood mulch and trash frequently blow into the infant playground. She stated that she does her best to pick up trash and debris on the playground prior to taking children outside, and when she notices debris blowing over the fence into the infant playground. She stated that she was tending to other children when a child put something in his mouth. Even though she was right next to the child, she was not aware that the child put something in his mouth until the child’s parent came outside and brought it to her attention. When it was brought to the teacher’s attention, she immediately took pieces of wood mulch and a piece of plastic from a popsicle wrapper out of the child’s mouth. During my observations, groups of children were adequately supervised, nurtured, and cared for according to their developmental needs. Teachers positioned themselves so they could see or hear children at all times. Camera footage was not available for review. The administrator stated that the cameras only capture live footage. Based on the information gathered and observations made, there is not enough sufficient information to confirm the allegation of violations of child care requirements pertaining to supervision. Based on the information gathered and observations made, the allegation of violations of child care requirements pertaining to safety requirements is substantiated. At the completion of the visit, the Visit Summary was reviewed with L. Thomas. The following violation was observed: Violation Number Comment Rule 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. During the complaint investigation interview process, it was confirmed that the outdoor premises was not checked prior to use by children. An infant put pieces of wood mulch and a used popsicle wrapper in his mouth. During today's visit, the outdoor learning environment was monitored and observed with no trash or debris. 10A NCAC 09 .0604(p) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. The violation observed and documented today may impact your compliance history score. Facility Specific TA Safe Outdoor Learning Environment A violation was cited today for not maintaining a safe outdoor environment. The outdoor environment must be checked daily for trash and debris and disposed of prior to use by children. We discussed possibly choosing a different surfacing material since wood mulch is made of small pieces that can create a choking hazard to children under the age of three. We also discussed having the children and staff from the school age classrooms ensure that trash and debris on their playground are effectively disposed of prior to them going back inside. More information about maintaining a safe outdoor environment can be found in child care rule 10A NCAC 09 .0604(p). DCDEE Website/Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0511 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: TIFFANY REED Operation Type: Center Case Number: 0325-270L Visit Date: 4/2/2025 Number Present: 90 Completed Date: 4/2/2025 Age: From 0 To 10 Total Minutes: 400 Time In: 06:45 AM Time Out: 01:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations regarding violations of child care requirements. The previous Annual Compliance Visit was completed on March 10, 2025, and prior to today’s visit, the eighteen-month compliance history score was 87%, which is above the 75% required by North Carolina General Statute 110-90(4)(c-d). Your program currently operates with a Four-Star License issued September 30, 2024. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet the educational option of having a child care administrator with at least 10 years of documented child care administration work experience in a licensed program that can be verified by the division. The information on record with DCDEE was verified as correct by LaWanda Thomas, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on April 11, 2024. Fire Classification of Satisfactory was completed on April 02, 2024. There are allegations of violations of child care requirements, including, but not limited to: • Staff/Child Ratio • Supervision • Nurture/Care/Developmental Needs of Children • Incident Reporting LaWanda Thomas, Administrator, was present while I observed the indoor and outdoor areas. Upon my arrival, twenty-two (22) children were present. All the children were merged into Space #3 with two teachers. The ages of children ranged from 0 – 10 years old. The number of children that were observed in Space #3 exceeded the maximum number of children allowed in the space. Between 7:00AM – 7:05AM, three teachers arrived at the facility to clock in and start their shift. Eight (8) school aged children lined up in the hallway to exit the facility and board a mini bus that took them to school. Five (5) children were taken to Space #1. Four (4) children were taken to Space #8. During a second walkthrough of the facility at 11:00am, eighty-two (82) children and fourteen (14) teachers were present. Breakfast consisted of English muffin, applesauce, and milk. Lunch consisted of chicken alfredo, macaroni pasta, broccoli, banana, and milk. The allegations were discussed with the administrator. I interviewed the administrator and six additional teachers. During the interview with the administrator, she stated that there is not usually an issue with staff/child ratios in the morning. She stated that one of her staff was out sick, which threw the ratio off today. The administrator also stated that she started conducting observations in Space #8 to try to figure out what was causing the biting incidents. Upon her observations, she discovered that the biting was mainly caused by the child wanting a toy that a peer was playing with. The administrator stated that she helped the teachers with putting the following strategies in place: •Ensuring that two teachers are in the classroom at all times •Having teachers alternate providing one-on-one supervision of the child exhibiting biting behaviors •Ensuring that duplicates of each toy are available and accessible to children During separate interviews with four opening teachers, there were mixed responses regarding concerns with maintaining the staff/child ratios in the morning, prior to 7:30am. Three teachers stated that they have no concerns. One teacher stated that the ratio is usually maintained, unless a staff member does not show up for work. During separate interviews with Teacher 5 and Teacher 6, they stated that there have been some incidents with biting in their classroom. The biting incidents are mainly caused by children not wanting to share toys. The biting incidents usually occur during times when one of the teachers is completing diapering or cleaning tasks. When incidents do occur, they immediately inform their supervisor, provide first aid to the child, write an incident report, and give the parent a courtesy call. Both teachers stated that they spend a lot of time redirecting children’s behaviors, reminding children to keep their hands to themselves, reminding children that mouths are not for biting and that biting hurts. Both teachers also stated that they spend a lot of time teaching the children about social skills, such as caring for friends, sharing, and taking turns. Incident reports from biting incidents that occurred on March 14, 2025, March 17, 2025, and March 19, 2025, were available for review. The incident report from the biting incident that occurred on March 17, 2025, did not have a parent signature or a date and time the parent was notified. Neither of the incidents required follow-up medical care. I reviewed all incident reports that were completed between January 01, 2025 and April 02, 2025. There were no other incident reports on file, regarding biting. Based on the information gathered and observations made, there is not enough sufficient information to confirm the allegation of violations of child care requirements pertaining to supervision. Based on the information gathered and observations made, there is not enough sufficient information to confirm the allegation of violations of child care requirements pertaining to the nurture, care, and meeting the developmental needs of children. Based on the information gathered and observations made, the allegation of violations of child care requirements pertaining to incident reporting is substantiated. Based on the information gathered and observations made, the allegation of violations of child care requirements pertaining to staff/child ratios is substantiated. At the completion of the visit, the Visit Summary was reviewed with L. Thomas. The following violations were observed: Violation Number Comment Rule 201 A room was occupied by more children than the space allowed at 25-sq. ft. of floor space per child. Space #3 was occupied by 22 children. The space capacity is 18 children. This was corrected when school aged children left the facility to go to school, and when other children were moved to Spaces #1 and #8. GS 110-91(6); .1401(f) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Upon my arrival at 6:45AM, twenty-two children were all grouped together in Space #3. The children's ages ranged from 0 - 10 years old. At 6:55AM, eight school aged children left the facility and boarded a mini bus to be taken to school. Between 7:00AM - 7:05AM, as teachers arrived to start their shift, children were moved from Space #3 to Spaces #1 and #8. GS 110-91(7);.0713(a-d) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An incident report, that was completed for an incident that occurred on March 17, 2025, was not signed by the parent due to it not being completed prior to the time of pick up. .0802 (e) 1844 The staff/child ratio for the youngest child was not maintained when children of all ages were cared for together in groups for the first and last operating hour of the day. All children were cared for together in one group between 5:00AM and 7:05AM. This exceeds the first operating hour of the day. Additionally, the staff/child ratio for the youngest child was not maintained. .0713(a)(2) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on April 16, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA Staff/Child Ratio Requirements A violation was cited today for not maintaining the minimum staff/child ratios. According to child care rule 10A NCAC 09 .0713(a-e), the staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: Age of Children Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 12 to 24 Months 1/6 12 2 to 3 Years 1/10 20 3 to 4 Years 1/15 25 4 to 5 Years 1/20 25 5 Years and Older 1/25 25 When combining age groups, the staff/child ratio for the youngest child in the group shall be maintained for the entire group. Children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained. We discussed creating a staffing pattern that includes substitutes or floaters that can fill in when teachers are absent from work. Incident Reporting Four violations were cited today for not complying with incident reporting requirements. According to child care rule 10A NCAC 09 .0802(e-g), the child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/DCDEE-0058.pdf. When medical treatment is required by a health care professional, community clinic, or local health department as a result of an incident occurring while the child is in care, a copy of the incident report shall be mailed to a representative of the Division within seven calendar days after the incident. An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/I/incident_log_i.pdf?ver=2017-05-16-105723- 723. We discussed the importance of having staff complete the incident report immediately after an incident, accident, or injury occurs. We discussed the possibility of sending an additional floater in the classroom to help supervise the children while the teacher completes the incident report, provides first aid, and notifies the supervisor and parent. Daily Routines for Children Under Two Years of Age There have been multiple documented biting incidents in Space #8. According to child care rule 10A NCAC 09 .0511(b)(4), the caregiver shall make provision for constructive guidance and set limits that the child can understand and that foster the infant's or toddler's ability to be self-disciplined, as appropriate to the child's age and development. If you think a child’s biting is caused by limited language skills, you can support the child’s language and communication skills by: •Putting into words what you guess the child might be thinking. For example: “Michael, do you want to have a turn on the tricycle?” •Helping the child express their feelings in appropriate ways. For example: “Sarah, you are so mad! You are really, really angry.” Then suggest a way to deal with these feelings. For example: Making angry lion faces and growling, ripping up newspapers, banging a drum, jumping up and down—whatever is acceptable. •Reinforcing your child when they use words to share their feelings. For example: “You asked me for a turn blowing bubbles instead of grabbing them. Great job. Here you go.” •Giving your child age-appropriate choices, for example, about what to wear or who to play with. Having choices gives children a sense of control and can reduce biting. •Considering a speech-language assessment if you think your child’s verbal skills might be delayed. Additional strategies to respond to biting may be found on the Zero to Three website and on the Center on the Social Emotional Foundations for Early Learning website. I gave the teachers and the administrator hard copies of a resource from the Zero to Three website, titled ‘Toddler Biting: Finding the Right Response’. DCDEE Website/Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0713 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: TIFFANY REED Operation Type: Center Case Number: 0325-270L Visit Date: 4/2/2025 Number Present: 90 Completed Date: 4/2/2025 Age: From 0 To 10 Total Minutes: 400 Time In: 06:45 AM Time Out: 01:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations regarding violations of child care requirements. The previous Annual Compliance Visit was completed on March 10, 2025, and prior to today’s visit, the eighteen-month compliance history score was 87%, which is above the 75% required by North Carolina General Statute 110-90(4)(c-d). Your program currently operates with a Four-Star License issued September 30, 2024. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet the educational option of having a child care administrator with at least 10 years of documented child care administration work experience in a licensed program that can be verified by the division. The information on record with DCDEE was verified as correct by LaWanda Thomas, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on April 11, 2024. Fire Classification of Satisfactory was completed on April 02, 2024. There are allegations of violations of child care requirements, including, but not limited to: • Staff/Child Ratio • Supervision • Nurture/Care/Developmental Needs of Children • Incident Reporting LaWanda Thomas, Administrator, was present while I observed the indoor and outdoor areas. Upon my arrival, twenty-two (22) children were present. All the children were merged into Space #3 with two teachers. The ages of children ranged from 0 – 10 years old. The number of children that were observed in Space #3 exceeded the maximum number of children allowed in the space. Between 7:00AM – 7:05AM, three teachers arrived at the facility to clock in and start their shift. Eight (8) school aged children lined up in the hallway to exit the facility and board a mini bus that took them to school. Five (5) children were taken to Space #1. Four (4) children were taken to Space #8. During a second walkthrough of the facility at 11:00am, eighty-two (82) children and fourteen (14) teachers were present. Breakfast consisted of English muffin, applesauce, and milk. Lunch consisted of chicken alfredo, macaroni pasta, broccoli, banana, and milk. The allegations were discussed with the administrator. I interviewed the administrator and six additional teachers. During the interview with the administrator, she stated that there is not usually an issue with staff/child ratios in the morning. She stated that one of her staff was out sick, which threw the ratio off today. The administrator also stated that she started conducting observations in Space #8 to try to figure out what was causing the biting incidents. Upon her observations, she discovered that the biting was mainly caused by the child wanting a toy that a peer was playing with. The administrator stated that she helped the teachers with putting the following strategies in place: •Ensuring that two teachers are in the classroom at all times •Having teachers alternate providing one-on-one supervision of the child exhibiting biting behaviors •Ensuring that duplicates of each toy are available and accessible to children During separate interviews with four opening teachers, there were mixed responses regarding concerns with maintaining the staff/child ratios in the morning, prior to 7:30am. Three teachers stated that they have no concerns. One teacher stated that the ratio is usually maintained, unless a staff member does not show up for work. During separate interviews with Teacher 5 and Teacher 6, they stated that there have been some incidents with biting in their classroom. The biting incidents are mainly caused by children not wanting to share toys. The biting incidents usually occur during times when one of the teachers is completing diapering or cleaning tasks. When incidents do occur, they immediately inform their supervisor, provide first aid to the child, write an incident report, and give the parent a courtesy call. Both teachers stated that they spend a lot of time redirecting children’s behaviors, reminding children to keep their hands to themselves, reminding children that mouths are not for biting and that biting hurts. Both teachers also stated that they spend a lot of time teaching the children about social skills, such as caring for friends, sharing, and taking turns. Incident reports from biting incidents that occurred on March 14, 2025, March 17, 2025, and March 19, 2025, were available for review. The incident report from the biting incident that occurred on March 17, 2025, did not have a parent signature or a date and time the parent was notified. Neither of the incidents required follow-up medical care. I reviewed all incident reports that were completed between January 01, 2025 and April 02, 2025. There were no other incident reports on file, regarding biting. Based on the information gathered and observations made, there is not enough sufficient information to confirm the allegation of violations of child care requirements pertaining to supervision. Based on the information gathered and observations made, there is not enough sufficient information to confirm the allegation of violations of child care requirements pertaining to the nurture, care, and meeting the developmental needs of children. Based on the information gathered and observations made, the allegation of violations of child care requirements pertaining to incident reporting is substantiated. Based on the information gathered and observations made, the allegation of violations of child care requirements pertaining to staff/child ratios is substantiated. At the completion of the visit, the Visit Summary was reviewed with L. Thomas. The following violations were observed: Violation Number Comment Rule 201 A room was occupied by more children than the space allowed at 25-sq. ft. of floor space per child. Space #3 was occupied by 22 children. The space capacity is 18 children. This was corrected when school aged children left the facility to go to school, and when other children were moved to Spaces #1 and #8. GS 110-91(6); .1401(f) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Upon my arrival at 6:45AM, twenty-two children were all grouped together in Space #3. The children's ages ranged from 0 - 10 years old. At 6:55AM, eight school aged children left the facility and boarded a mini bus to be taken to school. Between 7:00AM - 7:05AM, as teachers arrived to start their shift, children were moved from Space #3 to Spaces #1 and #8. GS 110-91(7);.0713(a-d) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An incident report, that was completed for an incident that occurred on March 17, 2025, was not signed by the parent due to it not being completed prior to the time of pick up. .0802 (e) 1844 The staff/child ratio for the youngest child was not maintained when children of all ages were cared for together in groups for the first and last operating hour of the day. All children were cared for together in one group between 5:00AM and 7:05AM. This exceeds the first operating hour of the day. Additionally, the staff/child ratio for the youngest child was not maintained. .0713(a)(2) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on April 16, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA Staff/Child Ratio Requirements A violation was cited today for not maintaining the minimum staff/child ratios. According to child care rule 10A NCAC 09 .0713(a-e), the staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: Age of Children Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 12 to 24 Months 1/6 12 2 to 3 Years 1/10 20 3 to 4 Years 1/15 25 4 to 5 Years 1/20 25 5 Years and Older 1/25 25 When combining age groups, the staff/child ratio for the youngest child in the group shall be maintained for the entire group. Children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained. We discussed creating a staffing pattern that includes substitutes or floaters that can fill in when teachers are absent from work. Incident Reporting Four violations were cited today for not complying with incident reporting requirements. According to child care rule 10A NCAC 09 .0802(e-g), the child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/DCDEE-0058.pdf. When medical treatment is required by a health care professional, community clinic, or local health department as a result of an incident occurring while the child is in care, a copy of the incident report shall be mailed to a representative of the Division within seven calendar days after the incident. An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/I/incident_log_i.pdf?ver=2017-05-16-105723- 723. We discussed the importance of having staff complete the incident report immediately after an incident, accident, or injury occurs. We discussed the possibility of sending an additional floater in the classroom to help supervise the children while the teacher completes the incident report, provides first aid, and notifies the supervisor and parent. Daily Routines for Children Under Two Years of Age There have been multiple documented biting incidents in Space #8. According to child care rule 10A NCAC 09 .0511(b)(4), the caregiver shall make provision for constructive guidance and set limits that the child can understand and that foster the infant's or toddler's ability to be self-disciplined, as appropriate to the child's age and development. If you think a child’s biting is caused by limited language skills, you can support the child’s language and communication skills by: •Putting into words what you guess the child might be thinking. For example: “Michael, do you want to have a turn on the tricycle?” •Helping the child express their feelings in appropriate ways. For example: “Sarah, you are so mad! You are really, really angry.” Then suggest a way to deal with these feelings. For example: Making angry lion faces and growling, ripping up newspapers, banging a drum, jumping up and down—whatever is acceptable. •Reinforcing your child when they use words to share their feelings. For example: “You asked me for a turn blowing bubbles instead of grabbing them. Great job. Here you go.” •Giving your child age-appropriate choices, for example, about what to wear or who to play with. Having choices gives children a sense of control and can reduce biting. •Considering a speech-language assessment if you think your child’s verbal skills might be delayed. Additional strategies to respond to biting may be found on the Zero to Three website and on the Center on the Social Emotional Foundations for Early Learning website. I gave the teachers and the administrator hard copies of a resource from the Zero to Three website, titled ‘Toddler Biting: Finding the Right Response’. DCDEE Website/Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: TIFFANY REED Operation Type: Center Case Number: 0325-270L Visit Date: 4/2/2025 Number Present: 90 Completed Date: 4/2/2025 Age: From 0 To 10 Total Minutes: 400 Time In: 06:45 AM Time Out: 01:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations regarding violations of child care requirements. The previous Annual Compliance Visit was completed on March 10, 2025, and prior to today’s visit, the eighteen-month compliance history score was 87%, which is above the 75% required by North Carolina General Statute 110-90(4)(c-d). Your program currently operates with a Four-Star License issued September 30, 2024. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet the educational option of having a child care administrator with at least 10 years of documented child care administration work experience in a licensed program that can be verified by the division. The information on record with DCDEE was verified as correct by LaWanda Thomas, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on April 11, 2024. Fire Classification of Satisfactory was completed on April 02, 2024. There are allegations of violations of child care requirements, including, but not limited to: • Staff/Child Ratio • Supervision • Nurture/Care/Developmental Needs of Children • Incident Reporting LaWanda Thomas, Administrator, was present while I observed the indoor and outdoor areas. Upon my arrival, twenty-two (22) children were present. All the children were merged into Space #3 with two teachers. The ages of children ranged from 0 – 10 years old. The number of children that were observed in Space #3 exceeded the maximum number of children allowed in the space. Between 7:00AM – 7:05AM, three teachers arrived at the facility to clock in and start their shift. Eight (8) school aged children lined up in the hallway to exit the facility and board a mini bus that took them to school. Five (5) children were taken to Space #1. Four (4) children were taken to Space #8. During a second walkthrough of the facility at 11:00am, eighty-two (82) children and fourteen (14) teachers were present. Breakfast consisted of English muffin, applesauce, and milk. Lunch consisted of chicken alfredo, macaroni pasta, broccoli, banana, and milk. The allegations were discussed with the administrator. I interviewed the administrator and six additional teachers. During the interview with the administrator, she stated that there is not usually an issue with staff/child ratios in the morning. She stated that one of her staff was out sick, which threw the ratio off today. The administrator also stated that she started conducting observations in Space #8 to try to figure out what was causing the biting incidents. Upon her observations, she discovered that the biting was mainly caused by the child wanting a toy that a peer was playing with. The administrator stated that she helped the teachers with putting the following strategies in place: •Ensuring that two teachers are in the classroom at all times •Having teachers alternate providing one-on-one supervision of the child exhibiting biting behaviors •Ensuring that duplicates of each toy are available and accessible to children During separate interviews with four opening teachers, there were mixed responses regarding concerns with maintaining the staff/child ratios in the morning, prior to 7:30am. Three teachers stated that they have no concerns. One teacher stated that the ratio is usually maintained, unless a staff member does not show up for work. During separate interviews with Teacher 5 and Teacher 6, they stated that there have been some incidents with biting in their classroom. The biting incidents are mainly caused by children not wanting to share toys. The biting incidents usually occur during times when one of the teachers is completing diapering or cleaning tasks. When incidents do occur, they immediately inform their supervisor, provide first aid to the child, write an incident report, and give the parent a courtesy call. Both teachers stated that they spend a lot of time redirecting children’s behaviors, reminding children to keep their hands to themselves, reminding children that mouths are not for biting and that biting hurts. Both teachers also stated that they spend a lot of time teaching the children about social skills, such as caring for friends, sharing, and taking turns. Incident reports from biting incidents that occurred on March 14, 2025, March 17, 2025, and March 19, 2025, were available for review. The incident report from the biting incident that occurred on March 17, 2025, did not have a parent signature or a date and time the parent was notified. Neither of the incidents required follow-up medical care. I reviewed all incident reports that were completed between January 01, 2025 and April 02, 2025. There were no other incident reports on file, regarding biting. Based on the information gathered and observations made, there is not enough sufficient information to confirm the allegation of violations of child care requirements pertaining to supervision. Based on the information gathered and observations made, there is not enough sufficient information to confirm the allegation of violations of child care requirements pertaining to the nurture, care, and meeting the developmental needs of children. Based on the information gathered and observations made, the allegation of violations of child care requirements pertaining to incident reporting is substantiated. Based on the information gathered and observations made, the allegation of violations of child care requirements pertaining to staff/child ratios is substantiated. At the completion of the visit, the Visit Summary was reviewed with L. Thomas. The following violations were observed: Violation Number Comment Rule 201 A room was occupied by more children than the space allowed at 25-sq. ft. of floor space per child. Space #3 was occupied by 22 children. The space capacity is 18 children. This was corrected when school aged children left the facility to go to school, and when other children were moved to Spaces #1 and #8. GS 110-91(6); .1401(f) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Upon my arrival at 6:45AM, twenty-two children were all grouped together in Space #3. The children's ages ranged from 0 - 10 years old. At 6:55AM, eight school aged children left the facility and boarded a mini bus to be taken to school. Between 7:00AM - 7:05AM, as teachers arrived to start their shift, children were moved from Space #3 to Spaces #1 and #8. GS 110-91(7);.0713(a-d) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An incident report, that was completed for an incident that occurred on March 17, 2025, was not signed by the parent due to it not being completed prior to the time of pick up. .0802 (e) 1844 The staff/child ratio for the youngest child was not maintained when children of all ages were cared for together in groups for the first and last operating hour of the day. All children were cared for together in one group between 5:00AM and 7:05AM. This exceeds the first operating hour of the day. Additionally, the staff/child ratio for the youngest child was not maintained. .0713(a)(2) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on April 16, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA Staff/Child Ratio Requirements A violation was cited today for not maintaining the minimum staff/child ratios. According to child care rule 10A NCAC 09 .0713(a-e), the staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: Age of Children Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 12 to 24 Months 1/6 12 2 to 3 Years 1/10 20 3 to 4 Years 1/15 25 4 to 5 Years 1/20 25 5 Years and Older 1/25 25 When combining age groups, the staff/child ratio for the youngest child in the group shall be maintained for the entire group. Children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained. We discussed creating a staffing pattern that includes substitutes or floaters that can fill in when teachers are absent from work. Incident Reporting Four violations were cited today for not complying with incident reporting requirements. According to child care rule 10A NCAC 09 .0802(e-g), the child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/DCDEE-0058.pdf. When medical treatment is required by a health care professional, community clinic, or local health department as a result of an incident occurring while the child is in care, a copy of the incident report shall be mailed to a representative of the Division within seven calendar days after the incident. An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/I/incident_log_i.pdf?ver=2017-05-16-105723- 723. We discussed the importance of having staff complete the incident report immediately after an incident, accident, or injury occurs. We discussed the possibility of sending an additional floater in the classroom to help supervise the children while the teacher completes the incident report, provides first aid, and notifies the supervisor and parent. Daily Routines for Children Under Two Years of Age There have been multiple documented biting incidents in Space #8. According to child care rule 10A NCAC 09 .0511(b)(4), the caregiver shall make provision for constructive guidance and set limits that the child can understand and that foster the infant's or toddler's ability to be self-disciplined, as appropriate to the child's age and development. If you think a child’s biting is caused by limited language skills, you can support the child’s language and communication skills by: •Putting into words what you guess the child might be thinking. For example: “Michael, do you want to have a turn on the tricycle?” •Helping the child express their feelings in appropriate ways. For example: “Sarah, you are so mad! You are really, really angry.” Then suggest a way to deal with these feelings. For example: Making angry lion faces and growling, ripping up newspapers, banging a drum, jumping up and down—whatever is acceptable. •Reinforcing your child when they use words to share their feelings. For example: “You asked me for a turn blowing bubbles instead of grabbing them. Great job. Here you go.” •Giving your child age-appropriate choices, for example, about what to wear or who to play with. Having choices gives children a sense of control and can reduce biting. •Considering a speech-language assessment if you think your child’s verbal skills might be delayed. Additional strategies to respond to biting may be found on the Zero to Three website and on the Center on the Social Emotional Foundations for Early Learning website. I gave the teachers and the administrator hard copies of a resource from the Zero to Three website, titled ‘Toddler Biting: Finding the Right Response’. DCDEE Website/Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: TIFFANY REED Operation Type: Center Case Number: 0325-270L Visit Date: 4/2/2025 Number Present: 90 Completed Date: 4/2/2025 Age: From 0 To 10 Total Minutes: 400 Time In: 06:45 AM Time Out: 01:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations regarding violations of child care requirements. The previous Annual Compliance Visit was completed on March 10, 2025, and prior to today’s visit, the eighteen-month compliance history score was 87%, which is above the 75% required by North Carolina General Statute 110-90(4)(c-d). Your program currently operates with a Four-Star License issued September 30, 2024. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet the educational option of having a child care administrator with at least 10 years of documented child care administration work experience in a licensed program that can be verified by the division. The information on record with DCDEE was verified as correct by LaWanda Thomas, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on April 11, 2024. Fire Classification of Satisfactory was completed on April 02, 2024. There are allegations of violations of child care requirements, including, but not limited to: • Staff/Child Ratio • Supervision • Nurture/Care/Developmental Needs of Children • Incident Reporting LaWanda Thomas, Administrator, was present while I observed the indoor and outdoor areas. Upon my arrival, twenty-two (22) children were present. All the children were merged into Space #3 with two teachers. The ages of children ranged from 0 – 10 years old. The number of children that were observed in Space #3 exceeded the maximum number of children allowed in the space. Between 7:00AM – 7:05AM, three teachers arrived at the facility to clock in and start their shift. Eight (8) school aged children lined up in the hallway to exit the facility and board a mini bus that took them to school. Five (5) children were taken to Space #1. Four (4) children were taken to Space #8. During a second walkthrough of the facility at 11:00am, eighty-two (82) children and fourteen (14) teachers were present. Breakfast consisted of English muffin, applesauce, and milk. Lunch consisted of chicken alfredo, macaroni pasta, broccoli, banana, and milk. The allegations were discussed with the administrator. I interviewed the administrator and six additional teachers. During the interview with the administrator, she stated that there is not usually an issue with staff/child ratios in the morning. She stated that one of her staff was out sick, which threw the ratio off today. The administrator also stated that she started conducting observations in Space #8 to try to figure out what was causing the biting incidents. Upon her observations, she discovered that the biting was mainly caused by the child wanting a toy that a peer was playing with. The administrator stated that she helped the teachers with putting the following strategies in place: •Ensuring that two teachers are in the classroom at all times •Having teachers alternate providing one-on-one supervision of the child exhibiting biting behaviors •Ensuring that duplicates of each toy are available and accessible to children During separate interviews with four opening teachers, there were mixed responses regarding concerns with maintaining the staff/child ratios in the morning, prior to 7:30am. Three teachers stated that they have no concerns. One teacher stated that the ratio is usually maintained, unless a staff member does not show up for work. During separate interviews with Teacher 5 and Teacher 6, they stated that there have been some incidents with biting in their classroom. The biting incidents are mainly caused by children not wanting to share toys. The biting incidents usually occur during times when one of the teachers is completing diapering or cleaning tasks. When incidents do occur, they immediately inform their supervisor, provide first aid to the child, write an incident report, and give the parent a courtesy call. Both teachers stated that they spend a lot of time redirecting children’s behaviors, reminding children to keep their hands to themselves, reminding children that mouths are not for biting and that biting hurts. Both teachers also stated that they spend a lot of time teaching the children about social skills, such as caring for friends, sharing, and taking turns. Incident reports from biting incidents that occurred on March 14, 2025, March 17, 2025, and March 19, 2025, were available for review. The incident report from the biting incident that occurred on March 17, 2025, did not have a parent signature or a date and time the parent was notified. Neither of the incidents required follow-up medical care. I reviewed all incident reports that were completed between January 01, 2025 and April 02, 2025. There were no other incident reports on file, regarding biting. Based on the information gathered and observations made, there is not enough sufficient information to confirm the allegation of violations of child care requirements pertaining to supervision. Based on the information gathered and observations made, there is not enough sufficient information to confirm the allegation of violations of child care requirements pertaining to the nurture, care, and meeting the developmental needs of children. Based on the information gathered and observations made, the allegation of violations of child care requirements pertaining to incident reporting is substantiated. Based on the information gathered and observations made, the allegation of violations of child care requirements pertaining to staff/child ratios is substantiated. At the completion of the visit, the Visit Summary was reviewed with L. Thomas. The following violations were observed: Violation Number Comment Rule 201 A room was occupied by more children than the space allowed at 25-sq. ft. of floor space per child. Space #3 was occupied by 22 children. The space capacity is 18 children. This was corrected when school aged children left the facility to go to school, and when other children were moved to Spaces #1 and #8. GS 110-91(6); .1401(f) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Upon my arrival at 6:45AM, twenty-two children were all grouped together in Space #3. The children's ages ranged from 0 - 10 years old. At 6:55AM, eight school aged children left the facility and boarded a mini bus to be taken to school. Between 7:00AM - 7:05AM, as teachers arrived to start their shift, children were moved from Space #3 to Spaces #1 and #8. GS 110-91(7);.0713(a-d) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An incident report, that was completed for an incident that occurred on March 17, 2025, was not signed by the parent due to it not being completed prior to the time of pick up. .0802 (e) 1844 The staff/child ratio for the youngest child was not maintained when children of all ages were cared for together in groups for the first and last operating hour of the day. All children were cared for together in one group between 5:00AM and 7:05AM. This exceeds the first operating hour of the day. Additionally, the staff/child ratio for the youngest child was not maintained. .0713(a)(2) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on April 16, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA Staff/Child Ratio Requirements A violation was cited today for not maintaining the minimum staff/child ratios. According to child care rule 10A NCAC 09 .0713(a-e), the staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: Age of Children Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 12 to 24 Months 1/6 12 2 to 3 Years 1/10 20 3 to 4 Years 1/15 25 4 to 5 Years 1/20 25 5 Years and Older 1/25 25 When combining age groups, the staff/child ratio for the youngest child in the group shall be maintained for the entire group. Children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained. We discussed creating a staffing pattern that includes substitutes or floaters that can fill in when teachers are absent from work. Incident Reporting Four violations were cited today for not complying with incident reporting requirements. According to child care rule 10A NCAC 09 .0802(e-g), the child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/DCDEE-0058.pdf. When medical treatment is required by a health care professional, community clinic, or local health department as a result of an incident occurring while the child is in care, a copy of the incident report shall be mailed to a representative of the Division within seven calendar days after the incident. An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/I/incident_log_i.pdf?ver=2017-05-16-105723- 723. We discussed the importance of having staff complete the incident report immediately after an incident, accident, or injury occurs. We discussed the possibility of sending an additional floater in the classroom to help supervise the children while the teacher completes the incident report, provides first aid, and notifies the supervisor and parent. Daily Routines for Children Under Two Years of Age There have been multiple documented biting incidents in Space #8. According to child care rule 10A NCAC 09 .0511(b)(4), the caregiver shall make provision for constructive guidance and set limits that the child can understand and that foster the infant's or toddler's ability to be self-disciplined, as appropriate to the child's age and development. If you think a child’s biting is caused by limited language skills, you can support the child’s language and communication skills by: •Putting into words what you guess the child might be thinking. For example: “Michael, do you want to have a turn on the tricycle?” •Helping the child express their feelings in appropriate ways. For example: “Sarah, you are so mad! You are really, really angry.” Then suggest a way to deal with these feelings. For example: Making angry lion faces and growling, ripping up newspapers, banging a drum, jumping up and down—whatever is acceptable. •Reinforcing your child when they use words to share their feelings. For example: “You asked me for a turn blowing bubbles instead of grabbing them. Great job. Here you go.” •Giving your child age-appropriate choices, for example, about what to wear or who to play with. Having choices gives children a sense of control and can reduce biting. •Considering a speech-language assessment if you think your child’s verbal skills might be delayed. Additional strategies to respond to biting may be found on the Zero to Three website and on the Center on the Social Emotional Foundations for Early Learning website. I gave the teachers and the administrator hard copies of a resource from the Zero to Three website, titled ‘Toddler Biting: Finding the Right Response’. DCDEE Website/Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: TIFFANY REED Operation Type: Center Case Number: 0325-270L Visit Date: 4/2/2025 Number Present: 90 Completed Date: 4/2/2025 Age: From 0 To 10 Total Minutes: 400 Time In: 06:45 AM Time Out: 01:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations regarding violations of child care requirements. The previous Annual Compliance Visit was completed on March 10, 2025, and prior to today’s visit, the eighteen-month compliance history score was 87%, which is above the 75% required by North Carolina General Statute 110-90(4)(c-d). Your program currently operates with a Four-Star License issued September 30, 2024. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet the educational option of having a child care administrator with at least 10 years of documented child care administration work experience in a licensed program that can be verified by the division. The information on record with DCDEE was verified as correct by LaWanda Thomas, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on April 11, 2024. Fire Classification of Satisfactory was completed on April 02, 2024. There are allegations of violations of child care requirements, including, but not limited to: • Staff/Child Ratio • Supervision • Nurture/Care/Developmental Needs of Children • Incident Reporting LaWanda Thomas, Administrator, was present while I observed the indoor and outdoor areas. Upon my arrival, twenty-two (22) children were present. All the children were merged into Space #3 with two teachers. The ages of children ranged from 0 – 10 years old. The number of children that were observed in Space #3 exceeded the maximum number of children allowed in the space. Between 7:00AM – 7:05AM, three teachers arrived at the facility to clock in and start their shift. Eight (8) school aged children lined up in the hallway to exit the facility and board a mini bus that took them to school. Five (5) children were taken to Space #1. Four (4) children were taken to Space #8. During a second walkthrough of the facility at 11:00am, eighty-two (82) children and fourteen (14) teachers were present. Breakfast consisted of English muffin, applesauce, and milk. Lunch consisted of chicken alfredo, macaroni pasta, broccoli, banana, and milk. The allegations were discussed with the administrator. I interviewed the administrator and six additional teachers. During the interview with the administrator, she stated that there is not usually an issue with staff/child ratios in the morning. She stated that one of her staff was out sick, which threw the ratio off today. The administrator also stated that she started conducting observations in Space #8 to try to figure out what was causing the biting incidents. Upon her observations, she discovered that the biting was mainly caused by the child wanting a toy that a peer was playing with. The administrator stated that she helped the teachers with putting the following strategies in place: •Ensuring that two teachers are in the classroom at all times •Having teachers alternate providing one-on-one supervision of the child exhibiting biting behaviors •Ensuring that duplicates of each toy are available and accessible to children During separate interviews with four opening teachers, there were mixed responses regarding concerns with maintaining the staff/child ratios in the morning, prior to 7:30am. Three teachers stated that they have no concerns. One teacher stated that the ratio is usually maintained, unless a staff member does not show up for work. During separate interviews with Teacher 5 and Teacher 6, they stated that there have been some incidents with biting in their classroom. The biting incidents are mainly caused by children not wanting to share toys. The biting incidents usually occur during times when one of the teachers is completing diapering or cleaning tasks. When incidents do occur, they immediately inform their supervisor, provide first aid to the child, write an incident report, and give the parent a courtesy call. Both teachers stated that they spend a lot of time redirecting children’s behaviors, reminding children to keep their hands to themselves, reminding children that mouths are not for biting and that biting hurts. Both teachers also stated that they spend a lot of time teaching the children about social skills, such as caring for friends, sharing, and taking turns. Incident reports from biting incidents that occurred on March 14, 2025, March 17, 2025, and March 19, 2025, were available for review. The incident report from the biting incident that occurred on March 17, 2025, did not have a parent signature or a date and time the parent was notified. Neither of the incidents required follow-up medical care. I reviewed all incident reports that were completed between January 01, 2025 and April 02, 2025. There were no other incident reports on file, regarding biting. Based on the information gathered and observations made, there is not enough sufficient information to confirm the allegation of violations of child care requirements pertaining to supervision. Based on the information gathered and observations made, there is not enough sufficient information to confirm the allegation of violations of child care requirements pertaining to the nurture, care, and meeting the developmental needs of children. Based on the information gathered and observations made, the allegation of violations of child care requirements pertaining to incident reporting is substantiated. Based on the information gathered and observations made, the allegation of violations of child care requirements pertaining to staff/child ratios is substantiated. At the completion of the visit, the Visit Summary was reviewed with L. Thomas. The following violations were observed: Violation Number Comment Rule 201 A room was occupied by more children than the space allowed at 25-sq. ft. of floor space per child. Space #3 was occupied by 22 children. The space capacity is 18 children. This was corrected when school aged children left the facility to go to school, and when other children were moved to Spaces #1 and #8. GS 110-91(6); .1401(f) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Upon my arrival at 6:45AM, twenty-two children were all grouped together in Space #3. The children's ages ranged from 0 - 10 years old. At 6:55AM, eight school aged children left the facility and boarded a mini bus to be taken to school. Between 7:00AM - 7:05AM, as teachers arrived to start their shift, children were moved from Space #3 to Spaces #1 and #8. GS 110-91(7);.0713(a-d) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An incident report, that was completed for an incident that occurred on March 17, 2025, was not signed by the parent due to it not being completed prior to the time of pick up. .0802 (e) 1844 The staff/child ratio for the youngest child was not maintained when children of all ages were cared for together in groups for the first and last operating hour of the day. All children were cared for together in one group between 5:00AM and 7:05AM. This exceeds the first operating hour of the day. Additionally, the staff/child ratio for the youngest child was not maintained. .0713(a)(2) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on April 16, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA Staff/Child Ratio Requirements A violation was cited today for not maintaining the minimum staff/child ratios. According to child care rule 10A NCAC 09 .0713(a-e), the staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: Age of Children Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 12 to 24 Months 1/6 12 2 to 3 Years 1/10 20 3 to 4 Years 1/15 25 4 to 5 Years 1/20 25 5 Years and Older 1/25 25 When combining age groups, the staff/child ratio for the youngest child in the group shall be maintained for the entire group. Children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained. We discussed creating a staffing pattern that includes substitutes or floaters that can fill in when teachers are absent from work. Incident Reporting Four violations were cited today for not complying with incident reporting requirements. According to child care rule 10A NCAC 09 .0802(e-g), the child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/DCDEE-0058.pdf. When medical treatment is required by a health care professional, community clinic, or local health department as a result of an incident occurring while the child is in care, a copy of the incident report shall be mailed to a representative of the Division within seven calendar days after the incident. An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/I/incident_log_i.pdf?ver=2017-05-16-105723- 723. We discussed the importance of having staff complete the incident report immediately after an incident, accident, or injury occurs. We discussed the possibility of sending an additional floater in the classroom to help supervise the children while the teacher completes the incident report, provides first aid, and notifies the supervisor and parent. Daily Routines for Children Under Two Years of Age There have been multiple documented biting incidents in Space #8. According to child care rule 10A NCAC 09 .0511(b)(4), the caregiver shall make provision for constructive guidance and set limits that the child can understand and that foster the infant's or toddler's ability to be self-disciplined, as appropriate to the child's age and development. If you think a child’s biting is caused by limited language skills, you can support the child’s language and communication skills by: •Putting into words what you guess the child might be thinking. For example: “Michael, do you want to have a turn on the tricycle?” •Helping the child express their feelings in appropriate ways. For example: “Sarah, you are so mad! You are really, really angry.” Then suggest a way to deal with these feelings. For example: Making angry lion faces and growling, ripping up newspapers, banging a drum, jumping up and down—whatever is acceptable. •Reinforcing your child when they use words to share their feelings. For example: “You asked me for a turn blowing bubbles instead of grabbing them. Great job. Here you go.” •Giving your child age-appropriate choices, for example, about what to wear or who to play with. Having choices gives children a sense of control and can reduce biting. •Considering a speech-language assessment if you think your child’s verbal skills might be delayed. Additional strategies to respond to biting may be found on the Zero to Three website and on the Center on the Social Emotional Foundations for Early Learning website. I gave the teachers and the administrator hard copies of a resource from the Zero to Three website, titled ‘Toddler Biting: Finding the Right Response’. DCDEE Website/Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1101 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 3/24/2025 Number Present: 114 Completed Date: 3/24/2025 Age: From 0 To 11 Total Minutes: 180 Time In: 02:00 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to confirm the correction of violations cited during an Annual Compliance visit that was conducted on March 10, 2025. The previous Annual Compliance visit was completed on March 10, 2025, and prior to today’s visit, the eighteen-month compliance history score was 88%, which is above the 75% required by North Carolina General Statute 110-90(4)(c-d). Your program currently operates with a Four-Star License issued September 30, 2024. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet the educational option of having a child care administrator with at least 10 years of documented child care administration work experience in a licensed program that can be verified by the division. The information on record with DCDEE was verified as correct by LaWanda Thomas, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on April 11, 2024. Fire Classification of Satisfactory was completed on April 02, 2024. On March 10, 2025, Item #1044 was cited during an Annual Compliance visit. The focus of today’s visit was to review staff criminal background check qualification letters, as well as monitor staff/child ratios, supervision, approved space, and permit restrictions. Upon my arrival, I was greeted by LaWanda Thomas, Administrator. One-hundred-and-fourteen (114) children and twelve (12) teachers were present. Children were observed participating in free-choice indoor activities, outdoor activities, and eating snack. Snack consisted of cheese crackers and milk. Two recently hired staff members’ files were reviewed. One staff member did not have a signed acknowledgement on file stating that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was reviewed with her prior to caring for children five years old and younger. One staff member did not have documentation of orientation being completed within their first two weeks of employment. Criminal background check qualification letters, staff/child ratios, supervision, approved space, and permit restrictions were observed in compliance during today’s visit. At the completion of the visit, the Visit Summary was reviewed with L. Thomas. The following violations were observed: Violation Number Comment Rule 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff member (D.H.) did not have documentation on file of completing 6 hours of orientation within the first two weeks of employment (DOE: 2/14/2025). .1101(a)(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff member (D.H.) did not have a signed acknowledgment on file, stating that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was reviewed with her prior to caring for children. The policy was reviewed with the staff member, an acknowledgement was signed, and placed in the staff member's file during today's visit. .0608(d)(1-4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Technical Assistance/Reminders New Staff Orientation Requirements A violation was cited today for a staff member not having documentation of completing orientation within the first two weeks of employment. Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Please refer to child care rule 10A NCAC 09 .1101(a-b) for more information about this requirement. DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 3/24/2025 Number Present: 114 Completed Date: 3/24/2025 Age: From 0 To 11 Total Minutes: 180 Time In: 02:00 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to confirm the correction of violations cited during an Annual Compliance visit that was conducted on March 10, 2025. The previous Annual Compliance visit was completed on March 10, 2025, and prior to today’s visit, the eighteen-month compliance history score was 88%, which is above the 75% required by North Carolina General Statute 110-90(4)(c-d). Your program currently operates with a Four-Star License issued September 30, 2024. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet the educational option of having a child care administrator with at least 10 years of documented child care administration work experience in a licensed program that can be verified by the division. The information on record with DCDEE was verified as correct by LaWanda Thomas, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on April 11, 2024. Fire Classification of Satisfactory was completed on April 02, 2024. On March 10, 2025, Item #1044 was cited during an Annual Compliance visit. The focus of today’s visit was to review staff criminal background check qualification letters, as well as monitor staff/child ratios, supervision, approved space, and permit restrictions. Upon my arrival, I was greeted by LaWanda Thomas, Administrator. One-hundred-and-fourteen (114) children and twelve (12) teachers were present. Children were observed participating in free-choice indoor activities, outdoor activities, and eating snack. Snack consisted of cheese crackers and milk. Two recently hired staff members’ files were reviewed. One staff member did not have a signed acknowledgement on file stating that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was reviewed with her prior to caring for children five years old and younger. One staff member did not have documentation of orientation being completed within their first two weeks of employment. Criminal background check qualification letters, staff/child ratios, supervision, approved space, and permit restrictions were observed in compliance during today’s visit. At the completion of the visit, the Visit Summary was reviewed with L. Thomas. The following violations were observed: Violation Number Comment Rule 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff member (D.H.) did not have documentation on file of completing 6 hours of orientation within the first two weeks of employment (DOE: 2/14/2025). .1101(a)(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff member (D.H.) did not have a signed acknowledgment on file, stating that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was reviewed with her prior to caring for children. The policy was reviewed with the staff member, an acknowledgement was signed, and placed in the staff member's file during today's visit. .0608(d)(1-4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Technical Assistance/Reminders New Staff Orientation Requirements A violation was cited today for a staff member not having documentation of completing orientation within the first two weeks of employment. Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Please refer to child care rule 10A NCAC 09 .1101(a-b) for more information about this requirement. DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0102 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 3/10/2025 Number Present: 103 Completed Date: 3/10/2025 Age: From 0 To 11 Total Minutes: 525 Time In: 09:30 AM Time Out: 01:00 PM Time In: 02:00 PM Time Out: 07:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an Annual Compliance visit, including Health and Safety Training. The previous Temporary Time Period visit was completed September 6, 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 Four-Star License issued September 30, 2024. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet the educational option of having a child care administrator with at least 10 years of documented child care administration work experience in a licensed program that can be verified by the division. The information on record with DCDEE was verified and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior was completed on April 11, 2024. Fire Classification of Satisfactory was completed on April 02, 2024. LaWanda Thomas, Administrator, was present while I observed the indoor and outdoor areas. Upon my arrival, seventy-two (72) children and thirteen (13) teachers were present. Children had access to blocks, fine motor, dramatic play, creative art, and literacy materials. Children were observed participating in free-choice and outdoor play activities. In Space #1, one child was observed napping in his crib, two infants were observed participating in tummy time activities, and one infant was observed getting his diaper changed by the teacher. In the refrigerator, two bottles were observed with the incorrect date. When this was brought to the teacher’s attention, she stated that the parent brought the bottles this morning in pre-labeled. In Space #2, children were observed participating in free-choice activities, before eating lunch. In Space #3, children were observed sitting at tables with crayons and ditto sheets. Children practiced tracing the letters C and J, and the numbers 0 through 5. A current activity plan was not posted in the classroom. In Space #4, children were observed participating in free-choice activities, before transitioning to an art activity. The children made shamrocks out of green construction paper heart shapes, glue, and green crayons. The group from Space #5 were observed in the outdoor learning environment. The children were observed running around the space, playing with balls, and exploring the stationary equipment. When it started to rain, the group went back inside, took off and put away their coats, and sat on the carpet for a story activity. The teacher read a book titled, “Angry Is.” Throughout the story, the teacher asked the children how they thought the characters were feeling and why they were feeling that way. The group did not wash their hands upon returning to the classroom from outdoor play. In Space #6, children were observed sitting at tables and eating their lunch. The teacher was observed helping one child in the bathroom. In Space #7, children were observed sitting at tables and eating their lunch. As the children finished eating, the teacher helped each child throw their trash away and wash their hands. After each child washed their hands, the teacher put a fresh sheet on the child’s cot, put the cot down in their designated sleep space, helped the child on their cot, and placed a blanket over the child. All cots were spaced at least 18 inches apart. In Space #8, children were observed resting on individual cots while the teachers cleaned and sanitized the tables and chairs. In the refrigerator, four sippy cups were not labeled correctly. One sippy cup was labeled with the incorrect date. Two sippy cups had children’s names, but no date. One sippy cup was not labeled with a name or date. A current activity plan was not posted in the classroom. In Space #9, children were observed resting on individual cots while the teachers rubbed children’s backs, helping them go to sleep. Routine care and handwashing practices were observed. Lunch consisted of chicken nuggets, green beans, mixed fruit, sliced bread, and milk. Between 3:30PM and 3:45PM, thirty-one (31) school aged children arrived at the facility for after-school care. The school aged children went to Spaces #10A and 10B. Eight staff files were reviewed. One staff member had an expired DCDEE criminal background check qualification letter on file. One staff member did not renew her First Aid certification before the expiration date. One staff member did not renew her CPR certification before the expiration date. One staff member did not obtain CPR or First Aid certification within 90 days of employment. One staff member did not have a valid TB test or screening, indicating negative results, on file. One staff member did not have a medical report on file. Three staff members did not meet her required annual training hours, based on their education and experience. Twenty children’s records were reviewed. One child had an application on file that was not signed by their parent/guardian. Program files were reviewed. The most recent fire drill was completed on February 27, 2025. The most recent shelter-in-place drill was completed in December 2024. The most recent playground inspection was completed on March 04, 2025. Transportation requirements were reviewed and observed in compliance with applicable child care rules. An active Administrative Action – Written Warning was posted in the facility, on the wall in the entrance area. At the completion of the visit, the Visit Summary was reviewed with L. Thomas. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In Spaces #3 and #8, current activity plans were not posted for reference. When brought to the teachers' attention, they completed their activity plans and posted them in their classrooms. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space #1, two prepared bottles of formula were labeled with the incorrect date. When this was brought to the teacher's attention, she explained that the parents bring the bottles in pre-labeled, and the date was not checked prior to accepting the bottles. The teacher corrected the date on the bottles during the visit. In Space #8, in the refrigerator, four sippy cups were not labeled correctly. When this was brought to the administrator's attention, she removed the sippy cups from the classroom and sent them to the kitchen to get cleaned and sanitized. 15A NCAC 18A .2804(d) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In Space #5, the children did not wash their hands upon returning to the classroom from outdoor play. The children came into the classroom, took off and put away their coats, and sat on the carpet for a story activity. After the story activity, the group washed their hands before eating lunch. 15A NCAC 18A .2803(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A storage closet, containing various bleaches and multi-purpose cleaners, was observed unlocked in the main hallway. When this was brought to the administrator's attention, she immediately locked the storage closet. A storage closet, containing various cleaning products, was observed unlocked in Space #10A. When this was brought to the teacher's attention, the storage closet was immediately locked. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member (K.C.) did not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member (K.C.) did not have a valid TB test or screening on file. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff member (L.H.) had an expired qualification letter on file. G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member (L.H.) did not renew her First Aid certification prior to the expiration date. One staff member (J.B.) did not obtain First Aid certification with 90 days of employment. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member (L.H.) did not renew her CPR certification prior to the expiration date. One staff member (J.B) did not obtain CPR certification within 90 days of employment. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Three staff members (L.T., C.Y., and N.E.) did not complete the required amount of on-going training hours, based on their education and experience. .1103(a) 1303 Application was not signed by the parent. During the review of children's records, I observed that one child's application was not signed by their parent/guardian. 10A NCAC 09 .0801(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on March 24, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA Criminal Background Check Requirements A violation was cited today for a staff member having an expired qualification letter on file. According to child care rule 10A NCAC 09 .2703(n-o), the qualification letter shall be valid for a maximum of five years from the date of issuance. Prior to the expiration date of the qualification letter, the child care provider shall complete and submit the forms listed in Paragraph (a) of this Rule. The staff member will need to obtain a new qualification letter by the close of business on March 24, 2025. If the staff member does not obtain a new qualification letter by the deadline, she will not be able to work in the facility until she obtains the qualification letter. Staff Medical Records Two violations were cited today for a staff member not having a medical report and a valid TB test/screening on file. According to child care rules 10A NCAC 09 .0701(a), child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director, shall obtain a medical report or a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. The medical statement shall be obtained prior to employment. When submitted, the medical statement shall not be older than 12 months. Additionally, all staff, including the director and individuals who volunteer more than once per week, shall obtain a Tuberculin (TB) Test or Screening, with results indicating the individual is free of active tuberculosis, on or before the first day of work. When submitted, the TB test/screening shall not be older than 12 months. We discussed the importance of using the staff file checklist to ensure that all necessary documentation is on file prior to an employee’s first day of work. The staff member will not be able to return to work until she obtains a valid medical report and TB test/screening. Hazardous Items Storage A violation was cited for the improper storage of potentially hazardous items. According to child care sanitation rule 15A NCAC 18A .2820(b), Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. We discussed having staff doing routine checks throughout the day to ensure that potentially hazardous items are stored appropriately at all times. Health and Safety Training Requirements Two violations were cited today for a staff member not renewing her CPR and First Aid certifications prior to their expiration dates. According to child care rule 10A NCAC 09 .1102(c-d), CPR and First Aid training shall be renewed on or before expiration of the certifications. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of these courses from an approved training organization shall be maintained in the staff member's file in the center. A list of approved training organizations is available on the DCDEE website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. We discussed the importance of periodically reviewing staff files to ensure that certifications, trainings, and other documents are always current. Annual On-Going Training Requirements A violation was cited today for staff members not meeting the required annual on-going training hours, based on their experience and education. According to Child Care Rule .1103(a), after the first year of employment, the administrator and staff who work with children shall complete on-going training activities as follows: • 4 Year Degree or Higher in Child Care Related Field – 5 Hours • 2 Year Degree in Child Care Related Field – 8 Hours • North Carolina Early Childhood Administration Credential – 8 Hours • North Carolina Early Childhood Credential – 10 Hours • 10 Years of Early Childhood Work Experience – 15 Hours • None of the Above – 20 Hours Activity Plans A violation was cited today for not having current activity plans posted in each space. According to child care rule 10A NCAC 09 .0508(a), all centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. We discussed having teachers post their activity plans on the Friday before the new week starts, to ensure that current activity plans are posted at all times. Handwashing A violation was cited today for a group of children not washing their hands upon returning from outdoor play. According to child care sanitation rule 15A NCAC 18A .2803(c), child care center employees shall ensure that children wash their hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after being outdoors; and after handling animals or animal cages. I reviewed the rule with the teacher and administrator. We discussed the importance of washing hands after outdoor play. The administrator stated that she will review this rule with all staff at an upcoming staff meeting. Child Application Requirements A violation was cited today for a child’s application not being signed by the parent/guardian. According to child care rule 10A NCAC 09 .0801(a), each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends. The administrator stated that she would have the parent sign the application when they arrive to pick up their children this evening. Reminders: Fire Inspection According to your records, your fire inspection is due to expire on April 02, 2025. I encouraged the administrator to contact the local fire department or fire marshal to schedule and obtain an updated inspection prior to the expiration date. When the fire inspection has been completed, send a copy of the inspection report to Tiffany Reed, Child Care Consultant, within one week from the inspection visit. Sanitation Inspection According to your records, your sanitation inspection is due to expire on April 11, 2025. I encouraged the administrator to contact the Cumberland County Environmental Health Department at (910)433-3618 to schedule and obtain an updated inspection prior to the expiration date. Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and School-Aged Children This free course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). This course is approved by the Division of Child Development and Early Education for 3 contact hours. For more information about the course, please visit https://bhs.unc.edu/teaching-whole-child-supporting-social-emotional-wellness-preschool-and-elementary-school-aged. Darkness to Light Darkness to Light is a nonprofit organization with a mission to equip and empower adults to build safe environments that protect children from sexual abuse. Darkness to Light’s flagship program, Stewards of Children®, is a trauma and evidence-informed training that teaches adults to prevent, recognize, and react responsibly to child sexual abuse. More than 2.2 million adults have been trained using the program. To learn more about child sexual abuse prevention training or to enroll your organization in Darkness to Light’s “Partner in Prevention” program, please visit www.D2L.org/education/partner-in-prevention. DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

10A NCAC 09 .0508 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 3/10/2025 Number Present: 103 Completed Date: 3/10/2025 Age: From 0 To 11 Total Minutes: 525 Time In: 09:30 AM Time Out: 01:00 PM Time In: 02:00 PM Time Out: 07:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an Annual Compliance visit, including Health and Safety Training. The previous Temporary Time Period visit was completed September 6, 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 Four-Star License issued September 30, 2024. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet the educational option of having a child care administrator with at least 10 years of documented child care administration work experience in a licensed program that can be verified by the division. The information on record with DCDEE was verified and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior was completed on April 11, 2024. Fire Classification of Satisfactory was completed on April 02, 2024. LaWanda Thomas, Administrator, was present while I observed the indoor and outdoor areas. Upon my arrival, seventy-two (72) children and thirteen (13) teachers were present. Children had access to blocks, fine motor, dramatic play, creative art, and literacy materials. Children were observed participating in free-choice and outdoor play activities. In Space #1, one child was observed napping in his crib, two infants were observed participating in tummy time activities, and one infant was observed getting his diaper changed by the teacher. In the refrigerator, two bottles were observed with the incorrect date. When this was brought to the teacher’s attention, she stated that the parent brought the bottles this morning in pre-labeled. In Space #2, children were observed participating in free-choice activities, before eating lunch. In Space #3, children were observed sitting at tables with crayons and ditto sheets. Children practiced tracing the letters C and J, and the numbers 0 through 5. A current activity plan was not posted in the classroom. In Space #4, children were observed participating in free-choice activities, before transitioning to an art activity. The children made shamrocks out of green construction paper heart shapes, glue, and green crayons. The group from Space #5 were observed in the outdoor learning environment. The children were observed running around the space, playing with balls, and exploring the stationary equipment. When it started to rain, the group went back inside, took off and put away their coats, and sat on the carpet for a story activity. The teacher read a book titled, “Angry Is.” Throughout the story, the teacher asked the children how they thought the characters were feeling and why they were feeling that way. The group did not wash their hands upon returning to the classroom from outdoor play. In Space #6, children were observed sitting at tables and eating their lunch. The teacher was observed helping one child in the bathroom. In Space #7, children were observed sitting at tables and eating their lunch. As the children finished eating, the teacher helped each child throw their trash away and wash their hands. After each child washed their hands, the teacher put a fresh sheet on the child’s cot, put the cot down in their designated sleep space, helped the child on their cot, and placed a blanket over the child. All cots were spaced at least 18 inches apart. In Space #8, children were observed resting on individual cots while the teachers cleaned and sanitized the tables and chairs. In the refrigerator, four sippy cups were not labeled correctly. One sippy cup was labeled with the incorrect date. Two sippy cups had children’s names, but no date. One sippy cup was not labeled with a name or date. A current activity plan was not posted in the classroom. In Space #9, children were observed resting on individual cots while the teachers rubbed children’s backs, helping them go to sleep. Routine care and handwashing practices were observed. Lunch consisted of chicken nuggets, green beans, mixed fruit, sliced bread, and milk. Between 3:30PM and 3:45PM, thirty-one (31) school aged children arrived at the facility for after-school care. The school aged children went to Spaces #10A and 10B. Eight staff files were reviewed. One staff member had an expired DCDEE criminal background check qualification letter on file. One staff member did not renew her First Aid certification before the expiration date. One staff member did not renew her CPR certification before the expiration date. One staff member did not obtain CPR or First Aid certification within 90 days of employment. One staff member did not have a valid TB test or screening, indicating negative results, on file. One staff member did not have a medical report on file. Three staff members did not meet her required annual training hours, based on their education and experience. Twenty children’s records were reviewed. One child had an application on file that was not signed by their parent/guardian. Program files were reviewed. The most recent fire drill was completed on February 27, 2025. The most recent shelter-in-place drill was completed in December 2024. The most recent playground inspection was completed on March 04, 2025. Transportation requirements were reviewed and observed in compliance with applicable child care rules. An active Administrative Action – Written Warning was posted in the facility, on the wall in the entrance area. At the completion of the visit, the Visit Summary was reviewed with L. Thomas. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In Spaces #3 and #8, current activity plans were not posted for reference. When brought to the teachers' attention, they completed their activity plans and posted them in their classrooms. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space #1, two prepared bottles of formula were labeled with the incorrect date. When this was brought to the teacher's attention, she explained that the parents bring the bottles in pre-labeled, and the date was not checked prior to accepting the bottles. The teacher corrected the date on the bottles during the visit. In Space #8, in the refrigerator, four sippy cups were not labeled correctly. When this was brought to the administrator's attention, she removed the sippy cups from the classroom and sent them to the kitchen to get cleaned and sanitized. 15A NCAC 18A .2804(d) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In Space #5, the children did not wash their hands upon returning to the classroom from outdoor play. The children came into the classroom, took off and put away their coats, and sat on the carpet for a story activity. After the story activity, the group washed their hands before eating lunch. 15A NCAC 18A .2803(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A storage closet, containing various bleaches and multi-purpose cleaners, was observed unlocked in the main hallway. When this was brought to the administrator's attention, she immediately locked the storage closet. A storage closet, containing various cleaning products, was observed unlocked in Space #10A. When this was brought to the teacher's attention, the storage closet was immediately locked. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member (K.C.) did not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member (K.C.) did not have a valid TB test or screening on file. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff member (L.H.) had an expired qualification letter on file. G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member (L.H.) did not renew her First Aid certification prior to the expiration date. One staff member (J.B.) did not obtain First Aid certification with 90 days of employment. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member (L.H.) did not renew her CPR certification prior to the expiration date. One staff member (J.B) did not obtain CPR certification within 90 days of employment. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Three staff members (L.T., C.Y., and N.E.) did not complete the required amount of on-going training hours, based on their education and experience. .1103(a) 1303 Application was not signed by the parent. During the review of children's records, I observed that one child's application was not signed by their parent/guardian. 10A NCAC 09 .0801(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on March 24, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA Criminal Background Check Requirements A violation was cited today for a staff member having an expired qualification letter on file. According to child care rule 10A NCAC 09 .2703(n-o), the qualification letter shall be valid for a maximum of five years from the date of issuance. Prior to the expiration date of the qualification letter, the child care provider shall complete and submit the forms listed in Paragraph (a) of this Rule. The staff member will need to obtain a new qualification letter by the close of business on March 24, 2025. If the staff member does not obtain a new qualification letter by the deadline, she will not be able to work in the facility until she obtains the qualification letter. Staff Medical Records Two violations were cited today for a staff member not having a medical report and a valid TB test/screening on file. According to child care rules 10A NCAC 09 .0701(a), child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director, shall obtain a medical report or a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. The medical statement shall be obtained prior to employment. When submitted, the medical statement shall not be older than 12 months. Additionally, all staff, including the director and individuals who volunteer more than once per week, shall obtain a Tuberculin (TB) Test or Screening, with results indicating the individual is free of active tuberculosis, on or before the first day of work. When submitted, the TB test/screening shall not be older than 12 months. We discussed the importance of using the staff file checklist to ensure that all necessary documentation is on file prior to an employee’s first day of work. The staff member will not be able to return to work until she obtains a valid medical report and TB test/screening. Hazardous Items Storage A violation was cited for the improper storage of potentially hazardous items. According to child care sanitation rule 15A NCAC 18A .2820(b), Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. We discussed having staff doing routine checks throughout the day to ensure that potentially hazardous items are stored appropriately at all times. Health and Safety Training Requirements Two violations were cited today for a staff member not renewing her CPR and First Aid certifications prior to their expiration dates. According to child care rule 10A NCAC 09 .1102(c-d), CPR and First Aid training shall be renewed on or before expiration of the certifications. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of these courses from an approved training organization shall be maintained in the staff member's file in the center. A list of approved training organizations is available on the DCDEE website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. We discussed the importance of periodically reviewing staff files to ensure that certifications, trainings, and other documents are always current. Annual On-Going Training Requirements A violation was cited today for staff members not meeting the required annual on-going training hours, based on their experience and education. According to Child Care Rule .1103(a), after the first year of employment, the administrator and staff who work with children shall complete on-going training activities as follows: • 4 Year Degree or Higher in Child Care Related Field – 5 Hours • 2 Year Degree in Child Care Related Field – 8 Hours • North Carolina Early Childhood Administration Credential – 8 Hours • North Carolina Early Childhood Credential – 10 Hours • 10 Years of Early Childhood Work Experience – 15 Hours • None of the Above – 20 Hours Activity Plans A violation was cited today for not having current activity plans posted in each space. According to child care rule 10A NCAC 09 .0508(a), all centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. We discussed having teachers post their activity plans on the Friday before the new week starts, to ensure that current activity plans are posted at all times. Handwashing A violation was cited today for a group of children not washing their hands upon returning from outdoor play. According to child care sanitation rule 15A NCAC 18A .2803(c), child care center employees shall ensure that children wash their hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after being outdoors; and after handling animals or animal cages. I reviewed the rule with the teacher and administrator. We discussed the importance of washing hands after outdoor play. The administrator stated that she will review this rule with all staff at an upcoming staff meeting. Child Application Requirements A violation was cited today for a child’s application not being signed by the parent/guardian. According to child care rule 10A NCAC 09 .0801(a), each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends. The administrator stated that she would have the parent sign the application when they arrive to pick up their children this evening. Reminders: Fire Inspection According to your records, your fire inspection is due to expire on April 02, 2025. I encouraged the administrator to contact the local fire department or fire marshal to schedule and obtain an updated inspection prior to the expiration date. When the fire inspection has been completed, send a copy of the inspection report to Tiffany Reed, Child Care Consultant, within one week from the inspection visit. Sanitation Inspection According to your records, your sanitation inspection is due to expire on April 11, 2025. I encouraged the administrator to contact the Cumberland County Environmental Health Department at (910)433-3618 to schedule and obtain an updated inspection prior to the expiration date. Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and School-Aged Children This free course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). This course is approved by the Division of Child Development and Early Education for 3 contact hours. For more information about the course, please visit https://bhs.unc.edu/teaching-whole-child-supporting-social-emotional-wellness-preschool-and-elementary-school-aged. Darkness to Light Darkness to Light is a nonprofit organization with a mission to equip and empower adults to build safe environments that protect children from sexual abuse. Darkness to Light’s flagship program, Stewards of Children®, is a trauma and evidence-informed training that teaches adults to prevent, recognize, and react responsibly to child sexual abuse. More than 2.2 million adults have been trained using the program. To learn more about child sexual abuse prevention training or to enroll your organization in Darkness to Light’s “Partner in Prevention” program, please visit www.D2L.org/education/partner-in-prevention. DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 3/10/2025 Number Present: 103 Completed Date: 3/10/2025 Age: From 0 To 11 Total Minutes: 525 Time In: 09:30 AM Time Out: 01:00 PM Time In: 02:00 PM Time Out: 07:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an Annual Compliance visit, including Health and Safety Training. The previous Temporary Time Period visit was completed September 6, 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 Four-Star License issued September 30, 2024. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet the educational option of having a child care administrator with at least 10 years of documented child care administration work experience in a licensed program that can be verified by the division. The information on record with DCDEE was verified and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior was completed on April 11, 2024. Fire Classification of Satisfactory was completed on April 02, 2024. LaWanda Thomas, Administrator, was present while I observed the indoor and outdoor areas. Upon my arrival, seventy-two (72) children and thirteen (13) teachers were present. Children had access to blocks, fine motor, dramatic play, creative art, and literacy materials. Children were observed participating in free-choice and outdoor play activities. In Space #1, one child was observed napping in his crib, two infants were observed participating in tummy time activities, and one infant was observed getting his diaper changed by the teacher. In the refrigerator, two bottles were observed with the incorrect date. When this was brought to the teacher’s attention, she stated that the parent brought the bottles this morning in pre-labeled. In Space #2, children were observed participating in free-choice activities, before eating lunch. In Space #3, children were observed sitting at tables with crayons and ditto sheets. Children practiced tracing the letters C and J, and the numbers 0 through 5. A current activity plan was not posted in the classroom. In Space #4, children were observed participating in free-choice activities, before transitioning to an art activity. The children made shamrocks out of green construction paper heart shapes, glue, and green crayons. The group from Space #5 were observed in the outdoor learning environment. The children were observed running around the space, playing with balls, and exploring the stationary equipment. When it started to rain, the group went back inside, took off and put away their coats, and sat on the carpet for a story activity. The teacher read a book titled, “Angry Is.” Throughout the story, the teacher asked the children how they thought the characters were feeling and why they were feeling that way. The group did not wash their hands upon returning to the classroom from outdoor play. In Space #6, children were observed sitting at tables and eating their lunch. The teacher was observed helping one child in the bathroom. In Space #7, children were observed sitting at tables and eating their lunch. As the children finished eating, the teacher helped each child throw their trash away and wash their hands. After each child washed their hands, the teacher put a fresh sheet on the child’s cot, put the cot down in their designated sleep space, helped the child on their cot, and placed a blanket over the child. All cots were spaced at least 18 inches apart. In Space #8, children were observed resting on individual cots while the teachers cleaned and sanitized the tables and chairs. In the refrigerator, four sippy cups were not labeled correctly. One sippy cup was labeled with the incorrect date. Two sippy cups had children’s names, but no date. One sippy cup was not labeled with a name or date. A current activity plan was not posted in the classroom. In Space #9, children were observed resting on individual cots while the teachers rubbed children’s backs, helping them go to sleep. Routine care and handwashing practices were observed. Lunch consisted of chicken nuggets, green beans, mixed fruit, sliced bread, and milk. Between 3:30PM and 3:45PM, thirty-one (31) school aged children arrived at the facility for after-school care. The school aged children went to Spaces #10A and 10B. Eight staff files were reviewed. One staff member had an expired DCDEE criminal background check qualification letter on file. One staff member did not renew her First Aid certification before the expiration date. One staff member did not renew her CPR certification before the expiration date. One staff member did not obtain CPR or First Aid certification within 90 days of employment. One staff member did not have a valid TB test or screening, indicating negative results, on file. One staff member did not have a medical report on file. Three staff members did not meet her required annual training hours, based on their education and experience. Twenty children’s records were reviewed. One child had an application on file that was not signed by their parent/guardian. Program files were reviewed. The most recent fire drill was completed on February 27, 2025. The most recent shelter-in-place drill was completed in December 2024. The most recent playground inspection was completed on March 04, 2025. Transportation requirements were reviewed and observed in compliance with applicable child care rules. An active Administrative Action – Written Warning was posted in the facility, on the wall in the entrance area. At the completion of the visit, the Visit Summary was reviewed with L. Thomas. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In Spaces #3 and #8, current activity plans were not posted for reference. When brought to the teachers' attention, they completed their activity plans and posted them in their classrooms. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space #1, two prepared bottles of formula were labeled with the incorrect date. When this was brought to the teacher's attention, she explained that the parents bring the bottles in pre-labeled, and the date was not checked prior to accepting the bottles. The teacher corrected the date on the bottles during the visit. In Space #8, in the refrigerator, four sippy cups were not labeled correctly. When this was brought to the administrator's attention, she removed the sippy cups from the classroom and sent them to the kitchen to get cleaned and sanitized. 15A NCAC 18A .2804(d) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In Space #5, the children did not wash their hands upon returning to the classroom from outdoor play. The children came into the classroom, took off and put away their coats, and sat on the carpet for a story activity. After the story activity, the group washed their hands before eating lunch. 15A NCAC 18A .2803(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A storage closet, containing various bleaches and multi-purpose cleaners, was observed unlocked in the main hallway. When this was brought to the administrator's attention, she immediately locked the storage closet. A storage closet, containing various cleaning products, was observed unlocked in Space #10A. When this was brought to the teacher's attention, the storage closet was immediately locked. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member (K.C.) did not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member (K.C.) did not have a valid TB test or screening on file. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff member (L.H.) had an expired qualification letter on file. G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member (L.H.) did not renew her First Aid certification prior to the expiration date. One staff member (J.B.) did not obtain First Aid certification with 90 days of employment. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member (L.H.) did not renew her CPR certification prior to the expiration date. One staff member (J.B) did not obtain CPR certification within 90 days of employment. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Three staff members (L.T., C.Y., and N.E.) did not complete the required amount of on-going training hours, based on their education and experience. .1103(a) 1303 Application was not signed by the parent. During the review of children's records, I observed that one child's application was not signed by their parent/guardian. 10A NCAC 09 .0801(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on March 24, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA Criminal Background Check Requirements A violation was cited today for a staff member having an expired qualification letter on file. According to child care rule 10A NCAC 09 .2703(n-o), the qualification letter shall be valid for a maximum of five years from the date of issuance. Prior to the expiration date of the qualification letter, the child care provider shall complete and submit the forms listed in Paragraph (a) of this Rule. The staff member will need to obtain a new qualification letter by the close of business on March 24, 2025. If the staff member does not obtain a new qualification letter by the deadline, she will not be able to work in the facility until she obtains the qualification letter. Staff Medical Records Two violations were cited today for a staff member not having a medical report and a valid TB test/screening on file. According to child care rules 10A NCAC 09 .0701(a), child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director, shall obtain a medical report or a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. The medical statement shall be obtained prior to employment. When submitted, the medical statement shall not be older than 12 months. Additionally, all staff, including the director and individuals who volunteer more than once per week, shall obtain a Tuberculin (TB) Test or Screening, with results indicating the individual is free of active tuberculosis, on or before the first day of work. When submitted, the TB test/screening shall not be older than 12 months. We discussed the importance of using the staff file checklist to ensure that all necessary documentation is on file prior to an employee’s first day of work. The staff member will not be able to return to work until she obtains a valid medical report and TB test/screening. Hazardous Items Storage A violation was cited for the improper storage of potentially hazardous items. According to child care sanitation rule 15A NCAC 18A .2820(b), Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. We discussed having staff doing routine checks throughout the day to ensure that potentially hazardous items are stored appropriately at all times. Health and Safety Training Requirements Two violations were cited today for a staff member not renewing her CPR and First Aid certifications prior to their expiration dates. According to child care rule 10A NCAC 09 .1102(c-d), CPR and First Aid training shall be renewed on or before expiration of the certifications. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of these courses from an approved training organization shall be maintained in the staff member's file in the center. A list of approved training organizations is available on the DCDEE website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. We discussed the importance of periodically reviewing staff files to ensure that certifications, trainings, and other documents are always current. Annual On-Going Training Requirements A violation was cited today for staff members not meeting the required annual on-going training hours, based on their experience and education. According to Child Care Rule .1103(a), after the first year of employment, the administrator and staff who work with children shall complete on-going training activities as follows: • 4 Year Degree or Higher in Child Care Related Field – 5 Hours • 2 Year Degree in Child Care Related Field – 8 Hours • North Carolina Early Childhood Administration Credential – 8 Hours • North Carolina Early Childhood Credential – 10 Hours • 10 Years of Early Childhood Work Experience – 15 Hours • None of the Above – 20 Hours Activity Plans A violation was cited today for not having current activity plans posted in each space. According to child care rule 10A NCAC 09 .0508(a), all centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. We discussed having teachers post their activity plans on the Friday before the new week starts, to ensure that current activity plans are posted at all times. Handwashing A violation was cited today for a group of children not washing their hands upon returning from outdoor play. According to child care sanitation rule 15A NCAC 18A .2803(c), child care center employees shall ensure that children wash their hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after being outdoors; and after handling animals or animal cages. I reviewed the rule with the teacher and administrator. We discussed the importance of washing hands after outdoor play. The administrator stated that she will review this rule with all staff at an upcoming staff meeting. Child Application Requirements A violation was cited today for a child’s application not being signed by the parent/guardian. According to child care rule 10A NCAC 09 .0801(a), each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends. The administrator stated that she would have the parent sign the application when they arrive to pick up their children this evening. Reminders: Fire Inspection According to your records, your fire inspection is due to expire on April 02, 2025. I encouraged the administrator to contact the local fire department or fire marshal to schedule and obtain an updated inspection prior to the expiration date. When the fire inspection has been completed, send a copy of the inspection report to Tiffany Reed, Child Care Consultant, within one week from the inspection visit. Sanitation Inspection According to your records, your sanitation inspection is due to expire on April 11, 2025. I encouraged the administrator to contact the Cumberland County Environmental Health Department at (910)433-3618 to schedule and obtain an updated inspection prior to the expiration date. Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and School-Aged Children This free course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). This course is approved by the Division of Child Development and Early Education for 3 contact hours. For more information about the course, please visit https://bhs.unc.edu/teaching-whole-child-supporting-social-emotional-wellness-preschool-and-elementary-school-aged. Darkness to Light Darkness to Light is a nonprofit organization with a mission to equip and empower adults to build safe environments that protect children from sexual abuse. Darkness to Light’s flagship program, Stewards of Children®, is a trauma and evidence-informed training that teaches adults to prevent, recognize, and react responsibly to child sexual abuse. More than 2.2 million adults have been trained using the program. To learn more about child sexual abuse prevention training or to enroll your organization in Darkness to Light’s “Partner in Prevention” program, please visit www.D2L.org/education/partner-in-prevention. DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0801 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 3/10/2025 Number Present: 103 Completed Date: 3/10/2025 Age: From 0 To 11 Total Minutes: 525 Time In: 09:30 AM Time Out: 01:00 PM Time In: 02:00 PM Time Out: 07:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an Annual Compliance visit, including Health and Safety Training. The previous Temporary Time Period visit was completed September 6, 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 Four-Star License issued September 30, 2024. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet the educational option of having a child care administrator with at least 10 years of documented child care administration work experience in a licensed program that can be verified by the division. The information on record with DCDEE was verified and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior was completed on April 11, 2024. Fire Classification of Satisfactory was completed on April 02, 2024. LaWanda Thomas, Administrator, was present while I observed the indoor and outdoor areas. Upon my arrival, seventy-two (72) children and thirteen (13) teachers were present. Children had access to blocks, fine motor, dramatic play, creative art, and literacy materials. Children were observed participating in free-choice and outdoor play activities. In Space #1, one child was observed napping in his crib, two infants were observed participating in tummy time activities, and one infant was observed getting his diaper changed by the teacher. In the refrigerator, two bottles were observed with the incorrect date. When this was brought to the teacher’s attention, she stated that the parent brought the bottles this morning in pre-labeled. In Space #2, children were observed participating in free-choice activities, before eating lunch. In Space #3, children were observed sitting at tables with crayons and ditto sheets. Children practiced tracing the letters C and J, and the numbers 0 through 5. A current activity plan was not posted in the classroom. In Space #4, children were observed participating in free-choice activities, before transitioning to an art activity. The children made shamrocks out of green construction paper heart shapes, glue, and green crayons. The group from Space #5 were observed in the outdoor learning environment. The children were observed running around the space, playing with balls, and exploring the stationary equipment. When it started to rain, the group went back inside, took off and put away their coats, and sat on the carpet for a story activity. The teacher read a book titled, “Angry Is.” Throughout the story, the teacher asked the children how they thought the characters were feeling and why they were feeling that way. The group did not wash their hands upon returning to the classroom from outdoor play. In Space #6, children were observed sitting at tables and eating their lunch. The teacher was observed helping one child in the bathroom. In Space #7, children were observed sitting at tables and eating their lunch. As the children finished eating, the teacher helped each child throw their trash away and wash their hands. After each child washed their hands, the teacher put a fresh sheet on the child’s cot, put the cot down in their designated sleep space, helped the child on their cot, and placed a blanket over the child. All cots were spaced at least 18 inches apart. In Space #8, children were observed resting on individual cots while the teachers cleaned and sanitized the tables and chairs. In the refrigerator, four sippy cups were not labeled correctly. One sippy cup was labeled with the incorrect date. Two sippy cups had children’s names, but no date. One sippy cup was not labeled with a name or date. A current activity plan was not posted in the classroom. In Space #9, children were observed resting on individual cots while the teachers rubbed children’s backs, helping them go to sleep. Routine care and handwashing practices were observed. Lunch consisted of chicken nuggets, green beans, mixed fruit, sliced bread, and milk. Between 3:30PM and 3:45PM, thirty-one (31) school aged children arrived at the facility for after-school care. The school aged children went to Spaces #10A and 10B. Eight staff files were reviewed. One staff member had an expired DCDEE criminal background check qualification letter on file. One staff member did not renew her First Aid certification before the expiration date. One staff member did not renew her CPR certification before the expiration date. One staff member did not obtain CPR or First Aid certification within 90 days of employment. One staff member did not have a valid TB test or screening, indicating negative results, on file. One staff member did not have a medical report on file. Three staff members did not meet her required annual training hours, based on their education and experience. Twenty children’s records were reviewed. One child had an application on file that was not signed by their parent/guardian. Program files were reviewed. The most recent fire drill was completed on February 27, 2025. The most recent shelter-in-place drill was completed in December 2024. The most recent playground inspection was completed on March 04, 2025. Transportation requirements were reviewed and observed in compliance with applicable child care rules. An active Administrative Action – Written Warning was posted in the facility, on the wall in the entrance area. At the completion of the visit, the Visit Summary was reviewed with L. Thomas. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In Spaces #3 and #8, current activity plans were not posted for reference. When brought to the teachers' attention, they completed their activity plans and posted them in their classrooms. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space #1, two prepared bottles of formula were labeled with the incorrect date. When this was brought to the teacher's attention, she explained that the parents bring the bottles in pre-labeled, and the date was not checked prior to accepting the bottles. The teacher corrected the date on the bottles during the visit. In Space #8, in the refrigerator, four sippy cups were not labeled correctly. When this was brought to the administrator's attention, she removed the sippy cups from the classroom and sent them to the kitchen to get cleaned and sanitized. 15A NCAC 18A .2804(d) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In Space #5, the children did not wash their hands upon returning to the classroom from outdoor play. The children came into the classroom, took off and put away their coats, and sat on the carpet for a story activity. After the story activity, the group washed their hands before eating lunch. 15A NCAC 18A .2803(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A storage closet, containing various bleaches and multi-purpose cleaners, was observed unlocked in the main hallway. When this was brought to the administrator's attention, she immediately locked the storage closet. A storage closet, containing various cleaning products, was observed unlocked in Space #10A. When this was brought to the teacher's attention, the storage closet was immediately locked. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member (K.C.) did not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member (K.C.) did not have a valid TB test or screening on file. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff member (L.H.) had an expired qualification letter on file. G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member (L.H.) did not renew her First Aid certification prior to the expiration date. One staff member (J.B.) did not obtain First Aid certification with 90 days of employment. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member (L.H.) did not renew her CPR certification prior to the expiration date. One staff member (J.B) did not obtain CPR certification within 90 days of employment. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Three staff members (L.T., C.Y., and N.E.) did not complete the required amount of on-going training hours, based on their education and experience. .1103(a) 1303 Application was not signed by the parent. During the review of children's records, I observed that one child's application was not signed by their parent/guardian. 10A NCAC 09 .0801(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on March 24, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA Criminal Background Check Requirements A violation was cited today for a staff member having an expired qualification letter on file. According to child care rule 10A NCAC 09 .2703(n-o), the qualification letter shall be valid for a maximum of five years from the date of issuance. Prior to the expiration date of the qualification letter, the child care provider shall complete and submit the forms listed in Paragraph (a) of this Rule. The staff member will need to obtain a new qualification letter by the close of business on March 24, 2025. If the staff member does not obtain a new qualification letter by the deadline, she will not be able to work in the facility until she obtains the qualification letter. Staff Medical Records Two violations were cited today for a staff member not having a medical report and a valid TB test/screening on file. According to child care rules 10A NCAC 09 .0701(a), child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director, shall obtain a medical report or a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. The medical statement shall be obtained prior to employment. When submitted, the medical statement shall not be older than 12 months. Additionally, all staff, including the director and individuals who volunteer more than once per week, shall obtain a Tuberculin (TB) Test or Screening, with results indicating the individual is free of active tuberculosis, on or before the first day of work. When submitted, the TB test/screening shall not be older than 12 months. We discussed the importance of using the staff file checklist to ensure that all necessary documentation is on file prior to an employee’s first day of work. The staff member will not be able to return to work until she obtains a valid medical report and TB test/screening. Hazardous Items Storage A violation was cited for the improper storage of potentially hazardous items. According to child care sanitation rule 15A NCAC 18A .2820(b), Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. We discussed having staff doing routine checks throughout the day to ensure that potentially hazardous items are stored appropriately at all times. Health and Safety Training Requirements Two violations were cited today for a staff member not renewing her CPR and First Aid certifications prior to their expiration dates. According to child care rule 10A NCAC 09 .1102(c-d), CPR and First Aid training shall be renewed on or before expiration of the certifications. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of these courses from an approved training organization shall be maintained in the staff member's file in the center. A list of approved training organizations is available on the DCDEE website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. We discussed the importance of periodically reviewing staff files to ensure that certifications, trainings, and other documents are always current. Annual On-Going Training Requirements A violation was cited today for staff members not meeting the required annual on-going training hours, based on their experience and education. According to Child Care Rule .1103(a), after the first year of employment, the administrator and staff who work with children shall complete on-going training activities as follows: • 4 Year Degree or Higher in Child Care Related Field – 5 Hours • 2 Year Degree in Child Care Related Field – 8 Hours • North Carolina Early Childhood Administration Credential – 8 Hours • North Carolina Early Childhood Credential – 10 Hours • 10 Years of Early Childhood Work Experience – 15 Hours • None of the Above – 20 Hours Activity Plans A violation was cited today for not having current activity plans posted in each space. According to child care rule 10A NCAC 09 .0508(a), all centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. We discussed having teachers post their activity plans on the Friday before the new week starts, to ensure that current activity plans are posted at all times. Handwashing A violation was cited today for a group of children not washing their hands upon returning from outdoor play. According to child care sanitation rule 15A NCAC 18A .2803(c), child care center employees shall ensure that children wash their hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after being outdoors; and after handling animals or animal cages. I reviewed the rule with the teacher and administrator. We discussed the importance of washing hands after outdoor play. The administrator stated that she will review this rule with all staff at an upcoming staff meeting. Child Application Requirements A violation was cited today for a child’s application not being signed by the parent/guardian. According to child care rule 10A NCAC 09 .0801(a), each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends. The administrator stated that she would have the parent sign the application when they arrive to pick up their children this evening. Reminders: Fire Inspection According to your records, your fire inspection is due to expire on April 02, 2025. I encouraged the administrator to contact the local fire department or fire marshal to schedule and obtain an updated inspection prior to the expiration date. When the fire inspection has been completed, send a copy of the inspection report to Tiffany Reed, Child Care Consultant, within one week from the inspection visit. Sanitation Inspection According to your records, your sanitation inspection is due to expire on April 11, 2025. I encouraged the administrator to contact the Cumberland County Environmental Health Department at (910)433-3618 to schedule and obtain an updated inspection prior to the expiration date. Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and School-Aged Children This free course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). This course is approved by the Division of Child Development and Early Education for 3 contact hours. For more information about the course, please visit https://bhs.unc.edu/teaching-whole-child-supporting-social-emotional-wellness-preschool-and-elementary-school-aged. Darkness to Light Darkness to Light is a nonprofit organization with a mission to equip and empower adults to build safe environments that protect children from sexual abuse. Darkness to Light’s flagship program, Stewards of Children®, is a trauma and evidence-informed training that teaches adults to prevent, recognize, and react responsibly to child sexual abuse. More than 2.2 million adults have been trained using the program. To learn more about child sexual abuse prevention training or to enroll your organization in Darkness to Light’s “Partner in Prevention” program, please visit www.D2L.org/education/partner-in-prevention. DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 3/10/2025 Number Present: 103 Completed Date: 3/10/2025 Age: From 0 To 11 Total Minutes: 525 Time In: 09:30 AM Time Out: 01:00 PM Time In: 02:00 PM Time Out: 07:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an Annual Compliance visit, including Health and Safety Training. The previous Temporary Time Period visit was completed September 6, 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 Four-Star License issued September 30, 2024. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet the educational option of having a child care administrator with at least 10 years of documented child care administration work experience in a licensed program that can be verified by the division. The information on record with DCDEE was verified and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior was completed on April 11, 2024. Fire Classification of Satisfactory was completed on April 02, 2024. LaWanda Thomas, Administrator, was present while I observed the indoor and outdoor areas. Upon my arrival, seventy-two (72) children and thirteen (13) teachers were present. Children had access to blocks, fine motor, dramatic play, creative art, and literacy materials. Children were observed participating in free-choice and outdoor play activities. In Space #1, one child was observed napping in his crib, two infants were observed participating in tummy time activities, and one infant was observed getting his diaper changed by the teacher. In the refrigerator, two bottles were observed with the incorrect date. When this was brought to the teacher’s attention, she stated that the parent brought the bottles this morning in pre-labeled. In Space #2, children were observed participating in free-choice activities, before eating lunch. In Space #3, children were observed sitting at tables with crayons and ditto sheets. Children practiced tracing the letters C and J, and the numbers 0 through 5. A current activity plan was not posted in the classroom. In Space #4, children were observed participating in free-choice activities, before transitioning to an art activity. The children made shamrocks out of green construction paper heart shapes, glue, and green crayons. The group from Space #5 were observed in the outdoor learning environment. The children were observed running around the space, playing with balls, and exploring the stationary equipment. When it started to rain, the group went back inside, took off and put away their coats, and sat on the carpet for a story activity. The teacher read a book titled, “Angry Is.” Throughout the story, the teacher asked the children how they thought the characters were feeling and why they were feeling that way. The group did not wash their hands upon returning to the classroom from outdoor play. In Space #6, children were observed sitting at tables and eating their lunch. The teacher was observed helping one child in the bathroom. In Space #7, children were observed sitting at tables and eating their lunch. As the children finished eating, the teacher helped each child throw their trash away and wash their hands. After each child washed their hands, the teacher put a fresh sheet on the child’s cot, put the cot down in their designated sleep space, helped the child on their cot, and placed a blanket over the child. All cots were spaced at least 18 inches apart. In Space #8, children were observed resting on individual cots while the teachers cleaned and sanitized the tables and chairs. In the refrigerator, four sippy cups were not labeled correctly. One sippy cup was labeled with the incorrect date. Two sippy cups had children’s names, but no date. One sippy cup was not labeled with a name or date. A current activity plan was not posted in the classroom. In Space #9, children were observed resting on individual cots while the teachers rubbed children’s backs, helping them go to sleep. Routine care and handwashing practices were observed. Lunch consisted of chicken nuggets, green beans, mixed fruit, sliced bread, and milk. Between 3:30PM and 3:45PM, thirty-one (31) school aged children arrived at the facility for after-school care. The school aged children went to Spaces #10A and 10B. Eight staff files were reviewed. One staff member had an expired DCDEE criminal background check qualification letter on file. One staff member did not renew her First Aid certification before the expiration date. One staff member did not renew her CPR certification before the expiration date. One staff member did not obtain CPR or First Aid certification within 90 days of employment. One staff member did not have a valid TB test or screening, indicating negative results, on file. One staff member did not have a medical report on file. Three staff members did not meet her required annual training hours, based on their education and experience. Twenty children’s records were reviewed. One child had an application on file that was not signed by their parent/guardian. Program files were reviewed. The most recent fire drill was completed on February 27, 2025. The most recent shelter-in-place drill was completed in December 2024. The most recent playground inspection was completed on March 04, 2025. Transportation requirements were reviewed and observed in compliance with applicable child care rules. An active Administrative Action – Written Warning was posted in the facility, on the wall in the entrance area. At the completion of the visit, the Visit Summary was reviewed with L. Thomas. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In Spaces #3 and #8, current activity plans were not posted for reference. When brought to the teachers' attention, they completed their activity plans and posted them in their classrooms. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space #1, two prepared bottles of formula were labeled with the incorrect date. When this was brought to the teacher's attention, she explained that the parents bring the bottles in pre-labeled, and the date was not checked prior to accepting the bottles. The teacher corrected the date on the bottles during the visit. In Space #8, in the refrigerator, four sippy cups were not labeled correctly. When this was brought to the administrator's attention, she removed the sippy cups from the classroom and sent them to the kitchen to get cleaned and sanitized. 15A NCAC 18A .2804(d) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In Space #5, the children did not wash their hands upon returning to the classroom from outdoor play. The children came into the classroom, took off and put away their coats, and sat on the carpet for a story activity. After the story activity, the group washed their hands before eating lunch. 15A NCAC 18A .2803(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A storage closet, containing various bleaches and multi-purpose cleaners, was observed unlocked in the main hallway. When this was brought to the administrator's attention, she immediately locked the storage closet. A storage closet, containing various cleaning products, was observed unlocked in Space #10A. When this was brought to the teacher's attention, the storage closet was immediately locked. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member (K.C.) did not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member (K.C.) did not have a valid TB test or screening on file. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff member (L.H.) had an expired qualification letter on file. G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member (L.H.) did not renew her First Aid certification prior to the expiration date. One staff member (J.B.) did not obtain First Aid certification with 90 days of employment. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member (L.H.) did not renew her CPR certification prior to the expiration date. One staff member (J.B) did not obtain CPR certification within 90 days of employment. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Three staff members (L.T., C.Y., and N.E.) did not complete the required amount of on-going training hours, based on their education and experience. .1103(a) 1303 Application was not signed by the parent. During the review of children's records, I observed that one child's application was not signed by their parent/guardian. 10A NCAC 09 .0801(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on March 24, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA Criminal Background Check Requirements A violation was cited today for a staff member having an expired qualification letter on file. According to child care rule 10A NCAC 09 .2703(n-o), the qualification letter shall be valid for a maximum of five years from the date of issuance. Prior to the expiration date of the qualification letter, the child care provider shall complete and submit the forms listed in Paragraph (a) of this Rule. The staff member will need to obtain a new qualification letter by the close of business on March 24, 2025. If the staff member does not obtain a new qualification letter by the deadline, she will not be able to work in the facility until she obtains the qualification letter. Staff Medical Records Two violations were cited today for a staff member not having a medical report and a valid TB test/screening on file. According to child care rules 10A NCAC 09 .0701(a), child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director, shall obtain a medical report or a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. The medical statement shall be obtained prior to employment. When submitted, the medical statement shall not be older than 12 months. Additionally, all staff, including the director and individuals who volunteer more than once per week, shall obtain a Tuberculin (TB) Test or Screening, with results indicating the individual is free of active tuberculosis, on or before the first day of work. When submitted, the TB test/screening shall not be older than 12 months. We discussed the importance of using the staff file checklist to ensure that all necessary documentation is on file prior to an employee’s first day of work. The staff member will not be able to return to work until she obtains a valid medical report and TB test/screening. Hazardous Items Storage A violation was cited for the improper storage of potentially hazardous items. According to child care sanitation rule 15A NCAC 18A .2820(b), Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. We discussed having staff doing routine checks throughout the day to ensure that potentially hazardous items are stored appropriately at all times. Health and Safety Training Requirements Two violations were cited today for a staff member not renewing her CPR and First Aid certifications prior to their expiration dates. According to child care rule 10A NCAC 09 .1102(c-d), CPR and First Aid training shall be renewed on or before expiration of the certifications. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of these courses from an approved training organization shall be maintained in the staff member's file in the center. A list of approved training organizations is available on the DCDEE website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. We discussed the importance of periodically reviewing staff files to ensure that certifications, trainings, and other documents are always current. Annual On-Going Training Requirements A violation was cited today for staff members not meeting the required annual on-going training hours, based on their experience and education. According to Child Care Rule .1103(a), after the first year of employment, the administrator and staff who work with children shall complete on-going training activities as follows: • 4 Year Degree or Higher in Child Care Related Field – 5 Hours • 2 Year Degree in Child Care Related Field – 8 Hours • North Carolina Early Childhood Administration Credential – 8 Hours • North Carolina Early Childhood Credential – 10 Hours • 10 Years of Early Childhood Work Experience – 15 Hours • None of the Above – 20 Hours Activity Plans A violation was cited today for not having current activity plans posted in each space. According to child care rule 10A NCAC 09 .0508(a), all centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. We discussed having teachers post their activity plans on the Friday before the new week starts, to ensure that current activity plans are posted at all times. Handwashing A violation was cited today for a group of children not washing their hands upon returning from outdoor play. According to child care sanitation rule 15A NCAC 18A .2803(c), child care center employees shall ensure that children wash their hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after being outdoors; and after handling animals or animal cages. I reviewed the rule with the teacher and administrator. We discussed the importance of washing hands after outdoor play. The administrator stated that she will review this rule with all staff at an upcoming staff meeting. Child Application Requirements A violation was cited today for a child’s application not being signed by the parent/guardian. According to child care rule 10A NCAC 09 .0801(a), each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends. The administrator stated that she would have the parent sign the application when they arrive to pick up their children this evening. Reminders: Fire Inspection According to your records, your fire inspection is due to expire on April 02, 2025. I encouraged the administrator to contact the local fire department or fire marshal to schedule and obtain an updated inspection prior to the expiration date. When the fire inspection has been completed, send a copy of the inspection report to Tiffany Reed, Child Care Consultant, within one week from the inspection visit. Sanitation Inspection According to your records, your sanitation inspection is due to expire on April 11, 2025. I encouraged the administrator to contact the Cumberland County Environmental Health Department at (910)433-3618 to schedule and obtain an updated inspection prior to the expiration date. Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and School-Aged Children This free course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). This course is approved by the Division of Child Development and Early Education for 3 contact hours. For more information about the course, please visit https://bhs.unc.edu/teaching-whole-child-supporting-social-emotional-wellness-preschool-and-elementary-school-aged. Darkness to Light Darkness to Light is a nonprofit organization with a mission to equip and empower adults to build safe environments that protect children from sexual abuse. Darkness to Light’s flagship program, Stewards of Children®, is a trauma and evidence-informed training that teaches adults to prevent, recognize, and react responsibly to child sexual abuse. More than 2.2 million adults have been trained using the program. To learn more about child sexual abuse prevention training or to enroll your organization in Darkness to Light’s “Partner in Prevention” program, please visit www.D2L.org/education/partner-in-prevention. DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2703 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 3/10/2025 Number Present: 103 Completed Date: 3/10/2025 Age: From 0 To 11 Total Minutes: 525 Time In: 09:30 AM Time Out: 01:00 PM Time In: 02:00 PM Time Out: 07:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an Annual Compliance visit, including Health and Safety Training. The previous Temporary Time Period visit was completed September 6, 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 Four-Star License issued September 30, 2024. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet the educational option of having a child care administrator with at least 10 years of documented child care administration work experience in a licensed program that can be verified by the division. The information on record with DCDEE was verified and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior was completed on April 11, 2024. Fire Classification of Satisfactory was completed on April 02, 2024. LaWanda Thomas, Administrator, was present while I observed the indoor and outdoor areas. Upon my arrival, seventy-two (72) children and thirteen (13) teachers were present. Children had access to blocks, fine motor, dramatic play, creative art, and literacy materials. Children were observed participating in free-choice and outdoor play activities. In Space #1, one child was observed napping in his crib, two infants were observed participating in tummy time activities, and one infant was observed getting his diaper changed by the teacher. In the refrigerator, two bottles were observed with the incorrect date. When this was brought to the teacher’s attention, she stated that the parent brought the bottles this morning in pre-labeled. In Space #2, children were observed participating in free-choice activities, before eating lunch. In Space #3, children were observed sitting at tables with crayons and ditto sheets. Children practiced tracing the letters C and J, and the numbers 0 through 5. A current activity plan was not posted in the classroom. In Space #4, children were observed participating in free-choice activities, before transitioning to an art activity. The children made shamrocks out of green construction paper heart shapes, glue, and green crayons. The group from Space #5 were observed in the outdoor learning environment. The children were observed running around the space, playing with balls, and exploring the stationary equipment. When it started to rain, the group went back inside, took off and put away their coats, and sat on the carpet for a story activity. The teacher read a book titled, “Angry Is.” Throughout the story, the teacher asked the children how they thought the characters were feeling and why they were feeling that way. The group did not wash their hands upon returning to the classroom from outdoor play. In Space #6, children were observed sitting at tables and eating their lunch. The teacher was observed helping one child in the bathroom. In Space #7, children were observed sitting at tables and eating their lunch. As the children finished eating, the teacher helped each child throw their trash away and wash their hands. After each child washed their hands, the teacher put a fresh sheet on the child’s cot, put the cot down in their designated sleep space, helped the child on their cot, and placed a blanket over the child. All cots were spaced at least 18 inches apart. In Space #8, children were observed resting on individual cots while the teachers cleaned and sanitized the tables and chairs. In the refrigerator, four sippy cups were not labeled correctly. One sippy cup was labeled with the incorrect date. Two sippy cups had children’s names, but no date. One sippy cup was not labeled with a name or date. A current activity plan was not posted in the classroom. In Space #9, children were observed resting on individual cots while the teachers rubbed children’s backs, helping them go to sleep. Routine care and handwashing practices were observed. Lunch consisted of chicken nuggets, green beans, mixed fruit, sliced bread, and milk. Between 3:30PM and 3:45PM, thirty-one (31) school aged children arrived at the facility for after-school care. The school aged children went to Spaces #10A and 10B. Eight staff files were reviewed. One staff member had an expired DCDEE criminal background check qualification letter on file. One staff member did not renew her First Aid certification before the expiration date. One staff member did not renew her CPR certification before the expiration date. One staff member did not obtain CPR or First Aid certification within 90 days of employment. One staff member did not have a valid TB test or screening, indicating negative results, on file. One staff member did not have a medical report on file. Three staff members did not meet her required annual training hours, based on their education and experience. Twenty children’s records were reviewed. One child had an application on file that was not signed by their parent/guardian. Program files were reviewed. The most recent fire drill was completed on February 27, 2025. The most recent shelter-in-place drill was completed in December 2024. The most recent playground inspection was completed on March 04, 2025. Transportation requirements were reviewed and observed in compliance with applicable child care rules. An active Administrative Action – Written Warning was posted in the facility, on the wall in the entrance area. At the completion of the visit, the Visit Summary was reviewed with L. Thomas. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In Spaces #3 and #8, current activity plans were not posted for reference. When brought to the teachers' attention, they completed their activity plans and posted them in their classrooms. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space #1, two prepared bottles of formula were labeled with the incorrect date. When this was brought to the teacher's attention, she explained that the parents bring the bottles in pre-labeled, and the date was not checked prior to accepting the bottles. The teacher corrected the date on the bottles during the visit. In Space #8, in the refrigerator, four sippy cups were not labeled correctly. When this was brought to the administrator's attention, she removed the sippy cups from the classroom and sent them to the kitchen to get cleaned and sanitized. 15A NCAC 18A .2804(d) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In Space #5, the children did not wash their hands upon returning to the classroom from outdoor play. The children came into the classroom, took off and put away their coats, and sat on the carpet for a story activity. After the story activity, the group washed their hands before eating lunch. 15A NCAC 18A .2803(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A storage closet, containing various bleaches and multi-purpose cleaners, was observed unlocked in the main hallway. When this was brought to the administrator's attention, she immediately locked the storage closet. A storage closet, containing various cleaning products, was observed unlocked in Space #10A. When this was brought to the teacher's attention, the storage closet was immediately locked. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member (K.C.) did not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member (K.C.) did not have a valid TB test or screening on file. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff member (L.H.) had an expired qualification letter on file. G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member (L.H.) did not renew her First Aid certification prior to the expiration date. One staff member (J.B.) did not obtain First Aid certification with 90 days of employment. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member (L.H.) did not renew her CPR certification prior to the expiration date. One staff member (J.B) did not obtain CPR certification within 90 days of employment. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Three staff members (L.T., C.Y., and N.E.) did not complete the required amount of on-going training hours, based on their education and experience. .1103(a) 1303 Application was not signed by the parent. During the review of children's records, I observed that one child's application was not signed by their parent/guardian. 10A NCAC 09 .0801(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on March 24, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA Criminal Background Check Requirements A violation was cited today for a staff member having an expired qualification letter on file. According to child care rule 10A NCAC 09 .2703(n-o), the qualification letter shall be valid for a maximum of five years from the date of issuance. Prior to the expiration date of the qualification letter, the child care provider shall complete and submit the forms listed in Paragraph (a) of this Rule. The staff member will need to obtain a new qualification letter by the close of business on March 24, 2025. If the staff member does not obtain a new qualification letter by the deadline, she will not be able to work in the facility until she obtains the qualification letter. Staff Medical Records Two violations were cited today for a staff member not having a medical report and a valid TB test/screening on file. According to child care rules 10A NCAC 09 .0701(a), child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director, shall obtain a medical report or a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. The medical statement shall be obtained prior to employment. When submitted, the medical statement shall not be older than 12 months. Additionally, all staff, including the director and individuals who volunteer more than once per week, shall obtain a Tuberculin (TB) Test or Screening, with results indicating the individual is free of active tuberculosis, on or before the first day of work. When submitted, the TB test/screening shall not be older than 12 months. We discussed the importance of using the staff file checklist to ensure that all necessary documentation is on file prior to an employee’s first day of work. The staff member will not be able to return to work until she obtains a valid medical report and TB test/screening. Hazardous Items Storage A violation was cited for the improper storage of potentially hazardous items. According to child care sanitation rule 15A NCAC 18A .2820(b), Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. We discussed having staff doing routine checks throughout the day to ensure that potentially hazardous items are stored appropriately at all times. Health and Safety Training Requirements Two violations were cited today for a staff member not renewing her CPR and First Aid certifications prior to their expiration dates. According to child care rule 10A NCAC 09 .1102(c-d), CPR and First Aid training shall be renewed on or before expiration of the certifications. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of these courses from an approved training organization shall be maintained in the staff member's file in the center. A list of approved training organizations is available on the DCDEE website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. We discussed the importance of periodically reviewing staff files to ensure that certifications, trainings, and other documents are always current. Annual On-Going Training Requirements A violation was cited today for staff members not meeting the required annual on-going training hours, based on their experience and education. According to Child Care Rule .1103(a), after the first year of employment, the administrator and staff who work with children shall complete on-going training activities as follows: • 4 Year Degree or Higher in Child Care Related Field – 5 Hours • 2 Year Degree in Child Care Related Field – 8 Hours • North Carolina Early Childhood Administration Credential – 8 Hours • North Carolina Early Childhood Credential – 10 Hours • 10 Years of Early Childhood Work Experience – 15 Hours • None of the Above – 20 Hours Activity Plans A violation was cited today for not having current activity plans posted in each space. According to child care rule 10A NCAC 09 .0508(a), all centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. We discussed having teachers post their activity plans on the Friday before the new week starts, to ensure that current activity plans are posted at all times. Handwashing A violation was cited today for a group of children not washing their hands upon returning from outdoor play. According to child care sanitation rule 15A NCAC 18A .2803(c), child care center employees shall ensure that children wash their hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after being outdoors; and after handling animals or animal cages. I reviewed the rule with the teacher and administrator. We discussed the importance of washing hands after outdoor play. The administrator stated that she will review this rule with all staff at an upcoming staff meeting. Child Application Requirements A violation was cited today for a child’s application not being signed by the parent/guardian. According to child care rule 10A NCAC 09 .0801(a), each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends. The administrator stated that she would have the parent sign the application when they arrive to pick up their children this evening. Reminders: Fire Inspection According to your records, your fire inspection is due to expire on April 02, 2025. I encouraged the administrator to contact the local fire department or fire marshal to schedule and obtain an updated inspection prior to the expiration date. When the fire inspection has been completed, send a copy of the inspection report to Tiffany Reed, Child Care Consultant, within one week from the inspection visit. Sanitation Inspection According to your records, your sanitation inspection is due to expire on April 11, 2025. I encouraged the administrator to contact the Cumberland County Environmental Health Department at (910)433-3618 to schedule and obtain an updated inspection prior to the expiration date. Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and School-Aged Children This free course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). This course is approved by the Division of Child Development and Early Education for 3 contact hours. For more information about the course, please visit https://bhs.unc.edu/teaching-whole-child-supporting-social-emotional-wellness-preschool-and-elementary-school-aged. Darkness to Light Darkness to Light is a nonprofit organization with a mission to equip and empower adults to build safe environments that protect children from sexual abuse. Darkness to Light’s flagship program, Stewards of Children®, is a trauma and evidence-informed training that teaches adults to prevent, recognize, and react responsibly to child sexual abuse. More than 2.2 million adults have been trained using the program. To learn more about child sexual abuse prevention training or to enroll your organization in Darkness to Light’s “Partner in Prevention” program, please visit www.D2L.org/education/partner-in-prevention. DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 3/10/2025 Number Present: 103 Completed Date: 3/10/2025 Age: From 0 To 11 Total Minutes: 525 Time In: 09:30 AM Time Out: 01:00 PM Time In: 02:00 PM Time Out: 07:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an Annual Compliance visit, including Health and Safety Training. The previous Temporary Time Period visit was completed September 6, 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 Four-Star License issued September 30, 2024. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet the educational option of having a child care administrator with at least 10 years of documented child care administration work experience in a licensed program that can be verified by the division. The information on record with DCDEE was verified and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior was completed on April 11, 2024. Fire Classification of Satisfactory was completed on April 02, 2024. LaWanda Thomas, Administrator, was present while I observed the indoor and outdoor areas. Upon my arrival, seventy-two (72) children and thirteen (13) teachers were present. Children had access to blocks, fine motor, dramatic play, creative art, and literacy materials. Children were observed participating in free-choice and outdoor play activities. In Space #1, one child was observed napping in his crib, two infants were observed participating in tummy time activities, and one infant was observed getting his diaper changed by the teacher. In the refrigerator, two bottles were observed with the incorrect date. When this was brought to the teacher’s attention, she stated that the parent brought the bottles this morning in pre-labeled. In Space #2, children were observed participating in free-choice activities, before eating lunch. In Space #3, children were observed sitting at tables with crayons and ditto sheets. Children practiced tracing the letters C and J, and the numbers 0 through 5. A current activity plan was not posted in the classroom. In Space #4, children were observed participating in free-choice activities, before transitioning to an art activity. The children made shamrocks out of green construction paper heart shapes, glue, and green crayons. The group from Space #5 were observed in the outdoor learning environment. The children were observed running around the space, playing with balls, and exploring the stationary equipment. When it started to rain, the group went back inside, took off and put away their coats, and sat on the carpet for a story activity. The teacher read a book titled, “Angry Is.” Throughout the story, the teacher asked the children how they thought the characters were feeling and why they were feeling that way. The group did not wash their hands upon returning to the classroom from outdoor play. In Space #6, children were observed sitting at tables and eating their lunch. The teacher was observed helping one child in the bathroom. In Space #7, children were observed sitting at tables and eating their lunch. As the children finished eating, the teacher helped each child throw their trash away and wash their hands. After each child washed their hands, the teacher put a fresh sheet on the child’s cot, put the cot down in their designated sleep space, helped the child on their cot, and placed a blanket over the child. All cots were spaced at least 18 inches apart. In Space #8, children were observed resting on individual cots while the teachers cleaned and sanitized the tables and chairs. In the refrigerator, four sippy cups were not labeled correctly. One sippy cup was labeled with the incorrect date. Two sippy cups had children’s names, but no date. One sippy cup was not labeled with a name or date. A current activity plan was not posted in the classroom. In Space #9, children were observed resting on individual cots while the teachers rubbed children’s backs, helping them go to sleep. Routine care and handwashing practices were observed. Lunch consisted of chicken nuggets, green beans, mixed fruit, sliced bread, and milk. Between 3:30PM and 3:45PM, thirty-one (31) school aged children arrived at the facility for after-school care. The school aged children went to Spaces #10A and 10B. Eight staff files were reviewed. One staff member had an expired DCDEE criminal background check qualification letter on file. One staff member did not renew her First Aid certification before the expiration date. One staff member did not renew her CPR certification before the expiration date. One staff member did not obtain CPR or First Aid certification within 90 days of employment. One staff member did not have a valid TB test or screening, indicating negative results, on file. One staff member did not have a medical report on file. Three staff members did not meet her required annual training hours, based on their education and experience. Twenty children’s records were reviewed. One child had an application on file that was not signed by their parent/guardian. Program files were reviewed. The most recent fire drill was completed on February 27, 2025. The most recent shelter-in-place drill was completed in December 2024. The most recent playground inspection was completed on March 04, 2025. Transportation requirements were reviewed and observed in compliance with applicable child care rules. An active Administrative Action – Written Warning was posted in the facility, on the wall in the entrance area. At the completion of the visit, the Visit Summary was reviewed with L. Thomas. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In Spaces #3 and #8, current activity plans were not posted for reference. When brought to the teachers' attention, they completed their activity plans and posted them in their classrooms. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space #1, two prepared bottles of formula were labeled with the incorrect date. When this was brought to the teacher's attention, she explained that the parents bring the bottles in pre-labeled, and the date was not checked prior to accepting the bottles. The teacher corrected the date on the bottles during the visit. In Space #8, in the refrigerator, four sippy cups were not labeled correctly. When this was brought to the administrator's attention, she removed the sippy cups from the classroom and sent them to the kitchen to get cleaned and sanitized. 15A NCAC 18A .2804(d) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In Space #5, the children did not wash their hands upon returning to the classroom from outdoor play. The children came into the classroom, took off and put away their coats, and sat on the carpet for a story activity. After the story activity, the group washed their hands before eating lunch. 15A NCAC 18A .2803(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A storage closet, containing various bleaches and multi-purpose cleaners, was observed unlocked in the main hallway. When this was brought to the administrator's attention, she immediately locked the storage closet. A storage closet, containing various cleaning products, was observed unlocked in Space #10A. When this was brought to the teacher's attention, the storage closet was immediately locked. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member (K.C.) did not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member (K.C.) did not have a valid TB test or screening on file. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff member (L.H.) had an expired qualification letter on file. G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member (L.H.) did not renew her First Aid certification prior to the expiration date. One staff member (J.B.) did not obtain First Aid certification with 90 days of employment. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member (L.H.) did not renew her CPR certification prior to the expiration date. One staff member (J.B) did not obtain CPR certification within 90 days of employment. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Three staff members (L.T., C.Y., and N.E.) did not complete the required amount of on-going training hours, based on their education and experience. .1103(a) 1303 Application was not signed by the parent. During the review of children's records, I observed that one child's application was not signed by their parent/guardian. 10A NCAC 09 .0801(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on March 24, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA Criminal Background Check Requirements A violation was cited today for a staff member having an expired qualification letter on file. According to child care rule 10A NCAC 09 .2703(n-o), the qualification letter shall be valid for a maximum of five years from the date of issuance. Prior to the expiration date of the qualification letter, the child care provider shall complete and submit the forms listed in Paragraph (a) of this Rule. The staff member will need to obtain a new qualification letter by the close of business on March 24, 2025. If the staff member does not obtain a new qualification letter by the deadline, she will not be able to work in the facility until she obtains the qualification letter. Staff Medical Records Two violations were cited today for a staff member not having a medical report and a valid TB test/screening on file. According to child care rules 10A NCAC 09 .0701(a), child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director, shall obtain a medical report or a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. The medical statement shall be obtained prior to employment. When submitted, the medical statement shall not be older than 12 months. Additionally, all staff, including the director and individuals who volunteer more than once per week, shall obtain a Tuberculin (TB) Test or Screening, with results indicating the individual is free of active tuberculosis, on or before the first day of work. When submitted, the TB test/screening shall not be older than 12 months. We discussed the importance of using the staff file checklist to ensure that all necessary documentation is on file prior to an employee’s first day of work. The staff member will not be able to return to work until she obtains a valid medical report and TB test/screening. Hazardous Items Storage A violation was cited for the improper storage of potentially hazardous items. According to child care sanitation rule 15A NCAC 18A .2820(b), Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. We discussed having staff doing routine checks throughout the day to ensure that potentially hazardous items are stored appropriately at all times. Health and Safety Training Requirements Two violations were cited today for a staff member not renewing her CPR and First Aid certifications prior to their expiration dates. According to child care rule 10A NCAC 09 .1102(c-d), CPR and First Aid training shall be renewed on or before expiration of the certifications. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of these courses from an approved training organization shall be maintained in the staff member's file in the center. A list of approved training organizations is available on the DCDEE website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. We discussed the importance of periodically reviewing staff files to ensure that certifications, trainings, and other documents are always current. Annual On-Going Training Requirements A violation was cited today for staff members not meeting the required annual on-going training hours, based on their experience and education. According to Child Care Rule .1103(a), after the first year of employment, the administrator and staff who work with children shall complete on-going training activities as follows: • 4 Year Degree or Higher in Child Care Related Field – 5 Hours • 2 Year Degree in Child Care Related Field – 8 Hours • North Carolina Early Childhood Administration Credential – 8 Hours • North Carolina Early Childhood Credential – 10 Hours • 10 Years of Early Childhood Work Experience – 15 Hours • None of the Above – 20 Hours Activity Plans A violation was cited today for not having current activity plans posted in each space. According to child care rule 10A NCAC 09 .0508(a), all centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. We discussed having teachers post their activity plans on the Friday before the new week starts, to ensure that current activity plans are posted at all times. Handwashing A violation was cited today for a group of children not washing their hands upon returning from outdoor play. According to child care sanitation rule 15A NCAC 18A .2803(c), child care center employees shall ensure that children wash their hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after being outdoors; and after handling animals or animal cages. I reviewed the rule with the teacher and administrator. We discussed the importance of washing hands after outdoor play. The administrator stated that she will review this rule with all staff at an upcoming staff meeting. Child Application Requirements A violation was cited today for a child’s application not being signed by the parent/guardian. According to child care rule 10A NCAC 09 .0801(a), each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends. The administrator stated that she would have the parent sign the application when they arrive to pick up their children this evening. Reminders: Fire Inspection According to your records, your fire inspection is due to expire on April 02, 2025. I encouraged the administrator to contact the local fire department or fire marshal to schedule and obtain an updated inspection prior to the expiration date. When the fire inspection has been completed, send a copy of the inspection report to Tiffany Reed, Child Care Consultant, within one week from the inspection visit. Sanitation Inspection According to your records, your sanitation inspection is due to expire on April 11, 2025. I encouraged the administrator to contact the Cumberland County Environmental Health Department at (910)433-3618 to schedule and obtain an updated inspection prior to the expiration date. Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and School-Aged Children This free course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). This course is approved by the Division of Child Development and Early Education for 3 contact hours. For more information about the course, please visit https://bhs.unc.edu/teaching-whole-child-supporting-social-emotional-wellness-preschool-and-elementary-school-aged. Darkness to Light Darkness to Light is a nonprofit organization with a mission to equip and empower adults to build safe environments that protect children from sexual abuse. Darkness to Light’s flagship program, Stewards of Children®, is a trauma and evidence-informed training that teaches adults to prevent, recognize, and react responsibly to child sexual abuse. More than 2.2 million adults have been trained using the program. To learn more about child sexual abuse prevention training or to enroll your organization in Darkness to Light’s “Partner in Prevention” program, please visit www.D2L.org/education/partner-in-prevention. DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 3/10/2025 Number Present: 103 Completed Date: 3/10/2025 Age: From 0 To 11 Total Minutes: 525 Time In: 09:30 AM Time Out: 01:00 PM Time In: 02:00 PM Time Out: 07:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an Annual Compliance visit, including Health and Safety Training. The previous Temporary Time Period visit was completed September 6, 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 Four-Star License issued September 30, 2024. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet the educational option of having a child care administrator with at least 10 years of documented child care administration work experience in a licensed program that can be verified by the division. The information on record with DCDEE was verified and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior was completed on April 11, 2024. Fire Classification of Satisfactory was completed on April 02, 2024. LaWanda Thomas, Administrator, was present while I observed the indoor and outdoor areas. Upon my arrival, seventy-two (72) children and thirteen (13) teachers were present. Children had access to blocks, fine motor, dramatic play, creative art, and literacy materials. Children were observed participating in free-choice and outdoor play activities. In Space #1, one child was observed napping in his crib, two infants were observed participating in tummy time activities, and one infant was observed getting his diaper changed by the teacher. In the refrigerator, two bottles were observed with the incorrect date. When this was brought to the teacher’s attention, she stated that the parent brought the bottles this morning in pre-labeled. In Space #2, children were observed participating in free-choice activities, before eating lunch. In Space #3, children were observed sitting at tables with crayons and ditto sheets. Children practiced tracing the letters C and J, and the numbers 0 through 5. A current activity plan was not posted in the classroom. In Space #4, children were observed participating in free-choice activities, before transitioning to an art activity. The children made shamrocks out of green construction paper heart shapes, glue, and green crayons. The group from Space #5 were observed in the outdoor learning environment. The children were observed running around the space, playing with balls, and exploring the stationary equipment. When it started to rain, the group went back inside, took off and put away their coats, and sat on the carpet for a story activity. The teacher read a book titled, “Angry Is.” Throughout the story, the teacher asked the children how they thought the characters were feeling and why they were feeling that way. The group did not wash their hands upon returning to the classroom from outdoor play. In Space #6, children were observed sitting at tables and eating their lunch. The teacher was observed helping one child in the bathroom. In Space #7, children were observed sitting at tables and eating their lunch. As the children finished eating, the teacher helped each child throw their trash away and wash their hands. After each child washed their hands, the teacher put a fresh sheet on the child’s cot, put the cot down in their designated sleep space, helped the child on their cot, and placed a blanket over the child. All cots were spaced at least 18 inches apart. In Space #8, children were observed resting on individual cots while the teachers cleaned and sanitized the tables and chairs. In the refrigerator, four sippy cups were not labeled correctly. One sippy cup was labeled with the incorrect date. Two sippy cups had children’s names, but no date. One sippy cup was not labeled with a name or date. A current activity plan was not posted in the classroom. In Space #9, children were observed resting on individual cots while the teachers rubbed children’s backs, helping them go to sleep. Routine care and handwashing practices were observed. Lunch consisted of chicken nuggets, green beans, mixed fruit, sliced bread, and milk. Between 3:30PM and 3:45PM, thirty-one (31) school aged children arrived at the facility for after-school care. The school aged children went to Spaces #10A and 10B. Eight staff files were reviewed. One staff member had an expired DCDEE criminal background check qualification letter on file. One staff member did not renew her First Aid certification before the expiration date. One staff member did not renew her CPR certification before the expiration date. One staff member did not obtain CPR or First Aid certification within 90 days of employment. One staff member did not have a valid TB test or screening, indicating negative results, on file. One staff member did not have a medical report on file. Three staff members did not meet her required annual training hours, based on their education and experience. Twenty children’s records were reviewed. One child had an application on file that was not signed by their parent/guardian. Program files were reviewed. The most recent fire drill was completed on February 27, 2025. The most recent shelter-in-place drill was completed in December 2024. The most recent playground inspection was completed on March 04, 2025. Transportation requirements were reviewed and observed in compliance with applicable child care rules. An active Administrative Action – Written Warning was posted in the facility, on the wall in the entrance area. At the completion of the visit, the Visit Summary was reviewed with L. Thomas. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In Spaces #3 and #8, current activity plans were not posted for reference. When brought to the teachers' attention, they completed their activity plans and posted them in their classrooms. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space #1, two prepared bottles of formula were labeled with the incorrect date. When this was brought to the teacher's attention, she explained that the parents bring the bottles in pre-labeled, and the date was not checked prior to accepting the bottles. The teacher corrected the date on the bottles during the visit. In Space #8, in the refrigerator, four sippy cups were not labeled correctly. When this was brought to the administrator's attention, she removed the sippy cups from the classroom and sent them to the kitchen to get cleaned and sanitized. 15A NCAC 18A .2804(d) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In Space #5, the children did not wash their hands upon returning to the classroom from outdoor play. The children came into the classroom, took off and put away their coats, and sat on the carpet for a story activity. After the story activity, the group washed their hands before eating lunch. 15A NCAC 18A .2803(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A storage closet, containing various bleaches and multi-purpose cleaners, was observed unlocked in the main hallway. When this was brought to the administrator's attention, she immediately locked the storage closet. A storage closet, containing various cleaning products, was observed unlocked in Space #10A. When this was brought to the teacher's attention, the storage closet was immediately locked. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member (K.C.) did not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member (K.C.) did not have a valid TB test or screening on file. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff member (L.H.) had an expired qualification letter on file. G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member (L.H.) did not renew her First Aid certification prior to the expiration date. One staff member (J.B.) did not obtain First Aid certification with 90 days of employment. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member (L.H.) did not renew her CPR certification prior to the expiration date. One staff member (J.B) did not obtain CPR certification within 90 days of employment. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Three staff members (L.T., C.Y., and N.E.) did not complete the required amount of on-going training hours, based on their education and experience. .1103(a) 1303 Application was not signed by the parent. During the review of children's records, I observed that one child's application was not signed by their parent/guardian. 10A NCAC 09 .0801(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on March 24, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA Criminal Background Check Requirements A violation was cited today for a staff member having an expired qualification letter on file. According to child care rule 10A NCAC 09 .2703(n-o), the qualification letter shall be valid for a maximum of five years from the date of issuance. Prior to the expiration date of the qualification letter, the child care provider shall complete and submit the forms listed in Paragraph (a) of this Rule. The staff member will need to obtain a new qualification letter by the close of business on March 24, 2025. If the staff member does not obtain a new qualification letter by the deadline, she will not be able to work in the facility until she obtains the qualification letter. Staff Medical Records Two violations were cited today for a staff member not having a medical report and a valid TB test/screening on file. According to child care rules 10A NCAC 09 .0701(a), child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director, shall obtain a medical report or a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. The medical statement shall be obtained prior to employment. When submitted, the medical statement shall not be older than 12 months. Additionally, all staff, including the director and individuals who volunteer more than once per week, shall obtain a Tuberculin (TB) Test or Screening, with results indicating the individual is free of active tuberculosis, on or before the first day of work. When submitted, the TB test/screening shall not be older than 12 months. We discussed the importance of using the staff file checklist to ensure that all necessary documentation is on file prior to an employee’s first day of work. The staff member will not be able to return to work until she obtains a valid medical report and TB test/screening. Hazardous Items Storage A violation was cited for the improper storage of potentially hazardous items. According to child care sanitation rule 15A NCAC 18A .2820(b), Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. We discussed having staff doing routine checks throughout the day to ensure that potentially hazardous items are stored appropriately at all times. Health and Safety Training Requirements Two violations were cited today for a staff member not renewing her CPR and First Aid certifications prior to their expiration dates. According to child care rule 10A NCAC 09 .1102(c-d), CPR and First Aid training shall be renewed on or before expiration of the certifications. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of these courses from an approved training organization shall be maintained in the staff member's file in the center. A list of approved training organizations is available on the DCDEE website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. We discussed the importance of periodically reviewing staff files to ensure that certifications, trainings, and other documents are always current. Annual On-Going Training Requirements A violation was cited today for staff members not meeting the required annual on-going training hours, based on their experience and education. According to Child Care Rule .1103(a), after the first year of employment, the administrator and staff who work with children shall complete on-going training activities as follows: • 4 Year Degree or Higher in Child Care Related Field – 5 Hours • 2 Year Degree in Child Care Related Field – 8 Hours • North Carolina Early Childhood Administration Credential – 8 Hours • North Carolina Early Childhood Credential – 10 Hours • 10 Years of Early Childhood Work Experience – 15 Hours • None of the Above – 20 Hours Activity Plans A violation was cited today for not having current activity plans posted in each space. According to child care rule 10A NCAC 09 .0508(a), all centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. We discussed having teachers post their activity plans on the Friday before the new week starts, to ensure that current activity plans are posted at all times. Handwashing A violation was cited today for a group of children not washing their hands upon returning from outdoor play. According to child care sanitation rule 15A NCAC 18A .2803(c), child care center employees shall ensure that children wash their hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after being outdoors; and after handling animals or animal cages. I reviewed the rule with the teacher and administrator. We discussed the importance of washing hands after outdoor play. The administrator stated that she will review this rule with all staff at an upcoming staff meeting. Child Application Requirements A violation was cited today for a child’s application not being signed by the parent/guardian. According to child care rule 10A NCAC 09 .0801(a), each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends. The administrator stated that she would have the parent sign the application when they arrive to pick up their children this evening. Reminders: Fire Inspection According to your records, your fire inspection is due to expire on April 02, 2025. I encouraged the administrator to contact the local fire department or fire marshal to schedule and obtain an updated inspection prior to the expiration date. When the fire inspection has been completed, send a copy of the inspection report to Tiffany Reed, Child Care Consultant, within one week from the inspection visit. Sanitation Inspection According to your records, your sanitation inspection is due to expire on April 11, 2025. I encouraged the administrator to contact the Cumberland County Environmental Health Department at (910)433-3618 to schedule and obtain an updated inspection prior to the expiration date. Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and School-Aged Children This free course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). This course is approved by the Division of Child Development and Early Education for 3 contact hours. For more information about the course, please visit https://bhs.unc.edu/teaching-whole-child-supporting-social-emotional-wellness-preschool-and-elementary-school-aged. Darkness to Light Darkness to Light is a nonprofit organization with a mission to equip and empower adults to build safe environments that protect children from sexual abuse. Darkness to Light’s flagship program, Stewards of Children®, is a trauma and evidence-informed training that teaches adults to prevent, recognize, and react responsibly to child sexual abuse. More than 2.2 million adults have been trained using the program. To learn more about child sexual abuse prevention training or to enroll your organization in Darkness to Light’s “Partner in Prevention” program, please visit www.D2L.org/education/partner-in-prevention. DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 3/10/2025 Number Present: 103 Completed Date: 3/10/2025 Age: From 0 To 11 Total Minutes: 525 Time In: 09:30 AM Time Out: 01:00 PM Time In: 02:00 PM Time Out: 07:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an Annual Compliance visit, including Health and Safety Training. The previous Temporary Time Period visit was completed September 6, 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 Four-Star License issued September 30, 2024. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet the educational option of having a child care administrator with at least 10 years of documented child care administration work experience in a licensed program that can be verified by the division. The information on record with DCDEE was verified and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior was completed on April 11, 2024. Fire Classification of Satisfactory was completed on April 02, 2024. LaWanda Thomas, Administrator, was present while I observed the indoor and outdoor areas. Upon my arrival, seventy-two (72) children and thirteen (13) teachers were present. Children had access to blocks, fine motor, dramatic play, creative art, and literacy materials. Children were observed participating in free-choice and outdoor play activities. In Space #1, one child was observed napping in his crib, two infants were observed participating in tummy time activities, and one infant was observed getting his diaper changed by the teacher. In the refrigerator, two bottles were observed with the incorrect date. When this was brought to the teacher’s attention, she stated that the parent brought the bottles this morning in pre-labeled. In Space #2, children were observed participating in free-choice activities, before eating lunch. In Space #3, children were observed sitting at tables with crayons and ditto sheets. Children practiced tracing the letters C and J, and the numbers 0 through 5. A current activity plan was not posted in the classroom. In Space #4, children were observed participating in free-choice activities, before transitioning to an art activity. The children made shamrocks out of green construction paper heart shapes, glue, and green crayons. The group from Space #5 were observed in the outdoor learning environment. The children were observed running around the space, playing with balls, and exploring the stationary equipment. When it started to rain, the group went back inside, took off and put away their coats, and sat on the carpet for a story activity. The teacher read a book titled, “Angry Is.” Throughout the story, the teacher asked the children how they thought the characters were feeling and why they were feeling that way. The group did not wash their hands upon returning to the classroom from outdoor play. In Space #6, children were observed sitting at tables and eating their lunch. The teacher was observed helping one child in the bathroom. In Space #7, children were observed sitting at tables and eating their lunch. As the children finished eating, the teacher helped each child throw their trash away and wash their hands. After each child washed their hands, the teacher put a fresh sheet on the child’s cot, put the cot down in their designated sleep space, helped the child on their cot, and placed a blanket over the child. All cots were spaced at least 18 inches apart. In Space #8, children were observed resting on individual cots while the teachers cleaned and sanitized the tables and chairs. In the refrigerator, four sippy cups were not labeled correctly. One sippy cup was labeled with the incorrect date. Two sippy cups had children’s names, but no date. One sippy cup was not labeled with a name or date. A current activity plan was not posted in the classroom. In Space #9, children were observed resting on individual cots while the teachers rubbed children’s backs, helping them go to sleep. Routine care and handwashing practices were observed. Lunch consisted of chicken nuggets, green beans, mixed fruit, sliced bread, and milk. Between 3:30PM and 3:45PM, thirty-one (31) school aged children arrived at the facility for after-school care. The school aged children went to Spaces #10A and 10B. Eight staff files were reviewed. One staff member had an expired DCDEE criminal background check qualification letter on file. One staff member did not renew her First Aid certification before the expiration date. One staff member did not renew her CPR certification before the expiration date. One staff member did not obtain CPR or First Aid certification within 90 days of employment. One staff member did not have a valid TB test or screening, indicating negative results, on file. One staff member did not have a medical report on file. Three staff members did not meet her required annual training hours, based on their education and experience. Twenty children’s records were reviewed. One child had an application on file that was not signed by their parent/guardian. Program files were reviewed. The most recent fire drill was completed on February 27, 2025. The most recent shelter-in-place drill was completed in December 2024. The most recent playground inspection was completed on March 04, 2025. Transportation requirements were reviewed and observed in compliance with applicable child care rules. An active Administrative Action – Written Warning was posted in the facility, on the wall in the entrance area. At the completion of the visit, the Visit Summary was reviewed with L. Thomas. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In Spaces #3 and #8, current activity plans were not posted for reference. When brought to the teachers' attention, they completed their activity plans and posted them in their classrooms. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space #1, two prepared bottles of formula were labeled with the incorrect date. When this was brought to the teacher's attention, she explained that the parents bring the bottles in pre-labeled, and the date was not checked prior to accepting the bottles. The teacher corrected the date on the bottles during the visit. In Space #8, in the refrigerator, four sippy cups were not labeled correctly. When this was brought to the administrator's attention, she removed the sippy cups from the classroom and sent them to the kitchen to get cleaned and sanitized. 15A NCAC 18A .2804(d) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In Space #5, the children did not wash their hands upon returning to the classroom from outdoor play. The children came into the classroom, took off and put away their coats, and sat on the carpet for a story activity. After the story activity, the group washed their hands before eating lunch. 15A NCAC 18A .2803(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A storage closet, containing various bleaches and multi-purpose cleaners, was observed unlocked in the main hallway. When this was brought to the administrator's attention, she immediately locked the storage closet. A storage closet, containing various cleaning products, was observed unlocked in Space #10A. When this was brought to the teacher's attention, the storage closet was immediately locked. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member (K.C.) did not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member (K.C.) did not have a valid TB test or screening on file. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff member (L.H.) had an expired qualification letter on file. G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member (L.H.) did not renew her First Aid certification prior to the expiration date. One staff member (J.B.) did not obtain First Aid certification with 90 days of employment. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member (L.H.) did not renew her CPR certification prior to the expiration date. One staff member (J.B) did not obtain CPR certification within 90 days of employment. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Three staff members (L.T., C.Y., and N.E.) did not complete the required amount of on-going training hours, based on their education and experience. .1103(a) 1303 Application was not signed by the parent. During the review of children's records, I observed that one child's application was not signed by their parent/guardian. 10A NCAC 09 .0801(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on March 24, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA Criminal Background Check Requirements A violation was cited today for a staff member having an expired qualification letter on file. According to child care rule 10A NCAC 09 .2703(n-o), the qualification letter shall be valid for a maximum of five years from the date of issuance. Prior to the expiration date of the qualification letter, the child care provider shall complete and submit the forms listed in Paragraph (a) of this Rule. The staff member will need to obtain a new qualification letter by the close of business on March 24, 2025. If the staff member does not obtain a new qualification letter by the deadline, she will not be able to work in the facility until she obtains the qualification letter. Staff Medical Records Two violations were cited today for a staff member not having a medical report and a valid TB test/screening on file. According to child care rules 10A NCAC 09 .0701(a), child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director, shall obtain a medical report or a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. The medical statement shall be obtained prior to employment. When submitted, the medical statement shall not be older than 12 months. Additionally, all staff, including the director and individuals who volunteer more than once per week, shall obtain a Tuberculin (TB) Test or Screening, with results indicating the individual is free of active tuberculosis, on or before the first day of work. When submitted, the TB test/screening shall not be older than 12 months. We discussed the importance of using the staff file checklist to ensure that all necessary documentation is on file prior to an employee’s first day of work. The staff member will not be able to return to work until she obtains a valid medical report and TB test/screening. Hazardous Items Storage A violation was cited for the improper storage of potentially hazardous items. According to child care sanitation rule 15A NCAC 18A .2820(b), Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. We discussed having staff doing routine checks throughout the day to ensure that potentially hazardous items are stored appropriately at all times. Health and Safety Training Requirements Two violations were cited today for a staff member not renewing her CPR and First Aid certifications prior to their expiration dates. According to child care rule 10A NCAC 09 .1102(c-d), CPR and First Aid training shall be renewed on or before expiration of the certifications. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of these courses from an approved training organization shall be maintained in the staff member's file in the center. A list of approved training organizations is available on the DCDEE website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. We discussed the importance of periodically reviewing staff files to ensure that certifications, trainings, and other documents are always current. Annual On-Going Training Requirements A violation was cited today for staff members not meeting the required annual on-going training hours, based on their experience and education. According to Child Care Rule .1103(a), after the first year of employment, the administrator and staff who work with children shall complete on-going training activities as follows: • 4 Year Degree or Higher in Child Care Related Field – 5 Hours • 2 Year Degree in Child Care Related Field – 8 Hours • North Carolina Early Childhood Administration Credential – 8 Hours • North Carolina Early Childhood Credential – 10 Hours • 10 Years of Early Childhood Work Experience – 15 Hours • None of the Above – 20 Hours Activity Plans A violation was cited today for not having current activity plans posted in each space. According to child care rule 10A NCAC 09 .0508(a), all centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. We discussed having teachers post their activity plans on the Friday before the new week starts, to ensure that current activity plans are posted at all times. Handwashing A violation was cited today for a group of children not washing their hands upon returning from outdoor play. According to child care sanitation rule 15A NCAC 18A .2803(c), child care center employees shall ensure that children wash their hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after being outdoors; and after handling animals or animal cages. I reviewed the rule with the teacher and administrator. We discussed the importance of washing hands after outdoor play. The administrator stated that she will review this rule with all staff at an upcoming staff meeting. Child Application Requirements A violation was cited today for a child’s application not being signed by the parent/guardian. According to child care rule 10A NCAC 09 .0801(a), each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends. The administrator stated that she would have the parent sign the application when they arrive to pick up their children this evening. Reminders: Fire Inspection According to your records, your fire inspection is due to expire on April 02, 2025. I encouraged the administrator to contact the local fire department or fire marshal to schedule and obtain an updated inspection prior to the expiration date. When the fire inspection has been completed, send a copy of the inspection report to Tiffany Reed, Child Care Consultant, within one week from the inspection visit. Sanitation Inspection According to your records, your sanitation inspection is due to expire on April 11, 2025. I encouraged the administrator to contact the Cumberland County Environmental Health Department at (910)433-3618 to schedule and obtain an updated inspection prior to the expiration date. Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and School-Aged Children This free course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). This course is approved by the Division of Child Development and Early Education for 3 contact hours. For more information about the course, please visit https://bhs.unc.edu/teaching-whole-child-supporting-social-emotional-wellness-preschool-and-elementary-school-aged. Darkness to Light Darkness to Light is a nonprofit organization with a mission to equip and empower adults to build safe environments that protect children from sexual abuse. Darkness to Light’s flagship program, Stewards of Children®, is a trauma and evidence-informed training that teaches adults to prevent, recognize, and react responsibly to child sexual abuse. More than 2.2 million adults have been trained using the program. To learn more about child sexual abuse prevention training or to enroll your organization in Darkness to Light’s “Partner in Prevention” program, please visit www.D2L.org/education/partner-in-prevention. DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: TIFFANY REED Operation Type: Center Case Number: 0125-183L Visit Date: 1/30/2025 Number Present: 74 Completed Date: 1/30/2025 Age: From 0 To 5 Total Minutes: 420 Time In: 10:00 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations regarding violations of child care requirements. The previous Temporary Time Period visit was completed September 6, 2024, and prior to today’s visit, the eighteen-month compliance history score was 93% as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued September 30, 2024. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet the education option of having a child care administrator with at least 10 years of documented child care administration work experience in a licensed program that can be verified by the division. The information on record with DCDEE was verified as correct by Lawanda Thomas, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on April 11, 2024. Fire Classification of Satisfactory was completed on April 02, 2024. Allegations are as follows: There are concerns that children are cared for in an unsafe environment. I was greeted today by L. Thomas, Administrator. Upon my arrival, there were seventy-four (74) children, and eleven (11) teachers present. Children were observed participating in free-choice activities and outdoor play activities. In Space #4, a child was observed pushing another child. The administrator diffused the situation by talking to the child, reminding her to keep her hands to herself, and telling her it’s not nice to hit her friends. In Outdoor Space #4, one teacher was observed alone with thirteen (13) children. The group of children’s ages ranged from three to five years old. Although the enhanced ratios were not met, the minimum staff/child ratio was maintained. Routine care and handwashing practices were observed. Lunch consisted of chicken nuggets, peas, mandarin oranges, sliced bread, and milk. Three recently hired staff members’ files were reviewed. Two staff members did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of hire. The allegations were discussed with the administrator. I interviewed the administrator and three additional teachers. The administrator stated that children occasionally bite or hit other children. When teachers come to her with concerns about challenging behaviors, she observes the classroom, monitors for possible triggers for the behaviors, and offers suggestions to the teachers for behavior management. If the child or teacher seems overwhelmed, she will temporarily remove the child from the classroom and take them for a walk until they calm down. The administrator also stated that she is in the process of scheduling training for all staff regarding behavior management. There is a termination policy in the parent handbook that addresses aggressive and violent behaviors. When behavior incidents involve the injury of another child or teacher, an incident report is completed. Multiple behavior incidents result in parent conferences and possible suspension or termination. The teachers stated that they have occasionally observed children with challenging behaviors. Whenever children display challenging behaviors, they first try to de-escalate the situation. If attempts to de-escalate the behavior do not work, they will call the administrator for assistance. The administrator will come to the classroom to observe, offer guidance, or temporarily remove the child from the classroom until they calm down. If the administrator cannot calm the child down, she will call the child’s parent to pick them up for the day. I reviewed the facility’s incident reports and incident report logs from the past three months. Several incident reports were based on injuries that resulted from various children hitting, biting, or pushing their peers. I also reviewed the termination policy in the facility’s parent handbook. Camera footage was not available for review. All spaces were monitored for general health and safety requirements, and were observed in compliance with applicable child care rules except for maintaining enhanced ratios. Based on the information gathered and observations made, there is not enough sufficient information to confirm the allegation of violations of child care requirements pertaining to children being cared for in an unsafe environment. At the completion of the visit, the Visit Summary was reviewed with L. Thomas. The following violations were observed: Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. In Outdoor Space #4, one teacher was observed alone with thirteen children. The youngest child in the group was three years old. When the teacher brought this to the administrator's attention, the administrator removed the three-year-old from the group and took him to another classroom. 10A NCAC 09 .2818 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Two staff members (C.Y. and J.B.) did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of hire. .1102(g) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on February 13, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Technical Assistance: Staff/Child Ratio Requirements A violation was cited today for not maintaining enhanced ratios. According to child care rule 10A NCAC 09 .2818(b), the center shall comply with the following enhanced staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 1 to 2 Years 1/6 12 2 to 3 Years 1/9 18 3 to 4 Years 1/10 20 4 to 5 Years 1/13 25 5 to 6 Years 1/15 25 6 Years and Older 1/20 25 We discussed double-checking the ages of children before moving them to other classrooms to ensure that the enhanced ratio is maintained, based on the youngest child in the group. Special Training A violation was cited today for staff members not completing the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of hire. According to child care rule 10A NCAC 09 .1102(g), the child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. We discussed using the staff file checklist to review staff files on a monthly basis, to ensure that required trainings and certifications are obtained by their due dates. Behavior Management During today’s visit, I noticed some pushing and hitting amongst children in Space #4. I encouraged the administrator to have staff plan activities ahead of time to reduce periods of time where children are waiting with nothing to do. I also encouraged the administrator to have staff walk around the room to groups of children to facilitate play and learning experiences. Providing duplicates of popular toys and materials will reduce incidents of disagreements and fighting amongst children. Updated Behavior Policy During today’s visit, we discussed that you are in the process of updating your behavior/termination policy. You stated that the new policy will provide more clarification for the consequences of each offense/incident of a child’s aggressive behavior that results in the injury of another child or teacher. I reminded the administrator to have parents sign a statement that they have read and understand the new policy when it has been finalized. Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

10A NCAC 09 .2818 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: TIFFANY REED Operation Type: Center Case Number: 0125-183L Visit Date: 1/30/2025 Number Present: 74 Completed Date: 1/30/2025 Age: From 0 To 5 Total Minutes: 420 Time In: 10:00 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations regarding violations of child care requirements. The previous Temporary Time Period visit was completed September 6, 2024, and prior to today’s visit, the eighteen-month compliance history score was 93% as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued September 30, 2024. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet the education option of having a child care administrator with at least 10 years of documented child care administration work experience in a licensed program that can be verified by the division. The information on record with DCDEE was verified as correct by Lawanda Thomas, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on April 11, 2024. Fire Classification of Satisfactory was completed on April 02, 2024. Allegations are as follows: There are concerns that children are cared for in an unsafe environment. I was greeted today by L. Thomas, Administrator. Upon my arrival, there were seventy-four (74) children, and eleven (11) teachers present. Children were observed participating in free-choice activities and outdoor play activities. In Space #4, a child was observed pushing another child. The administrator diffused the situation by talking to the child, reminding her to keep her hands to herself, and telling her it’s not nice to hit her friends. In Outdoor Space #4, one teacher was observed alone with thirteen (13) children. The group of children’s ages ranged from three to five years old. Although the enhanced ratios were not met, the minimum staff/child ratio was maintained. Routine care and handwashing practices were observed. Lunch consisted of chicken nuggets, peas, mandarin oranges, sliced bread, and milk. Three recently hired staff members’ files were reviewed. Two staff members did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of hire. The allegations were discussed with the administrator. I interviewed the administrator and three additional teachers. The administrator stated that children occasionally bite or hit other children. When teachers come to her with concerns about challenging behaviors, she observes the classroom, monitors for possible triggers for the behaviors, and offers suggestions to the teachers for behavior management. If the child or teacher seems overwhelmed, she will temporarily remove the child from the classroom and take them for a walk until they calm down. The administrator also stated that she is in the process of scheduling training for all staff regarding behavior management. There is a termination policy in the parent handbook that addresses aggressive and violent behaviors. When behavior incidents involve the injury of another child or teacher, an incident report is completed. Multiple behavior incidents result in parent conferences and possible suspension or termination. The teachers stated that they have occasionally observed children with challenging behaviors. Whenever children display challenging behaviors, they first try to de-escalate the situation. If attempts to de-escalate the behavior do not work, they will call the administrator for assistance. The administrator will come to the classroom to observe, offer guidance, or temporarily remove the child from the classroom until they calm down. If the administrator cannot calm the child down, she will call the child’s parent to pick them up for the day. I reviewed the facility’s incident reports and incident report logs from the past three months. Several incident reports were based on injuries that resulted from various children hitting, biting, or pushing their peers. I also reviewed the termination policy in the facility’s parent handbook. Camera footage was not available for review. All spaces were monitored for general health and safety requirements, and were observed in compliance with applicable child care rules except for maintaining enhanced ratios. Based on the information gathered and observations made, there is not enough sufficient information to confirm the allegation of violations of child care requirements pertaining to children being cared for in an unsafe environment. At the completion of the visit, the Visit Summary was reviewed with L. Thomas. The following violations were observed: Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. In Outdoor Space #4, one teacher was observed alone with thirteen children. The youngest child in the group was three years old. When the teacher brought this to the administrator's attention, the administrator removed the three-year-old from the group and took him to another classroom. 10A NCAC 09 .2818 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Two staff members (C.Y. and J.B.) did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of hire. .1102(g) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on February 13, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Technical Assistance: Staff/Child Ratio Requirements A violation was cited today for not maintaining enhanced ratios. According to child care rule 10A NCAC 09 .2818(b), the center shall comply with the following enhanced staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 1 to 2 Years 1/6 12 2 to 3 Years 1/9 18 3 to 4 Years 1/10 20 4 to 5 Years 1/13 25 5 to 6 Years 1/15 25 6 Years and Older 1/20 25 We discussed double-checking the ages of children before moving them to other classrooms to ensure that the enhanced ratio is maintained, based on the youngest child in the group. Special Training A violation was cited today for staff members not completing the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of hire. According to child care rule 10A NCAC 09 .1102(g), the child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. We discussed using the staff file checklist to review staff files on a monthly basis, to ensure that required trainings and certifications are obtained by their due dates. Behavior Management During today’s visit, I noticed some pushing and hitting amongst children in Space #4. I encouraged the administrator to have staff plan activities ahead of time to reduce periods of time where children are waiting with nothing to do. I also encouraged the administrator to have staff walk around the room to groups of children to facilitate play and learning experiences. Providing duplicates of popular toys and materials will reduce incidents of disagreements and fighting amongst children. Updated Behavior Policy During today’s visit, we discussed that you are in the process of updating your behavior/termination policy. You stated that the new policy will provide more clarification for the consequences of each offense/incident of a child’s aggressive behavior that results in the injury of another child or teacher. I reminded the administrator to have parents sign a statement that they have read and understand the new policy when it has been finalized. Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: TIFFANY REED Operation Type: Center Case Number: 0125-183L Visit Date: 1/30/2025 Number Present: 74 Completed Date: 1/30/2025 Age: From 0 To 5 Total Minutes: 420 Time In: 10:00 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations regarding violations of child care requirements. The previous Temporary Time Period visit was completed September 6, 2024, and prior to today’s visit, the eighteen-month compliance history score was 93% as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued September 30, 2024. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet the education option of having a child care administrator with at least 10 years of documented child care administration work experience in a licensed program that can be verified by the division. The information on record with DCDEE was verified as correct by Lawanda Thomas, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on April 11, 2024. Fire Classification of Satisfactory was completed on April 02, 2024. Allegations are as follows: There are concerns that children are cared for in an unsafe environment. I was greeted today by L. Thomas, Administrator. Upon my arrival, there were seventy-four (74) children, and eleven (11) teachers present. Children were observed participating in free-choice activities and outdoor play activities. In Space #4, a child was observed pushing another child. The administrator diffused the situation by talking to the child, reminding her to keep her hands to herself, and telling her it’s not nice to hit her friends. In Outdoor Space #4, one teacher was observed alone with thirteen (13) children. The group of children’s ages ranged from three to five years old. Although the enhanced ratios were not met, the minimum staff/child ratio was maintained. Routine care and handwashing practices were observed. Lunch consisted of chicken nuggets, peas, mandarin oranges, sliced bread, and milk. Three recently hired staff members’ files were reviewed. Two staff members did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of hire. The allegations were discussed with the administrator. I interviewed the administrator and three additional teachers. The administrator stated that children occasionally bite or hit other children. When teachers come to her with concerns about challenging behaviors, she observes the classroom, monitors for possible triggers for the behaviors, and offers suggestions to the teachers for behavior management. If the child or teacher seems overwhelmed, she will temporarily remove the child from the classroom and take them for a walk until they calm down. The administrator also stated that she is in the process of scheduling training for all staff regarding behavior management. There is a termination policy in the parent handbook that addresses aggressive and violent behaviors. When behavior incidents involve the injury of another child or teacher, an incident report is completed. Multiple behavior incidents result in parent conferences and possible suspension or termination. The teachers stated that they have occasionally observed children with challenging behaviors. Whenever children display challenging behaviors, they first try to de-escalate the situation. If attempts to de-escalate the behavior do not work, they will call the administrator for assistance. The administrator will come to the classroom to observe, offer guidance, or temporarily remove the child from the classroom until they calm down. If the administrator cannot calm the child down, she will call the child’s parent to pick them up for the day. I reviewed the facility’s incident reports and incident report logs from the past three months. Several incident reports were based on injuries that resulted from various children hitting, biting, or pushing their peers. I also reviewed the termination policy in the facility’s parent handbook. Camera footage was not available for review. All spaces were monitored for general health and safety requirements, and were observed in compliance with applicable child care rules except for maintaining enhanced ratios. Based on the information gathered and observations made, there is not enough sufficient information to confirm the allegation of violations of child care requirements pertaining to children being cared for in an unsafe environment. At the completion of the visit, the Visit Summary was reviewed with L. Thomas. The following violations were observed: Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. In Outdoor Space #4, one teacher was observed alone with thirteen children. The youngest child in the group was three years old. When the teacher brought this to the administrator's attention, the administrator removed the three-year-old from the group and took him to another classroom. 10A NCAC 09 .2818 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Two staff members (C.Y. and J.B.) did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of hire. .1102(g) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on February 13, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Technical Assistance: Staff/Child Ratio Requirements A violation was cited today for not maintaining enhanced ratios. According to child care rule 10A NCAC 09 .2818(b), the center shall comply with the following enhanced staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 1 to 2 Years 1/6 12 2 to 3 Years 1/9 18 3 to 4 Years 1/10 20 4 to 5 Years 1/13 25 5 to 6 Years 1/15 25 6 Years and Older 1/20 25 We discussed double-checking the ages of children before moving them to other classrooms to ensure that the enhanced ratio is maintained, based on the youngest child in the group. Special Training A violation was cited today for staff members not completing the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of hire. According to child care rule 10A NCAC 09 .1102(g), the child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. We discussed using the staff file checklist to review staff files on a monthly basis, to ensure that required trainings and certifications are obtained by their due dates. Behavior Management During today’s visit, I noticed some pushing and hitting amongst children in Space #4. I encouraged the administrator to have staff plan activities ahead of time to reduce periods of time where children are waiting with nothing to do. I also encouraged the administrator to have staff walk around the room to groups of children to facilitate play and learning experiences. Providing duplicates of popular toys and materials will reduce incidents of disagreements and fighting amongst children. Updated Behavior Policy During today’s visit, we discussed that you are in the process of updating your behavior/termination policy. You stated that the new policy will provide more clarification for the consequences of each offense/incident of a child’s aggressive behavior that results in the injury of another child or teacher. I reminded the administrator to have parents sign a statement that they have read and understand the new policy when it has been finalized. Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: RHONDA BLACKMON Operation Type: Center Case Number: Visit Date: 9/6/2024 Number Present: 67 Completed Date: 9/6/2024 Age: From 0 To 4 Total Minutes: 290 Time In: 09:25 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center 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 on August 13, 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 issued March 29, 2024 to September 29, 2024. The information on record with DCDEE was verified as correct by LaWanda Thomas, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Inspection with a classification of Superior with thirteen (13) demerits completed April 11, 2024. Fire Classification of Satisfactory, approved for day time care only, completed April 2, 2024. The owner is in the process of obtaining an approved building inspection for the change of ownership that occurred on March 29, 2024. A reinspection is scheduled for Monday, September 9, 2024. As a reminder, the facility has 6 months from the issuance of the Temporary License (September 29, 2024) to obtain an approved Building Inspection. I stated to L. Thomas, “if the facility is unable to obtain required inspections before the end of the temporary time period, a provisional license may be issued to give the owner time to come into compliance with applicable child care requirements.” Upon my arrival I was greeted by L. Thomas, Administrator, and Na’Zyia Simmons, Assistant Director. L. Thomas accompanied me during a walk-through of the indoor and outdoor areas. In Spaces #1 and #2, infants and toddlers slept in their assigned cribs, played on the carpeted floor with soft toys, dolls, books, and rattles/musical toys and were held for bottle feeding. One child sat in a feeding chair and held his own bottle. In Space #2, a diapering routine was observed. In Spaces #3, #4, and #5, preschool-age children participated in free play activities indoors. They built with Legos; stacked blocks on the carpet; manipulated floor puzzles and magnetic tiles and alphabet letters; played dressed up in the dramatic play area and cooked on the pretend stove and fed their babies; and used magnifying glasses to look at different types of insects. In Space #5, Ms. Tiffany led a small group activity. Children made Fall Collages using construction paper and glue and created their own Fall paintings using fall colors (brown, orange, and yellow). Spaces #6, #10A and #10B were not used by children in care today. Enrollment and attendance records were monitored for all spaces. Children in Spaces #7, #8, and #9 participated in personal care routines and ate lunch. Lunch served was sliced turkey and cheese on wheat bread, dill pickle spear, sweet corn, pineapple tidbits, and milk. Staff files were monitored June 27, 2024. Four new employees were hired since the second temporary time period visit. Their medical and personnel files were monitored today. Additionally, required program records were monitored. At the completion of the visit, the Visit Summary was reviewed with L. Thomas. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan posted in Space #7 was dated August 12-16, 2024. When prompted, the administrator located the activity plan created for this group of children dated September 2-6, 2024, and posted it in Space #7 for reference. GS 110-91(12); .0508(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A teacher, identified on the staff and training worksheet, employed on August 15, 2024, did not have a medical report on file prior to employment. The medical report on file was dated August 22, 2024. Additionally, there was another teacher, identified on the staff and training worksheet, employed on August 26, 2024, that had a medical report on file that was older than 12 months (9/7/22). 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A Teacher, identified on the staff and training worksheet, employed on August 26, 2024, had a TB test result on file showing she was free of active TB that was older than 12 months (3/20/02). .0701(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with a teacher, identified on the staff and training worksheet, prior to providing care with children on August 26, 2024. .0608(d)(1-4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. 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 September 20, 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/Consultation/Reminders Specific to Today’s Visit: Staff Records: The health and safety of children requires that information regarding each staff working with the children be kept and available when needed. Staff records consist of various documentation such as employment application, medical report, TB test results, Annual Health Questionnaire, emergency contact information, CBC qualification letter, and documentation of orientation, ongoing training, CPR and First Aid, and playground safety. A staff member hired August 26, 2024, had a medical report on file dated 9/7/2022 and negative TB Test results dated 3/20/2002. A second staff member employed August 15, 2024, had a medical report on file dated 8/22/2024. I discussed with the Administrator that the staff file checklist attached to the file is to be used as a tracking tool for paperwork submission and verification that the required information is on file by the due date. Additionally, the file for the staff member employed August 26, 2024, was missing the signed receipt for the review of the Prevention of Shaken Baby and Abusive Head Trauma Policy. Rated License Assessment: Discussions occurred regarding the two-component star rated license process and hold harmless process in effect on June 27, 2024. I stated to L. Thomas, “When a child care center operating under hold harmless undergoes a change of ownership, the consultant will use previous points achieved from the facilities last star rated license assessment to assign a star rating at the end of the temporary license. The new owner will be expected to go through a star rated license reassessment during the cohort year established under the previous facility license.” The facility achieved the following points in each component: Education Standards: Seven (7) points Program Standards: Two (2) points The facility meets requirements in Rule .2806, and enhanced ratios. Quality Point: One (1) point The facility meets the following quality point educational option: The child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division Based on this combination, the facility has earned ten (10) points and is applying for a four-star license under the two-component system. At the end of the temporary time period, if full compliance is achieved for the change of ownership, the rated license assessment packet will be completed and submitted to Raleigh for the issuance of a star rated license. 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: Nancy Stratford P.O. Box 371 Godwin, NC 28344 Office 910-214-2244 Nancy.stratford@dhhs.nc.gov You may visit our website: https://ncchildcare.ncdhhs.gov/ for updated information regarding the child care law and rules, forms, and other pertinent information. 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 If you have questions, please contact me at: (910) 709-4168 or Rhonda.blackmon@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

GS 110-91 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: RHONDA BLACKMON Operation Type: Center Case Number: Visit Date: 9/6/2024 Number Present: 67 Completed Date: 9/6/2024 Age: From 0 To 4 Total Minutes: 290 Time In: 09:25 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center 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 on August 13, 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 issued March 29, 2024 to September 29, 2024. The information on record with DCDEE was verified as correct by LaWanda Thomas, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Inspection with a classification of Superior with thirteen (13) demerits completed April 11, 2024. Fire Classification of Satisfactory, approved for day time care only, completed April 2, 2024. The owner is in the process of obtaining an approved building inspection for the change of ownership that occurred on March 29, 2024. A reinspection is scheduled for Monday, September 9, 2024. As a reminder, the facility has 6 months from the issuance of the Temporary License (September 29, 2024) to obtain an approved Building Inspection. I stated to L. Thomas, “if the facility is unable to obtain required inspections before the end of the temporary time period, a provisional license may be issued to give the owner time to come into compliance with applicable child care requirements.” Upon my arrival I was greeted by L. Thomas, Administrator, and Na’Zyia Simmons, Assistant Director. L. Thomas accompanied me during a walk-through of the indoor and outdoor areas. In Spaces #1 and #2, infants and toddlers slept in their assigned cribs, played on the carpeted floor with soft toys, dolls, books, and rattles/musical toys and were held for bottle feeding. One child sat in a feeding chair and held his own bottle. In Space #2, a diapering routine was observed. In Spaces #3, #4, and #5, preschool-age children participated in free play activities indoors. They built with Legos; stacked blocks on the carpet; manipulated floor puzzles and magnetic tiles and alphabet letters; played dressed up in the dramatic play area and cooked on the pretend stove and fed their babies; and used magnifying glasses to look at different types of insects. In Space #5, Ms. Tiffany led a small group activity. Children made Fall Collages using construction paper and glue and created their own Fall paintings using fall colors (brown, orange, and yellow). Spaces #6, #10A and #10B were not used by children in care today. Enrollment and attendance records were monitored for all spaces. Children in Spaces #7, #8, and #9 participated in personal care routines and ate lunch. Lunch served was sliced turkey and cheese on wheat bread, dill pickle spear, sweet corn, pineapple tidbits, and milk. Staff files were monitored June 27, 2024. Four new employees were hired since the second temporary time period visit. Their medical and personnel files were monitored today. Additionally, required program records were monitored. At the completion of the visit, the Visit Summary was reviewed with L. Thomas. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan posted in Space #7 was dated August 12-16, 2024. When prompted, the administrator located the activity plan created for this group of children dated September 2-6, 2024, and posted it in Space #7 for reference. GS 110-91(12); .0508(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A teacher, identified on the staff and training worksheet, employed on August 15, 2024, did not have a medical report on file prior to employment. The medical report on file was dated August 22, 2024. Additionally, there was another teacher, identified on the staff and training worksheet, employed on August 26, 2024, that had a medical report on file that was older than 12 months (9/7/22). 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A Teacher, identified on the staff and training worksheet, employed on August 26, 2024, had a TB test result on file showing she was free of active TB that was older than 12 months (3/20/02). .0701(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with a teacher, identified on the staff and training worksheet, prior to providing care with children on August 26, 2024. .0608(d)(1-4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. 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 September 20, 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/Consultation/Reminders Specific to Today’s Visit: Staff Records: The health and safety of children requires that information regarding each staff working with the children be kept and available when needed. Staff records consist of various documentation such as employment application, medical report, TB test results, Annual Health Questionnaire, emergency contact information, CBC qualification letter, and documentation of orientation, ongoing training, CPR and First Aid, and playground safety. A staff member hired August 26, 2024, had a medical report on file dated 9/7/2022 and negative TB Test results dated 3/20/2002. A second staff member employed August 15, 2024, had a medical report on file dated 8/22/2024. I discussed with the Administrator that the staff file checklist attached to the file is to be used as a tracking tool for paperwork submission and verification that the required information is on file by the due date. Additionally, the file for the staff member employed August 26, 2024, was missing the signed receipt for the review of the Prevention of Shaken Baby and Abusive Head Trauma Policy. Rated License Assessment: Discussions occurred regarding the two-component star rated license process and hold harmless process in effect on June 27, 2024. I stated to L. Thomas, “When a child care center operating under hold harmless undergoes a change of ownership, the consultant will use previous points achieved from the facilities last star rated license assessment to assign a star rating at the end of the temporary license. The new owner will be expected to go through a star rated license reassessment during the cohort year established under the previous facility license.” The facility achieved the following points in each component: Education Standards: Seven (7) points Program Standards: Two (2) points The facility meets requirements in Rule .2806, and enhanced ratios. Quality Point: One (1) point The facility meets the following quality point educational option: The child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division Based on this combination, the facility has earned ten (10) points and is applying for a four-star license under the two-component system. At the end of the temporary time period, if full compliance is achieved for the change of ownership, the rated license assessment packet will be completed and submitted to Raleigh for the issuance of a star rated license. 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: Nancy Stratford P.O. Box 371 Godwin, NC 28344 Office 910-214-2244 Nancy.stratford@dhhs.nc.gov You may visit our website: https://ncchildcare.ncdhhs.gov/ for updated information regarding the child care law and rules, forms, and other pertinent information. 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 If you have questions, please contact me at: (910) 709-4168 or Rhonda.blackmon@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: RHONDA BLACKMON Operation Type: Center Case Number: Visit Date: 9/6/2024 Number Present: 67 Completed Date: 9/6/2024 Age: From 0 To 4 Total Minutes: 290 Time In: 09:25 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center 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 on August 13, 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 issued March 29, 2024 to September 29, 2024. The information on record with DCDEE was verified as correct by LaWanda Thomas, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Inspection with a classification of Superior with thirteen (13) demerits completed April 11, 2024. Fire Classification of Satisfactory, approved for day time care only, completed April 2, 2024. The owner is in the process of obtaining an approved building inspection for the change of ownership that occurred on March 29, 2024. A reinspection is scheduled for Monday, September 9, 2024. As a reminder, the facility has 6 months from the issuance of the Temporary License (September 29, 2024) to obtain an approved Building Inspection. I stated to L. Thomas, “if the facility is unable to obtain required inspections before the end of the temporary time period, a provisional license may be issued to give the owner time to come into compliance with applicable child care requirements.” Upon my arrival I was greeted by L. Thomas, Administrator, and Na’Zyia Simmons, Assistant Director. L. Thomas accompanied me during a walk-through of the indoor and outdoor areas. In Spaces #1 and #2, infants and toddlers slept in their assigned cribs, played on the carpeted floor with soft toys, dolls, books, and rattles/musical toys and were held for bottle feeding. One child sat in a feeding chair and held his own bottle. In Space #2, a diapering routine was observed. In Spaces #3, #4, and #5, preschool-age children participated in free play activities indoors. They built with Legos; stacked blocks on the carpet; manipulated floor puzzles and magnetic tiles and alphabet letters; played dressed up in the dramatic play area and cooked on the pretend stove and fed their babies; and used magnifying glasses to look at different types of insects. In Space #5, Ms. Tiffany led a small group activity. Children made Fall Collages using construction paper and glue and created their own Fall paintings using fall colors (brown, orange, and yellow). Spaces #6, #10A and #10B were not used by children in care today. Enrollment and attendance records were monitored for all spaces. Children in Spaces #7, #8, and #9 participated in personal care routines and ate lunch. Lunch served was sliced turkey and cheese on wheat bread, dill pickle spear, sweet corn, pineapple tidbits, and milk. Staff files were monitored June 27, 2024. Four new employees were hired since the second temporary time period visit. Their medical and personnel files were monitored today. Additionally, required program records were monitored. At the completion of the visit, the Visit Summary was reviewed with L. Thomas. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan posted in Space #7 was dated August 12-16, 2024. When prompted, the administrator located the activity plan created for this group of children dated September 2-6, 2024, and posted it in Space #7 for reference. GS 110-91(12); .0508(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A teacher, identified on the staff and training worksheet, employed on August 15, 2024, did not have a medical report on file prior to employment. The medical report on file was dated August 22, 2024. Additionally, there was another teacher, identified on the staff and training worksheet, employed on August 26, 2024, that had a medical report on file that was older than 12 months (9/7/22). 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A Teacher, identified on the staff and training worksheet, employed on August 26, 2024, had a TB test result on file showing she was free of active TB that was older than 12 months (3/20/02). .0701(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with a teacher, identified on the staff and training worksheet, prior to providing care with children on August 26, 2024. .0608(d)(1-4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. 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 September 20, 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/Consultation/Reminders Specific to Today’s Visit: Staff Records: The health and safety of children requires that information regarding each staff working with the children be kept and available when needed. Staff records consist of various documentation such as employment application, medical report, TB test results, Annual Health Questionnaire, emergency contact information, CBC qualification letter, and documentation of orientation, ongoing training, CPR and First Aid, and playground safety. A staff member hired August 26, 2024, had a medical report on file dated 9/7/2022 and negative TB Test results dated 3/20/2002. A second staff member employed August 15, 2024, had a medical report on file dated 8/22/2024. I discussed with the Administrator that the staff file checklist attached to the file is to be used as a tracking tool for paperwork submission and verification that the required information is on file by the due date. Additionally, the file for the staff member employed August 26, 2024, was missing the signed receipt for the review of the Prevention of Shaken Baby and Abusive Head Trauma Policy. Rated License Assessment: Discussions occurred regarding the two-component star rated license process and hold harmless process in effect on June 27, 2024. I stated to L. Thomas, “When a child care center operating under hold harmless undergoes a change of ownership, the consultant will use previous points achieved from the facilities last star rated license assessment to assign a star rating at the end of the temporary license. The new owner will be expected to go through a star rated license reassessment during the cohort year established under the previous facility license.” The facility achieved the following points in each component: Education Standards: Seven (7) points Program Standards: Two (2) points The facility meets requirements in Rule .2806, and enhanced ratios. Quality Point: One (1) point The facility meets the following quality point educational option: The child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division Based on this combination, the facility has earned ten (10) points and is applying for a four-star license under the two-component system. At the end of the temporary time period, if full compliance is achieved for the change of ownership, the rated license assessment packet will be completed and submitted to Raleigh for the issuance of a star rated license. 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: Nancy Stratford P.O. Box 371 Godwin, NC 28344 Office 910-214-2244 Nancy.stratford@dhhs.nc.gov You may visit our website: https://ncchildcare.ncdhhs.gov/ for updated information regarding the child care law and rules, forms, and other pertinent information. 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 If you have questions, please contact me at: (910) 709-4168 or Rhonda.blackmon@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: STACEY EATON Operation Type: Center Case Number: 0824-020A Visit Date: 8/6/2024 Number Present: 107 Completed Date: 8/6/2024 Age: From 0 To 10 Total Minutes: 90 Time In: 09:45 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Lawanda Thomas, Administrator accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Thomas, and two additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Though multiple staff members reported concerns to the administrator regarding a staff member's care and treatment of children, the administrator failed to adequately address the allegations, failing to ensure a safe environment for children and placing the children at risk of injury and/or harm. 10A NCAC 09 .0601(a) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An incident report was provided to a parent regarding marks on a child's feet; however, the facility failed to maintain a copy on file. .0802 (e) 853 Incident logs were not completed and maintained as required. An incident report was completed but not added to the incident log. .0802(g)(1-6) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. Based on information obtained, a staff member failed to treat one-year-old children in a nurturing and appropriate manner when the staff member would yell and speak harshly to the children. G.S. 110-91(10) 904 Child was handled roughly. On July 31, 2024, a staff member roughly handled a one-year-old child by grabbing the child by the arm and pulling the child towards them in a brusque manner. It was also determined that the same staff member had handled other children roughly on various occasions. .1803(a)(1) You may contact me at Stacey Eaton, Investigations Consultant, Phne#: (910)260-2071, Fax#: (910)425-7124, Email Address: stacey.eaton@dhhs.nc.gov or Melissa Loehr, Southeastern Investigations Supervisor, Phone#: Email Address: melissa.loehr@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-91 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: STACEY EATON Operation Type: Center Case Number: 0824-020A Visit Date: 8/6/2024 Number Present: 107 Completed Date: 8/6/2024 Age: From 0 To 10 Total Minutes: 90 Time In: 09:45 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Lawanda Thomas, Administrator accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Thomas, and two additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Though multiple staff members reported concerns to the administrator regarding a staff member's care and treatment of children, the administrator failed to adequately address the allegations, failing to ensure a safe environment for children and placing the children at risk of injury and/or harm. 10A NCAC 09 .0601(a) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An incident report was provided to a parent regarding marks on a child's feet; however, the facility failed to maintain a copy on file. .0802 (e) 853 Incident logs were not completed and maintained as required. An incident report was completed but not added to the incident log. .0802(g)(1-6) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. Based on information obtained, a staff member failed to treat one-year-old children in a nurturing and appropriate manner when the staff member would yell and speak harshly to the children. G.S. 110-91(10) 904 Child was handled roughly. On July 31, 2024, a staff member roughly handled a one-year-old child by grabbing the child by the arm and pulling the child towards them in a brusque manner. It was also determined that the same staff member had handled other children roughly on various occasions. .1803(a)(1) You may contact me at Stacey Eaton, Investigations Consultant, Phne#: (910)260-2071, Fax#: (910)425-7124, Email Address: stacey.eaton@dhhs.nc.gov or Melissa Loehr, Southeastern Investigations Supervisor, Phone#: Email Address: melissa.loehr@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1003 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: RHONDA BLACKMON Operation Type: Center Case Number: Visit Date: 6/27/2024 Number Present: 110 Completed Date: 6/27/2024 Age: From 0 To 12 Total Minutes: 355 Time In: 09:35 AM Time Out: 02:10 PM Time In: 03:10 PM Time Out: 04:30 PM List to Use: Center 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. A full assessment using the Compliance Item Number Listing was completed. The previous visit was completed on May 16, 2024, and prior to today’s visit, the eighteen-month compliance history score was 95% as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Temporary License issued March 29, 2024 to September 29, 2024. The information on record with DCDEE was verified as correct by LaWanda Thomas, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior with thirteen demerits completed April 11, 2024. Fire Classification of Satisfactory, approved for day time care only, completed April 2, 2024. The owner is in the process of obtaining a building inspection for the change of ownership that occurred on March 29, 2024. As a reminder, the facility has 6 months from the issuance of the Temporary License (September 29, 2024) to obtain an approved Building Inspection. L. Thomas, Administrator, and Na’Zyia Simmons, Assistant Director, were present and assisted me during the visit. Upon my arrival, twenty (20) children, ages five to twelve-years-old, and four staff loaded onto (2) vehicles used for transportation to a scheduled off-premises activity. The off-premises activity was to Mazarick Park located at 1400 Belveder Avenue, Fayetteville, NC 28305. Child care requirements for off-premises activities and transportation were monitored before the vehicles left the facility. A schedule of the off-premises activity was not posted in the participating classroom to be viewed by parents. Additionally, identifying information for each child being transported was not in the vehicle. I completed an unaccompanied walk-through of the indoor and outdoor areas while L. Thomas interviewed a potential employee and N. Simmons accompanied the school-age children during the off-premises activity. Infants/toddlers present in Spaces #1 and #2 participated in free play and tummy time activities on the carpeted floor. Mobile and nonmobile children had access to the required materials. Children played with rattles, stacking cups, soft blocks, books, dolls, and musical toys. Y. Sanders, Teacher, held an infant for bottle feeding. Two infants were placed in an appropriate feeding apparatus, while they drank from their labeled and dated bottles. Children and staff assigned to Space #3 participated in gross motor activities in the outdoor learning environment. Children, three-years-old, rolled and kicked balls, pushed toys and vehicles, climbed on the dome climber, and rode Little Trikes. In Space #4, children, three and four-years old, played with table top toys (connectors, tiles, and Legos), created an ocean mural with sea creatures, and dressed up like a mermaid. In Space #5, children, four to five-years-old, participated in a large group activity. S. Abraham, Teacher, read the book titled, “Gorilla Loves Vanilla.” S. Abraham engaged the children in conversation and asked open-ended questions. Additionally, she introduced the Letter Z and Z sound. Children were given an opportunity to name words that begin with the letter Z. Afterwards, children transitioned to the activity areas for free play. In Spaces #6 and #7, children, two-years-old, played with fine motor materials, danced to music, looked at books, and rocked babies in the dramatic play area. Children manipulated puzzles, sorted shapes, and stacked blocks. In Space #7, there were four packs of baby wipes with the warning keep out of reach of children due to suffocation hazard stored inside a plastic container on the floor in the bathroom, accessible to children, two-years-old. When prompted, S. Whitley, Teacher, removed the four packs of baby wipes from the bathroom and placed them in a cabinet above the counter, at least five feet from the finished floor. In Space #9, children, one-year-old, participated in personal care routines and transitioned to the tables for lunch. Lunch served was a tortilla wrap with sliced turkey, cheese, and ranch dressing, sweet corn, sliced peaches, and milk. After lunch, the children washed their hands and transitioned to their cots for rest time. Staff and children files were monitored today. Additionally, program records were monitored. The staff and children returned from the off-premises activity at 1:50 p.m. At the completion of the visit, the Visit Summary was reviewed with L. Thomas. The following violations were observed: Violation Number Comment Rule 444 A schedule of off premise activities were not posted in each participating classroom to be viewed by parents and/or copy of the schedule was not given to parents. On June 27, 2024, a schedule of an off premise activity was not posted in each participating classroom to be viewed by parents. .1005(b)(5) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space #7, four packs of baby wipes stored inside a plastic outer shell were accessible to children, two-years-old. When prompted, the teacher removed the packs of baby wipes from the container stored on the floor inside the bathroom and placed them in a cabinet, at least five feet from the finished floor. .0604(q) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Prior to the expiration date of the qualification letter (June 27, 2024), a group leader/driver, identified on the staff and training worksheet, did not complete and submit required forms to complete a criminal background check. G.S. 110-90.2(b) & .2703(n)&(o) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Identifying information (photograph) of each child being transported was not in the vehicles used during transport on June 27, 2024. 10A NCAC 09 .1003(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. The violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00 p.m. on July 11, 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/Consultation/Reminders Specific to Today’s Visit: Off-Premises Activities in Child Care Centers: Injuries are more likely to occur when a child’s surroundings or routine changes. Activities outside the facility may pose increased risk for injury. When children are excited or busy playing in unfamiliar areas, they are more likely to forget safety measures unless they are closely supervised at all times. When field trips are planned, all field trip sites should be visited by a member of the child care staff and all potential hazards identified. The child care staff should be knowledgeable about location and any emergency plans of the location. This standard also applies when caregivers/teachers are walking with children to and from a destination. A designated staff person should check to ensure all children safely exit the vehicle when it arrives at the designated location. This shall include the use of an attendance list of all children being transported so it can be checked against those who get out of the vehicle. Also, have another staff member do a thorough and complete inspection of the vehicle to see that the vehicle is empty before exiting/locking. Child care rule 09.1005 states the following: (5), the center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (C) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off-premises activity shall also be available at the center. During today’s visit, there was no schedule of an off-premises activity posted in the participating classroom where it can be viewed by parents. Additionally, identifying information (photograph) was not available in the vehicles for each child being transported. L. Thomas stated that emergency information was updated for children enrolled in the summer program; however, photographs were not taken at the time of enrollment. Plastic Bags: Plastic bags are a suffocation hazard for young children and should be made inaccessible to children less than three years of age. To make plastic bags inaccessible, they will need to be stored out of reach of children, which is above five feet from the finished floor. Baby wipes stored inside a plastic outer shell/pack were stored in the children's bathroom in Space #7, accessible to children, two-years-old. When prompted, the teacher removed the packs of baby wipes and made them inaccessible to the children in care. 3-Year Criminal Background Recheck: During today’s Visit, Jason Tyson – DOB June 14, 1970, Group Leader/Driver, was present. The group leader was previously qualified on June 27, 2019, and the qualifying letter expires, June 27, 2024. The DCDEE will allow Jason Tyson fifteen (15) days to get the new criminal background check completed and a copy of the qualification letter on file. The violation must be corrected within the fifteen (15) days and a copy of the qualification letter be mailed or emailed to me at the address listed above along with the required compliance letter. If the qualification is not on file after the fifteenth day (July 12, 2024), Jason Tyson cannot be at the facility any longer until he receives a valid qualification letter. 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. All staff are required to complete the training within 90 days of hire. Staff, identified on the staff and training worksheets, are required to complete the training within the required timeframe. The training is available on Prevent Child Abuse NC website, www.preventchildabusenc.org. Rated License Assessment: Discussions occurred regarding the two-component star rated license process and hold harmless process in effect on April 16, 2024. I stated to L. Thomas, “When a child care center operating under hold harmless undergoes a change of ownership, the consultant will use previous points achieved from the facilities last star rated license assessment to assign a star rating at the end of the temporary license. The new owner will be expected to go through a star rated license reassessment during the cohort year established under the previous facility license. Ms. Carolyn’s Child Care Center is in Cohort 2 - Prep Year: 7/1/24-6/30/25; Reassessment Year: 7/1/25-6/30/26.” Indicator Month: Discussions occurred regarding the indictor month for annual compliance monitoring visits at a licensed child care facility. I informed L. Thomas 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 (March). I stated the annual compliance month does not change if the facility is issued a 2 – 5 Star Rated 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. Additionally, 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. On-going Training: The staff and training worksheets were updated during today’s visit. It is your responsibility to keep the staff and training worksheets current for the consultant to review during annual compliance visits. Reminder: After the first year of employment, the child care administrator and any staff who work with children shall participate in on-going training activities annually. Refer to child care requirement 09.1103 for the number of required training hours based on education and experience. Emergency Preparedness and Response (EPR): As a reminder, L. Thomas shall go online and update the Center’s EPR Plan with the new ID #, facility name, and staff changes and enrollment information within four (4) months of being licensed (July 29, 2024). The template for the EPR plan can be found at: https://rmp.nc.gov/portal/portal.aspx. Visit our website: https://ncchildcare.ncdhhs.gov/ for updated information regarding the child care law and rules, forms, and other pertinent information. If you have questions, please contact me at: (910) 709-4168 or Rhonda.blackmon@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-90 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: RHONDA BLACKMON Operation Type: Center Case Number: Visit Date: 6/27/2024 Number Present: 110 Completed Date: 6/27/2024 Age: From 0 To 12 Total Minutes: 355 Time In: 09:35 AM Time Out: 02:10 PM Time In: 03:10 PM Time Out: 04:30 PM List to Use: Center 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. A full assessment using the Compliance Item Number Listing was completed. The previous visit was completed on May 16, 2024, and prior to today’s visit, the eighteen-month compliance history score was 95% as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Temporary License issued March 29, 2024 to September 29, 2024. The information on record with DCDEE was verified as correct by LaWanda Thomas, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior with thirteen demerits completed April 11, 2024. Fire Classification of Satisfactory, approved for day time care only, completed April 2, 2024. The owner is in the process of obtaining a building inspection for the change of ownership that occurred on March 29, 2024. As a reminder, the facility has 6 months from the issuance of the Temporary License (September 29, 2024) to obtain an approved Building Inspection. L. Thomas, Administrator, and Na’Zyia Simmons, Assistant Director, were present and assisted me during the visit. Upon my arrival, twenty (20) children, ages five to twelve-years-old, and four staff loaded onto (2) vehicles used for transportation to a scheduled off-premises activity. The off-premises activity was to Mazarick Park located at 1400 Belveder Avenue, Fayetteville, NC 28305. Child care requirements for off-premises activities and transportation were monitored before the vehicles left the facility. A schedule of the off-premises activity was not posted in the participating classroom to be viewed by parents. Additionally, identifying information for each child being transported was not in the vehicle. I completed an unaccompanied walk-through of the indoor and outdoor areas while L. Thomas interviewed a potential employee and N. Simmons accompanied the school-age children during the off-premises activity. Infants/toddlers present in Spaces #1 and #2 participated in free play and tummy time activities on the carpeted floor. Mobile and nonmobile children had access to the required materials. Children played with rattles, stacking cups, soft blocks, books, dolls, and musical toys. Y. Sanders, Teacher, held an infant for bottle feeding. Two infants were placed in an appropriate feeding apparatus, while they drank from their labeled and dated bottles. Children and staff assigned to Space #3 participated in gross motor activities in the outdoor learning environment. Children, three-years-old, rolled and kicked balls, pushed toys and vehicles, climbed on the dome climber, and rode Little Trikes. In Space #4, children, three and four-years old, played with table top toys (connectors, tiles, and Legos), created an ocean mural with sea creatures, and dressed up like a mermaid. In Space #5, children, four to five-years-old, participated in a large group activity. S. Abraham, Teacher, read the book titled, “Gorilla Loves Vanilla.” S. Abraham engaged the children in conversation and asked open-ended questions. Additionally, she introduced the Letter Z and Z sound. Children were given an opportunity to name words that begin with the letter Z. Afterwards, children transitioned to the activity areas for free play. In Spaces #6 and #7, children, two-years-old, played with fine motor materials, danced to music, looked at books, and rocked babies in the dramatic play area. Children manipulated puzzles, sorted shapes, and stacked blocks. In Space #7, there were four packs of baby wipes with the warning keep out of reach of children due to suffocation hazard stored inside a plastic container on the floor in the bathroom, accessible to children, two-years-old. When prompted, S. Whitley, Teacher, removed the four packs of baby wipes from the bathroom and placed them in a cabinet above the counter, at least five feet from the finished floor. In Space #9, children, one-year-old, participated in personal care routines and transitioned to the tables for lunch. Lunch served was a tortilla wrap with sliced turkey, cheese, and ranch dressing, sweet corn, sliced peaches, and milk. After lunch, the children washed their hands and transitioned to their cots for rest time. Staff and children files were monitored today. Additionally, program records were monitored. The staff and children returned from the off-premises activity at 1:50 p.m. At the completion of the visit, the Visit Summary was reviewed with L. Thomas. The following violations were observed: Violation Number Comment Rule 444 A schedule of off premise activities were not posted in each participating classroom to be viewed by parents and/or copy of the schedule was not given to parents. On June 27, 2024, a schedule of an off premise activity was not posted in each participating classroom to be viewed by parents. .1005(b)(5) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space #7, four packs of baby wipes stored inside a plastic outer shell were accessible to children, two-years-old. When prompted, the teacher removed the packs of baby wipes from the container stored on the floor inside the bathroom and placed them in a cabinet, at least five feet from the finished floor. .0604(q) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Prior to the expiration date of the qualification letter (June 27, 2024), a group leader/driver, identified on the staff and training worksheet, did not complete and submit required forms to complete a criminal background check. G.S. 110-90.2(b) & .2703(n)&(o) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Identifying information (photograph) of each child being transported was not in the vehicles used during transport on June 27, 2024. 10A NCAC 09 .1003(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. The violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00 p.m. on July 11, 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/Consultation/Reminders Specific to Today’s Visit: Off-Premises Activities in Child Care Centers: Injuries are more likely to occur when a child’s surroundings or routine changes. Activities outside the facility may pose increased risk for injury. When children are excited or busy playing in unfamiliar areas, they are more likely to forget safety measures unless they are closely supervised at all times. When field trips are planned, all field trip sites should be visited by a member of the child care staff and all potential hazards identified. The child care staff should be knowledgeable about location and any emergency plans of the location. This standard also applies when caregivers/teachers are walking with children to and from a destination. A designated staff person should check to ensure all children safely exit the vehicle when it arrives at the designated location. This shall include the use of an attendance list of all children being transported so it can be checked against those who get out of the vehicle. Also, have another staff member do a thorough and complete inspection of the vehicle to see that the vehicle is empty before exiting/locking. Child care rule 09.1005 states the following: (5), the center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (C) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off-premises activity shall also be available at the center. During today’s visit, there was no schedule of an off-premises activity posted in the participating classroom where it can be viewed by parents. Additionally, identifying information (photograph) was not available in the vehicles for each child being transported. L. Thomas stated that emergency information was updated for children enrolled in the summer program; however, photographs were not taken at the time of enrollment. Plastic Bags: Plastic bags are a suffocation hazard for young children and should be made inaccessible to children less than three years of age. To make plastic bags inaccessible, they will need to be stored out of reach of children, which is above five feet from the finished floor. Baby wipes stored inside a plastic outer shell/pack were stored in the children's bathroom in Space #7, accessible to children, two-years-old. When prompted, the teacher removed the packs of baby wipes and made them inaccessible to the children in care. 3-Year Criminal Background Recheck: During today’s Visit, Jason Tyson – DOB June 14, 1970, Group Leader/Driver, was present. The group leader was previously qualified on June 27, 2019, and the qualifying letter expires, June 27, 2024. The DCDEE will allow Jason Tyson fifteen (15) days to get the new criminal background check completed and a copy of the qualification letter on file. The violation must be corrected within the fifteen (15) days and a copy of the qualification letter be mailed or emailed to me at the address listed above along with the required compliance letter. If the qualification is not on file after the fifteenth day (July 12, 2024), Jason Tyson cannot be at the facility any longer until he receives a valid qualification letter. 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. All staff are required to complete the training within 90 days of hire. Staff, identified on the staff and training worksheets, are required to complete the training within the required timeframe. The training is available on Prevent Child Abuse NC website, www.preventchildabusenc.org. Rated License Assessment: Discussions occurred regarding the two-component star rated license process and hold harmless process in effect on April 16, 2024. I stated to L. Thomas, “When a child care center operating under hold harmless undergoes a change of ownership, the consultant will use previous points achieved from the facilities last star rated license assessment to assign a star rating at the end of the temporary license. The new owner will be expected to go through a star rated license reassessment during the cohort year established under the previous facility license. Ms. Carolyn’s Child Care Center is in Cohort 2 - Prep Year: 7/1/24-6/30/25; Reassessment Year: 7/1/25-6/30/26.” Indicator Month: Discussions occurred regarding the indictor month for annual compliance monitoring visits at a licensed child care facility. I informed L. Thomas 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 (March). I stated the annual compliance month does not change if the facility is issued a 2 – 5 Star Rated 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. Additionally, 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. On-going Training: The staff and training worksheets were updated during today’s visit. It is your responsibility to keep the staff and training worksheets current for the consultant to review during annual compliance visits. Reminder: After the first year of employment, the child care administrator and any staff who work with children shall participate in on-going training activities annually. Refer to child care requirement 09.1103 for the number of required training hours based on education and experience. Emergency Preparedness and Response (EPR): As a reminder, L. Thomas shall go online and update the Center’s EPR Plan with the new ID #, facility name, and staff changes and enrollment information within four (4) months of being licensed (July 29, 2024). The template for the EPR plan can be found at: https://rmp.nc.gov/portal/portal.aspx. Visit our website: https://ncchildcare.ncdhhs.gov/ for updated information regarding the child care law and rules, forms, and other pertinent information. If you have questions, please contact me at: (910) 709-4168 or Rhonda.blackmon@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: RHONDA BLACKMON Operation Type: Center Case Number: Visit Date: 6/27/2024 Number Present: 110 Completed Date: 6/27/2024 Age: From 0 To 12 Total Minutes: 355 Time In: 09:35 AM Time Out: 02:10 PM Time In: 03:10 PM Time Out: 04:30 PM List to Use: Center 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. A full assessment using the Compliance Item Number Listing was completed. The previous visit was completed on May 16, 2024, and prior to today’s visit, the eighteen-month compliance history score was 95% as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Temporary License issued March 29, 2024 to September 29, 2024. The information on record with DCDEE was verified as correct by LaWanda Thomas, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior with thirteen demerits completed April 11, 2024. Fire Classification of Satisfactory, approved for day time care only, completed April 2, 2024. The owner is in the process of obtaining a building inspection for the change of ownership that occurred on March 29, 2024. As a reminder, the facility has 6 months from the issuance of the Temporary License (September 29, 2024) to obtain an approved Building Inspection. L. Thomas, Administrator, and Na’Zyia Simmons, Assistant Director, were present and assisted me during the visit. Upon my arrival, twenty (20) children, ages five to twelve-years-old, and four staff loaded onto (2) vehicles used for transportation to a scheduled off-premises activity. The off-premises activity was to Mazarick Park located at 1400 Belveder Avenue, Fayetteville, NC 28305. Child care requirements for off-premises activities and transportation were monitored before the vehicles left the facility. A schedule of the off-premises activity was not posted in the participating classroom to be viewed by parents. Additionally, identifying information for each child being transported was not in the vehicle. I completed an unaccompanied walk-through of the indoor and outdoor areas while L. Thomas interviewed a potential employee and N. Simmons accompanied the school-age children during the off-premises activity. Infants/toddlers present in Spaces #1 and #2 participated in free play and tummy time activities on the carpeted floor. Mobile and nonmobile children had access to the required materials. Children played with rattles, stacking cups, soft blocks, books, dolls, and musical toys. Y. Sanders, Teacher, held an infant for bottle feeding. Two infants were placed in an appropriate feeding apparatus, while they drank from their labeled and dated bottles. Children and staff assigned to Space #3 participated in gross motor activities in the outdoor learning environment. Children, three-years-old, rolled and kicked balls, pushed toys and vehicles, climbed on the dome climber, and rode Little Trikes. In Space #4, children, three and four-years old, played with table top toys (connectors, tiles, and Legos), created an ocean mural with sea creatures, and dressed up like a mermaid. In Space #5, children, four to five-years-old, participated in a large group activity. S. Abraham, Teacher, read the book titled, “Gorilla Loves Vanilla.” S. Abraham engaged the children in conversation and asked open-ended questions. Additionally, she introduced the Letter Z and Z sound. Children were given an opportunity to name words that begin with the letter Z. Afterwards, children transitioned to the activity areas for free play. In Spaces #6 and #7, children, two-years-old, played with fine motor materials, danced to music, looked at books, and rocked babies in the dramatic play area. Children manipulated puzzles, sorted shapes, and stacked blocks. In Space #7, there were four packs of baby wipes with the warning keep out of reach of children due to suffocation hazard stored inside a plastic container on the floor in the bathroom, accessible to children, two-years-old. When prompted, S. Whitley, Teacher, removed the four packs of baby wipes from the bathroom and placed them in a cabinet above the counter, at least five feet from the finished floor. In Space #9, children, one-year-old, participated in personal care routines and transitioned to the tables for lunch. Lunch served was a tortilla wrap with sliced turkey, cheese, and ranch dressing, sweet corn, sliced peaches, and milk. After lunch, the children washed their hands and transitioned to their cots for rest time. Staff and children files were monitored today. Additionally, program records were monitored. The staff and children returned from the off-premises activity at 1:50 p.m. At the completion of the visit, the Visit Summary was reviewed with L. Thomas. The following violations were observed: Violation Number Comment Rule 444 A schedule of off premise activities were not posted in each participating classroom to be viewed by parents and/or copy of the schedule was not given to parents. On June 27, 2024, a schedule of an off premise activity was not posted in each participating classroom to be viewed by parents. .1005(b)(5) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space #7, four packs of baby wipes stored inside a plastic outer shell were accessible to children, two-years-old. When prompted, the teacher removed the packs of baby wipes from the container stored on the floor inside the bathroom and placed them in a cabinet, at least five feet from the finished floor. .0604(q) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Prior to the expiration date of the qualification letter (June 27, 2024), a group leader/driver, identified on the staff and training worksheet, did not complete and submit required forms to complete a criminal background check. G.S. 110-90.2(b) & .2703(n)&(o) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Identifying information (photograph) of each child being transported was not in the vehicles used during transport on June 27, 2024. 10A NCAC 09 .1003(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. The violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00 p.m. on July 11, 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/Consultation/Reminders Specific to Today’s Visit: Off-Premises Activities in Child Care Centers: Injuries are more likely to occur when a child’s surroundings or routine changes. Activities outside the facility may pose increased risk for injury. When children are excited or busy playing in unfamiliar areas, they are more likely to forget safety measures unless they are closely supervised at all times. When field trips are planned, all field trip sites should be visited by a member of the child care staff and all potential hazards identified. The child care staff should be knowledgeable about location and any emergency plans of the location. This standard also applies when caregivers/teachers are walking with children to and from a destination. A designated staff person should check to ensure all children safely exit the vehicle when it arrives at the designated location. This shall include the use of an attendance list of all children being transported so it can be checked against those who get out of the vehicle. Also, have another staff member do a thorough and complete inspection of the vehicle to see that the vehicle is empty before exiting/locking. Child care rule 09.1005 states the following: (5), the center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (C) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off-premises activity shall also be available at the center. During today’s visit, there was no schedule of an off-premises activity posted in the participating classroom where it can be viewed by parents. Additionally, identifying information (photograph) was not available in the vehicles for each child being transported. L. Thomas stated that emergency information was updated for children enrolled in the summer program; however, photographs were not taken at the time of enrollment. Plastic Bags: Plastic bags are a suffocation hazard for young children and should be made inaccessible to children less than three years of age. To make plastic bags inaccessible, they will need to be stored out of reach of children, which is above five feet from the finished floor. Baby wipes stored inside a plastic outer shell/pack were stored in the children's bathroom in Space #7, accessible to children, two-years-old. When prompted, the teacher removed the packs of baby wipes and made them inaccessible to the children in care. 3-Year Criminal Background Recheck: During today’s Visit, Jason Tyson – DOB June 14, 1970, Group Leader/Driver, was present. The group leader was previously qualified on June 27, 2019, and the qualifying letter expires, June 27, 2024. The DCDEE will allow Jason Tyson fifteen (15) days to get the new criminal background check completed and a copy of the qualification letter on file. The violation must be corrected within the fifteen (15) days and a copy of the qualification letter be mailed or emailed to me at the address listed above along with the required compliance letter. If the qualification is not on file after the fifteenth day (July 12, 2024), Jason Tyson cannot be at the facility any longer until he receives a valid qualification letter. 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. All staff are required to complete the training within 90 days of hire. Staff, identified on the staff and training worksheets, are required to complete the training within the required timeframe. The training is available on Prevent Child Abuse NC website, www.preventchildabusenc.org. Rated License Assessment: Discussions occurred regarding the two-component star rated license process and hold harmless process in effect on April 16, 2024. I stated to L. Thomas, “When a child care center operating under hold harmless undergoes a change of ownership, the consultant will use previous points achieved from the facilities last star rated license assessment to assign a star rating at the end of the temporary license. The new owner will be expected to go through a star rated license reassessment during the cohort year established under the previous facility license. Ms. Carolyn’s Child Care Center is in Cohort 2 - Prep Year: 7/1/24-6/30/25; Reassessment Year: 7/1/25-6/30/26.” Indicator Month: Discussions occurred regarding the indictor month for annual compliance monitoring visits at a licensed child care facility. I informed L. Thomas 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 (March). I stated the annual compliance month does not change if the facility is issued a 2 – 5 Star Rated 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. Additionally, 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. On-going Training: The staff and training worksheets were updated during today’s visit. It is your responsibility to keep the staff and training worksheets current for the consultant to review during annual compliance visits. Reminder: After the first year of employment, the child care administrator and any staff who work with children shall participate in on-going training activities annually. Refer to child care requirement 09.1103 for the number of required training hours based on education and experience. Emergency Preparedness and Response (EPR): As a reminder, L. Thomas shall go online and update the Center’s EPR Plan with the new ID #, facility name, and staff changes and enrollment information within four (4) months of being licensed (July 29, 2024). The template for the EPR plan can be found at: https://rmp.nc.gov/portal/portal.aspx. Visit our website: https://ncchildcare.ncdhhs.gov/ for updated information regarding the child care law and rules, forms, and other pertinent information. If you have questions, please contact me at: (910) 709-4168 or Rhonda.blackmon@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: RHONDA BLACKMON Operation Type: Center Case Number: Visit Date: 4/16/2024 Number Present: 100 Completed Date: 4/16/2024 Age: From 0 To 9 Total Minutes: 390 Time In: 09:30 AM Time Out: 02:30 PM Time In: 03:30 PM Time Out: 05:00 PM List to Use: Center 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 for a change of ownership. The previous visit was completed on February 27, 2024. This program currently operates with a Temporary License issued March 29, 2024 to September 29, 2024. The information on record with DCDEE was verified as correct by LaWanda Thomas, Administrator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior with thirteen demerits completed April 11, 2024. Fire Classification of Satisfactory, approved for day time care only, completed April 2, 2024. The owner is in the process of obtaining a building inspection for the change of ownership that occurred on March 29, 2024. As a reminder, the facility has 6 months from the issuance of the Temporary License (September 29, 2024) to obtain an approved Building Inspection. L. Thomas, and Na’Zyia Simmons, Assistant Director, were present. L. Thomas accompanied me during the walk-through of the indoor and outdoor areas. Infants present in Space #1 participated in free play and tummy time activities on the carpeted floor, slept in their assigned cribs, and sat in approved feeding apparatus’ while eating and drinking from their labeled and dated bottles. In Space #3, children, three-years-old, played in the activity areas, and participated in personal care routines. I observed children building with blocks, playing with magnetic tiles, and manipulating waffle blocks and monkey stackers. In Space #5, children, ages four and five-years-old, participated in gross motor play activities outdoors. Children climbed on the stationary equipment, played with hula hoops, threw, and kicked balls, and pushed trucks and cars on the sidewalk. T. Johnson walked around the approved space, interacting with the children, and participating in planned activities. Afterwards, they returned indoors, and washed their hands prior to meal time. I observed staff and children assigned to Spaces #8 and #9 eating lunch. Lunch served was fish sticks, whole wheat bread, green beans, mixed fruit, and milk. After lunch, children participated in personal care routines and transitioned to their assigned cots for rest time. Eight staff files and three children’s files were monitored today. In addition, required center program records were also monitored. The facility consists of ten (10) classrooms (Building #1 – 9 and Building #2 – 1), hallway, kitchen with a walk-in pantry, three staff/adult bathrooms, two administrative offices, reception area, three storage rooms, laundry room, and a staff lounge/break room. During today’s visit, I measured Building #2 – Space #10a and #10b. Building #1 (Spaces #1-#9) and the outdoor learning environments will be measured during the TTP#2 visit. Building#2: Space #10a: Twenty-nine (29) children at 25 square feet per child Twenty-four (24) children at 30 square feet per child Space #10b: Thirty (30) children at 25 square feet per child Twenty-five (25) children at 30 square feet per child Cumberland Creek Operations LLC purchased an existing child care center. The Administrator was employed prior to the CoO taking effect. Staffing and programming remained the same. A rules review was scheduled with L. Thomas and N. Simmons for Wednesday, May 8, 2024, at 9:30 a.m. During today’s visit, the fire department was dispatched to the facility at 1:30 p.m. due to sparks igniting as a result of faulty wiring in an electrical outlet. Children and staff were not required to evacuate, and clearance was obtained to continue normal operations. School-age children arrived at the facility between 3:15p.m. and 3:30p.m. At the completion of the visit, the Visit Summary was reviewed with L. Thomas. The following violations were observed: Violation Number Comment Rule 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. Surfacing extended 2 feet 7 inches beyond the external limits of the yellow stationary climber in the outdoor environment used by school-age children. .0605(l)(1-2) 721 All equipment and furnishings were not in good repair. The lid on the sandbox and the two connected climbing squares in the outdoor environment behind Spaces #3 and #4 were cracked/busted. In the outdoor learning environment behind Space #5, the platform on the Little Tikes Step 2 climber was cracked/busted. G.S. 110-91(6); .0601(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch in the outdoor learning environment behind Space #5 measured four to five inches in depth. The mulch in the two outdoor learning environments, used by school-age children measured one to fives inches in depth. .0605(k)(1-4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. 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 April 30, 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 The compliance history is based on violations that are cited during visits to your facility. If you have an acceptable compliance history at the end of your temporary license you will be eligible to apply for a star rated license. Failure to maintain an acceptable compliance history may result in the issuance of administrative action up to and including denial of a full license at the end of the temporary time period. Technical Assistance Specific to Today’s Visit: Outdoor play: Every child must have an opportunity to be outdoors daily, if weather conditions permit. This requirement is for all ages including infants and toddlers. It is important to remind parents about the requirement to go outdoors daily and that each child must come to school prepared to go outdoors. This includes bringing the appropriate clothes to school and ensuring each child is able to participate in daily activities. Parents should determine whether or not their child is too sick to attend school if they are unable to participate in the daily activities. The Weatherwatch chart must be used to determine “weather permitting,” and a thermometer may be posted outside a window of each classroom, so staff can determine accurate temperatures. Ensure staff are trained in reading your posted Weatherwatch charts; they can also use the charts to help educate parents on when outdoor play should occur. We discussed strategies on how and when to transition infants and younger toddlers to ensure they are getting outdoors daily. You may want to invest in a large, oversized vinyl mat that is easily cleaned and sanitized specific for outdoor play. Put together a to-go bag for outdoors to include the vinyl mat and a variety of infant/toddler toys and materials designated for outdoor play only. Outdoor Learning Environment: The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste, and their sense of motion. Since children are exploring it is very important to provide a safe environment. Proper maintenance is a key factor when trying to ensure a safe play environment for children. We discussed developing routine maintenance that includes pressure washing equipment and materials to remove the mold/mildew that is visible and accessible to the children when in the outdoor play area. It is best practice to routinely clean and sanitize all toys including outdoor equipment with a bleach water solution. This will help prevent mold and/or mildew from growing on the equipment and will help maintain a sanitary outdoor environment. I reviewed and discussed child care rule .0605 with L. Thomas. As a reminder, child care rule .0605(j) reads all stationary outdoor equipment more than 18 inches high shall be installed over protective surfacing. Footings which anchor equipment shall not be exposed. Protective surfacing shall be either: (1) loose surfacing material, including wood mulch, double shredded bark mulch, uniform wood chips, fine sand, coarse sand, and pea gravel, except that pea gravel shall not be used if the area will be used by children under three years of age. Loose surfacing material shall not be installed over concrete. Additionally, child care rule .0605 (k) reads the depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. During today’s visit the mulch on the outdoor learning environment behind Space #5 measured four to five inches. The mulch on both playgrounds used by school-age children measured one to five inches around the stationary pieces of equipment. The critical height for each piece of equipment was at least 18 inches and less than 7 feet. The number one cause of injury on playgrounds is falls to the surface. Maintaining the correct depth of loose-fill material is crucial for safety. Cold temperatures and rain may cause “packing,” which causes the surface material to lose shock-absorbing capacity. I discussed the following strategies for maintaining the adequate depth of loose-fill materials with L. Thomas: • Check for packing as a result of rain, and if found to be compressed, material should be turned over or raked up to increase resilience capacity. • Loose-fill materials will compress at least 25% over time due to use and weathering. Provide a margin of safety when selecting a type and depth of material. Loose-fill surfacing requires frequent maintenance to ensure levels never drop below the minimum depth. • Wear mats can be installed to reduce displacement. • Provide a method for containing loose-fill materials within the playground. Consider marking equipment supports with the minimum fill level to help with maintaining the required depth of material. Equipment, materials, furnishings, and play areas should be sturdy, safe, and in good repair and should meet the recommendations of the U.S. Consumer Product Safety Commission (CPSC) for control of the following safety hazards: splinters, rusty parts, and peeling/flaking paint. Regular outdoor inspections are critical to prevent deterioration of equipment and accumulation of hazardous materials within the play site, and to ensure that appropriate repairs are made as soon as possible. During today’s visit, there was rust built up on the top of the fencing around the outdoor learning environments, on the riding trikes and steps of the stationary equipment used by school-age children. The lid/cover on the sand box in the outdoor learning environment behind Spaces #3 and #4 were cracked/busted and the legs were rusted. The two connected climbing squares were cracked/busted causing pinch and crush points. We discussed removing the broken equipment from the active play area until it can be repaired and/or replaced. Additionally, Repair/replace the broken ropes on the gray rock-climbing structure and pressure wash the red and yellow stationary cars in the outdoor learning environment. Rated License Assessment: Discussions occurred regarding the two-component star rated license and hold harmless process in effect at this time. 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. I stated to L. Thomas, “When a child care center operating under hold harmless undergoes a change of ownership, the consultant will use previous points achieved from the facilities last star rated license assessment to assign a star rating at the end of the temporary license. The new owner will be expected to go through a star rated license reassessment during the cohort year established under the previous facility license. Ms. Carolyn’s Child Care Center is in Cohort 2 - Prep Year: 7/1/24-6/30/25; Reassessment Year: 7/1/25-6/30/26. A packet of forms, brochures, and technical assistance handouts were reviewed and emailed to L. Thomas. The forms identified staff education requirements, program requirements, and options to achieve a Quality Point. NC Rated License Assessment Project (NC-RLAP): The NC-RLAP website has a wealth of information on the Environment Rating Scales and overall quality issues for child care. You can download NC Additional Notes for each of the scales and find additional information that will help you with your assessment. 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. NC-RLAP also offers free webinars to provide training and information about the Environment Rating Scales. Access to the webinars requires a computer with a high-speed internet connection and a phone. The webinars are typically offered between 1:00 - 1:45 PM, a typical napping time in most child care programs. To register for a session, call 1-866-3NCRLAP (1-866-362-7527). Registration will close the day before the webinar, so please do not wait until the morning of the webinar to register. There must be at least seven participants signed up for the session, or it may be cancelled. To access resources or information on webinars, go to www.ncrlap.org. WORKS is a self-service applicant portal that will be used by an individual applicant to register and maintain their workforce information to support education requirements. The WORKS portal is available online and requires the user to maintain an individual North Carolina Identity Management (NCID) username and password. All paperwork, except for official transcripts, will no longer be submitted to the Workforce Education Unit. These documents will be uploaded using WORKS via each applicant’s WORKS account. All staff education should be current before the fifth month (August) of the temporary time period. For more information about NCID and WORKS, visit the DCDEE website at www.ncchildcare.ncdhhs.gov to view more information under the DCDEE WORKS tab http://ncchildcare.ncdhhs.gov/general/mb_dcdeeworks.asp. You can also contact the Workforce Education Unit at 1-800-859-0829 (In State Only) or 919-527-6600 for more information concerning WORKS. The Partnership for Children of Cumberland County offers on-site technical assistance to child care programs. Types of technical assistance provided include observation and assessment and support and mentoring visits. For more information, contact Mary Welch, CCR&R Program Manager at (910) 867-9700 or visit www.ccpfc.org. Training: Child care administrators and staff members shall complete health and safety training within one year of employment unless the staff member has completed the training within the year prior to beginning employment. Complete the health and safety training record as found on the DCDEE website. After the first year, staff must complete the health and safety training topics at least once every five years. Child care staff are expected to be well informed about child abuse and neglect issues and adequately trained to prevent and recognize potential maltreatment. The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org. Documentation of training must be kept on file for review. Emergency Preparedness and Response (EPR): As a reminder, L. Thomas shall go online and update the Center’s EPR Plan with the new ID #, facility name, and staff changes and enrollment information within four (4) months of being licensed (July 29, 2024). The template for the EPR plan can be found at: https://rmp.nc.gov/portal/portal.aspx. 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 If you have questions, please contact me at: (910) 709-4168. 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: Ms. Carolyn's Child Care Center Facility ID: 26002595 Consultant: RHONDA BLACKMON Operation Type: Center Case Number: Visit Date: 4/16/2024 Number Present: 100 Completed Date: 4/16/2024 Age: From 0 To 9 Total Minutes: 390 Time In: 09:30 AM Time Out: 02:30 PM Time In: 03:30 PM Time Out: 05:00 PM List to Use: Center 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 for a change of ownership. The previous visit was completed on February 27, 2024. This program currently operates with a Temporary License issued March 29, 2024 to September 29, 2024. The information on record with DCDEE was verified as correct by LaWanda Thomas, Administrator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior with thirteen demerits completed April 11, 2024. Fire Classification of Satisfactory, approved for day time care only, completed April 2, 2024. The owner is in the process of obtaining a building inspection for the change of ownership that occurred on March 29, 2024. As a reminder, the facility has 6 months from the issuance of the Temporary License (September 29, 2024) to obtain an approved Building Inspection. L. Thomas, and Na’Zyia Simmons, Assistant Director, were present. L. Thomas accompanied me during the walk-through of the indoor and outdoor areas. Infants present in Space #1 participated in free play and tummy time activities on the carpeted floor, slept in their assigned cribs, and sat in approved feeding apparatus’ while eating and drinking from their labeled and dated bottles. In Space #3, children, three-years-old, played in the activity areas, and participated in personal care routines. I observed children building with blocks, playing with magnetic tiles, and manipulating waffle blocks and monkey stackers. In Space #5, children, ages four and five-years-old, participated in gross motor play activities outdoors. Children climbed on the stationary equipment, played with hula hoops, threw, and kicked balls, and pushed trucks and cars on the sidewalk. T. Johnson walked around the approved space, interacting with the children, and participating in planned activities. Afterwards, they returned indoors, and washed their hands prior to meal time. I observed staff and children assigned to Spaces #8 and #9 eating lunch. Lunch served was fish sticks, whole wheat bread, green beans, mixed fruit, and milk. After lunch, children participated in personal care routines and transitioned to their assigned cots for rest time. Eight staff files and three children’s files were monitored today. In addition, required center program records were also monitored. The facility consists of ten (10) classrooms (Building #1 – 9 and Building #2 – 1), hallway, kitchen with a walk-in pantry, three staff/adult bathrooms, two administrative offices, reception area, three storage rooms, laundry room, and a staff lounge/break room. During today’s visit, I measured Building #2 – Space #10a and #10b. Building #1 (Spaces #1-#9) and the outdoor learning environments will be measured during the TTP#2 visit. Building#2: Space #10a: Twenty-nine (29) children at 25 square feet per child Twenty-four (24) children at 30 square feet per child Space #10b: Thirty (30) children at 25 square feet per child Twenty-five (25) children at 30 square feet per child Cumberland Creek Operations LLC purchased an existing child care center. The Administrator was employed prior to the CoO taking effect. Staffing and programming remained the same. A rules review was scheduled with L. Thomas and N. Simmons for Wednesday, May 8, 2024, at 9:30 a.m. During today’s visit, the fire department was dispatched to the facility at 1:30 p.m. due to sparks igniting as a result of faulty wiring in an electrical outlet. Children and staff were not required to evacuate, and clearance was obtained to continue normal operations. School-age children arrived at the facility between 3:15p.m. and 3:30p.m. At the completion of the visit, the Visit Summary was reviewed with L. Thomas. The following violations were observed: Violation Number Comment Rule 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. Surfacing extended 2 feet 7 inches beyond the external limits of the yellow stationary climber in the outdoor environment used by school-age children. .0605(l)(1-2) 721 All equipment and furnishings were not in good repair. The lid on the sandbox and the two connected climbing squares in the outdoor environment behind Spaces #3 and #4 were cracked/busted. In the outdoor learning environment behind Space #5, the platform on the Little Tikes Step 2 climber was cracked/busted. G.S. 110-91(6); .0601(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch in the outdoor learning environment behind Space #5 measured four to five inches in depth. The mulch in the two outdoor learning environments, used by school-age children measured one to fives inches in depth. .0605(k)(1-4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. 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 April 30, 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 The compliance history is based on violations that are cited during visits to your facility. If you have an acceptable compliance history at the end of your temporary license you will be eligible to apply for a star rated license. Failure to maintain an acceptable compliance history may result in the issuance of administrative action up to and including denial of a full license at the end of the temporary time period. Technical Assistance Specific to Today’s Visit: Outdoor play: Every child must have an opportunity to be outdoors daily, if weather conditions permit. This requirement is for all ages including infants and toddlers. It is important to remind parents about the requirement to go outdoors daily and that each child must come to school prepared to go outdoors. This includes bringing the appropriate clothes to school and ensuring each child is able to participate in daily activities. Parents should determine whether or not their child is too sick to attend school if they are unable to participate in the daily activities. The Weatherwatch chart must be used to determine “weather permitting,” and a thermometer may be posted outside a window of each classroom, so staff can determine accurate temperatures. Ensure staff are trained in reading your posted Weatherwatch charts; they can also use the charts to help educate parents on when outdoor play should occur. We discussed strategies on how and when to transition infants and younger toddlers to ensure they are getting outdoors daily. You may want to invest in a large, oversized vinyl mat that is easily cleaned and sanitized specific for outdoor play. Put together a to-go bag for outdoors to include the vinyl mat and a variety of infant/toddler toys and materials designated for outdoor play only. Outdoor Learning Environment: The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste, and their sense of motion. Since children are exploring it is very important to provide a safe environment. Proper maintenance is a key factor when trying to ensure a safe play environment for children. We discussed developing routine maintenance that includes pressure washing equipment and materials to remove the mold/mildew that is visible and accessible to the children when in the outdoor play area. It is best practice to routinely clean and sanitize all toys including outdoor equipment with a bleach water solution. This will help prevent mold and/or mildew from growing on the equipment and will help maintain a sanitary outdoor environment. I reviewed and discussed child care rule .0605 with L. Thomas. As a reminder, child care rule .0605(j) reads all stationary outdoor equipment more than 18 inches high shall be installed over protective surfacing. Footings which anchor equipment shall not be exposed. Protective surfacing shall be either: (1) loose surfacing material, including wood mulch, double shredded bark mulch, uniform wood chips, fine sand, coarse sand, and pea gravel, except that pea gravel shall not be used if the area will be used by children under three years of age. Loose surfacing material shall not be installed over concrete. Additionally, child care rule .0605 (k) reads the depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. During today’s visit the mulch on the outdoor learning environment behind Space #5 measured four to five inches. The mulch on both playgrounds used by school-age children measured one to five inches around the stationary pieces of equipment. The critical height for each piece of equipment was at least 18 inches and less than 7 feet. The number one cause of injury on playgrounds is falls to the surface. Maintaining the correct depth of loose-fill material is crucial for safety. Cold temperatures and rain may cause “packing,” which causes the surface material to lose shock-absorbing capacity. I discussed the following strategies for maintaining the adequate depth of loose-fill materials with L. Thomas: • Check for packing as a result of rain, and if found to be compressed, material should be turned over or raked up to increase resilience capacity. • Loose-fill materials will compress at least 25% over time due to use and weathering. Provide a margin of safety when selecting a type and depth of material. Loose-fill surfacing requires frequent maintenance to ensure levels never drop below the minimum depth. • Wear mats can be installed to reduce displacement. • Provide a method for containing loose-fill materials within the playground. Consider marking equipment supports with the minimum fill level to help with maintaining the required depth of material. Equipment, materials, furnishings, and play areas should be sturdy, safe, and in good repair and should meet the recommendations of the U.S. Consumer Product Safety Commission (CPSC) for control of the following safety hazards: splinters, rusty parts, and peeling/flaking paint. Regular outdoor inspections are critical to prevent deterioration of equipment and accumulation of hazardous materials within the play site, and to ensure that appropriate repairs are made as soon as possible. During today’s visit, there was rust built up on the top of the fencing around the outdoor learning environments, on the riding trikes and steps of the stationary equipment used by school-age children. The lid/cover on the sand box in the outdoor learning environment behind Spaces #3 and #4 were cracked/busted and the legs were rusted. The two connected climbing squares were cracked/busted causing pinch and crush points. We discussed removing the broken equipment from the active play area until it can be repaired and/or replaced. Additionally, Repair/replace the broken ropes on the gray rock-climbing structure and pressure wash the red and yellow stationary cars in the outdoor learning environment. Rated License Assessment: Discussions occurred regarding the two-component star rated license and hold harmless process in effect at this time. 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. I stated to L. Thomas, “When a child care center operating under hold harmless undergoes a change of ownership, the consultant will use previous points achieved from the facilities last star rated license assessment to assign a star rating at the end of the temporary license. The new owner will be expected to go through a star rated license reassessment during the cohort year established under the previous facility license. Ms. Carolyn’s Child Care Center is in Cohort 2 - Prep Year: 7/1/24-6/30/25; Reassessment Year: 7/1/25-6/30/26. A packet of forms, brochures, and technical assistance handouts were reviewed and emailed to L. Thomas. The forms identified staff education requirements, program requirements, and options to achieve a Quality Point. NC Rated License Assessment Project (NC-RLAP): The NC-RLAP website has a wealth of information on the Environment Rating Scales and overall quality issues for child care. You can download NC Additional Notes for each of the scales and find additional information that will help you with your assessment. 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. NC-RLAP also offers free webinars to provide training and information about the Environment Rating Scales. Access to the webinars requires a computer with a high-speed internet connection and a phone. The webinars are typically offered between 1:00 - 1:45 PM, a typical napping time in most child care programs. To register for a session, call 1-866-3NCRLAP (1-866-362-7527). Registration will close the day before the webinar, so please do not wait until the morning of the webinar to register. There must be at least seven participants signed up for the session, or it may be cancelled. To access resources or information on webinars, go to www.ncrlap.org. WORKS is a self-service applicant portal that will be used by an individual applicant to register and maintain their workforce information to support education requirements. The WORKS portal is available online and requires the user to maintain an individual North Carolina Identity Management (NCID) username and password. All paperwork, except for official transcripts, will no longer be submitted to the Workforce Education Unit. These documents will be uploaded using WORKS via each applicant’s WORKS account. All staff education should be current before the fifth month (August) of the temporary time period. For more information about NCID and WORKS, visit the DCDEE website at www.ncchildcare.ncdhhs.gov to view more information under the DCDEE WORKS tab http://ncchildcare.ncdhhs.gov/general/mb_dcdeeworks.asp. You can also contact the Workforce Education Unit at 1-800-859-0829 (In State Only) or 919-527-6600 for more information concerning WORKS. The Partnership for Children of Cumberland County offers on-site technical assistance to child care programs. Types of technical assistance provided include observation and assessment and support and mentoring visits. For more information, contact Mary Welch, CCR&R Program Manager at (910) 867-9700 or visit www.ccpfc.org. Training: Child care administrators and staff members shall complete health and safety training within one year of employment unless the staff member has completed the training within the year prior to beginning employment. Complete the health and safety training record as found on the DCDEE website. After the first year, staff must complete the health and safety training topics at least once every five years. Child care staff are expected to be well informed about child abuse and neglect issues and adequately trained to prevent and recognize potential maltreatment. The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org. Documentation of training must be kept on file for review. Emergency Preparedness and Response (EPR): As a reminder, L. Thomas shall go online and update the Center’s EPR Plan with the new ID #, facility name, and staff changes and enrollment information within four (4) months of being licensed (July 29, 2024). The template for the EPR plan can be found at: https://rmp.nc.gov/portal/portal.aspx. 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 If you have questions, please contact me at: (910) 709-4168. 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