10A NCAC 09 .1714 · Violation

Name of Operation: PAT'S HOME DAY CARE Facility ID: 26001294 Consultant: NANCY STRATFORD Operation Type: Family CC Home Case Number: Visit Date: 5/5/2025 Number Present: 6 Completed Date: 5/5/2025 Age: From 0 To 4 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a routine unannounced visit. The previous Annual Compliance Monitoring Visit was completed October 12, 2023, and prior to today’s visit, the eighteen-month compliance history score was 94%. This program currently operates with a Four-Star License issued December 22, 2022. 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 a programmatic option for: Infant capacity restricted to no more than two children under one year of age. The information on record with DCDEE was verified as correct by Ms. Clara Carroll. Current Inspections are as follows: Sanitation Classification of Superior completed November 11, 2024. Ms. Carroll assisted me with the indoor areas. The children were walking around exploring their space, and playing with toys. The children stacked the geometric shapes. There was one infant sitting in their highchair. The caregiver removed the child from the highchair and placed the child on the carpet to crawl. The caregiver talked to the children and asked questions. The children cleaned up their toys and transitioned to the table to read books. The caregiver read a book to the children. The caregiver talked to the children about animals, numbers, and colors. The book that the caregiver was using had textures. The children were able to feel the fur on the animals Toys and materials were available for the child. A violation was observed for exceeding capacity and permit restrictions. Lunch served was spaghetti, meatballs, corn, applesauce, wheat bread, and milk. The most recent fire drill was completed on May 01, 2025, and the most recent lockdown drill was completed April 1, 2025. The most current monthly outdoor inspection was completed on April 01, 2025. The EPR Plan was available and reviewed. At the completion of the visit, the Visit Summary was reviewed with Ms. Carroll. The following violations were observed: Violation Number Comment Rule 102 Number of preschool children exceeded five children, including the provider's own preschool children. There were six (6) preschool children present. GS 110-91(7)(b) 1603 The home was not in compliance with permit restrictions. There were six (6) preschoolers present. The ages of the children consisted of infant through four years of age. GS 110-91 Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve The violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on May 19, 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 and maintain an eighteen-month compliance history score of at least seventy-five percent. Facility Specific TA/Consultation/Reminders : Permit Restriction/Exceeding capacity: (FCCH) A violation was cited today for exceeding capacity and permit restrictions. Upon my arrival, there were five children present. Later in my visit, another child arrived. This resulted in a total capacity of six (6). The age range of the children was from Infant to age four years. I explained to the Operator that only a maximum of five preschool children are allowed at one time. The capacity is 8 children. I explained to the Operator that she may care for an additional three children if the children are enrolled in public/private school aged 5 years and up. Today, you stated that you accepted two drop-in children. The drop in child was supposed to leave by a certain time before the next drop in child arrived. However, both drop-in children were present at the same time. The operator was unable to reach the parent. We talked about other strategies for maintaining compliance. Refer to your Family Child Care Permit and/or Child Care Rules for more information regarding permit restrictions. Emergency Preparedness Plan (FCH): A violation was not cited. However, I provided technical assistance on the importance of making sure your EPR plan is updated and accurate. EPR plans will need to be updated yearly. If no changes are needed, make sure to just print the cover page and a date will generate. Today, we confirmed that you had a more recent EPR plan, be reminded that all documents required for your Family Child Care Home will need to be on file and available when requested. The EPR plan is helpful to assist with emergencies. Refer to Child Care Rules 10A NCAC 09 .1714, for more information regarding this rule requirement. Observations: An observation was observed in the playrooms of the home. Upon arrival there were five children in care. Later in the visit, another child arrived. The children were playing with dramatic play toys, blocks, shapes, and dancing. The caregiver talked to the children and reminded them of their inside voice. The caregiver talked to the children about what they were doing. The caregiver also talked to the child about how they were feeling. The caregiver encouraged conversation and helped the child with the activities. Today, I am providing technical assistance with literature. The caregiver can add soft books for the younger children. The soft books can include different types of textures. Books will need to be available daily. In addition, add books that focus on children’s interest. For example, if you have a child that likes sports, it may be best to provide books on different sporting activities. When reading, talk to the children about the photographs in the books. Allow the children to tell you what they think will happen next. This helps the children to stay engaged and makes reading exciting. Statewide Family Child Care Project and Kathleen Hoffler: N.C. Statewide Family Child Care Project: The purpose of the organization is to provide training and technical assistance to Professional Development and TA practitioners who support Family Child Care. Kathleen Hoffler, Region 5 Family Child Care Consultant, is available free of charge to provide technical assistance and consultation to Family Child Care Home Providers to help you to enhance your program quality by putting thought and care into the following areas: Developmentally Appropriate Practices (DAP), Curriculum, Family Engagement, Caregiver-Child Interactions, and Indoor and Outdoor Environments. You can take steps towards providing a high-quality early care and education environment for the children in your program. If interested contact Kathleen at 910-988-2218 or khoffler@ccpfc.org to get started. 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.

GS 110-91 · Violation

Name of Operation: PAT'S HOME DAY CARE Facility ID: 26001294 Consultant: NANCY STRATFORD Operation Type: Family CC Home Case Number: Visit Date: 5/5/2025 Number Present: 6 Completed Date: 5/5/2025 Age: From 0 To 4 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a routine unannounced visit. The previous Annual Compliance Monitoring Visit was completed October 12, 2023, and prior to today’s visit, the eighteen-month compliance history score was 94%. This program currently operates with a Four-Star License issued December 22, 2022. 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 a programmatic option for: Infant capacity restricted to no more than two children under one year of age. The information on record with DCDEE was verified as correct by Ms. Clara Carroll. Current Inspections are as follows: Sanitation Classification of Superior completed November 11, 2024. Ms. Carroll assisted me with the indoor areas. The children were walking around exploring their space, and playing with toys. The children stacked the geometric shapes. There was one infant sitting in their highchair. The caregiver removed the child from the highchair and placed the child on the carpet to crawl. The caregiver talked to the children and asked questions. The children cleaned up their toys and transitioned to the table to read books. The caregiver read a book to the children. The caregiver talked to the children about animals, numbers, and colors. The book that the caregiver was using had textures. The children were able to feel the fur on the animals Toys and materials were available for the child. A violation was observed for exceeding capacity and permit restrictions. Lunch served was spaghetti, meatballs, corn, applesauce, wheat bread, and milk. The most recent fire drill was completed on May 01, 2025, and the most recent lockdown drill was completed April 1, 2025. The most current monthly outdoor inspection was completed on April 01, 2025. The EPR Plan was available and reviewed. At the completion of the visit, the Visit Summary was reviewed with Ms. Carroll. The following violations were observed: Violation Number Comment Rule 102 Number of preschool children exceeded five children, including the provider's own preschool children. There were six (6) preschool children present. GS 110-91(7)(b) 1603 The home was not in compliance with permit restrictions. There were six (6) preschoolers present. The ages of the children consisted of infant through four years of age. GS 110-91 Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve The violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on May 19, 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 and maintain an eighteen-month compliance history score of at least seventy-five percent. Facility Specific TA/Consultation/Reminders : Permit Restriction/Exceeding capacity: (FCCH) A violation was cited today for exceeding capacity and permit restrictions. Upon my arrival, there were five children present. Later in my visit, another child arrived. This resulted in a total capacity of six (6). The age range of the children was from Infant to age four years. I explained to the Operator that only a maximum of five preschool children are allowed at one time. The capacity is 8 children. I explained to the Operator that she may care for an additional three children if the children are enrolled in public/private school aged 5 years and up. Today, you stated that you accepted two drop-in children. The drop in child was supposed to leave by a certain time before the next drop in child arrived. However, both drop-in children were present at the same time. The operator was unable to reach the parent. We talked about other strategies for maintaining compliance. Refer to your Family Child Care Permit and/or Child Care Rules for more information regarding permit restrictions. Emergency Preparedness Plan (FCH): A violation was not cited. However, I provided technical assistance on the importance of making sure your EPR plan is updated and accurate. EPR plans will need to be updated yearly. If no changes are needed, make sure to just print the cover page and a date will generate. Today, we confirmed that you had a more recent EPR plan, be reminded that all documents required for your Family Child Care Home will need to be on file and available when requested. The EPR plan is helpful to assist with emergencies. Refer to Child Care Rules 10A NCAC 09 .1714, for more information regarding this rule requirement. Observations: An observation was observed in the playrooms of the home. Upon arrival there were five children in care. Later in the visit, another child arrived. The children were playing with dramatic play toys, blocks, shapes, and dancing. The caregiver talked to the children and reminded them of their inside voice. The caregiver talked to the children about what they were doing. The caregiver also talked to the child about how they were feeling. The caregiver encouraged conversation and helped the child with the activities. Today, I am providing technical assistance with literature. The caregiver can add soft books for the younger children. The soft books can include different types of textures. Books will need to be available daily. In addition, add books that focus on children’s interest. For example, if you have a child that likes sports, it may be best to provide books on different sporting activities. When reading, talk to the children about the photographs in the books. Allow the children to tell you what they think will happen next. This helps the children to stay engaged and makes reading exciting. Statewide Family Child Care Project and Kathleen Hoffler: N.C. Statewide Family Child Care Project: The purpose of the organization is to provide training and technical assistance to Professional Development and TA practitioners who support Family Child Care. Kathleen Hoffler, Region 5 Family Child Care Consultant, is available free of charge to provide technical assistance and consultation to Family Child Care Home Providers to help you to enhance your program quality by putting thought and care into the following areas: Developmentally Appropriate Practices (DAP), Curriculum, Family Engagement, Caregiver-Child Interactions, and Indoor and Outdoor Environments. You can take steps towards providing a high-quality early care and education environment for the children in your program. If interested contact Kathleen at 910-988-2218 or khoffler@ccpfc.org to get started. 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: PAT'S HOME DAY CARE Facility ID: 26001294 Consultant: NANCY STRATFORD Operation Type: Family CC Home Case Number: Visit Date: 5/5/2025 Number Present: 6 Completed Date: 5/5/2025 Age: From 0 To 4 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a routine unannounced visit. The previous Annual Compliance Monitoring Visit was completed October 12, 2023, and prior to today’s visit, the eighteen-month compliance history score was 94%. This program currently operates with a Four-Star License issued December 22, 2022. 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 a programmatic option for: Infant capacity restricted to no more than two children under one year of age. The information on record with DCDEE was verified as correct by Ms. Clara Carroll. Current Inspections are as follows: Sanitation Classification of Superior completed November 11, 2024. Ms. Carroll assisted me with the indoor areas. The children were walking around exploring their space, and playing with toys. The children stacked the geometric shapes. There was one infant sitting in their highchair. The caregiver removed the child from the highchair and placed the child on the carpet to crawl. The caregiver talked to the children and asked questions. The children cleaned up their toys and transitioned to the table to read books. The caregiver read a book to the children. The caregiver talked to the children about animals, numbers, and colors. The book that the caregiver was using had textures. The children were able to feel the fur on the animals Toys and materials were available for the child. A violation was observed for exceeding capacity and permit restrictions. Lunch served was spaghetti, meatballs, corn, applesauce, wheat bread, and milk. The most recent fire drill was completed on May 01, 2025, and the most recent lockdown drill was completed April 1, 2025. The most current monthly outdoor inspection was completed on April 01, 2025. The EPR Plan was available and reviewed. At the completion of the visit, the Visit Summary was reviewed with Ms. Carroll. The following violations were observed: Violation Number Comment Rule 102 Number of preschool children exceeded five children, including the provider's own preschool children. There were six (6) preschool children present. GS 110-91(7)(b) 1603 The home was not in compliance with permit restrictions. There were six (6) preschoolers present. The ages of the children consisted of infant through four years of age. GS 110-91 Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve The violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on May 19, 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 and maintain an eighteen-month compliance history score of at least seventy-five percent. Facility Specific TA/Consultation/Reminders : Permit Restriction/Exceeding capacity: (FCCH) A violation was cited today for exceeding capacity and permit restrictions. Upon my arrival, there were five children present. Later in my visit, another child arrived. This resulted in a total capacity of six (6). The age range of the children was from Infant to age four years. I explained to the Operator that only a maximum of five preschool children are allowed at one time. The capacity is 8 children. I explained to the Operator that she may care for an additional three children if the children are enrolled in public/private school aged 5 years and up. Today, you stated that you accepted two drop-in children. The drop in child was supposed to leave by a certain time before the next drop in child arrived. However, both drop-in children were present at the same time. The operator was unable to reach the parent. We talked about other strategies for maintaining compliance. Refer to your Family Child Care Permit and/or Child Care Rules for more information regarding permit restrictions. Emergency Preparedness Plan (FCH): A violation was not cited. However, I provided technical assistance on the importance of making sure your EPR plan is updated and accurate. EPR plans will need to be updated yearly. If no changes are needed, make sure to just print the cover page and a date will generate. Today, we confirmed that you had a more recent EPR plan, be reminded that all documents required for your Family Child Care Home will need to be on file and available when requested. The EPR plan is helpful to assist with emergencies. Refer to Child Care Rules 10A NCAC 09 .1714, for more information regarding this rule requirement. Observations: An observation was observed in the playrooms of the home. Upon arrival there were five children in care. Later in the visit, another child arrived. The children were playing with dramatic play toys, blocks, shapes, and dancing. The caregiver talked to the children and reminded them of their inside voice. The caregiver talked to the children about what they were doing. The caregiver also talked to the child about how they were feeling. The caregiver encouraged conversation and helped the child with the activities. Today, I am providing technical assistance with literature. The caregiver can add soft books for the younger children. The soft books can include different types of textures. Books will need to be available daily. In addition, add books that focus on children’s interest. For example, if you have a child that likes sports, it may be best to provide books on different sporting activities. When reading, talk to the children about the photographs in the books. Allow the children to tell you what they think will happen next. This helps the children to stay engaged and makes reading exciting. Statewide Family Child Care Project and Kathleen Hoffler: N.C. Statewide Family Child Care Project: The purpose of the organization is to provide training and technical assistance to Professional Development and TA practitioners who support Family Child Care. Kathleen Hoffler, Region 5 Family Child Care Consultant, is available free of charge to provide technical assistance and consultation to Family Child Care Home Providers to help you to enhance your program quality by putting thought and care into the following areas: Developmentally Appropriate Practices (DAP), Curriculum, Family Engagement, Caregiver-Child Interactions, and Indoor and Outdoor Environments. You can take steps towards providing a high-quality early care and education environment for the children in your program. If interested contact Kathleen at 910-988-2218 or khoffler@ccpfc.org to get started. 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 .0102 · Violation

Name of Operation: PAT'S HOME DAY CARE Facility ID: 26001294 Consultant: NANCY STRATFORD Operation Type: Family CC Home Case Number: Visit Date: 9/10/2024 Number Present: 6 Completed Date: 9/10/2024 Age: From 0 To 4 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous Annual Compliance Monitoring Visit was completed October 12, 2023, and prior to today’s visit, the eighteen-month compliance history score was 94%. This program currently operates with a Four-Star License issued December 22, 2022. 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 a programmatic option for: Infant capacity restricted to no more than two children under one year of age. The information on record with DCDEE was verified as correct by Ms. Clara Carroll. Current Inspections are as follows: Sanitation Classification of Superior completed January 11, 2024. Ms. Cierra Johnson assisted me with the indoor and outdoor areas. Ms. Carroll arrived at the facility at a later time and assisted me with the indoor areas. The children were walking around exploring their space. The toys and materials were open and available. The caregiver played music for the children and the children danced. There were three children sleeping in their crib. Toileting and handwashing routines were observed. Lunch served was chicken nuggets, fries, bananas, and milk. A checklist was used to note the requirements I monitored today. The Verification of Required Information for Operator, Additional Caregivers, and Statements of Responsibility forms were emailed prior to today’s visit and the original copies were received during today’s visit. Two children’s records were monitored. At the completion of the visit, the Visit Summary was reviewed with Ms. Carroll. The following violations were observed: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. In an unlocked closet, there were two shelves with different types of cleaning supplies, aerosol cans of disinfectant, and three large bottles of bleach stored on the floor. This was corrected when the staff member locked the closet. .1719 (a)(7) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. The operator did not conduct a quarterly lockdown or shelter-in-place drill. The last lockdown drill was completed April 3, 2024. .1719(a )(16) & .1721(e )(7) 1948 Sleeping infants, ages 12 months and younger were not visually checked every 15 minutes. There were two sleeping infants and the documentation for sleep, was not conducted every fifteen minutes for each child. .1724(a)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. 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 September 24, 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: 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: Storage of Hazardous Items: A violation was cited today for Storage of Hazardous Items. Store items that are labeled “keep out of reach of children” and have no other warning can be stored on a shelf or in an unlocked cabinet. The shelf or cabinet must be mounted at least five feet above the floor. In the closet, there were two shelves with a variety of different cleaning supplies and aerosol cans, there were also three large containers of bleach. The handout for Hazardous Items Storage for Child Care can be found on our website by clicking the tab Provider then Provider Document and Forms https://ncchildcare.ncdhhs.gov/. For more information regarding this rule requirement review Child Care Rules 10A NCAC 09 .1719 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. The reference for the rule requirement is Rule 10A NCAC 09 .1719(a)(16) &.1721(e)(7). 10A NCAC 09 .0102 Sleep Check: Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger. Today we talked about the importance of making sure to check on infants every 15 fifteen minutes. I reminded you to check the rise and fall of the breathing of the infant. Double check the sleep area to ensure the area is safe for the infant. The rule reference is Child Care Rules 1724;.1719(a)(16) Statewide Family Child Care Project and Kathleen Hoffler: N.C. Statewide Family Child Care Project: The purpose of the organization is to provide training and technical assistance to Professional Development and TA practitioners who support Family Child Care. Kathleen Hoffler, Region 5 Family Child Care Consultant, is available free of charge to provide technical assistance and consultation to Family Child Care Home Providers to help you to enhance your program quality by putting thought and care into the following areas: Developmentally Appropriate Practices (DAP), Curriculum, Family Engagement, Caregiver-Child Interactions, and Indoor and Outdoor Environments. You can take steps towards providing a high-quality early care and education environment for the children in your program. If interested contact Kathleen at 910-988-2218 or khoffler@ccpfc.org to get started. 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 .1719 · Violation

Name of Operation: PAT'S HOME DAY CARE Facility ID: 26001294 Consultant: NANCY STRATFORD Operation Type: Family CC Home Case Number: Visit Date: 9/10/2024 Number Present: 6 Completed Date: 9/10/2024 Age: From 0 To 4 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous Annual Compliance Monitoring Visit was completed October 12, 2023, and prior to today’s visit, the eighteen-month compliance history score was 94%. This program currently operates with a Four-Star License issued December 22, 2022. 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 a programmatic option for: Infant capacity restricted to no more than two children under one year of age. The information on record with DCDEE was verified as correct by Ms. Clara Carroll. Current Inspections are as follows: Sanitation Classification of Superior completed January 11, 2024. Ms. Cierra Johnson assisted me with the indoor and outdoor areas. Ms. Carroll arrived at the facility at a later time and assisted me with the indoor areas. The children were walking around exploring their space. The toys and materials were open and available. The caregiver played music for the children and the children danced. There were three children sleeping in their crib. Toileting and handwashing routines were observed. Lunch served was chicken nuggets, fries, bananas, and milk. A checklist was used to note the requirements I monitored today. The Verification of Required Information for Operator, Additional Caregivers, and Statements of Responsibility forms were emailed prior to today’s visit and the original copies were received during today’s visit. Two children’s records were monitored. At the completion of the visit, the Visit Summary was reviewed with Ms. Carroll. The following violations were observed: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. In an unlocked closet, there were two shelves with different types of cleaning supplies, aerosol cans of disinfectant, and three large bottles of bleach stored on the floor. This was corrected when the staff member locked the closet. .1719 (a)(7) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. The operator did not conduct a quarterly lockdown or shelter-in-place drill. The last lockdown drill was completed April 3, 2024. .1719(a )(16) & .1721(e )(7) 1948 Sleeping infants, ages 12 months and younger were not visually checked every 15 minutes. There were two sleeping infants and the documentation for sleep, was not conducted every fifteen minutes for each child. .1724(a)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. 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 September 24, 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: 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: Storage of Hazardous Items: A violation was cited today for Storage of Hazardous Items. Store items that are labeled “keep out of reach of children” and have no other warning can be stored on a shelf or in an unlocked cabinet. The shelf or cabinet must be mounted at least five feet above the floor. In the closet, there were two shelves with a variety of different cleaning supplies and aerosol cans, there were also three large containers of bleach. The handout for Hazardous Items Storage for Child Care can be found on our website by clicking the tab Provider then Provider Document and Forms https://ncchildcare.ncdhhs.gov/. For more information regarding this rule requirement review Child Care Rules 10A NCAC 09 .1719 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. The reference for the rule requirement is Rule 10A NCAC 09 .1719(a)(16) &.1721(e)(7). 10A NCAC 09 .0102 Sleep Check: Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger. Today we talked about the importance of making sure to check on infants every 15 fifteen minutes. I reminded you to check the rise and fall of the breathing of the infant. Double check the sleep area to ensure the area is safe for the infant. The rule reference is Child Care Rules 1724;.1719(a)(16) Statewide Family Child Care Project and Kathleen Hoffler: N.C. Statewide Family Child Care Project: The purpose of the organization is to provide training and technical assistance to Professional Development and TA practitioners who support Family Child Care. Kathleen Hoffler, Region 5 Family Child Care Consultant, is available free of charge to provide technical assistance and consultation to Family Child Care Home Providers to help you to enhance your program quality by putting thought and care into the following areas: Developmentally Appropriate Practices (DAP), Curriculum, Family Engagement, Caregiver-Child Interactions, and Indoor and Outdoor Environments. You can take steps towards providing a high-quality early care and education environment for the children in your program. If interested contact Kathleen at 910-988-2218 or khoffler@ccpfc.org to get started. 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: PAT'S HOME DAY CARE Facility ID: 26001294 Consultant: NANCY STRATFORD Operation Type: Family CC Home Case Number: Visit Date: 9/10/2024 Number Present: 6 Completed Date: 9/10/2024 Age: From 0 To 4 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous Annual Compliance Monitoring Visit was completed October 12, 2023, and prior to today’s visit, the eighteen-month compliance history score was 94%. This program currently operates with a Four-Star License issued December 22, 2022. 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 a programmatic option for: Infant capacity restricted to no more than two children under one year of age. The information on record with DCDEE was verified as correct by Ms. Clara Carroll. Current Inspections are as follows: Sanitation Classification of Superior completed January 11, 2024. Ms. Cierra Johnson assisted me with the indoor and outdoor areas. Ms. Carroll arrived at the facility at a later time and assisted me with the indoor areas. The children were walking around exploring their space. The toys and materials were open and available. The caregiver played music for the children and the children danced. There were three children sleeping in their crib. Toileting and handwashing routines were observed. Lunch served was chicken nuggets, fries, bananas, and milk. A checklist was used to note the requirements I monitored today. The Verification of Required Information for Operator, Additional Caregivers, and Statements of Responsibility forms were emailed prior to today’s visit and the original copies were received during today’s visit. Two children’s records were monitored. At the completion of the visit, the Visit Summary was reviewed with Ms. Carroll. The following violations were observed: Violation Number Comment Rule 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. In an unlocked closet, there were two shelves with different types of cleaning supplies, aerosol cans of disinfectant, and three large bottles of bleach stored on the floor. This was corrected when the staff member locked the closet. .1719 (a)(7) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. The operator did not conduct a quarterly lockdown or shelter-in-place drill. The last lockdown drill was completed April 3, 2024. .1719(a )(16) & .1721(e )(7) 1948 Sleeping infants, ages 12 months and younger were not visually checked every 15 minutes. There were two sleeping infants and the documentation for sleep, was not conducted every fifteen minutes for each child. .1724(a)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. 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 September 24, 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: 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: Storage of Hazardous Items: A violation was cited today for Storage of Hazardous Items. Store items that are labeled “keep out of reach of children” and have no other warning can be stored on a shelf or in an unlocked cabinet. The shelf or cabinet must be mounted at least five feet above the floor. In the closet, there were two shelves with a variety of different cleaning supplies and aerosol cans, there were also three large containers of bleach. The handout for Hazardous Items Storage for Child Care can be found on our website by clicking the tab Provider then Provider Document and Forms https://ncchildcare.ncdhhs.gov/. For more information regarding this rule requirement review Child Care Rules 10A NCAC 09 .1719 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. The reference for the rule requirement is Rule 10A NCAC 09 .1719(a)(16) &.1721(e)(7). 10A NCAC 09 .0102 Sleep Check: Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger. Today we talked about the importance of making sure to check on infants every 15 fifteen minutes. I reminded you to check the rise and fall of the breathing of the infant. Double check the sleep area to ensure the area is safe for the infant. The rule reference is Child Care Rules 1724;.1719(a)(16) Statewide Family Child Care Project and Kathleen Hoffler: N.C. Statewide Family Child Care Project: The purpose of the organization is to provide training and technical assistance to Professional Development and TA practitioners who support Family Child Care. Kathleen Hoffler, Region 5 Family Child Care Consultant, is available free of charge to provide technical assistance and consultation to Family Child Care Home Providers to help you to enhance your program quality by putting thought and care into the following areas: Developmentally Appropriate Practices (DAP), Curriculum, Family Engagement, Caregiver-Child Interactions, and Indoor and Outdoor Environments. You can take steps towards providing a high-quality early care and education environment for the children in your program. If interested contact Kathleen at 910-988-2218 or khoffler@ccpfc.org to get started. 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 09.1721 · Violation

Name of Operation: PAT'S HOME DAY CARE Facility ID: 26001294 Consultant: NANCY STRATFORD Operation Type: Family CC Home Case Number: Visit Date: 10/12/2023 Number Present: 4 Completed Date: 10/12/2023 Age: From 0 To 3 Total Minutes: 195 Time In: 09:00 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous Annual Compliance Monitoring Visit was completed October 24, 2022, and prior to today’s visit, the eighteen-month compliance history score was 94%. This program currently operates with a Four-Star License issued December 22, 2022. 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 a programmatic option for: Infant capacity restricted to no more than two children under one year of age. The information on record with DCDEE was verified as correct by Ms. Clara Carroll. Current Inspections are as follows: Sanitation Classification of Superior completed April 4, 2023. Ms. Carroll was present while I observed the indoor areas. The children were sitting at the table playing with toys. The children were stacking blocks and pretending to take pictures with a play phone. There were two children, under one year of age, awake in their cribs. The caregivers held the children and provided activities for the children to play with. Violations were cited today because one child’s file did not contain the child's health assessment and the immunization record. Lunch served was chicken nuggets, peas, bananas, bread, and milk. At the completion of the visit, the Visit Summary was reviewed with Ms. Carroll. The following violations were observed: Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. A copy of the child's health assessment was not on file for (A.N). GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. A copy of the child's immunization record was not on file for (A.N). GS 110-91(1); .1721(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 October 26, 2023, 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: Children’s Records: The violation for Children’s Records was cited today. We discussed suggestions for record keeping. It is best to use the checklist provided on the DCDEE Website. Updated Forms on DCDEE Website: The Division of Child Development and Early Education (DCDEE) website provides updated forms and resources. Please visit https://ncchildcare.ncdhhs.gov for updated required forms. The forms can be found by selecting Provider tab then select Provider Documents and Forms. Immunization Record: A violation was cited today for the immunization record. In one child’s file, A. N. there was a missing immunization record. The immunization record is required before or within 30 days after admission. Child Care Rule G.S. 110-91(1) and .0302(d)(2). 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.

G.S. 110-91 · Violation

Name of Operation: PAT'S HOME DAY CARE Facility ID: 26001294 Consultant: NANCY STRATFORD Operation Type: Family CC Home Case Number: Visit Date: 10/12/2023 Number Present: 4 Completed Date: 10/12/2023 Age: From 0 To 3 Total Minutes: 195 Time In: 09:00 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous Annual Compliance Monitoring Visit was completed October 24, 2022, and prior to today’s visit, the eighteen-month compliance history score was 94%. This program currently operates with a Four-Star License issued December 22, 2022. 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 a programmatic option for: Infant capacity restricted to no more than two children under one year of age. The information on record with DCDEE was verified as correct by Ms. Clara Carroll. Current Inspections are as follows: Sanitation Classification of Superior completed April 4, 2023. Ms. Carroll was present while I observed the indoor areas. The children were sitting at the table playing with toys. The children were stacking blocks and pretending to take pictures with a play phone. There were two children, under one year of age, awake in their cribs. The caregivers held the children and provided activities for the children to play with. Violations were cited today because one child’s file did not contain the child's health assessment and the immunization record. Lunch served was chicken nuggets, peas, bananas, bread, and milk. At the completion of the visit, the Visit Summary was reviewed with Ms. Carroll. The following violations were observed: Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. A copy of the child's health assessment was not on file for (A.N). GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. A copy of the child's immunization record was not on file for (A.N). GS 110-91(1); .1721(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 October 26, 2023, 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: Children’s Records: The violation for Children’s Records was cited today. We discussed suggestions for record keeping. It is best to use the checklist provided on the DCDEE Website. Updated Forms on DCDEE Website: The Division of Child Development and Early Education (DCDEE) website provides updated forms and resources. Please visit https://ncchildcare.ncdhhs.gov for updated required forms. The forms can be found by selecting Provider tab then select Provider Documents and Forms. Immunization Record: A violation was cited today for the immunization record. In one child’s file, A. N. there was a missing immunization record. The immunization record is required before or within 30 days after admission. Child Care Rule G.S. 110-91(1) and .0302(d)(2). 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

GS 110-91 · Violation

Name of Operation: PAT'S HOME DAY CARE Facility ID: 26001294 Consultant: NANCY STRATFORD Operation Type: Family CC Home Case Number: Visit Date: 10/12/2023 Number Present: 4 Completed Date: 10/12/2023 Age: From 0 To 3 Total Minutes: 195 Time In: 09:00 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous Annual Compliance Monitoring Visit was completed October 24, 2022, and prior to today’s visit, the eighteen-month compliance history score was 94%. This program currently operates with a Four-Star License issued December 22, 2022. 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 a programmatic option for: Infant capacity restricted to no more than two children under one year of age. The information on record with DCDEE was verified as correct by Ms. Clara Carroll. Current Inspections are as follows: Sanitation Classification of Superior completed April 4, 2023. Ms. Carroll was present while I observed the indoor areas. The children were sitting at the table playing with toys. The children were stacking blocks and pretending to take pictures with a play phone. There were two children, under one year of age, awake in their cribs. The caregivers held the children and provided activities for the children to play with. Violations were cited today because one child’s file did not contain the child's health assessment and the immunization record. Lunch served was chicken nuggets, peas, bananas, bread, and milk. At the completion of the visit, the Visit Summary was reviewed with Ms. Carroll. The following violations were observed: Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. A copy of the child's health assessment was not on file for (A.N). GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. A copy of the child's immunization record was not on file for (A.N). GS 110-91(1); .1721(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 October 26, 2023, 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: Children’s Records: The violation for Children’s Records was cited today. We discussed suggestions for record keeping. It is best to use the checklist provided on the DCDEE Website. Updated Forms on DCDEE Website: The Division of Child Development and Early Education (DCDEE) website provides updated forms and resources. Please visit https://ncchildcare.ncdhhs.gov for updated required forms. The forms can be found by selecting Provider tab then select Provider Documents and Forms. Immunization Record: A violation was cited today for the immunization record. In one child’s file, A. N. there was a missing immunization record. The immunization record is required before or within 30 days after admission. Child Care Rule G.S. 110-91(1) and .0302(d)(2). 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: PAT'S HOME DAY CARE Facility ID: 26001294 Consultant: NANCY STRATFORD Operation Type: Family CC Home Case Number: Visit Date: 10/12/2023 Number Present: 4 Completed Date: 10/12/2023 Age: From 0 To 3 Total Minutes: 195 Time In: 09:00 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous Annual Compliance Monitoring Visit was completed October 24, 2022, and prior to today’s visit, the eighteen-month compliance history score was 94%. This program currently operates with a Four-Star License issued December 22, 2022. 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 a programmatic option for: Infant capacity restricted to no more than two children under one year of age. The information on record with DCDEE was verified as correct by Ms. Clara Carroll. Current Inspections are as follows: Sanitation Classification of Superior completed April 4, 2023. Ms. Carroll was present while I observed the indoor areas. The children were sitting at the table playing with toys. The children were stacking blocks and pretending to take pictures with a play phone. There were two children, under one year of age, awake in their cribs. The caregivers held the children and provided activities for the children to play with. Violations were cited today because one child’s file did not contain the child's health assessment and the immunization record. Lunch served was chicken nuggets, peas, bananas, bread, and milk. At the completion of the visit, the Visit Summary was reviewed with Ms. Carroll. The following violations were observed: Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. A copy of the child's health assessment was not on file for (A.N). GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. A copy of the child's immunization record was not on file for (A.N). GS 110-91(1); .1721(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 October 26, 2023, 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: Children’s Records: The violation for Children’s Records was cited today. We discussed suggestions for record keeping. It is best to use the checklist provided on the DCDEE Website. Updated Forms on DCDEE Website: The Division of Child Development and Early Education (DCDEE) website provides updated forms and resources. Please visit https://ncchildcare.ncdhhs.gov for updated required forms. The forms can be found by selecting Provider tab then select Provider Documents and Forms. Immunization Record: A violation was cited today for the immunization record. In one child’s file, A. N. there was a missing immunization record. The immunization record is required before or within 30 days after admission. Child Care Rule G.S. 110-91(1) and .0302(d)(2). 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