10A NCAC 09 .1102 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. #146 Facility ID: 26001543 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 6/4/2025 Number Present: 43 Completed Date: 6/4/2025 Age: From 0 To 11 Total Minutes: 240 Time In: 09:15 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 on January 07, 2025, and prior to today’s visit, the eighteen-month compliance history score was at 96%, which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a 3-Star License issued February 19, 2021. The license was based on the program earning 5 points in education standards, 2 points in program standards, and one quality point by choosing to meet a programmatic option of using a developmentally appropriate curriculum. The information on record was verified as correct by Sierra Bethea, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on May 01, 2025. Fire Classification of Approved for Day Time Only was completed on November 05, 2024. S. Bethea was present while I observed the indoor and outdoor areas. Upon my arrival, forty-three (43) children and six (6) teachers were present. Groups of children were observed participating in free-choice indoor and outdoor activities. Children had access to blocks, fine motor, dramatic play, creative art, and literacy materials. In Space #1, infants were observed sitting and laying in a carpeted area with a teacher, participating in tummy-time activities. The infants had access to various soft toys, musical toys, stacking cones, and books. Infant feeding plans and documentation of visual sleep checks were available for review. There were no children enrolled in Space #2, but the space was monitored for general health and safety requirements. In Space #3a, the group was observed transitioning to the outdoor learning environment for outdoor play. In the outdoor learning environment, children had access to balls, riding toys, hula hoops, and a stationary playhouse. Four damaged books were observed in the library area. In Space #3b, children were observed participating in free-choice activities. A diaper change was observed, and all diapering procedures were followed. The group from Space #4 was observed in the outdoor learning environment, lining up to come back inside. During the transition back inside, the teacher used a name-to-face checklist to account for all children during three checkpoints (while lining up at the fence, while lining up at the facility’s exit door, and while lining up at the classroom door). During the transition, four children were observed horseplaying and hitting each other. When the group transitioned back to the classroom, children were observed horseplaying, laying on tables, and standing on chairs while waiting to use the bathroom and wash their hands. After the group used the bathroom and washed their hands, they were served cold water. As children sat down and drank water, the assistant director came into the classroom to tell the children a story. The story was about the friendship between a unicorn and a dragon. The assistant director asked the children to make up names for the characters in the story. The children named the unicorn “Fairy” and named the dragon “Apple”. In the story, the unicorn and dragon went on an adventure and built sandcastles. After telling the story, the assistant director asked the children, “Have you ever built a sandcastle at the beach?” The children responded by saying, “Yes!” The assistant director asked the children, “What happened when you built the sandcastle?” One child responded by saying, “My brother knocked it down!” Another child responded by saying, “The water washed it away!” One child asked, “How can you make a sandcastle strong?” The assistant director responded by saying, “That’s a good question. That sounds like a science experiment. Do you think milk will work?” The children responded by saying, “No!” The assistant director asked, “Do you think chocolate pudding will work?” The children responded by saying, “No!” The assistant director asked, “What about glue? Do you think glue would work?” The children responded by saying, “No!” The assistant director said, “Maybe your teacher will let you have a science experiment this week, and we can figure out what makes sandcastles stand strong.” In Space #5, school aged children were observed participating in free-choice activities. A group of children was observed sitting at a table with various art and fine motor materials, talking with each other. Another group of children was observed sitting at a table with a teacher, completing a puzzle. Routine care and handwashing practices were observed. Lunch consisted of turkey, ham, and cheese sandwich, salad with ranch dressing, mandarin oranges, and milk. Two recently hired staff members’ files were reviewed. Two staff members did not complete a First Aid course within 90 days of employment. At the completion of the visit, the Visit Summary was reviewed with S. Bethea. The following violations were observed: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. In Space #3a, four damaged books were observed in the library area. When this was brought to the teacher's attention, she made the damaged books inaccessible to the children. G.S. 110-91(6); .0601(b) 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. Two teachers (T.C. and J.S.) did not obtain first aid certification within 90 days of employment. .1102(c) 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 18, 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 First Aid Training Requirements A violation was cited today for staff members not obtaining first aid certification within 90 days of employment. Staff trained in pediatric first aid, including pediatric CPR, coupled with a facility that has been designed or modified to ensure the safety of children, can mitigate the consequences of injury, and reduce the potential for death from life-threatening conditions. First aid skills are the most likely tools caregivers/teachers will need. Minor injuries are common. For emergency situations that require attention from a health professional, first aid procedures can be used to control the situation until a health professional can provide definitive care. The administrator stated that she was unaware that the “heart saver” label needed to be included on certificated from the American Heart Association to represent that First Aid was included in the course. I encouraged the administrator to always scan the QR code on the certificate or call the number of the training center that is listed on the certificate to get clarity about the type of certificate issued. More information about first aid training requirements can be found in child care rule 10A NCAC 09 .1102(c). Infant/Toddler Classroom Observation I discussed the results of my observation in Space #1 with S. Bethea. I encouraged S. Bethea to have teachers continue to facilitate infants’ exploration by giving them space to explore, following their attention and interest, and building on those interests to create learning opportunities because infants need to be interested and engaged to learn new things. Some strategies for facilitating exploration are: 1) initiating interactions, playing and talking to infants during routine play, mirroring behaviors; 2) giving infants opportunities to safely explore the classroom and things that interest them; 3) encouraging infants to persist in experiences by providing verbal encouragement, enthusiasm, and variations that keep them interested and create learning opportunities. Preschool Classroom Observation I discussed the results of my observation in Space #4 with S. Bethea. Children were engaged in classroom activities and were responsive to the teacher. There were ample materials in each interest center for children to use at their choice. I encouraged S. Bethea to have staff implement chants such as “One, two, three, look at me” to get children’s attention and to let them know they need to quiet down. This will help control the noise level in a classroom. I also encouraged the teacher to be mindful of where children are placed when they line up. Children who are likely to hit or horseplay should be placed away from each other or should remain close to the teacher while transitioning from one space to another. School Age Classroom Observation I discussed the results of my observation in Space #5 with S. Bethea. I encouraged S. Bethea to have staff continue to interact with children by showing interest, commenting, and asking questions about what they are doing and the comments they make. I also encouraged S. Bethea to have staff continue to take moments to check-in with each child to see how they are doing and what their needs are. Take the Survey: Help Us Prepare Your Pathway While the new QRIS rules are not yet effective, the Division is preparing for a gradual transition to the new requirements. Resources, forms, and training will be provided to support the transition to the new pathways to earn your Two- through Five-Star Rated License. To assist us in that process, we would love to hear from you! A survey was sent out to all licensed early care and education facilities. If you haven’t already done so, please consider completing it so we’ll know how we can best serve you in preparing for this transition. As a reminder, resources can be found on the QRIS Modernization page on the DCDEE website. To complete the survey, visit https://northchealth.az1.qualtrics.com/jfe/form/SV_3rxLoX0PcJUR5Qy. Healthy Social Behaviors Webinar: Transitions Transitions can be confusing and difficult for some children. Join this free Healthy Social Behaviors Helpline webinar to discuss strategies that can help children predict what to expect to make transitions smoother and engaging. The webinar will take place on June 17, 2025, from 7:00 – 8:00PM. The webinar can be accessed at https://ccrinc.zoom.us/j/3677997738. NCAEYC Advocacy Circle: A Space to be Heard Advocacy doesn’t have to be scary. The most influential change happens when passionate people get together to push for progress on a grassroots level. The North Carolina Association for the Education of Young Children Advocacy Circle is a safe space to team up with other early education professionals and discuss localized ways to help our profession thrive. The NCAEYC Advocacy Circle is open to all individuals passionate about early education in North Carolina. The event will take place on June 10, 2025, from 12:00 – 1:00PM. To register, visit https://us02web.zoom.us/meeting/register/hQLDZgyzTMGRfM0SaPKP0A#/registration. DCDEE Child Care Consultant Contact Information 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.

G.S. 110-91 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. #146 Facility ID: 26001543 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 6/4/2025 Number Present: 43 Completed Date: 6/4/2025 Age: From 0 To 11 Total Minutes: 240 Time In: 09:15 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 on January 07, 2025, and prior to today’s visit, the eighteen-month compliance history score was at 96%, which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a 3-Star License issued February 19, 2021. The license was based on the program earning 5 points in education standards, 2 points in program standards, and one quality point by choosing to meet a programmatic option of using a developmentally appropriate curriculum. The information on record was verified as correct by Sierra Bethea, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on May 01, 2025. Fire Classification of Approved for Day Time Only was completed on November 05, 2024. S. Bethea was present while I observed the indoor and outdoor areas. Upon my arrival, forty-three (43) children and six (6) teachers were present. Groups of children were observed participating in free-choice indoor and outdoor activities. Children had access to blocks, fine motor, dramatic play, creative art, and literacy materials. In Space #1, infants were observed sitting and laying in a carpeted area with a teacher, participating in tummy-time activities. The infants had access to various soft toys, musical toys, stacking cones, and books. Infant feeding plans and documentation of visual sleep checks were available for review. There were no children enrolled in Space #2, but the space was monitored for general health and safety requirements. In Space #3a, the group was observed transitioning to the outdoor learning environment for outdoor play. In the outdoor learning environment, children had access to balls, riding toys, hula hoops, and a stationary playhouse. Four damaged books were observed in the library area. In Space #3b, children were observed participating in free-choice activities. A diaper change was observed, and all diapering procedures were followed. The group from Space #4 was observed in the outdoor learning environment, lining up to come back inside. During the transition back inside, the teacher used a name-to-face checklist to account for all children during three checkpoints (while lining up at the fence, while lining up at the facility’s exit door, and while lining up at the classroom door). During the transition, four children were observed horseplaying and hitting each other. When the group transitioned back to the classroom, children were observed horseplaying, laying on tables, and standing on chairs while waiting to use the bathroom and wash their hands. After the group used the bathroom and washed their hands, they were served cold water. As children sat down and drank water, the assistant director came into the classroom to tell the children a story. The story was about the friendship between a unicorn and a dragon. The assistant director asked the children to make up names for the characters in the story. The children named the unicorn “Fairy” and named the dragon “Apple”. In the story, the unicorn and dragon went on an adventure and built sandcastles. After telling the story, the assistant director asked the children, “Have you ever built a sandcastle at the beach?” The children responded by saying, “Yes!” The assistant director asked the children, “What happened when you built the sandcastle?” One child responded by saying, “My brother knocked it down!” Another child responded by saying, “The water washed it away!” One child asked, “How can you make a sandcastle strong?” The assistant director responded by saying, “That’s a good question. That sounds like a science experiment. Do you think milk will work?” The children responded by saying, “No!” The assistant director asked, “Do you think chocolate pudding will work?” The children responded by saying, “No!” The assistant director asked, “What about glue? Do you think glue would work?” The children responded by saying, “No!” The assistant director said, “Maybe your teacher will let you have a science experiment this week, and we can figure out what makes sandcastles stand strong.” In Space #5, school aged children were observed participating in free-choice activities. A group of children was observed sitting at a table with various art and fine motor materials, talking with each other. Another group of children was observed sitting at a table with a teacher, completing a puzzle. Routine care and handwashing practices were observed. Lunch consisted of turkey, ham, and cheese sandwich, salad with ranch dressing, mandarin oranges, and milk. Two recently hired staff members’ files were reviewed. Two staff members did not complete a First Aid course within 90 days of employment. At the completion of the visit, the Visit Summary was reviewed with S. Bethea. The following violations were observed: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. In Space #3a, four damaged books were observed in the library area. When this was brought to the teacher's attention, she made the damaged books inaccessible to the children. G.S. 110-91(6); .0601(b) 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. Two teachers (T.C. and J.S.) did not obtain first aid certification within 90 days of employment. .1102(c) 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 18, 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 First Aid Training Requirements A violation was cited today for staff members not obtaining first aid certification within 90 days of employment. Staff trained in pediatric first aid, including pediatric CPR, coupled with a facility that has been designed or modified to ensure the safety of children, can mitigate the consequences of injury, and reduce the potential for death from life-threatening conditions. First aid skills are the most likely tools caregivers/teachers will need. Minor injuries are common. For emergency situations that require attention from a health professional, first aid procedures can be used to control the situation until a health professional can provide definitive care. The administrator stated that she was unaware that the “heart saver” label needed to be included on certificated from the American Heart Association to represent that First Aid was included in the course. I encouraged the administrator to always scan the QR code on the certificate or call the number of the training center that is listed on the certificate to get clarity about the type of certificate issued. More information about first aid training requirements can be found in child care rule 10A NCAC 09 .1102(c). Infant/Toddler Classroom Observation I discussed the results of my observation in Space #1 with S. Bethea. I encouraged S. Bethea to have teachers continue to facilitate infants’ exploration by giving them space to explore, following their attention and interest, and building on those interests to create learning opportunities because infants need to be interested and engaged to learn new things. Some strategies for facilitating exploration are: 1) initiating interactions, playing and talking to infants during routine play, mirroring behaviors; 2) giving infants opportunities to safely explore the classroom and things that interest them; 3) encouraging infants to persist in experiences by providing verbal encouragement, enthusiasm, and variations that keep them interested and create learning opportunities. Preschool Classroom Observation I discussed the results of my observation in Space #4 with S. Bethea. Children were engaged in classroom activities and were responsive to the teacher. There were ample materials in each interest center for children to use at their choice. I encouraged S. Bethea to have staff implement chants such as “One, two, three, look at me” to get children’s attention and to let them know they need to quiet down. This will help control the noise level in a classroom. I also encouraged the teacher to be mindful of where children are placed when they line up. Children who are likely to hit or horseplay should be placed away from each other or should remain close to the teacher while transitioning from one space to another. School Age Classroom Observation I discussed the results of my observation in Space #5 with S. Bethea. I encouraged S. Bethea to have staff continue to interact with children by showing interest, commenting, and asking questions about what they are doing and the comments they make. I also encouraged S. Bethea to have staff continue to take moments to check-in with each child to see how they are doing and what their needs are. Take the Survey: Help Us Prepare Your Pathway While the new QRIS rules are not yet effective, the Division is preparing for a gradual transition to the new requirements. Resources, forms, and training will be provided to support the transition to the new pathways to earn your Two- through Five-Star Rated License. To assist us in that process, we would love to hear from you! A survey was sent out to all licensed early care and education facilities. If you haven’t already done so, please consider completing it so we’ll know how we can best serve you in preparing for this transition. As a reminder, resources can be found on the QRIS Modernization page on the DCDEE website. To complete the survey, visit https://northchealth.az1.qualtrics.com/jfe/form/SV_3rxLoX0PcJUR5Qy. Healthy Social Behaviors Webinar: Transitions Transitions can be confusing and difficult for some children. Join this free Healthy Social Behaviors Helpline webinar to discuss strategies that can help children predict what to expect to make transitions smoother and engaging. The webinar will take place on June 17, 2025, from 7:00 – 8:00PM. The webinar can be accessed at https://ccrinc.zoom.us/j/3677997738. NCAEYC Advocacy Circle: A Space to be Heard Advocacy doesn’t have to be scary. The most influential change happens when passionate people get together to push for progress on a grassroots level. The North Carolina Association for the Education of Young Children Advocacy Circle is a safe space to team up with other early education professionals and discuss localized ways to help our profession thrive. The NCAEYC Advocacy Circle is open to all individuals passionate about early education in North Carolina. The event will take place on June 10, 2025, from 12:00 – 1:00PM. To register, visit https://us02web.zoom.us/meeting/register/hQLDZgyzTMGRfM0SaPKP0A#/registration. DCDEE Child Care Consultant Contact Information 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: THE SUNSHINE HOUSE, INC. #146 Facility ID: 26001543 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 6/4/2025 Number Present: 43 Completed Date: 6/4/2025 Age: From 0 To 11 Total Minutes: 240 Time In: 09:15 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 on January 07, 2025, and prior to today’s visit, the eighteen-month compliance history score was at 96%, which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a 3-Star License issued February 19, 2021. The license was based on the program earning 5 points in education standards, 2 points in program standards, and one quality point by choosing to meet a programmatic option of using a developmentally appropriate curriculum. The information on record was verified as correct by Sierra Bethea, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on May 01, 2025. Fire Classification of Approved for Day Time Only was completed on November 05, 2024. S. Bethea was present while I observed the indoor and outdoor areas. Upon my arrival, forty-three (43) children and six (6) teachers were present. Groups of children were observed participating in free-choice indoor and outdoor activities. Children had access to blocks, fine motor, dramatic play, creative art, and literacy materials. In Space #1, infants were observed sitting and laying in a carpeted area with a teacher, participating in tummy-time activities. The infants had access to various soft toys, musical toys, stacking cones, and books. Infant feeding plans and documentation of visual sleep checks were available for review. There were no children enrolled in Space #2, but the space was monitored for general health and safety requirements. In Space #3a, the group was observed transitioning to the outdoor learning environment for outdoor play. In the outdoor learning environment, children had access to balls, riding toys, hula hoops, and a stationary playhouse. Four damaged books were observed in the library area. In Space #3b, children were observed participating in free-choice activities. A diaper change was observed, and all diapering procedures were followed. The group from Space #4 was observed in the outdoor learning environment, lining up to come back inside. During the transition back inside, the teacher used a name-to-face checklist to account for all children during three checkpoints (while lining up at the fence, while lining up at the facility’s exit door, and while lining up at the classroom door). During the transition, four children were observed horseplaying and hitting each other. When the group transitioned back to the classroom, children were observed horseplaying, laying on tables, and standing on chairs while waiting to use the bathroom and wash their hands. After the group used the bathroom and washed their hands, they were served cold water. As children sat down and drank water, the assistant director came into the classroom to tell the children a story. The story was about the friendship between a unicorn and a dragon. The assistant director asked the children to make up names for the characters in the story. The children named the unicorn “Fairy” and named the dragon “Apple”. In the story, the unicorn and dragon went on an adventure and built sandcastles. After telling the story, the assistant director asked the children, “Have you ever built a sandcastle at the beach?” The children responded by saying, “Yes!” The assistant director asked the children, “What happened when you built the sandcastle?” One child responded by saying, “My brother knocked it down!” Another child responded by saying, “The water washed it away!” One child asked, “How can you make a sandcastle strong?” The assistant director responded by saying, “That’s a good question. That sounds like a science experiment. Do you think milk will work?” The children responded by saying, “No!” The assistant director asked, “Do you think chocolate pudding will work?” The children responded by saying, “No!” The assistant director asked, “What about glue? Do you think glue would work?” The children responded by saying, “No!” The assistant director said, “Maybe your teacher will let you have a science experiment this week, and we can figure out what makes sandcastles stand strong.” In Space #5, school aged children were observed participating in free-choice activities. A group of children was observed sitting at a table with various art and fine motor materials, talking with each other. Another group of children was observed sitting at a table with a teacher, completing a puzzle. Routine care and handwashing practices were observed. Lunch consisted of turkey, ham, and cheese sandwich, salad with ranch dressing, mandarin oranges, and milk. Two recently hired staff members’ files were reviewed. Two staff members did not complete a First Aid course within 90 days of employment. At the completion of the visit, the Visit Summary was reviewed with S. Bethea. The following violations were observed: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. In Space #3a, four damaged books were observed in the library area. When this was brought to the teacher's attention, she made the damaged books inaccessible to the children. G.S. 110-91(6); .0601(b) 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. Two teachers (T.C. and J.S.) did not obtain first aid certification within 90 days of employment. .1102(c) 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 18, 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 First Aid Training Requirements A violation was cited today for staff members not obtaining first aid certification within 90 days of employment. Staff trained in pediatric first aid, including pediatric CPR, coupled with a facility that has been designed or modified to ensure the safety of children, can mitigate the consequences of injury, and reduce the potential for death from life-threatening conditions. First aid skills are the most likely tools caregivers/teachers will need. Minor injuries are common. For emergency situations that require attention from a health professional, first aid procedures can be used to control the situation until a health professional can provide definitive care. The administrator stated that she was unaware that the “heart saver” label needed to be included on certificated from the American Heart Association to represent that First Aid was included in the course. I encouraged the administrator to always scan the QR code on the certificate or call the number of the training center that is listed on the certificate to get clarity about the type of certificate issued. More information about first aid training requirements can be found in child care rule 10A NCAC 09 .1102(c). Infant/Toddler Classroom Observation I discussed the results of my observation in Space #1 with S. Bethea. I encouraged S. Bethea to have teachers continue to facilitate infants’ exploration by giving them space to explore, following their attention and interest, and building on those interests to create learning opportunities because infants need to be interested and engaged to learn new things. Some strategies for facilitating exploration are: 1) initiating interactions, playing and talking to infants during routine play, mirroring behaviors; 2) giving infants opportunities to safely explore the classroom and things that interest them; 3) encouraging infants to persist in experiences by providing verbal encouragement, enthusiasm, and variations that keep them interested and create learning opportunities. Preschool Classroom Observation I discussed the results of my observation in Space #4 with S. Bethea. Children were engaged in classroom activities and were responsive to the teacher. There were ample materials in each interest center for children to use at their choice. I encouraged S. Bethea to have staff implement chants such as “One, two, three, look at me” to get children’s attention and to let them know they need to quiet down. This will help control the noise level in a classroom. I also encouraged the teacher to be mindful of where children are placed when they line up. Children who are likely to hit or horseplay should be placed away from each other or should remain close to the teacher while transitioning from one space to another. School Age Classroom Observation I discussed the results of my observation in Space #5 with S. Bethea. I encouraged S. Bethea to have staff continue to interact with children by showing interest, commenting, and asking questions about what they are doing and the comments they make. I also encouraged S. Bethea to have staff continue to take moments to check-in with each child to see how they are doing and what their needs are. Take the Survey: Help Us Prepare Your Pathway While the new QRIS rules are not yet effective, the Division is preparing for a gradual transition to the new requirements. Resources, forms, and training will be provided to support the transition to the new pathways to earn your Two- through Five-Star Rated License. To assist us in that process, we would love to hear from you! A survey was sent out to all licensed early care and education facilities. If you haven’t already done so, please consider completing it so we’ll know how we can best serve you in preparing for this transition. As a reminder, resources can be found on the QRIS Modernization page on the DCDEE website. To complete the survey, visit https://northchealth.az1.qualtrics.com/jfe/form/SV_3rxLoX0PcJUR5Qy. Healthy Social Behaviors Webinar: Transitions Transitions can be confusing and difficult for some children. Join this free Healthy Social Behaviors Helpline webinar to discuss strategies that can help children predict what to expect to make transitions smoother and engaging. The webinar will take place on June 17, 2025, from 7:00 – 8:00PM. The webinar can be accessed at https://ccrinc.zoom.us/j/3677997738. NCAEYC Advocacy Circle: A Space to be Heard Advocacy doesn’t have to be scary. The most influential change happens when passionate people get together to push for progress on a grassroots level. The North Carolina Association for the Education of Young Children Advocacy Circle is a safe space to team up with other early education professionals and discuss localized ways to help our profession thrive. The NCAEYC Advocacy Circle is open to all individuals passionate about early education in North Carolina. The event will take place on June 10, 2025, from 12:00 – 1:00PM. To register, visit https://us02web.zoom.us/meeting/register/hQLDZgyzTMGRfM0SaPKP0A#/registration. DCDEE Child Care Consultant Contact Information 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 .0509 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. #146 Facility ID: 26001543 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 1/7/2025 Number Present: 33 Completed Date: 1/7/2025 Age: From 0 To 5 Total Minutes: 350 Time In: 09:30 AM Time Out: 03:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to an Annual Compliance visit, including Health and Safety Training. The previous Annual Compliance visit was completed on January 22, 2024 and prior to today’s visit, the eighteen-month compliance history score was 97% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a 3-Star License issued February 19, 2021. The license was based on the program earning 5 points in education standards, 2 points in program standards, and one quality point by choosing to meet a programmatic option of using a developmentally appropriate curriculum. The information on record was verified as correct by Sierra Bethea, Administrator. The owner’s corporation status was listed as current-active on the Secretary of State’s website. Current Inspections are as follows: Sanitation Classification of Superior was completed on February 21, 2024. Fire Classification of Approved for Day Time Only was completed on August 14, 2024. S. Bethea, Administrator, was present while I observed the indoor and outdoor areas. Upon my arrival, thirty-three (33) children and eight (8) teachers were present. Children were observed participating in free-choice activities in their classrooms. Children had access to blocks, fine-motor, dramatic-play, creative art, music, and literacy materials. In Space #1, children were observed participating in tummy-time activities, free-choice activities, and sleeping in individual cribs. Space #2 was closed. However, the space was monitored for general health and safety requirements. In Space #3a, children were observed participating in free-choice activities. Several carboard blocks were observed torn. Other types of blocks or block-related activities were not available for children. In Space #3b, children were observed sitting on the carpet with their teachers, pretending to cook and eat food. In Space #4, children were observed participating in various block-building, playdough, and art activities. There were no children present in Space #5. The space was used for afterschool care. The space was monitored for general health and safety requirements. The lights were not working in the bathroom in Space #5. Routine care and handwashing practices were observed. Lunch consisted of chicken alfredo, broccoli, diced pears, bread roll, and milk. Due to the cold weather, children were not observed playing outside during the visit. The outdoor learning environment was monitored for playground safety requirements. In Outdoor Area #2, the bottom of the fence next to the gate was observed in poor repair. The bottom horizontal rail of the fence was observed separated from the rail end cups. The Annual Compliance Checklist was used to notate the child care requirements today. Three staff files were reviewed, and all documentation was in compliance with applicable child care rules. Four children's records were reviewed, and all documentation was observed in compliance with applicable child care rules. Program files, including the EPR plan, were reviewed and all documentation was in compliance with applicable child care rules. The most recent fire drill was completed on December 17, 2024. The most recent shelter-in-place drill was completed on October 30, 2024. The most recent playground inspection was completed on December 24, 2024. Transportation requirements were also observed in compliance. At the completion of the visit, the Visit Summary was reviewed with S. Bethea. The following violations were observed: Violation Number Comment Rule 434 The materials and equipment indoors and outdoors were not sufficient to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. In Space #3a, there was an insufficient amount of materials in the block area. One set of damaged cardboard boxes were observed in the block area, and needed to be removed. Another set of blocks was not available for the children. 10A NCAC 09 .0509(2) 721 All equipment and furnishings were not in good repair. In Space #3a, several torn cardboard boxes were observed in the block area. In Outdoor Area #2, the bottom of the fence next to the gate was observed in poor repair. The bottom horizontal rail of the fence was observed loosened from the rail end cups, which caused the bottom of the fence to separate from the fence base. G.S. 110-91(6); .0601(b) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. In Space #5, the bathroom was observed with insufficient lighting. The lights and vent fan were not working. 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 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 January 21, 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 Safe Indoor and Outdoor Environment A violation was cited today for torn blocks observed in Space #3a. A fence was also observed in poor repair. According to child care rule 10A NCAC 09 .0601(b-d), all equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. Staff of the center shall immediately remove all equipment and furnishings that do not meet the requirements of Paragraphs (b) and (c) of this Rule from the premises or make the equipment or furnishings inaccessible to the children. The cardboard blocks were removed from the classroom. The administrator stated that she will put in a work order to repair the fence. Lighting Requirements A violation was cited today for lights that were observed not working in a bathroom in Space #5. According to child care sanitation rule 15A NCAC 18A .2826(a), in child care centers, all rooms and enclosed areas shall be lighted by natural or artificial means. Lighting shall be capable of illumination to at least 50 foot-candles at work surfaces in kitchens and diaper changing areas and at children's work tables, desks and easels. Lighting shall be capable of illumination to at least 10 foot-candles of light, at 30 inches above the floor, in all other areas, including storage rooms. Light fixtures in all areas shall be kept clean and in good repair. Shielded or shatterproof bulbs shall be used in food preparation, storage, and serving areas and in all rooms used by children. The administrator stated that a work order has already been put in to replace the light bulbs. Material Requirements A violation was cited today for an insufficient amount of materials in Space #3a. According to child care rule 10A NCAC 09 .0509(2) and .0510(d)(1), the materials and equipment indoors and outdoors shall be sufficient to provide a variety of play experiences that promote the children's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development. Additionally, when preschool children three years old and older are in care, the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. The administrator stated that she will replace the damaged blocks. She also plans to move the three-year-old child to another classroom, which will return Space #3a to a two-year-old classroom. Gross Motor Activities During Inclement Weather I suggested for the teachers to provide alternative gross motor activities during inclement weather. For example, dancing, exercising, or marching in a marching band. Reminders Your facility’s sanitation inspection is due to expire on February 21, 2025. I encouraged the administrator to contact the Environmental Health Department at (910) 433-3618 to schedule a sanitation inspection as soon as possible. Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and Elementary 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. 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 .0601 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. #146 Facility ID: 26001543 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 1/7/2025 Number Present: 33 Completed Date: 1/7/2025 Age: From 0 To 5 Total Minutes: 350 Time In: 09:30 AM Time Out: 03:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to an Annual Compliance visit, including Health and Safety Training. The previous Annual Compliance visit was completed on January 22, 2024 and prior to today’s visit, the eighteen-month compliance history score was 97% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a 3-Star License issued February 19, 2021. The license was based on the program earning 5 points in education standards, 2 points in program standards, and one quality point by choosing to meet a programmatic option of using a developmentally appropriate curriculum. The information on record was verified as correct by Sierra Bethea, Administrator. The owner’s corporation status was listed as current-active on the Secretary of State’s website. Current Inspections are as follows: Sanitation Classification of Superior was completed on February 21, 2024. Fire Classification of Approved for Day Time Only was completed on August 14, 2024. S. Bethea, Administrator, was present while I observed the indoor and outdoor areas. Upon my arrival, thirty-three (33) children and eight (8) teachers were present. Children were observed participating in free-choice activities in their classrooms. Children had access to blocks, fine-motor, dramatic-play, creative art, music, and literacy materials. In Space #1, children were observed participating in tummy-time activities, free-choice activities, and sleeping in individual cribs. Space #2 was closed. However, the space was monitored for general health and safety requirements. In Space #3a, children were observed participating in free-choice activities. Several carboard blocks were observed torn. Other types of blocks or block-related activities were not available for children. In Space #3b, children were observed sitting on the carpet with their teachers, pretending to cook and eat food. In Space #4, children were observed participating in various block-building, playdough, and art activities. There were no children present in Space #5. The space was used for afterschool care. The space was monitored for general health and safety requirements. The lights were not working in the bathroom in Space #5. Routine care and handwashing practices were observed. Lunch consisted of chicken alfredo, broccoli, diced pears, bread roll, and milk. Due to the cold weather, children were not observed playing outside during the visit. The outdoor learning environment was monitored for playground safety requirements. In Outdoor Area #2, the bottom of the fence next to the gate was observed in poor repair. The bottom horizontal rail of the fence was observed separated from the rail end cups. The Annual Compliance Checklist was used to notate the child care requirements today. Three staff files were reviewed, and all documentation was in compliance with applicable child care rules. Four children's records were reviewed, and all documentation was observed in compliance with applicable child care rules. Program files, including the EPR plan, were reviewed and all documentation was in compliance with applicable child care rules. The most recent fire drill was completed on December 17, 2024. The most recent shelter-in-place drill was completed on October 30, 2024. The most recent playground inspection was completed on December 24, 2024. Transportation requirements were also observed in compliance. At the completion of the visit, the Visit Summary was reviewed with S. Bethea. The following violations were observed: Violation Number Comment Rule 434 The materials and equipment indoors and outdoors were not sufficient to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. In Space #3a, there was an insufficient amount of materials in the block area. One set of damaged cardboard boxes were observed in the block area, and needed to be removed. Another set of blocks was not available for the children. 10A NCAC 09 .0509(2) 721 All equipment and furnishings were not in good repair. In Space #3a, several torn cardboard boxes were observed in the block area. In Outdoor Area #2, the bottom of the fence next to the gate was observed in poor repair. The bottom horizontal rail of the fence was observed loosened from the rail end cups, which caused the bottom of the fence to separate from the fence base. G.S. 110-91(6); .0601(b) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. In Space #5, the bathroom was observed with insufficient lighting. The lights and vent fan were not working. 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 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 January 21, 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 Safe Indoor and Outdoor Environment A violation was cited today for torn blocks observed in Space #3a. A fence was also observed in poor repair. According to child care rule 10A NCAC 09 .0601(b-d), all equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. Staff of the center shall immediately remove all equipment and furnishings that do not meet the requirements of Paragraphs (b) and (c) of this Rule from the premises or make the equipment or furnishings inaccessible to the children. The cardboard blocks were removed from the classroom. The administrator stated that she will put in a work order to repair the fence. Lighting Requirements A violation was cited today for lights that were observed not working in a bathroom in Space #5. According to child care sanitation rule 15A NCAC 18A .2826(a), in child care centers, all rooms and enclosed areas shall be lighted by natural or artificial means. Lighting shall be capable of illumination to at least 50 foot-candles at work surfaces in kitchens and diaper changing areas and at children's work tables, desks and easels. Lighting shall be capable of illumination to at least 10 foot-candles of light, at 30 inches above the floor, in all other areas, including storage rooms. Light fixtures in all areas shall be kept clean and in good repair. Shielded or shatterproof bulbs shall be used in food preparation, storage, and serving areas and in all rooms used by children. The administrator stated that a work order has already been put in to replace the light bulbs. Material Requirements A violation was cited today for an insufficient amount of materials in Space #3a. According to child care rule 10A NCAC 09 .0509(2) and .0510(d)(1), the materials and equipment indoors and outdoors shall be sufficient to provide a variety of play experiences that promote the children's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development. Additionally, when preschool children three years old and older are in care, the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. The administrator stated that she will replace the damaged blocks. She also plans to move the three-year-old child to another classroom, which will return Space #3a to a two-year-old classroom. Gross Motor Activities During Inclement Weather I suggested for the teachers to provide alternative gross motor activities during inclement weather. For example, dancing, exercising, or marching in a marching band. Reminders Your facility’s sanitation inspection is due to expire on February 21, 2025. I encouraged the administrator to contact the Environmental Health Department at (910) 433-3618 to schedule a sanitation inspection as soon as possible. Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and Elementary 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. 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

G.S. 110-91 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. #146 Facility ID: 26001543 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 1/7/2025 Number Present: 33 Completed Date: 1/7/2025 Age: From 0 To 5 Total Minutes: 350 Time In: 09:30 AM Time Out: 03:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to an Annual Compliance visit, including Health and Safety Training. The previous Annual Compliance visit was completed on January 22, 2024 and prior to today’s visit, the eighteen-month compliance history score was 97% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a 3-Star License issued February 19, 2021. The license was based on the program earning 5 points in education standards, 2 points in program standards, and one quality point by choosing to meet a programmatic option of using a developmentally appropriate curriculum. The information on record was verified as correct by Sierra Bethea, Administrator. The owner’s corporation status was listed as current-active on the Secretary of State’s website. Current Inspections are as follows: Sanitation Classification of Superior was completed on February 21, 2024. Fire Classification of Approved for Day Time Only was completed on August 14, 2024. S. Bethea, Administrator, was present while I observed the indoor and outdoor areas. Upon my arrival, thirty-three (33) children and eight (8) teachers were present. Children were observed participating in free-choice activities in their classrooms. Children had access to blocks, fine-motor, dramatic-play, creative art, music, and literacy materials. In Space #1, children were observed participating in tummy-time activities, free-choice activities, and sleeping in individual cribs. Space #2 was closed. However, the space was monitored for general health and safety requirements. In Space #3a, children were observed participating in free-choice activities. Several carboard blocks were observed torn. Other types of blocks or block-related activities were not available for children. In Space #3b, children were observed sitting on the carpet with their teachers, pretending to cook and eat food. In Space #4, children were observed participating in various block-building, playdough, and art activities. There were no children present in Space #5. The space was used for afterschool care. The space was monitored for general health and safety requirements. The lights were not working in the bathroom in Space #5. Routine care and handwashing practices were observed. Lunch consisted of chicken alfredo, broccoli, diced pears, bread roll, and milk. Due to the cold weather, children were not observed playing outside during the visit. The outdoor learning environment was monitored for playground safety requirements. In Outdoor Area #2, the bottom of the fence next to the gate was observed in poor repair. The bottom horizontal rail of the fence was observed separated from the rail end cups. The Annual Compliance Checklist was used to notate the child care requirements today. Three staff files were reviewed, and all documentation was in compliance with applicable child care rules. Four children's records were reviewed, and all documentation was observed in compliance with applicable child care rules. Program files, including the EPR plan, were reviewed and all documentation was in compliance with applicable child care rules. The most recent fire drill was completed on December 17, 2024. The most recent shelter-in-place drill was completed on October 30, 2024. The most recent playground inspection was completed on December 24, 2024. Transportation requirements were also observed in compliance. At the completion of the visit, the Visit Summary was reviewed with S. Bethea. The following violations were observed: Violation Number Comment Rule 434 The materials and equipment indoors and outdoors were not sufficient to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. In Space #3a, there was an insufficient amount of materials in the block area. One set of damaged cardboard boxes were observed in the block area, and needed to be removed. Another set of blocks was not available for the children. 10A NCAC 09 .0509(2) 721 All equipment and furnishings were not in good repair. In Space #3a, several torn cardboard boxes were observed in the block area. In Outdoor Area #2, the bottom of the fence next to the gate was observed in poor repair. The bottom horizontal rail of the fence was observed loosened from the rail end cups, which caused the bottom of the fence to separate from the fence base. G.S. 110-91(6); .0601(b) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. In Space #5, the bathroom was observed with insufficient lighting. The lights and vent fan were not working. 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 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 January 21, 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 Safe Indoor and Outdoor Environment A violation was cited today for torn blocks observed in Space #3a. A fence was also observed in poor repair. According to child care rule 10A NCAC 09 .0601(b-d), all equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. Staff of the center shall immediately remove all equipment and furnishings that do not meet the requirements of Paragraphs (b) and (c) of this Rule from the premises or make the equipment or furnishings inaccessible to the children. The cardboard blocks were removed from the classroom. The administrator stated that she will put in a work order to repair the fence. Lighting Requirements A violation was cited today for lights that were observed not working in a bathroom in Space #5. According to child care sanitation rule 15A NCAC 18A .2826(a), in child care centers, all rooms and enclosed areas shall be lighted by natural or artificial means. Lighting shall be capable of illumination to at least 50 foot-candles at work surfaces in kitchens and diaper changing areas and at children's work tables, desks and easels. Lighting shall be capable of illumination to at least 10 foot-candles of light, at 30 inches above the floor, in all other areas, including storage rooms. Light fixtures in all areas shall be kept clean and in good repair. Shielded or shatterproof bulbs shall be used in food preparation, storage, and serving areas and in all rooms used by children. The administrator stated that a work order has already been put in to replace the light bulbs. Material Requirements A violation was cited today for an insufficient amount of materials in Space #3a. According to child care rule 10A NCAC 09 .0509(2) and .0510(d)(1), the materials and equipment indoors and outdoors shall be sufficient to provide a variety of play experiences that promote the children's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development. Additionally, when preschool children three years old and older are in care, the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. The administrator stated that she will replace the damaged blocks. She also plans to move the three-year-old child to another classroom, which will return Space #3a to a two-year-old classroom. Gross Motor Activities During Inclement Weather I suggested for the teachers to provide alternative gross motor activities during inclement weather. For example, dancing, exercising, or marching in a marching band. Reminders Your facility’s sanitation inspection is due to expire on February 21, 2025. I encouraged the administrator to contact the Environmental Health Department at (910) 433-3618 to schedule a sanitation inspection as soon as possible. Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and Elementary 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. 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

GS 110-91 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. #146 Facility ID: 26001543 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 1/7/2025 Number Present: 33 Completed Date: 1/7/2025 Age: From 0 To 5 Total Minutes: 350 Time In: 09:30 AM Time Out: 03:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to an Annual Compliance visit, including Health and Safety Training. The previous Annual Compliance visit was completed on January 22, 2024 and prior to today’s visit, the eighteen-month compliance history score was 97% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a 3-Star License issued February 19, 2021. The license was based on the program earning 5 points in education standards, 2 points in program standards, and one quality point by choosing to meet a programmatic option of using a developmentally appropriate curriculum. The information on record was verified as correct by Sierra Bethea, Administrator. The owner’s corporation status was listed as current-active on the Secretary of State’s website. Current Inspections are as follows: Sanitation Classification of Superior was completed on February 21, 2024. Fire Classification of Approved for Day Time Only was completed on August 14, 2024. S. Bethea, Administrator, was present while I observed the indoor and outdoor areas. Upon my arrival, thirty-three (33) children and eight (8) teachers were present. Children were observed participating in free-choice activities in their classrooms. Children had access to blocks, fine-motor, dramatic-play, creative art, music, and literacy materials. In Space #1, children were observed participating in tummy-time activities, free-choice activities, and sleeping in individual cribs. Space #2 was closed. However, the space was monitored for general health and safety requirements. In Space #3a, children were observed participating in free-choice activities. Several carboard blocks were observed torn. Other types of blocks or block-related activities were not available for children. In Space #3b, children were observed sitting on the carpet with their teachers, pretending to cook and eat food. In Space #4, children were observed participating in various block-building, playdough, and art activities. There were no children present in Space #5. The space was used for afterschool care. The space was monitored for general health and safety requirements. The lights were not working in the bathroom in Space #5. Routine care and handwashing practices were observed. Lunch consisted of chicken alfredo, broccoli, diced pears, bread roll, and milk. Due to the cold weather, children were not observed playing outside during the visit. The outdoor learning environment was monitored for playground safety requirements. In Outdoor Area #2, the bottom of the fence next to the gate was observed in poor repair. The bottom horizontal rail of the fence was observed separated from the rail end cups. The Annual Compliance Checklist was used to notate the child care requirements today. Three staff files were reviewed, and all documentation was in compliance with applicable child care rules. Four children's records were reviewed, and all documentation was observed in compliance with applicable child care rules. Program files, including the EPR plan, were reviewed and all documentation was in compliance with applicable child care rules. The most recent fire drill was completed on December 17, 2024. The most recent shelter-in-place drill was completed on October 30, 2024. The most recent playground inspection was completed on December 24, 2024. Transportation requirements were also observed in compliance. At the completion of the visit, the Visit Summary was reviewed with S. Bethea. The following violations were observed: Violation Number Comment Rule 434 The materials and equipment indoors and outdoors were not sufficient to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. In Space #3a, there was an insufficient amount of materials in the block area. One set of damaged cardboard boxes were observed in the block area, and needed to be removed. Another set of blocks was not available for the children. 10A NCAC 09 .0509(2) 721 All equipment and furnishings were not in good repair. In Space #3a, several torn cardboard boxes were observed in the block area. In Outdoor Area #2, the bottom of the fence next to the gate was observed in poor repair. The bottom horizontal rail of the fence was observed loosened from the rail end cups, which caused the bottom of the fence to separate from the fence base. G.S. 110-91(6); .0601(b) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. In Space #5, the bathroom was observed with insufficient lighting. The lights and vent fan were not working. 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 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 January 21, 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 Safe Indoor and Outdoor Environment A violation was cited today for torn blocks observed in Space #3a. A fence was also observed in poor repair. According to child care rule 10A NCAC 09 .0601(b-d), all equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. Staff of the center shall immediately remove all equipment and furnishings that do not meet the requirements of Paragraphs (b) and (c) of this Rule from the premises or make the equipment or furnishings inaccessible to the children. The cardboard blocks were removed from the classroom. The administrator stated that she will put in a work order to repair the fence. Lighting Requirements A violation was cited today for lights that were observed not working in a bathroom in Space #5. According to child care sanitation rule 15A NCAC 18A .2826(a), in child care centers, all rooms and enclosed areas shall be lighted by natural or artificial means. Lighting shall be capable of illumination to at least 50 foot-candles at work surfaces in kitchens and diaper changing areas and at children's work tables, desks and easels. Lighting shall be capable of illumination to at least 10 foot-candles of light, at 30 inches above the floor, in all other areas, including storage rooms. Light fixtures in all areas shall be kept clean and in good repair. Shielded or shatterproof bulbs shall be used in food preparation, storage, and serving areas and in all rooms used by children. The administrator stated that a work order has already been put in to replace the light bulbs. Material Requirements A violation was cited today for an insufficient amount of materials in Space #3a. According to child care rule 10A NCAC 09 .0509(2) and .0510(d)(1), the materials and equipment indoors and outdoors shall be sufficient to provide a variety of play experiences that promote the children's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development. Additionally, when preschool children three years old and older are in care, the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. The administrator stated that she will replace the damaged blocks. She also plans to move the three-year-old child to another classroom, which will return Space #3a to a two-year-old classroom. Gross Motor Activities During Inclement Weather I suggested for the teachers to provide alternative gross motor activities during inclement weather. For example, dancing, exercising, or marching in a marching band. Reminders Your facility’s sanitation inspection is due to expire on February 21, 2025. I encouraged the administrator to contact the Environmental Health Department at (910) 433-3618 to schedule a sanitation inspection as soon as possible. Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and Elementary 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. 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: THE SUNSHINE HOUSE, INC. #146 Facility ID: 26001543 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 1/7/2025 Number Present: 33 Completed Date: 1/7/2025 Age: From 0 To 5 Total Minutes: 350 Time In: 09:30 AM Time Out: 03:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to an Annual Compliance visit, including Health and Safety Training. The previous Annual Compliance visit was completed on January 22, 2024 and prior to today’s visit, the eighteen-month compliance history score was 97% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a 3-Star License issued February 19, 2021. The license was based on the program earning 5 points in education standards, 2 points in program standards, and one quality point by choosing to meet a programmatic option of using a developmentally appropriate curriculum. The information on record was verified as correct by Sierra Bethea, Administrator. The owner’s corporation status was listed as current-active on the Secretary of State’s website. Current Inspections are as follows: Sanitation Classification of Superior was completed on February 21, 2024. Fire Classification of Approved for Day Time Only was completed on August 14, 2024. S. Bethea, Administrator, was present while I observed the indoor and outdoor areas. Upon my arrival, thirty-three (33) children and eight (8) teachers were present. Children were observed participating in free-choice activities in their classrooms. Children had access to blocks, fine-motor, dramatic-play, creative art, music, and literacy materials. In Space #1, children were observed participating in tummy-time activities, free-choice activities, and sleeping in individual cribs. Space #2 was closed. However, the space was monitored for general health and safety requirements. In Space #3a, children were observed participating in free-choice activities. Several carboard blocks were observed torn. Other types of blocks or block-related activities were not available for children. In Space #3b, children were observed sitting on the carpet with their teachers, pretending to cook and eat food. In Space #4, children were observed participating in various block-building, playdough, and art activities. There were no children present in Space #5. The space was used for afterschool care. The space was monitored for general health and safety requirements. The lights were not working in the bathroom in Space #5. Routine care and handwashing practices were observed. Lunch consisted of chicken alfredo, broccoli, diced pears, bread roll, and milk. Due to the cold weather, children were not observed playing outside during the visit. The outdoor learning environment was monitored for playground safety requirements. In Outdoor Area #2, the bottom of the fence next to the gate was observed in poor repair. The bottom horizontal rail of the fence was observed separated from the rail end cups. The Annual Compliance Checklist was used to notate the child care requirements today. Three staff files were reviewed, and all documentation was in compliance with applicable child care rules. Four children's records were reviewed, and all documentation was observed in compliance with applicable child care rules. Program files, including the EPR plan, were reviewed and all documentation was in compliance with applicable child care rules. The most recent fire drill was completed on December 17, 2024. The most recent shelter-in-place drill was completed on October 30, 2024. The most recent playground inspection was completed on December 24, 2024. Transportation requirements were also observed in compliance. At the completion of the visit, the Visit Summary was reviewed with S. Bethea. The following violations were observed: Violation Number Comment Rule 434 The materials and equipment indoors and outdoors were not sufficient to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. In Space #3a, there was an insufficient amount of materials in the block area. One set of damaged cardboard boxes were observed in the block area, and needed to be removed. Another set of blocks was not available for the children. 10A NCAC 09 .0509(2) 721 All equipment and furnishings were not in good repair. In Space #3a, several torn cardboard boxes were observed in the block area. In Outdoor Area #2, the bottom of the fence next to the gate was observed in poor repair. The bottom horizontal rail of the fence was observed loosened from the rail end cups, which caused the bottom of the fence to separate from the fence base. G.S. 110-91(6); .0601(b) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. In Space #5, the bathroom was observed with insufficient lighting. The lights and vent fan were not working. 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 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 January 21, 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 Safe Indoor and Outdoor Environment A violation was cited today for torn blocks observed in Space #3a. A fence was also observed in poor repair. According to child care rule 10A NCAC 09 .0601(b-d), all equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. Staff of the center shall immediately remove all equipment and furnishings that do not meet the requirements of Paragraphs (b) and (c) of this Rule from the premises or make the equipment or furnishings inaccessible to the children. The cardboard blocks were removed from the classroom. The administrator stated that she will put in a work order to repair the fence. Lighting Requirements A violation was cited today for lights that were observed not working in a bathroom in Space #5. According to child care sanitation rule 15A NCAC 18A .2826(a), in child care centers, all rooms and enclosed areas shall be lighted by natural or artificial means. Lighting shall be capable of illumination to at least 50 foot-candles at work surfaces in kitchens and diaper changing areas and at children's work tables, desks and easels. Lighting shall be capable of illumination to at least 10 foot-candles of light, at 30 inches above the floor, in all other areas, including storage rooms. Light fixtures in all areas shall be kept clean and in good repair. Shielded or shatterproof bulbs shall be used in food preparation, storage, and serving areas and in all rooms used by children. The administrator stated that a work order has already been put in to replace the light bulbs. Material Requirements A violation was cited today for an insufficient amount of materials in Space #3a. According to child care rule 10A NCAC 09 .0509(2) and .0510(d)(1), the materials and equipment indoors and outdoors shall be sufficient to provide a variety of play experiences that promote the children's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development. Additionally, when preschool children three years old and older are in care, the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. The administrator stated that she will replace the damaged blocks. She also plans to move the three-year-old child to another classroom, which will return Space #3a to a two-year-old classroom. Gross Motor Activities During Inclement Weather I suggested for the teachers to provide alternative gross motor activities during inclement weather. For example, dancing, exercising, or marching in a marching band. Reminders Your facility’s sanitation inspection is due to expire on February 21, 2025. I encouraged the administrator to contact the Environmental Health Department at (910) 433-3618 to schedule a sanitation inspection as soon as possible. Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and Elementary 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. 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: THE SUNSHINE HOUSE, INC. #146 Facility ID: 26001543 Consultant: TIFFANY REED Operation Type: Center Case Number: 1124-106L Visit Date: 11/19/2024 Number Present: 32 Completed Date: 11/19/2024 Age: From 0 To 4 Total Minutes: 290 Time In: 09:30 AM Time Out: 02:20 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 January 22, 2024, and prior to today’s visit, the eighteen-month compliance history score was at 97%, which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three-star license, issued February 19, 2021. The information on record with DCDEE was verified as correct by Sierra Bethea, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on February 21, 2024. Fire Classification of Satisfactory was completed on August 14, 2024. Allegations are as follows: There is a concern that staff are not interacting with children in a nurturing and caring manner. I was greeted today by S. Bethea, Administrator. Upon my arrival, there were thirty-two (32) children and six (6) teachers present. Children were observed participating in free-choice activities. In Space #1, children were observed participating in free-choice and tummy time activities. The teachers were observed feeding individual children bottles and baby food. The children from Space #2 were moved to Space #4. In Space #3a, children were observed in a carpeted area with blocks, building various structures. The teacher was observed sitting on the floor, engaging in the activity with the children. In Space #3b, children were observed sitting at a table, rolling a ball back and forth to each other, while the teacher facilitated play. When one child attempted to climb on top of the table, the teacher said, “That’s not a good choice. Let’s get down.” The teacher spoke in a calm voice as she helped the child down from the table. The group from Space #4 was observed coming back inside from outdoor play. They came into the classroom, put their coats in their cubbies, washed their hands, and sat at the table. The teacher served the children cups of water, before transitioning to an art activity. Staff engaged in frequent, positive, and interactive language with individual children and groups of children by asking questions, responding to questions, and discussing their activities. Routine care and handwashing practices were observed. Lunch consisted of bean and cheese burrito, pinto beans, mango cubes, and milk. Two recently hired staff members’ files were reviewed. One staff member did not have a valid medical report on file. The allegations were discussed with the administrator. I interviewed the administrator and two additional teachers. During the interview with the administrator, she stated that she does not have any concerns regarding staff/child interactions. Whenever staff or parents come to her with concerns, she investigates the matter by conducting observations or reviewing camera footage. She stated that it is their policy to redirect the behaviors of children. The teachers have a Challenging Behavior Form to complete, documenting the behaviors of children when necessary. When a pattern of behavior is established, the information is sent to the company’s special accommodations team. A behavior specialist, from the special accommodations team visits and observes classrooms when necessary and gives teachers resources and techniques to work with individual children. The behavior specialist also schedules meetings with teachers and parents when necessary. The additional teachers who were interviewed confirmed they followed the same practice. 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 staff not interacting with children in a nurturing and caring manner. At the completion of the visit, the Visit Summary was reviewed with S. Bethea. 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 (C.N.) did not have a valid medical report on file (DOH: 10/18/24; Medical Report Completed: 3/16/21). 10A NCAC 09 .0701(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. Technical Assistance: Staff Medical File A violation was cited today for a staff member not having a valid medical report on file. According to Child Care Rule 10A NCAC 09 .0701(a), child care providers, and uncompensated providers who are not substitute providers or volunteers, 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. 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.

NC GS 110-90 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. #146 Facility ID: 26001543 Consultant: TIFFANY REED Operation Type: Center Case Number: 1124-106L Visit Date: 11/19/2024 Number Present: 32 Completed Date: 11/19/2024 Age: From 0 To 4 Total Minutes: 290 Time In: 09:30 AM Time Out: 02:20 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 January 22, 2024, and prior to today’s visit, the eighteen-month compliance history score was at 97%, which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Three-star license, issued February 19, 2021. The information on record with DCDEE was verified as correct by Sierra Bethea, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on February 21, 2024. Fire Classification of Satisfactory was completed on August 14, 2024. Allegations are as follows: There is a concern that staff are not interacting with children in a nurturing and caring manner. I was greeted today by S. Bethea, Administrator. Upon my arrival, there were thirty-two (32) children and six (6) teachers present. Children were observed participating in free-choice activities. In Space #1, children were observed participating in free-choice and tummy time activities. The teachers were observed feeding individual children bottles and baby food. The children from Space #2 were moved to Space #4. In Space #3a, children were observed in a carpeted area with blocks, building various structures. The teacher was observed sitting on the floor, engaging in the activity with the children. In Space #3b, children were observed sitting at a table, rolling a ball back and forth to each other, while the teacher facilitated play. When one child attempted to climb on top of the table, the teacher said, “That’s not a good choice. Let’s get down.” The teacher spoke in a calm voice as she helped the child down from the table. The group from Space #4 was observed coming back inside from outdoor play. They came into the classroom, put their coats in their cubbies, washed their hands, and sat at the table. The teacher served the children cups of water, before transitioning to an art activity. Staff engaged in frequent, positive, and interactive language with individual children and groups of children by asking questions, responding to questions, and discussing their activities. Routine care and handwashing practices were observed. Lunch consisted of bean and cheese burrito, pinto beans, mango cubes, and milk. Two recently hired staff members’ files were reviewed. One staff member did not have a valid medical report on file. The allegations were discussed with the administrator. I interviewed the administrator and two additional teachers. During the interview with the administrator, she stated that she does not have any concerns regarding staff/child interactions. Whenever staff or parents come to her with concerns, she investigates the matter by conducting observations or reviewing camera footage. She stated that it is their policy to redirect the behaviors of children. The teachers have a Challenging Behavior Form to complete, documenting the behaviors of children when necessary. When a pattern of behavior is established, the information is sent to the company’s special accommodations team. A behavior specialist, from the special accommodations team visits and observes classrooms when necessary and gives teachers resources and techniques to work with individual children. The behavior specialist also schedules meetings with teachers and parents when necessary. The additional teachers who were interviewed confirmed they followed the same practice. 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 staff not interacting with children in a nurturing and caring manner. At the completion of the visit, the Visit Summary was reviewed with S. Bethea. 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 (C.N.) did not have a valid medical report on file (DOH: 10/18/24; Medical Report Completed: 3/16/21). 10A NCAC 09 .0701(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. Technical Assistance: Staff Medical File A violation was cited today for a staff member not having a valid medical report on file. According to Child Care Rule 10A NCAC 09 .0701(a), child care providers, and uncompensated providers who are not substitute providers or volunteers, 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. 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 .0604 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. #146 Facility ID: 26001543 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 1/22/2024 Number Present: 37 Completed Date: 1/22/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 09:00 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous Annual Compliance visit was completed on February 15, 2023 and prior to today’s visit, the eighteen-month compliance history score was at 93% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a 3-Star License issued February 19, 2021. The license was based on the program earning 5 points in education standards, 2 points in program standards, and one quality point by choosing to meet a programmatic option of using a developmentally appropriate curriculum. The information on record was verified as correct by Sierra Bethea, Director. The owner’s corporation status was listed as current-active on the Secretary of State’s website. Current Inspections are as follows: Sanitation Classification of Superior was completed on February 23, 2023. Fire Classification of Approved for Day Time Only was completed on August 04, 2023. Jennifer Strickland, Child Care Consultant, accompanied me during today’s visit. S. Bethea, Director, was present while I observed the indoor and outdoor areas. Upon my arrival, thirty-seven (37) children and six (6) teachers were present. Children were observed participating in free-choice activities in their classrooms. Children had access to blocks, fine-motor, dramatic-play, creative art, music, and literacy materials. In Space #1, children were observed participating in tummy-time activities, sleeping in individual cribs, and being fed bottles by the teacher. One container of expired Gerber baby food (carrots) and two containers of expired Gerber rice cereal were stored on a food-prep shelf. In Space #2, children were observed participating in a whole group activity, reviewing seasons. In Space #3a, children were observed participating in free-choice activities. In Space #3b, children were observed sitting on the carpet with their teacher, participating in finger play and nursery rhyme activities. In Space #4, children were observed participating in a musical chairs activity. Routine care and handwashing practices were observed. Lunch consisted of spaghetti with marinara sauce, chicken patty, broccoli with cheese, mandarin oranges and milk. In Outdoor Area #1, a broken tunnel was stored on the playground used by infants and toddlers. Due to the cold weather, children were not observed playing outside during the visit. The Annual Compliance Checklist was used to notate the child care requirements today. Five staff files were reviewed, and all documents were in compliance. Twelve child files were reviewed. Two children’s file were missing health assessments. Program files, including the EPR plan, were reviewed and all documentation was in compliance. Transportation requirements were observed in compliance. At the completion of the visit, the Visit Summary was reviewed with S. Bethea. The following violations were 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. In Outdoor Area #1, a broken tunnel was stored in the playground used by infants and toddlers. The tunnel was immediately removed by the director and disposed of. 10A NCAC 09 .0604(p) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two children did not have a medical report or health assessment on file that was completed by a licensed physician or medical practitioner within thirty days after enrollment. GS110-91(1) 9999 A violation was found for which there is no item number. In space #1, two containers of expired Gerber rice cereal and one container of expired Gerber baby food (carrots) were stored on a shelf in the food-prep area. All of the expired items were immediately discarded by the teacher. This is a violation of requirements in Child Care Sanitation Rule 15A NCAC 18A .2804(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 February 05, 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: 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 Nutrition A violation was cited today for storing expired baby cereal and baby food in Space #1. According to Child Care Sanitation Rule .2804(a), in child care centers, food shall be free from spoilage, filth, or other contamination and shall be safe for human consumption. Medical Records A violation was cited today for children not having a health assessment on file that was completed by a licensed physician or medical practitioner. According to North Carolina General Statute G.S. 110-91(1), each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. Reminders Your facility’s sanitation inspection is due to expire on February 23, 2024. I suggested for the director to contact the Environmental Health Department at (910) 433-3618 to schedule a sanitation inspection as soon as possible. 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.

G.S. 110-91 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. #146 Facility ID: 26001543 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 1/22/2024 Number Present: 37 Completed Date: 1/22/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 09:00 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous Annual Compliance visit was completed on February 15, 2023 and prior to today’s visit, the eighteen-month compliance history score was at 93% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a 3-Star License issued February 19, 2021. The license was based on the program earning 5 points in education standards, 2 points in program standards, and one quality point by choosing to meet a programmatic option of using a developmentally appropriate curriculum. The information on record was verified as correct by Sierra Bethea, Director. The owner’s corporation status was listed as current-active on the Secretary of State’s website. Current Inspections are as follows: Sanitation Classification of Superior was completed on February 23, 2023. Fire Classification of Approved for Day Time Only was completed on August 04, 2023. Jennifer Strickland, Child Care Consultant, accompanied me during today’s visit. S. Bethea, Director, was present while I observed the indoor and outdoor areas. Upon my arrival, thirty-seven (37) children and six (6) teachers were present. Children were observed participating in free-choice activities in their classrooms. Children had access to blocks, fine-motor, dramatic-play, creative art, music, and literacy materials. In Space #1, children were observed participating in tummy-time activities, sleeping in individual cribs, and being fed bottles by the teacher. One container of expired Gerber baby food (carrots) and two containers of expired Gerber rice cereal were stored on a food-prep shelf. In Space #2, children were observed participating in a whole group activity, reviewing seasons. In Space #3a, children were observed participating in free-choice activities. In Space #3b, children were observed sitting on the carpet with their teacher, participating in finger play and nursery rhyme activities. In Space #4, children were observed participating in a musical chairs activity. Routine care and handwashing practices were observed. Lunch consisted of spaghetti with marinara sauce, chicken patty, broccoli with cheese, mandarin oranges and milk. In Outdoor Area #1, a broken tunnel was stored on the playground used by infants and toddlers. Due to the cold weather, children were not observed playing outside during the visit. The Annual Compliance Checklist was used to notate the child care requirements today. Five staff files were reviewed, and all documents were in compliance. Twelve child files were reviewed. Two children’s file were missing health assessments. Program files, including the EPR plan, were reviewed and all documentation was in compliance. Transportation requirements were observed in compliance. At the completion of the visit, the Visit Summary was reviewed with S. Bethea. The following violations were 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. In Outdoor Area #1, a broken tunnel was stored in the playground used by infants and toddlers. The tunnel was immediately removed by the director and disposed of. 10A NCAC 09 .0604(p) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two children did not have a medical report or health assessment on file that was completed by a licensed physician or medical practitioner within thirty days after enrollment. GS110-91(1) 9999 A violation was found for which there is no item number. In space #1, two containers of expired Gerber rice cereal and one container of expired Gerber baby food (carrots) were stored on a shelf in the food-prep area. All of the expired items were immediately discarded by the teacher. This is a violation of requirements in Child Care Sanitation Rule 15A NCAC 18A .2804(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 February 05, 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: 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 Nutrition A violation was cited today for storing expired baby cereal and baby food in Space #1. According to Child Care Sanitation Rule .2804(a), in child care centers, food shall be free from spoilage, filth, or other contamination and shall be safe for human consumption. Medical Records A violation was cited today for children not having a health assessment on file that was completed by a licensed physician or medical practitioner. According to North Carolina General Statute G.S. 110-91(1), each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. Reminders Your facility’s sanitation inspection is due to expire on February 23, 2024. I suggested for the director to contact the Environmental Health Department at (910) 433-3618 to schedule a sanitation inspection as soon as possible. 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

GS110-91 · Violation

Name of Operation: THE SUNSHINE HOUSE, INC. #146 Facility ID: 26001543 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 1/22/2024 Number Present: 37 Completed Date: 1/22/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 09:00 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous Annual Compliance visit was completed on February 15, 2023 and prior to today’s visit, the eighteen-month compliance history score was at 93% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a 3-Star License issued February 19, 2021. The license was based on the program earning 5 points in education standards, 2 points in program standards, and one quality point by choosing to meet a programmatic option of using a developmentally appropriate curriculum. The information on record was verified as correct by Sierra Bethea, Director. The owner’s corporation status was listed as current-active on the Secretary of State’s website. Current Inspections are as follows: Sanitation Classification of Superior was completed on February 23, 2023. Fire Classification of Approved for Day Time Only was completed on August 04, 2023. Jennifer Strickland, Child Care Consultant, accompanied me during today’s visit. S. Bethea, Director, was present while I observed the indoor and outdoor areas. Upon my arrival, thirty-seven (37) children and six (6) teachers were present. Children were observed participating in free-choice activities in their classrooms. Children had access to blocks, fine-motor, dramatic-play, creative art, music, and literacy materials. In Space #1, children were observed participating in tummy-time activities, sleeping in individual cribs, and being fed bottles by the teacher. One container of expired Gerber baby food (carrots) and two containers of expired Gerber rice cereal were stored on a food-prep shelf. In Space #2, children were observed participating in a whole group activity, reviewing seasons. In Space #3a, children were observed participating in free-choice activities. In Space #3b, children were observed sitting on the carpet with their teacher, participating in finger play and nursery rhyme activities. In Space #4, children were observed participating in a musical chairs activity. Routine care and handwashing practices were observed. Lunch consisted of spaghetti with marinara sauce, chicken patty, broccoli with cheese, mandarin oranges and milk. In Outdoor Area #1, a broken tunnel was stored on the playground used by infants and toddlers. Due to the cold weather, children were not observed playing outside during the visit. The Annual Compliance Checklist was used to notate the child care requirements today. Five staff files were reviewed, and all documents were in compliance. Twelve child files were reviewed. Two children’s file were missing health assessments. Program files, including the EPR plan, were reviewed and all documentation was in compliance. Transportation requirements were observed in compliance. At the completion of the visit, the Visit Summary was reviewed with S. Bethea. The following violations were 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. In Outdoor Area #1, a broken tunnel was stored in the playground used by infants and toddlers. The tunnel was immediately removed by the director and disposed of. 10A NCAC 09 .0604(p) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two children did not have a medical report or health assessment on file that was completed by a licensed physician or medical practitioner within thirty days after enrollment. GS110-91(1) 9999 A violation was found for which there is no item number. In space #1, two containers of expired Gerber rice cereal and one container of expired Gerber baby food (carrots) were stored on a shelf in the food-prep area. All of the expired items were immediately discarded by the teacher. This is a violation of requirements in Child Care Sanitation Rule 15A NCAC 18A .2804(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 February 05, 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: 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 Nutrition A violation was cited today for storing expired baby cereal and baby food in Space #1. According to Child Care Sanitation Rule .2804(a), in child care centers, food shall be free from spoilage, filth, or other contamination and shall be safe for human consumption. Medical Records A violation was cited today for children not having a health assessment on file that was completed by a licensed physician or medical practitioner. According to North Carolina General Statute G.S. 110-91(1), each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. Reminders Your facility’s sanitation inspection is due to expire on February 23, 2024. I suggested for the director to contact the Environmental Health Department at (910) 433-3618 to schedule a sanitation inspection as soon as possible. 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: THE SUNSHINE HOUSE, INC. #146 Facility ID: 26001543 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 1/22/2024 Number Present: 37 Completed Date: 1/22/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 09:00 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous Annual Compliance visit was completed on February 15, 2023 and prior to today’s visit, the eighteen-month compliance history score was at 93% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a 3-Star License issued February 19, 2021. The license was based on the program earning 5 points in education standards, 2 points in program standards, and one quality point by choosing to meet a programmatic option of using a developmentally appropriate curriculum. The information on record was verified as correct by Sierra Bethea, Director. The owner’s corporation status was listed as current-active on the Secretary of State’s website. Current Inspections are as follows: Sanitation Classification of Superior was completed on February 23, 2023. Fire Classification of Approved for Day Time Only was completed on August 04, 2023. Jennifer Strickland, Child Care Consultant, accompanied me during today’s visit. S. Bethea, Director, was present while I observed the indoor and outdoor areas. Upon my arrival, thirty-seven (37) children and six (6) teachers were present. Children were observed participating in free-choice activities in their classrooms. Children had access to blocks, fine-motor, dramatic-play, creative art, music, and literacy materials. In Space #1, children were observed participating in tummy-time activities, sleeping in individual cribs, and being fed bottles by the teacher. One container of expired Gerber baby food (carrots) and two containers of expired Gerber rice cereal were stored on a food-prep shelf. In Space #2, children were observed participating in a whole group activity, reviewing seasons. In Space #3a, children were observed participating in free-choice activities. In Space #3b, children were observed sitting on the carpet with their teacher, participating in finger play and nursery rhyme activities. In Space #4, children were observed participating in a musical chairs activity. Routine care and handwashing practices were observed. Lunch consisted of spaghetti with marinara sauce, chicken patty, broccoli with cheese, mandarin oranges and milk. In Outdoor Area #1, a broken tunnel was stored on the playground used by infants and toddlers. Due to the cold weather, children were not observed playing outside during the visit. The Annual Compliance Checklist was used to notate the child care requirements today. Five staff files were reviewed, and all documents were in compliance. Twelve child files were reviewed. Two children’s file were missing health assessments. Program files, including the EPR plan, were reviewed and all documentation was in compliance. Transportation requirements were observed in compliance. At the completion of the visit, the Visit Summary was reviewed with S. Bethea. The following violations were 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. In Outdoor Area #1, a broken tunnel was stored in the playground used by infants and toddlers. The tunnel was immediately removed by the director and disposed of. 10A NCAC 09 .0604(p) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two children did not have a medical report or health assessment on file that was completed by a licensed physician or medical practitioner within thirty days after enrollment. GS110-91(1) 9999 A violation was found for which there is no item number. In space #1, two containers of expired Gerber rice cereal and one container of expired Gerber baby food (carrots) were stored on a shelf in the food-prep area. All of the expired items were immediately discarded by the teacher. This is a violation of requirements in Child Care Sanitation Rule 15A NCAC 18A .2804(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 February 05, 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: 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 Nutrition A violation was cited today for storing expired baby cereal and baby food in Space #1. According to Child Care Sanitation Rule .2804(a), in child care centers, food shall be free from spoilage, filth, or other contamination and shall be safe for human consumption. Medical Records A violation was cited today for children not having a health assessment on file that was completed by a licensed physician or medical practitioner. According to North Carolina General Statute G.S. 110-91(1), each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. Reminders Your facility’s sanitation inspection is due to expire on February 23, 2024. I suggested for the director to contact the Environmental Health Department at (910) 433-3618 to schedule a sanitation inspection as soon as possible. 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