10A NCAC 09 .1703 · Violation

Name of Operation: TINY IMPRINTS CHILDCARE Facility ID: 26002437 Consultant: TIFFANY REED Operation Type: Family CC Home Case Number: Visit Date: 1/14/2026 Number Present: 4 Completed Date: 1/14/2026 Age: From 1 To 4 Total Minutes: 285 Time In: 09:30 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to an Annual Compliance Visit, including Health and Safety Training. The previous Annual Compliance Visit was completed on January 27, 2025, and prior to today’s visit, the eighteen-month compliance history score was 94%, 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 October 10, 2019. 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 restricting infant capacity to no more than two children under one year of age. The information on record was verified as correct by Syania McLean, Legal Designee. Current Inspections are as follows: Sanitation Classification of Approved was completed on November 24, 2025. Shanay Eason, Operator, and S. McLean, Legal Designee/Teacher, were present while I observed the indoor and outdoor areas. Four children were present upon my arrival. The children had access to blocks, fine motor, dramatic play, creative art, and literacy materials. The children were observed participating in free-choice activities and a leaf art activity. Routine care and handwashing practices were observed. Lunch consisted of ground beef, pasta, peas, mixed fruit, and milk. In the bathroom used by children, rust was observed on the sink faucet and light fixtures. The bathroom’s ceiling fan was covered with a pillow case that was secured with thumb tacks. The door frame surrounding the door that exits to the outdoor learning environment was damaged, exposing a narrow gap. The operator left at 10:15AM to go to an appointment. The children were not observed participating in outdoor play activities. S. McLean stated that they will go outside later this afternoon, weather permitting. The outdoor learning environment was monitored for health and safety requirements. Loose wooden planks and nails were observed on the fence, deck, and stair handrails. Holes were observed in the surfacing throughout the outdoor learning environment. Two staff files were reviewed. Two staff members did not complete CPR and First Aid courses prior to their certification’s expiration date. One staff member did not complete the required amount of annual on-going training hours, based on her education and experience. One child’s record was reviewed, and all documentation was observed in compliance with applicable child care rules. Program files, including the EPR plan, were reviewed. The most recent fire drill was completed on January 01, 2026. The most recent quarterly (lockdown) drill was completed on January 01, 2026. The most recent outdoor inspection was completed on January 01, 2026. The vehicle used to transport children was not on the premises and could not be monitored for transportation requirements. At the completion of the visit, the Visit Summary was reviewed with S. McLean. The following violations were observed: Violation Number Comment Rule 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification. The operator and additional teacher did not renew their first aid certification prior to the expiration date. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. The operator and additional teacher did not renew their CPR certification prior to the expiration date. .1703(a)(3) 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. In the outdoor learning environment, loose wooden planks and nails were observed on the fence, deck, and handrails. .1719(a)(1)&(17) 1301 Operator did not complete the required number of on-going training hours as specified in rule. An additional teacher did not complete the required amount of annual on-going training hours, based on her education and experience. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1544 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. The doorframe surrounding the door that exits to the outdoor learning environment was damaged, exposing a narrow gap. In the bathroom used by children, rust was observed on sink faucet and light fixtures. The bathroom’s ceiling fan was covered with a pillow case that was secured with thumb tacks. 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 28, 2026, 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 407 Hope Mills, NC 28348 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 Environment A violations were cited today for the condition of the bathroom and outdoor learning environment. The physical structure where children spend each day can present caregivers/teachers with special safety concerns if the structure is not kept in good repair and maintained in a safe condition. For example, peeling paint in an older building may be ingested, floor surfaces in disrepair could cause falls and other injury, bulging ceilings can collapse and cause injuries, and playground equipment and fences in poor repair can create entanglement and entrapment hazards. We discussed putting in maintenance requests to the landlord of the residence. We also discussed purchasing sand to fill in the holes throughout the surfacing of the outdoor learning environment. For more information about maintaining a safe environment, refer to child care rule 10A NCAC 09 .1719. CPR and First Aid Requirements Two violations were cited today for staff members not renewing their CPR and First Aid certifications prior to the expiration date. Staff members who are 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. Knowledge of pediatric first aid, including pediatric CPR which addresses management of a blocked airway and rescue breathing, and the confidence to use these skills, are critically important to the outcome of an emergency situation. The operator stated that they have already registered for a CPR and First Aid training course that will occur on January 24, 2026. More information about CPR and First Aid training requirements can be found in child care rule 10A NCAC 09 .1703(a)(2-3). Annual On-Going Training Requirements A violation was cited today for a staff member not meeting the required annual on-going training hours, based on her experience and education. According to Child Care Rule .1703(d), after the first year of employment, the family child care home operator, and staff who work with children shall complete on-going training activities as follows: • 4 Year Degree or Higher in Child Care Related Field – 5 Hours • 2 Year Degree in Child Care Related Field – 8 Hours • North Carolina Early Childhood Administration Credential – 8 Hours • North Carolina Early Childhood Credential – 10 Hours • 10 Years of Early Childhood Work Experience – 15 Hours • None of the Above – 20 Hours Reminders QRIS Modernization: Pathway Discussion During today’s visit, an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s conversation, the operator is thinking about pursuing the Classroom and Instructional Quality Pathway. The operator stated that she will need some assistance with choosing an approved curriculum and formative assessment tool. DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

10A NCAC 09 .1705 · Violation

Name of Operation: TINY IMPRINTS CHILDCARE Facility ID: 26002437 Consultant: TIFFANY REED Operation Type: Family CC Home Case Number: Visit Date: 1/14/2026 Number Present: 4 Completed Date: 1/14/2026 Age: From 1 To 4 Total Minutes: 285 Time In: 09:30 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to an Annual Compliance Visit, including Health and Safety Training. The previous Annual Compliance Visit was completed on January 27, 2025, and prior to today’s visit, the eighteen-month compliance history score was 94%, 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 October 10, 2019. 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 restricting infant capacity to no more than two children under one year of age. The information on record was verified as correct by Syania McLean, Legal Designee. Current Inspections are as follows: Sanitation Classification of Approved was completed on November 24, 2025. Shanay Eason, Operator, and S. McLean, Legal Designee/Teacher, were present while I observed the indoor and outdoor areas. Four children were present upon my arrival. The children had access to blocks, fine motor, dramatic play, creative art, and literacy materials. The children were observed participating in free-choice activities and a leaf art activity. Routine care and handwashing practices were observed. Lunch consisted of ground beef, pasta, peas, mixed fruit, and milk. In the bathroom used by children, rust was observed on the sink faucet and light fixtures. The bathroom’s ceiling fan was covered with a pillow case that was secured with thumb tacks. The door frame surrounding the door that exits to the outdoor learning environment was damaged, exposing a narrow gap. The operator left at 10:15AM to go to an appointment. The children were not observed participating in outdoor play activities. S. McLean stated that they will go outside later this afternoon, weather permitting. The outdoor learning environment was monitored for health and safety requirements. Loose wooden planks and nails were observed on the fence, deck, and stair handrails. Holes were observed in the surfacing throughout the outdoor learning environment. Two staff files were reviewed. Two staff members did not complete CPR and First Aid courses prior to their certification’s expiration date. One staff member did not complete the required amount of annual on-going training hours, based on her education and experience. One child’s record was reviewed, and all documentation was observed in compliance with applicable child care rules. Program files, including the EPR plan, were reviewed. The most recent fire drill was completed on January 01, 2026. The most recent quarterly (lockdown) drill was completed on January 01, 2026. The most recent outdoor inspection was completed on January 01, 2026. The vehicle used to transport children was not on the premises and could not be monitored for transportation requirements. At the completion of the visit, the Visit Summary was reviewed with S. McLean. The following violations were observed: Violation Number Comment Rule 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification. The operator and additional teacher did not renew their first aid certification prior to the expiration date. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. The operator and additional teacher did not renew their CPR certification prior to the expiration date. .1703(a)(3) 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. In the outdoor learning environment, loose wooden planks and nails were observed on the fence, deck, and handrails. .1719(a)(1)&(17) 1301 Operator did not complete the required number of on-going training hours as specified in rule. An additional teacher did not complete the required amount of annual on-going training hours, based on her education and experience. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1544 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. The doorframe surrounding the door that exits to the outdoor learning environment was damaged, exposing a narrow gap. In the bathroom used by children, rust was observed on sink faucet and light fixtures. The bathroom’s ceiling fan was covered with a pillow case that was secured with thumb tacks. 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 28, 2026, 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 407 Hope Mills, NC 28348 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 Environment A violations were cited today for the condition of the bathroom and outdoor learning environment. The physical structure where children spend each day can present caregivers/teachers with special safety concerns if the structure is not kept in good repair and maintained in a safe condition. For example, peeling paint in an older building may be ingested, floor surfaces in disrepair could cause falls and other injury, bulging ceilings can collapse and cause injuries, and playground equipment and fences in poor repair can create entanglement and entrapment hazards. We discussed putting in maintenance requests to the landlord of the residence. We also discussed purchasing sand to fill in the holes throughout the surfacing of the outdoor learning environment. For more information about maintaining a safe environment, refer to child care rule 10A NCAC 09 .1719. CPR and First Aid Requirements Two violations were cited today for staff members not renewing their CPR and First Aid certifications prior to the expiration date. Staff members who are 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. Knowledge of pediatric first aid, including pediatric CPR which addresses management of a blocked airway and rescue breathing, and the confidence to use these skills, are critically important to the outcome of an emergency situation. The operator stated that they have already registered for a CPR and First Aid training course that will occur on January 24, 2026. More information about CPR and First Aid training requirements can be found in child care rule 10A NCAC 09 .1703(a)(2-3). Annual On-Going Training Requirements A violation was cited today for a staff member not meeting the required annual on-going training hours, based on her experience and education. According to Child Care Rule .1703(d), after the first year of employment, the family child care home operator, and staff who work with children shall complete on-going training activities as follows: • 4 Year Degree or Higher in Child Care Related Field – 5 Hours • 2 Year Degree in Child Care Related Field – 8 Hours • North Carolina Early Childhood Administration Credential – 8 Hours • North Carolina Early Childhood Credential – 10 Hours • 10 Years of Early Childhood Work Experience – 15 Hours • None of the Above – 20 Hours Reminders QRIS Modernization: Pathway Discussion During today’s visit, an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s conversation, the operator is thinking about pursuing the Classroom and Instructional Quality Pathway. The operator stated that she will need some assistance with choosing an approved curriculum and formative assessment tool. DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1719 · Violation

Name of Operation: TINY IMPRINTS CHILDCARE Facility ID: 26002437 Consultant: TIFFANY REED Operation Type: Family CC Home Case Number: Visit Date: 1/14/2026 Number Present: 4 Completed Date: 1/14/2026 Age: From 1 To 4 Total Minutes: 285 Time In: 09:30 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to an Annual Compliance Visit, including Health and Safety Training. The previous Annual Compliance Visit was completed on January 27, 2025, and prior to today’s visit, the eighteen-month compliance history score was 94%, 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 October 10, 2019. 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 restricting infant capacity to no more than two children under one year of age. The information on record was verified as correct by Syania McLean, Legal Designee. Current Inspections are as follows: Sanitation Classification of Approved was completed on November 24, 2025. Shanay Eason, Operator, and S. McLean, Legal Designee/Teacher, were present while I observed the indoor and outdoor areas. Four children were present upon my arrival. The children had access to blocks, fine motor, dramatic play, creative art, and literacy materials. The children were observed participating in free-choice activities and a leaf art activity. Routine care and handwashing practices were observed. Lunch consisted of ground beef, pasta, peas, mixed fruit, and milk. In the bathroom used by children, rust was observed on the sink faucet and light fixtures. The bathroom’s ceiling fan was covered with a pillow case that was secured with thumb tacks. The door frame surrounding the door that exits to the outdoor learning environment was damaged, exposing a narrow gap. The operator left at 10:15AM to go to an appointment. The children were not observed participating in outdoor play activities. S. McLean stated that they will go outside later this afternoon, weather permitting. The outdoor learning environment was monitored for health and safety requirements. Loose wooden planks and nails were observed on the fence, deck, and stair handrails. Holes were observed in the surfacing throughout the outdoor learning environment. Two staff files were reviewed. Two staff members did not complete CPR and First Aid courses prior to their certification’s expiration date. One staff member did not complete the required amount of annual on-going training hours, based on her education and experience. One child’s record was reviewed, and all documentation was observed in compliance with applicable child care rules. Program files, including the EPR plan, were reviewed. The most recent fire drill was completed on January 01, 2026. The most recent quarterly (lockdown) drill was completed on January 01, 2026. The most recent outdoor inspection was completed on January 01, 2026. The vehicle used to transport children was not on the premises and could not be monitored for transportation requirements. At the completion of the visit, the Visit Summary was reviewed with S. McLean. The following violations were observed: Violation Number Comment Rule 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification. The operator and additional teacher did not renew their first aid certification prior to the expiration date. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. The operator and additional teacher did not renew their CPR certification prior to the expiration date. .1703(a)(3) 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. In the outdoor learning environment, loose wooden planks and nails were observed on the fence, deck, and handrails. .1719(a)(1)&(17) 1301 Operator did not complete the required number of on-going training hours as specified in rule. An additional teacher did not complete the required amount of annual on-going training hours, based on her education and experience. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1544 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. The doorframe surrounding the door that exits to the outdoor learning environment was damaged, exposing a narrow gap. In the bathroom used by children, rust was observed on sink faucet and light fixtures. The bathroom’s ceiling fan was covered with a pillow case that was secured with thumb tacks. 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 28, 2026, 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 407 Hope Mills, NC 28348 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 Environment A violations were cited today for the condition of the bathroom and outdoor learning environment. The physical structure where children spend each day can present caregivers/teachers with special safety concerns if the structure is not kept in good repair and maintained in a safe condition. For example, peeling paint in an older building may be ingested, floor surfaces in disrepair could cause falls and other injury, bulging ceilings can collapse and cause injuries, and playground equipment and fences in poor repair can create entanglement and entrapment hazards. We discussed putting in maintenance requests to the landlord of the residence. We also discussed purchasing sand to fill in the holes throughout the surfacing of the outdoor learning environment. For more information about maintaining a safe environment, refer to child care rule 10A NCAC 09 .1719. CPR and First Aid Requirements Two violations were cited today for staff members not renewing their CPR and First Aid certifications prior to the expiration date. Staff members who are 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. Knowledge of pediatric first aid, including pediatric CPR which addresses management of a blocked airway and rescue breathing, and the confidence to use these skills, are critically important to the outcome of an emergency situation. The operator stated that they have already registered for a CPR and First Aid training course that will occur on January 24, 2026. More information about CPR and First Aid training requirements can be found in child care rule 10A NCAC 09 .1703(a)(2-3). Annual On-Going Training Requirements A violation was cited today for a staff member not meeting the required annual on-going training hours, based on her experience and education. According to Child Care Rule .1703(d), after the first year of employment, the family child care home operator, and staff who work with children shall complete on-going training activities as follows: • 4 Year Degree or Higher in Child Care Related Field – 5 Hours • 2 Year Degree in Child Care Related Field – 8 Hours • North Carolina Early Childhood Administration Credential – 8 Hours • North Carolina Early Childhood Credential – 10 Hours • 10 Years of Early Childhood Work Experience – 15 Hours • None of the Above – 20 Hours Reminders QRIS Modernization: Pathway Discussion During today’s visit, an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s conversation, the operator is thinking about pursuing the Classroom and Instructional Quality Pathway. The operator stated that she will need some assistance with choosing an approved curriculum and formative assessment tool. DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: TINY IMPRINTS CHILDCARE Facility ID: 26002437 Consultant: TIFFANY REED Operation Type: Family CC Home Case Number: Visit Date: 1/14/2026 Number Present: 4 Completed Date: 1/14/2026 Age: From 1 To 4 Total Minutes: 285 Time In: 09:30 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to an Annual Compliance Visit, including Health and Safety Training. The previous Annual Compliance Visit was completed on January 27, 2025, and prior to today’s visit, the eighteen-month compliance history score was 94%, 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 October 10, 2019. 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 restricting infant capacity to no more than two children under one year of age. The information on record was verified as correct by Syania McLean, Legal Designee. Current Inspections are as follows: Sanitation Classification of Approved was completed on November 24, 2025. Shanay Eason, Operator, and S. McLean, Legal Designee/Teacher, were present while I observed the indoor and outdoor areas. Four children were present upon my arrival. The children had access to blocks, fine motor, dramatic play, creative art, and literacy materials. The children were observed participating in free-choice activities and a leaf art activity. Routine care and handwashing practices were observed. Lunch consisted of ground beef, pasta, peas, mixed fruit, and milk. In the bathroom used by children, rust was observed on the sink faucet and light fixtures. The bathroom’s ceiling fan was covered with a pillow case that was secured with thumb tacks. The door frame surrounding the door that exits to the outdoor learning environment was damaged, exposing a narrow gap. The operator left at 10:15AM to go to an appointment. The children were not observed participating in outdoor play activities. S. McLean stated that they will go outside later this afternoon, weather permitting. The outdoor learning environment was monitored for health and safety requirements. Loose wooden planks and nails were observed on the fence, deck, and stair handrails. Holes were observed in the surfacing throughout the outdoor learning environment. Two staff files were reviewed. Two staff members did not complete CPR and First Aid courses prior to their certification’s expiration date. One staff member did not complete the required amount of annual on-going training hours, based on her education and experience. One child’s record was reviewed, and all documentation was observed in compliance with applicable child care rules. Program files, including the EPR plan, were reviewed. The most recent fire drill was completed on January 01, 2026. The most recent quarterly (lockdown) drill was completed on January 01, 2026. The most recent outdoor inspection was completed on January 01, 2026. The vehicle used to transport children was not on the premises and could not be monitored for transportation requirements. At the completion of the visit, the Visit Summary was reviewed with S. McLean. The following violations were observed: Violation Number Comment Rule 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification. The operator and additional teacher did not renew their first aid certification prior to the expiration date. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. The operator and additional teacher did not renew their CPR certification prior to the expiration date. .1703(a)(3) 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. In the outdoor learning environment, loose wooden planks and nails were observed on the fence, deck, and handrails. .1719(a)(1)&(17) 1301 Operator did not complete the required number of on-going training hours as specified in rule. An additional teacher did not complete the required amount of annual on-going training hours, based on her education and experience. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1544 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. The doorframe surrounding the door that exits to the outdoor learning environment was damaged, exposing a narrow gap. In the bathroom used by children, rust was observed on sink faucet and light fixtures. The bathroom’s ceiling fan was covered with a pillow case that was secured with thumb tacks. 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 28, 2026, 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 407 Hope Mills, NC 28348 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 Environment A violations were cited today for the condition of the bathroom and outdoor learning environment. The physical structure where children spend each day can present caregivers/teachers with special safety concerns if the structure is not kept in good repair and maintained in a safe condition. For example, peeling paint in an older building may be ingested, floor surfaces in disrepair could cause falls and other injury, bulging ceilings can collapse and cause injuries, and playground equipment and fences in poor repair can create entanglement and entrapment hazards. We discussed putting in maintenance requests to the landlord of the residence. We also discussed purchasing sand to fill in the holes throughout the surfacing of the outdoor learning environment. For more information about maintaining a safe environment, refer to child care rule 10A NCAC 09 .1719. CPR and First Aid Requirements Two violations were cited today for staff members not renewing their CPR and First Aid certifications prior to the expiration date. Staff members who are 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. Knowledge of pediatric first aid, including pediatric CPR which addresses management of a blocked airway and rescue breathing, and the confidence to use these skills, are critically important to the outcome of an emergency situation. The operator stated that they have already registered for a CPR and First Aid training course that will occur on January 24, 2026. More information about CPR and First Aid training requirements can be found in child care rule 10A NCAC 09 .1703(a)(2-3). Annual On-Going Training Requirements A violation was cited today for a staff member not meeting the required annual on-going training hours, based on her experience and education. According to Child Care Rule .1703(d), after the first year of employment, the family child care home operator, and staff who work with children shall complete on-going training activities as follows: • 4 Year Degree or Higher in Child Care Related Field – 5 Hours • 2 Year Degree in Child Care Related Field – 8 Hours • North Carolina Early Childhood Administration Credential – 8 Hours • North Carolina Early Childhood Credential – 10 Hours • 10 Years of Early Childhood Work Experience – 15 Hours • None of the Above – 20 Hours Reminders QRIS Modernization: Pathway Discussion During today’s visit, an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s conversation, the operator is thinking about pursuing the Classroom and Instructional Quality Pathway. The operator stated that she will need some assistance with choosing an approved curriculum and formative assessment tool. DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: TINY IMPRINTS CHILDCARE Facility ID: 26002437 Consultant: TIFFANY REED Operation Type: Family CC Home Case Number: Visit Date: 1/14/2026 Number Present: 4 Completed Date: 1/14/2026 Age: From 1 To 4 Total Minutes: 285 Time In: 09:30 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to an Annual Compliance Visit, including Health and Safety Training. The previous Annual Compliance Visit was completed on January 27, 2025, and prior to today’s visit, the eighteen-month compliance history score was 94%, 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 October 10, 2019. 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 restricting infant capacity to no more than two children under one year of age. The information on record was verified as correct by Syania McLean, Legal Designee. Current Inspections are as follows: Sanitation Classification of Approved was completed on November 24, 2025. Shanay Eason, Operator, and S. McLean, Legal Designee/Teacher, were present while I observed the indoor and outdoor areas. Four children were present upon my arrival. The children had access to blocks, fine motor, dramatic play, creative art, and literacy materials. The children were observed participating in free-choice activities and a leaf art activity. Routine care and handwashing practices were observed. Lunch consisted of ground beef, pasta, peas, mixed fruit, and milk. In the bathroom used by children, rust was observed on the sink faucet and light fixtures. The bathroom’s ceiling fan was covered with a pillow case that was secured with thumb tacks. The door frame surrounding the door that exits to the outdoor learning environment was damaged, exposing a narrow gap. The operator left at 10:15AM to go to an appointment. The children were not observed participating in outdoor play activities. S. McLean stated that they will go outside later this afternoon, weather permitting. The outdoor learning environment was monitored for health and safety requirements. Loose wooden planks and nails were observed on the fence, deck, and stair handrails. Holes were observed in the surfacing throughout the outdoor learning environment. Two staff files were reviewed. Two staff members did not complete CPR and First Aid courses prior to their certification’s expiration date. One staff member did not complete the required amount of annual on-going training hours, based on her education and experience. One child’s record was reviewed, and all documentation was observed in compliance with applicable child care rules. Program files, including the EPR plan, were reviewed. The most recent fire drill was completed on January 01, 2026. The most recent quarterly (lockdown) drill was completed on January 01, 2026. The most recent outdoor inspection was completed on January 01, 2026. The vehicle used to transport children was not on the premises and could not be monitored for transportation requirements. At the completion of the visit, the Visit Summary was reviewed with S. McLean. The following violations were observed: Violation Number Comment Rule 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification. The operator and additional teacher did not renew their first aid certification prior to the expiration date. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. The operator and additional teacher did not renew their CPR certification prior to the expiration date. .1703(a)(3) 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. In the outdoor learning environment, loose wooden planks and nails were observed on the fence, deck, and handrails. .1719(a)(1)&(17) 1301 Operator did not complete the required number of on-going training hours as specified in rule. An additional teacher did not complete the required amount of annual on-going training hours, based on her education and experience. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1544 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. The doorframe surrounding the door that exits to the outdoor learning environment was damaged, exposing a narrow gap. In the bathroom used by children, rust was observed on sink faucet and light fixtures. The bathroom’s ceiling fan was covered with a pillow case that was secured with thumb tacks. 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 28, 2026, 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 407 Hope Mills, NC 28348 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 Environment A violations were cited today for the condition of the bathroom and outdoor learning environment. The physical structure where children spend each day can present caregivers/teachers with special safety concerns if the structure is not kept in good repair and maintained in a safe condition. For example, peeling paint in an older building may be ingested, floor surfaces in disrepair could cause falls and other injury, bulging ceilings can collapse and cause injuries, and playground equipment and fences in poor repair can create entanglement and entrapment hazards. We discussed putting in maintenance requests to the landlord of the residence. We also discussed purchasing sand to fill in the holes throughout the surfacing of the outdoor learning environment. For more information about maintaining a safe environment, refer to child care rule 10A NCAC 09 .1719. CPR and First Aid Requirements Two violations were cited today for staff members not renewing their CPR and First Aid certifications prior to the expiration date. Staff members who are 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. Knowledge of pediatric first aid, including pediatric CPR which addresses management of a blocked airway and rescue breathing, and the confidence to use these skills, are critically important to the outcome of an emergency situation. The operator stated that they have already registered for a CPR and First Aid training course that will occur on January 24, 2026. More information about CPR and First Aid training requirements can be found in child care rule 10A NCAC 09 .1703(a)(2-3). Annual On-Going Training Requirements A violation was cited today for a staff member not meeting the required annual on-going training hours, based on her experience and education. According to Child Care Rule .1703(d), after the first year of employment, the family child care home operator, and staff who work with children shall complete on-going training activities as follows: • 4 Year Degree or Higher in Child Care Related Field – 5 Hours • 2 Year Degree in Child Care Related Field – 8 Hours • North Carolina Early Childhood Administration Credential – 8 Hours • North Carolina Early Childhood Credential – 10 Hours • 10 Years of Early Childhood Work Experience – 15 Hours • None of the Above – 20 Hours Reminders QRIS Modernization: Pathway Discussion During today’s visit, an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s conversation, the operator is thinking about pursuing the Classroom and Instructional Quality Pathway. The operator stated that she will need some assistance with choosing an approved curriculum and formative assessment tool. DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1719 · Violation

Name of Operation: TINY IMPRINTS CHILDCARE Facility ID: 26002437 Consultant: TIFFANY REED Operation Type: Family CC Home Case Number: Visit Date: 6/4/2025 Number Present: 6 Completed Date: 6/4/2025 Age: From 1 To 6 Total Minutes: 195 Time In: 02:15 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a Routine Unannounced visit. The previous Annual Compliance visit was completed January 27, 2025, 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 Three-Star License issued October 10, 2019. 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 the programmatic option of restricting infant capacity to no more than two children under one year of age. The information on record with DCDEE was verified as correct by Syania McLean, Legal Designee/Teacher. Current Inspections are as follows: Sanitation Classification of Superior completed March 25, 2024. S. McLean and six (6) children were present while I observed the indoor and outdoor areas. In the designated caregiving space, children were observed transitioning from rest time to snack time. Children woke up, got off their individual cots, and helped the teacher fold and put away blankets and cots before using the bathroom and washing their hands. After washing their hands, the children sat at a table and were served snack. Snack consisted of saltine crackers, peanut butter, and milk. After eating their snack, children washed their hands and transitioned to free-choice activities. The children had access to blocks, creative art, dramatic-play, and literacy materials. A group of children was observed in the dramatic play area, pretending to work in a hospital. The teacher pretended to hurt her arm, and said, “Ow! I hurt my arm! I need to see a doctor!” One of the children asked the teacher to sit down, and said, “The doctor’s on his way.” Another child pretended to be a doctor and gave the teacher a shot. The teacher said, “Ow! That made it hurt worse! Please help me doctor!” The children laughed. A child pretended to give the teacher medicine. The teacher said, “Is this medicine going to make me feel better?” The child responded by saying, “Yes.” A hermit crab was observed in an observation tank, stored on top of a shelf, below five feet from the finished floor. Documentation of examination of the hermit crab by a veterinarian was not available for review. The outdoor learning environment was monitored for health and safety requirements. Several holes were observed throughout the surface of the outdoor area. Branches from trees in a neighbor’s yard, were hanging in the outdoor learning environment, within reach of the children. Bushes and shrubbery were observed with branches and leaves overgrown onto the back porch, stairs, and railing that leads to the outdoor learning environment. Program records were reviewed. According to the emergency drill log, the most recent fire drill was completed on January 03, 2025, and the most recent shelter-in-place drill was completed on January 03, 2025. The most recent sanitation inspection was completed on March 25, 2024. At the completion of the visit, the Visit Summary was reviewed with S. Eason. The following violations were observed: Violation Number Comment Rule 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Several holes were observed on the surface of the outdoor learning environment. Tree branches were observed hanging over the fence from a neighbor's yard, within reach of the children. Bushes and shrubbery were observed with branches and leaves overgrown onto the back porch, stairs, and railing that leads to the outdoor learning environment. 10A NCAC 09 .1719 (a) 1544 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. A sanitation inspection was not completed at least annually. A hermit crab was observed in the caregiving space. The hermit crab did not have documentation from a veterinarian that it was in good health and free of disease. GS 110-91 1853 The operator did not conduct a monthly fire drill. The most recent fire drill was conducted on January 03, 2025. .1719(a)(15) & .1721( e)(2) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. The most recent lockdown/shelter-in place drill was completed on January 03, 2025. .1719(a )(16) & .1721(e )(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The 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 TA/Consultation: Requirements for Animals A violation was cited today for having an animal on the premises with no documentation of an examination by a veterinarian. Any animal present at the facility, indoors or outdoors, should be trained/adapted to be with young children, in good health, show no evidence of carrying any disease, fleas or ticks, be fully immunized, and be maintained on an intestinal parasite control program. A current (time-specified) certificate from each animal’s attending veterinarian should be on file in the facility, stating that all animals on the facility premises meet these conditions and meet local and state requirements. The risk of injury, infection, and aggravation of allergy from contact between children and animals is significant. Hermit crabs are strongly discouraged in child care facilities. All invertebrates are potential carriers of infectious diseases, such as Salmonella. More information about animal and vermin control can be found in child care sanitation rule 15A NCAC 18A .2831. Emergency Drill Requirements Two violations were cited today for not conducting monthly fire drills and quarterly lockdown or shelter-in-place drills. Emergency situations are not conducive to calm and composed thinking. Unannounced mock situations used as drills can help ease tension and build confidence in the staff’s ability to respond calmly in the event of a real incident. Discussion regarding performance and opportunities for improvement should follow the drill. More information about emergency drill requirements can be found in child care rules .1719(a)(15-16) and .1721(e)(2-7). Sanitation Inspection A violation was cited today for not having a sanitation inspection completed at least annually. Transmission of infectious diseases in early care and education settings are influenced by the environmental sanitation and physical space of the facilities. I encouraged S. McLean to contact the Cumberland County Environmental Health Department at (910) 433-3618 to schedule and obtain an updated sanitation inspection as soon as possible. More information about sanitation inspection requirements can be found in child care sanitation rule 15A NCAC 18A .2834. Safe Outdoor Environment A violation was cited today for not maintaining a safe and orderly outdoor learning environment. The active play areas of a child care facility are associated with frequent and severe injuries. Play equipment and play surfaces that are safe and accessible to children will facilitate safe outdoor play experiences. Surfaces and play equipment in the outdoor learning environment should be regularly inspected to remove any potential hazards, such as tripping hazards, entrapments, protrusions, sharp edges, crush points, or pinch points. More information about maintaining a safe environment can be found in child care rule 10A NCAC 09 .1719(a). Infant/Toddler Age Group Observation I discussed the results of my observation of the infant/toddler age group with S. McLean. I encouraged S. McLean to continue to facilitate toddlers’ 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 Age Group Observation I discussed the results of my observation of the preschool age group with S. McLean. I encouraged S. McLean to continue to have meaningful conversations with children throughout the day and provide opportunities for parallel discussions between children and staff. Self-talk and Parallel talk will both be necessary in providing a language-rich environment. School Age Observation I discussed the results of my observation of school age children with S. McLean. I encouraged S. McLean to 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 her to continue to take moments to check-in with each child to see how they are doing and what their needs are. Reminders: 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. ICYMI: Register for Elevate FCCHs Kickoff Info Session Are you a 3-5 star Family Child Care Home (FCCH) provider participating in North Carolina’s subsidized child care program? DCDEE in partnership with University of North Carolina’s Frank Porter Graham Child Development Institute invites N.C. family child care homes to participate in the Elevate Family Child Care Homes Project. This pilot program offers financial support to better align quality with compensation for home-based early care providers. You may be eligible for a limited-time opportunity to receive monthly payments and professional support to grow your business and strengthen your care for young children. For information about this project, an information session will be available on June 05, 2025, from 12:00-12:45PM. To register for the information session, please visit https://go.unc.edu/FCCH2. DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

GS 110-91 · Violation

Name of Operation: TINY IMPRINTS CHILDCARE Facility ID: 26002437 Consultant: TIFFANY REED Operation Type: Family CC Home Case Number: Visit Date: 6/4/2025 Number Present: 6 Completed Date: 6/4/2025 Age: From 1 To 6 Total Minutes: 195 Time In: 02:15 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a Routine Unannounced visit. The previous Annual Compliance visit was completed January 27, 2025, 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 Three-Star License issued October 10, 2019. 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 the programmatic option of restricting infant capacity to no more than two children under one year of age. The information on record with DCDEE was verified as correct by Syania McLean, Legal Designee/Teacher. Current Inspections are as follows: Sanitation Classification of Superior completed March 25, 2024. S. McLean and six (6) children were present while I observed the indoor and outdoor areas. In the designated caregiving space, children were observed transitioning from rest time to snack time. Children woke up, got off their individual cots, and helped the teacher fold and put away blankets and cots before using the bathroom and washing their hands. After washing their hands, the children sat at a table and were served snack. Snack consisted of saltine crackers, peanut butter, and milk. After eating their snack, children washed their hands and transitioned to free-choice activities. The children had access to blocks, creative art, dramatic-play, and literacy materials. A group of children was observed in the dramatic play area, pretending to work in a hospital. The teacher pretended to hurt her arm, and said, “Ow! I hurt my arm! I need to see a doctor!” One of the children asked the teacher to sit down, and said, “The doctor’s on his way.” Another child pretended to be a doctor and gave the teacher a shot. The teacher said, “Ow! That made it hurt worse! Please help me doctor!” The children laughed. A child pretended to give the teacher medicine. The teacher said, “Is this medicine going to make me feel better?” The child responded by saying, “Yes.” A hermit crab was observed in an observation tank, stored on top of a shelf, below five feet from the finished floor. Documentation of examination of the hermit crab by a veterinarian was not available for review. The outdoor learning environment was monitored for health and safety requirements. Several holes were observed throughout the surface of the outdoor area. Branches from trees in a neighbor’s yard, were hanging in the outdoor learning environment, within reach of the children. Bushes and shrubbery were observed with branches and leaves overgrown onto the back porch, stairs, and railing that leads to the outdoor learning environment. Program records were reviewed. According to the emergency drill log, the most recent fire drill was completed on January 03, 2025, and the most recent shelter-in-place drill was completed on January 03, 2025. The most recent sanitation inspection was completed on March 25, 2024. At the completion of the visit, the Visit Summary was reviewed with S. Eason. The following violations were observed: Violation Number Comment Rule 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Several holes were observed on the surface of the outdoor learning environment. Tree branches were observed hanging over the fence from a neighbor's yard, within reach of the children. Bushes and shrubbery were observed with branches and leaves overgrown onto the back porch, stairs, and railing that leads to the outdoor learning environment. 10A NCAC 09 .1719 (a) 1544 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. A sanitation inspection was not completed at least annually. A hermit crab was observed in the caregiving space. The hermit crab did not have documentation from a veterinarian that it was in good health and free of disease. GS 110-91 1853 The operator did not conduct a monthly fire drill. The most recent fire drill was conducted on January 03, 2025. .1719(a)(15) & .1721( e)(2) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. The most recent lockdown/shelter-in place drill was completed on January 03, 2025. .1719(a )(16) & .1721(e )(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The 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 TA/Consultation: Requirements for Animals A violation was cited today for having an animal on the premises with no documentation of an examination by a veterinarian. Any animal present at the facility, indoors or outdoors, should be trained/adapted to be with young children, in good health, show no evidence of carrying any disease, fleas or ticks, be fully immunized, and be maintained on an intestinal parasite control program. A current (time-specified) certificate from each animal’s attending veterinarian should be on file in the facility, stating that all animals on the facility premises meet these conditions and meet local and state requirements. The risk of injury, infection, and aggravation of allergy from contact between children and animals is significant. Hermit crabs are strongly discouraged in child care facilities. All invertebrates are potential carriers of infectious diseases, such as Salmonella. More information about animal and vermin control can be found in child care sanitation rule 15A NCAC 18A .2831. Emergency Drill Requirements Two violations were cited today for not conducting monthly fire drills and quarterly lockdown or shelter-in-place drills. Emergency situations are not conducive to calm and composed thinking. Unannounced mock situations used as drills can help ease tension and build confidence in the staff’s ability to respond calmly in the event of a real incident. Discussion regarding performance and opportunities for improvement should follow the drill. More information about emergency drill requirements can be found in child care rules .1719(a)(15-16) and .1721(e)(2-7). Sanitation Inspection A violation was cited today for not having a sanitation inspection completed at least annually. Transmission of infectious diseases in early care and education settings are influenced by the environmental sanitation and physical space of the facilities. I encouraged S. McLean to contact the Cumberland County Environmental Health Department at (910) 433-3618 to schedule and obtain an updated sanitation inspection as soon as possible. More information about sanitation inspection requirements can be found in child care sanitation rule 15A NCAC 18A .2834. Safe Outdoor Environment A violation was cited today for not maintaining a safe and orderly outdoor learning environment. The active play areas of a child care facility are associated with frequent and severe injuries. Play equipment and play surfaces that are safe and accessible to children will facilitate safe outdoor play experiences. Surfaces and play equipment in the outdoor learning environment should be regularly inspected to remove any potential hazards, such as tripping hazards, entrapments, protrusions, sharp edges, crush points, or pinch points. More information about maintaining a safe environment can be found in child care rule 10A NCAC 09 .1719(a). Infant/Toddler Age Group Observation I discussed the results of my observation of the infant/toddler age group with S. McLean. I encouraged S. McLean to continue to facilitate toddlers’ 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 Age Group Observation I discussed the results of my observation of the preschool age group with S. McLean. I encouraged S. McLean to continue to have meaningful conversations with children throughout the day and provide opportunities for parallel discussions between children and staff. Self-talk and Parallel talk will both be necessary in providing a language-rich environment. School Age Observation I discussed the results of my observation of school age children with S. McLean. I encouraged S. McLean to 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 her to continue to take moments to check-in with each child to see how they are doing and what their needs are. Reminders: 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. ICYMI: Register for Elevate FCCHs Kickoff Info Session Are you a 3-5 star Family Child Care Home (FCCH) provider participating in North Carolina’s subsidized child care program? DCDEE in partnership with University of North Carolina’s Frank Porter Graham Child Development Institute invites N.C. family child care homes to participate in the Elevate Family Child Care Homes Project. This pilot program offers financial support to better align quality with compensation for home-based early care providers. You may be eligible for a limited-time opportunity to receive monthly payments and professional support to grow your business and strengthen your care for young children. For information about this project, an information session will be available on June 05, 2025, from 12:00-12:45PM. To register for the information session, please visit https://go.unc.edu/FCCH2. DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: TINY IMPRINTS CHILDCARE Facility ID: 26002437 Consultant: TIFFANY REED Operation Type: Family CC Home Case Number: Visit Date: 6/4/2025 Number Present: 6 Completed Date: 6/4/2025 Age: From 1 To 6 Total Minutes: 195 Time In: 02:15 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a Routine Unannounced visit. The previous Annual Compliance visit was completed January 27, 2025, 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 Three-Star License issued October 10, 2019. 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 the programmatic option of restricting infant capacity to no more than two children under one year of age. The information on record with DCDEE was verified as correct by Syania McLean, Legal Designee/Teacher. Current Inspections are as follows: Sanitation Classification of Superior completed March 25, 2024. S. McLean and six (6) children were present while I observed the indoor and outdoor areas. In the designated caregiving space, children were observed transitioning from rest time to snack time. Children woke up, got off their individual cots, and helped the teacher fold and put away blankets and cots before using the bathroom and washing their hands. After washing their hands, the children sat at a table and were served snack. Snack consisted of saltine crackers, peanut butter, and milk. After eating their snack, children washed their hands and transitioned to free-choice activities. The children had access to blocks, creative art, dramatic-play, and literacy materials. A group of children was observed in the dramatic play area, pretending to work in a hospital. The teacher pretended to hurt her arm, and said, “Ow! I hurt my arm! I need to see a doctor!” One of the children asked the teacher to sit down, and said, “The doctor’s on his way.” Another child pretended to be a doctor and gave the teacher a shot. The teacher said, “Ow! That made it hurt worse! Please help me doctor!” The children laughed. A child pretended to give the teacher medicine. The teacher said, “Is this medicine going to make me feel better?” The child responded by saying, “Yes.” A hermit crab was observed in an observation tank, stored on top of a shelf, below five feet from the finished floor. Documentation of examination of the hermit crab by a veterinarian was not available for review. The outdoor learning environment was monitored for health and safety requirements. Several holes were observed throughout the surface of the outdoor area. Branches from trees in a neighbor’s yard, were hanging in the outdoor learning environment, within reach of the children. Bushes and shrubbery were observed with branches and leaves overgrown onto the back porch, stairs, and railing that leads to the outdoor learning environment. Program records were reviewed. According to the emergency drill log, the most recent fire drill was completed on January 03, 2025, and the most recent shelter-in-place drill was completed on January 03, 2025. The most recent sanitation inspection was completed on March 25, 2024. At the completion of the visit, the Visit Summary was reviewed with S. Eason. The following violations were observed: Violation Number Comment Rule 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Several holes were observed on the surface of the outdoor learning environment. Tree branches were observed hanging over the fence from a neighbor's yard, within reach of the children. Bushes and shrubbery were observed with branches and leaves overgrown onto the back porch, stairs, and railing that leads to the outdoor learning environment. 10A NCAC 09 .1719 (a) 1544 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. A sanitation inspection was not completed at least annually. A hermit crab was observed in the caregiving space. The hermit crab did not have documentation from a veterinarian that it was in good health and free of disease. GS 110-91 1853 The operator did not conduct a monthly fire drill. The most recent fire drill was conducted on January 03, 2025. .1719(a)(15) & .1721( e)(2) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. The most recent lockdown/shelter-in place drill was completed on January 03, 2025. .1719(a )(16) & .1721(e )(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The 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 TA/Consultation: Requirements for Animals A violation was cited today for having an animal on the premises with no documentation of an examination by a veterinarian. Any animal present at the facility, indoors or outdoors, should be trained/adapted to be with young children, in good health, show no evidence of carrying any disease, fleas or ticks, be fully immunized, and be maintained on an intestinal parasite control program. A current (time-specified) certificate from each animal’s attending veterinarian should be on file in the facility, stating that all animals on the facility premises meet these conditions and meet local and state requirements. The risk of injury, infection, and aggravation of allergy from contact between children and animals is significant. Hermit crabs are strongly discouraged in child care facilities. All invertebrates are potential carriers of infectious diseases, such as Salmonella. More information about animal and vermin control can be found in child care sanitation rule 15A NCAC 18A .2831. Emergency Drill Requirements Two violations were cited today for not conducting monthly fire drills and quarterly lockdown or shelter-in-place drills. Emergency situations are not conducive to calm and composed thinking. Unannounced mock situations used as drills can help ease tension and build confidence in the staff’s ability to respond calmly in the event of a real incident. Discussion regarding performance and opportunities for improvement should follow the drill. More information about emergency drill requirements can be found in child care rules .1719(a)(15-16) and .1721(e)(2-7). Sanitation Inspection A violation was cited today for not having a sanitation inspection completed at least annually. Transmission of infectious diseases in early care and education settings are influenced by the environmental sanitation and physical space of the facilities. I encouraged S. McLean to contact the Cumberland County Environmental Health Department at (910) 433-3618 to schedule and obtain an updated sanitation inspection as soon as possible. More information about sanitation inspection requirements can be found in child care sanitation rule 15A NCAC 18A .2834. Safe Outdoor Environment A violation was cited today for not maintaining a safe and orderly outdoor learning environment. The active play areas of a child care facility are associated with frequent and severe injuries. Play equipment and play surfaces that are safe and accessible to children will facilitate safe outdoor play experiences. Surfaces and play equipment in the outdoor learning environment should be regularly inspected to remove any potential hazards, such as tripping hazards, entrapments, protrusions, sharp edges, crush points, or pinch points. More information about maintaining a safe environment can be found in child care rule 10A NCAC 09 .1719(a). Infant/Toddler Age Group Observation I discussed the results of my observation of the infant/toddler age group with S. McLean. I encouraged S. McLean to continue to facilitate toddlers’ 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 Age Group Observation I discussed the results of my observation of the preschool age group with S. McLean. I encouraged S. McLean to continue to have meaningful conversations with children throughout the day and provide opportunities for parallel discussions between children and staff. Self-talk and Parallel talk will both be necessary in providing a language-rich environment. School Age Observation I discussed the results of my observation of school age children with S. McLean. I encouraged S. McLean to 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 her to continue to take moments to check-in with each child to see how they are doing and what their needs are. Reminders: 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. ICYMI: Register for Elevate FCCHs Kickoff Info Session Are you a 3-5 star Family Child Care Home (FCCH) provider participating in North Carolina’s subsidized child care program? DCDEE in partnership with University of North Carolina’s Frank Porter Graham Child Development Institute invites N.C. family child care homes to participate in the Elevate Family Child Care Homes Project. This pilot program offers financial support to better align quality with compensation for home-based early care providers. You may be eligible for a limited-time opportunity to receive monthly payments and professional support to grow your business and strengthen your care for young children. For information about this project, an information session will be available on June 05, 2025, from 12:00-12:45PM. To register for the information session, please visit https://go.unc.edu/FCCH2. DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1719 · Violation

Name of Operation: TINY IMPRINTS CHILDCARE Facility ID: 26002437 Consultant: TIFFANY REED Operation Type: Family CC Home Case Number: Visit Date: 1/27/2025 Number Present: 4 Completed Date: 1/27/2025 Age: From 0 To 3 Total Minutes: 345 Time In: 09:30 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to an Annual Compliance Visit, including Health and Safety Training. The previous Annual Compliance Visit was completed on February 08, 2024, and prior to today’s visit, the eighteen-month compliance history score was 99% 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 October 10, 2019. 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 restricting infant capacity to no more than two children under one year of age. The information on record was verified as correct by Syania McLean, Legal Designee/Lead Teacher. Current Inspections are as follows: Sanitation Classification of Superior was completed on March 25, 2024. S. McLean, Lead Teacher, was present while I observed the indoor and outdoor areas. Four children were present upon my arrival. The children had access to blocks, fine motor, dramatic play, creative art, and literacy materials. The children were observed participating in free-choice activities and a painting activity. Routine care and handwashing practices were observed. Lunch consisted of chicken nuggets, corn, banana, whole wheat bread, ketchup, and milk. Due to heavy rain, the children were not observed participating in outdoor play activities. The outdoor learning environment was monitored for health and safety requirements. A damaged storage bin, containing balls and toys, was observed with exposed metal bars, creating protrusions. Additionally, the wooden stakes that were used to hold the wire barrier around the AC units, were observed in poor repair and exposed sharp edges. Two staff files were reviewed. One staff member did not have documentation on file of completing an ITS-SIDS course within the past three years. Seven children’s records were reviewed. One child did not have a valid medical report on file. It was not completed by a licensed medical professional. Program files, including the EPR plan, were reviewed. The most recent fire drill was completed on January 03, 2025. The most recent shelter-in-place drill was completed on January 03, 2025. The most recent outdoor inspection was completed on January 01, 2025. The vehicle used to transport children was not on the premises and could not be monitored for transportation requirements. At the completion of the visit, the Visit Summary was reviewed with S. McLean. The following violations were observed: Violation Number Comment Rule 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. In the outdoor learning environment, a storage bin was observed in poor repair. The storage bin had metal bars sticking out of it, creating protrusion hazards. Additionally, the barrier surrounding the AC unit was observed in poor repair. The wooden stakes that support the wire barrier were observed cracked and broken, exposing sharp edges. .1719(a)(1)&(17) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. One child (K.T.) did not have a valid medical report on file. The medical report was not completed by a licensed medical professional. GS 110-91(1); 10A NCAC 09.1721(a)(1) 2011 Individual who provides care for 5 hours or more a week, did not complete ITS-SIDS training prior to caring for infants. S.M., additional caregiver, did not complete ITS-SIDS training prior to caring for infants, or within the past three years. The previous ITS-SIDS training on S.M.'s file was taken on 11/19/2020. .1729(a)(8) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on February 10, 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 Special Training A violation was cited today for a staff member not having documentation on file of taking an ITS-SIDS course within the past 3 years. According to child care rule 10A NCAC 09 .1729(a)(8), an individual who provides care for five hours or more in a week during planned absences of the family child care home operator shall have completed ITS-SIDS training, if licensed to care for infants. The legal designee found an upcoming ITS-SIDS course with the Partnership for Children and registered for it. When the course is completed, please attach a copy of your training certificate with your compliance letter as supporting documentation. Safe Outdoor Environment A violation was cited today for protrusions being observed on a damaged storage bin in the outdoor learning environment and sharp edges being observed on the barrier surrounding the AC unit. According to child care rule 10A NCAC 09 .1719(a)(17), the operator of a family child care home shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to checking the indoor and outdoor environment daily for debris, vandalism, broken equipment and animal waste. The operator shall keep all areas used by the children, indoors and outdoors, clean and orderly and free of items which are potentially hazardous to children. This includes the removal of items that a child can swallow and use of outdoor play equipment that is too hot to touch. In addition, loose nails or screws and splinters shall be removed on inside and outside equipment. We discussed either repairing the storage bin, replacing it with a new storage bin, or removing it from the premises. We also discussed replacing the wooden stakes that hold the wire barrier in place. Medical Records A violation was cited today for a child not having a valid medical report on file. According to NC General Statute 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 a licensed physician; 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; a certified nurse practitioner; or a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. We discussed reviewing documents for validity when receiving documents from parents. Reminders Sanitation Inspection According to your records, your sanitation inspection is due to expire on March 25, 2025. To remain in compliance with NC General Statute 110-91, I encouraged the legal designee to contact the Cumberland County Environmental Health Department at (910) 433-3618 to schedule and obtain an updated inspection prior to the expiration date. 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. Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and School-Aged Children This free course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). This course is approved by the Division of Child Development and Early Education for 3 contact hours. For more information about the course, please visit https://bhs.unc.edu/teaching-whole-child-supporting-social-emotional-wellness-preschool-and-elementary-school-aged. Darkness to Light Darkness to Light is a nonprofit organization with a mission to equip and empower adults to build safe environments that protect children from sexual abuse. Darkness to Light’s flagship program, Stewards of Children®, is a trauma and evidence-informed training that teaches adults to prevent, recognize, and react responsibly to child sexual abuse. More than 2.2 million adults have been trained using the program. To learn more about child sexual abuse prevention training or to enroll your organization in Darkness to Light’s “Partner in Prevention” program, please visit www.D2L.org/education/partner-in-prevention. DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

10A NCAC 09 .1729 · Violation

Name of Operation: TINY IMPRINTS CHILDCARE Facility ID: 26002437 Consultant: TIFFANY REED Operation Type: Family CC Home Case Number: Visit Date: 1/27/2025 Number Present: 4 Completed Date: 1/27/2025 Age: From 0 To 3 Total Minutes: 345 Time In: 09:30 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to an Annual Compliance Visit, including Health and Safety Training. The previous Annual Compliance Visit was completed on February 08, 2024, and prior to today’s visit, the eighteen-month compliance history score was 99% 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 October 10, 2019. 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 restricting infant capacity to no more than two children under one year of age. The information on record was verified as correct by Syania McLean, Legal Designee/Lead Teacher. Current Inspections are as follows: Sanitation Classification of Superior was completed on March 25, 2024. S. McLean, Lead Teacher, was present while I observed the indoor and outdoor areas. Four children were present upon my arrival. The children had access to blocks, fine motor, dramatic play, creative art, and literacy materials. The children were observed participating in free-choice activities and a painting activity. Routine care and handwashing practices were observed. Lunch consisted of chicken nuggets, corn, banana, whole wheat bread, ketchup, and milk. Due to heavy rain, the children were not observed participating in outdoor play activities. The outdoor learning environment was monitored for health and safety requirements. A damaged storage bin, containing balls and toys, was observed with exposed metal bars, creating protrusions. Additionally, the wooden stakes that were used to hold the wire barrier around the AC units, were observed in poor repair and exposed sharp edges. Two staff files were reviewed. One staff member did not have documentation on file of completing an ITS-SIDS course within the past three years. Seven children’s records were reviewed. One child did not have a valid medical report on file. It was not completed by a licensed medical professional. Program files, including the EPR plan, were reviewed. The most recent fire drill was completed on January 03, 2025. The most recent shelter-in-place drill was completed on January 03, 2025. The most recent outdoor inspection was completed on January 01, 2025. The vehicle used to transport children was not on the premises and could not be monitored for transportation requirements. At the completion of the visit, the Visit Summary was reviewed with S. McLean. The following violations were observed: Violation Number Comment Rule 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. In the outdoor learning environment, a storage bin was observed in poor repair. The storage bin had metal bars sticking out of it, creating protrusion hazards. Additionally, the barrier surrounding the AC unit was observed in poor repair. The wooden stakes that support the wire barrier were observed cracked and broken, exposing sharp edges. .1719(a)(1)&(17) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. One child (K.T.) did not have a valid medical report on file. The medical report was not completed by a licensed medical professional. GS 110-91(1); 10A NCAC 09.1721(a)(1) 2011 Individual who provides care for 5 hours or more a week, did not complete ITS-SIDS training prior to caring for infants. S.M., additional caregiver, did not complete ITS-SIDS training prior to caring for infants, or within the past three years. The previous ITS-SIDS training on S.M.'s file was taken on 11/19/2020. .1729(a)(8) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on February 10, 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 Special Training A violation was cited today for a staff member not having documentation on file of taking an ITS-SIDS course within the past 3 years. According to child care rule 10A NCAC 09 .1729(a)(8), an individual who provides care for five hours or more in a week during planned absences of the family child care home operator shall have completed ITS-SIDS training, if licensed to care for infants. The legal designee found an upcoming ITS-SIDS course with the Partnership for Children and registered for it. When the course is completed, please attach a copy of your training certificate with your compliance letter as supporting documentation. Safe Outdoor Environment A violation was cited today for protrusions being observed on a damaged storage bin in the outdoor learning environment and sharp edges being observed on the barrier surrounding the AC unit. According to child care rule 10A NCAC 09 .1719(a)(17), the operator of a family child care home shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to checking the indoor and outdoor environment daily for debris, vandalism, broken equipment and animal waste. The operator shall keep all areas used by the children, indoors and outdoors, clean and orderly and free of items which are potentially hazardous to children. This includes the removal of items that a child can swallow and use of outdoor play equipment that is too hot to touch. In addition, loose nails or screws and splinters shall be removed on inside and outside equipment. We discussed either repairing the storage bin, replacing it with a new storage bin, or removing it from the premises. We also discussed replacing the wooden stakes that hold the wire barrier in place. Medical Records A violation was cited today for a child not having a valid medical report on file. According to NC General Statute 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 a licensed physician; 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; a certified nurse practitioner; or a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. We discussed reviewing documents for validity when receiving documents from parents. Reminders Sanitation Inspection According to your records, your sanitation inspection is due to expire on March 25, 2025. To remain in compliance with NC General Statute 110-91, I encouraged the legal designee to contact the Cumberland County Environmental Health Department at (910) 433-3618 to schedule and obtain an updated inspection prior to the expiration date. 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. Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and School-Aged Children This free course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). This course is approved by the Division of Child Development and Early Education for 3 contact hours. For more information about the course, please visit https://bhs.unc.edu/teaching-whole-child-supporting-social-emotional-wellness-preschool-and-elementary-school-aged. Darkness to Light Darkness to Light is a nonprofit organization with a mission to equip and empower adults to build safe environments that protect children from sexual abuse. Darkness to Light’s flagship program, Stewards of Children®, is a trauma and evidence-informed training that teaches adults to prevent, recognize, and react responsibly to child sexual abuse. More than 2.2 million adults have been trained using the program. To learn more about child sexual abuse prevention training or to enroll your organization in Darkness to Light’s “Partner in Prevention” program, please visit www.D2L.org/education/partner-in-prevention. DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.1721 · Violation

Name of Operation: TINY IMPRINTS CHILDCARE Facility ID: 26002437 Consultant: TIFFANY REED Operation Type: Family CC Home Case Number: Visit Date: 1/27/2025 Number Present: 4 Completed Date: 1/27/2025 Age: From 0 To 3 Total Minutes: 345 Time In: 09:30 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to an Annual Compliance Visit, including Health and Safety Training. The previous Annual Compliance Visit was completed on February 08, 2024, and prior to today’s visit, the eighteen-month compliance history score was 99% 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 October 10, 2019. 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 restricting infant capacity to no more than two children under one year of age. The information on record was verified as correct by Syania McLean, Legal Designee/Lead Teacher. Current Inspections are as follows: Sanitation Classification of Superior was completed on March 25, 2024. S. McLean, Lead Teacher, was present while I observed the indoor and outdoor areas. Four children were present upon my arrival. The children had access to blocks, fine motor, dramatic play, creative art, and literacy materials. The children were observed participating in free-choice activities and a painting activity. Routine care and handwashing practices were observed. Lunch consisted of chicken nuggets, corn, banana, whole wheat bread, ketchup, and milk. Due to heavy rain, the children were not observed participating in outdoor play activities. The outdoor learning environment was monitored for health and safety requirements. A damaged storage bin, containing balls and toys, was observed with exposed metal bars, creating protrusions. Additionally, the wooden stakes that were used to hold the wire barrier around the AC units, were observed in poor repair and exposed sharp edges. Two staff files were reviewed. One staff member did not have documentation on file of completing an ITS-SIDS course within the past three years. Seven children’s records were reviewed. One child did not have a valid medical report on file. It was not completed by a licensed medical professional. Program files, including the EPR plan, were reviewed. The most recent fire drill was completed on January 03, 2025. The most recent shelter-in-place drill was completed on January 03, 2025. The most recent outdoor inspection was completed on January 01, 2025. The vehicle used to transport children was not on the premises and could not be monitored for transportation requirements. At the completion of the visit, the Visit Summary was reviewed with S. McLean. The following violations were observed: Violation Number Comment Rule 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. In the outdoor learning environment, a storage bin was observed in poor repair. The storage bin had metal bars sticking out of it, creating protrusion hazards. Additionally, the barrier surrounding the AC unit was observed in poor repair. The wooden stakes that support the wire barrier were observed cracked and broken, exposing sharp edges. .1719(a)(1)&(17) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. One child (K.T.) did not have a valid medical report on file. The medical report was not completed by a licensed medical professional. GS 110-91(1); 10A NCAC 09.1721(a)(1) 2011 Individual who provides care for 5 hours or more a week, did not complete ITS-SIDS training prior to caring for infants. S.M., additional caregiver, did not complete ITS-SIDS training prior to caring for infants, or within the past three years. The previous ITS-SIDS training on S.M.'s file was taken on 11/19/2020. .1729(a)(8) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on February 10, 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 Special Training A violation was cited today for a staff member not having documentation on file of taking an ITS-SIDS course within the past 3 years. According to child care rule 10A NCAC 09 .1729(a)(8), an individual who provides care for five hours or more in a week during planned absences of the family child care home operator shall have completed ITS-SIDS training, if licensed to care for infants. The legal designee found an upcoming ITS-SIDS course with the Partnership for Children and registered for it. When the course is completed, please attach a copy of your training certificate with your compliance letter as supporting documentation. Safe Outdoor Environment A violation was cited today for protrusions being observed on a damaged storage bin in the outdoor learning environment and sharp edges being observed on the barrier surrounding the AC unit. According to child care rule 10A NCAC 09 .1719(a)(17), the operator of a family child care home shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to checking the indoor and outdoor environment daily for debris, vandalism, broken equipment and animal waste. The operator shall keep all areas used by the children, indoors and outdoors, clean and orderly and free of items which are potentially hazardous to children. This includes the removal of items that a child can swallow and use of outdoor play equipment that is too hot to touch. In addition, loose nails or screws and splinters shall be removed on inside and outside equipment. We discussed either repairing the storage bin, replacing it with a new storage bin, or removing it from the premises. We also discussed replacing the wooden stakes that hold the wire barrier in place. Medical Records A violation was cited today for a child not having a valid medical report on file. According to NC General Statute 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 a licensed physician; 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; a certified nurse practitioner; or a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. We discussed reviewing documents for validity when receiving documents from parents. Reminders Sanitation Inspection According to your records, your sanitation inspection is due to expire on March 25, 2025. To remain in compliance with NC General Statute 110-91, I encouraged the legal designee to contact the Cumberland County Environmental Health Department at (910) 433-3618 to schedule and obtain an updated inspection prior to the expiration date. 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. Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and School-Aged Children This free course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). This course is approved by the Division of Child Development and Early Education for 3 contact hours. For more information about the course, please visit https://bhs.unc.edu/teaching-whole-child-supporting-social-emotional-wellness-preschool-and-elementary-school-aged. Darkness to Light Darkness to Light is a nonprofit organization with a mission to equip and empower adults to build safe environments that protect children from sexual abuse. Darkness to Light’s flagship program, Stewards of Children®, is a trauma and evidence-informed training that teaches adults to prevent, recognize, and react responsibly to child sexual abuse. More than 2.2 million adults have been trained using the program. To learn more about child sexual abuse prevention training or to enroll your organization in Darkness to Light’s “Partner in Prevention” program, please visit www.D2L.org/education/partner-in-prevention. DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: TINY IMPRINTS CHILDCARE Facility ID: 26002437 Consultant: TIFFANY REED Operation Type: Family CC Home Case Number: Visit Date: 1/27/2025 Number Present: 4 Completed Date: 1/27/2025 Age: From 0 To 3 Total Minutes: 345 Time In: 09:30 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to an Annual Compliance Visit, including Health and Safety Training. The previous Annual Compliance Visit was completed on February 08, 2024, and prior to today’s visit, the eighteen-month compliance history score was 99% 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 October 10, 2019. 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 restricting infant capacity to no more than two children under one year of age. The information on record was verified as correct by Syania McLean, Legal Designee/Lead Teacher. Current Inspections are as follows: Sanitation Classification of Superior was completed on March 25, 2024. S. McLean, Lead Teacher, was present while I observed the indoor and outdoor areas. Four children were present upon my arrival. The children had access to blocks, fine motor, dramatic play, creative art, and literacy materials. The children were observed participating in free-choice activities and a painting activity. Routine care and handwashing practices were observed. Lunch consisted of chicken nuggets, corn, banana, whole wheat bread, ketchup, and milk. Due to heavy rain, the children were not observed participating in outdoor play activities. The outdoor learning environment was monitored for health and safety requirements. A damaged storage bin, containing balls and toys, was observed with exposed metal bars, creating protrusions. Additionally, the wooden stakes that were used to hold the wire barrier around the AC units, were observed in poor repair and exposed sharp edges. Two staff files were reviewed. One staff member did not have documentation on file of completing an ITS-SIDS course within the past three years. Seven children’s records were reviewed. One child did not have a valid medical report on file. It was not completed by a licensed medical professional. Program files, including the EPR plan, were reviewed. The most recent fire drill was completed on January 03, 2025. The most recent shelter-in-place drill was completed on January 03, 2025. The most recent outdoor inspection was completed on January 01, 2025. The vehicle used to transport children was not on the premises and could not be monitored for transportation requirements. At the completion of the visit, the Visit Summary was reviewed with S. McLean. The following violations were observed: Violation Number Comment Rule 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. In the outdoor learning environment, a storage bin was observed in poor repair. The storage bin had metal bars sticking out of it, creating protrusion hazards. Additionally, the barrier surrounding the AC unit was observed in poor repair. The wooden stakes that support the wire barrier were observed cracked and broken, exposing sharp edges. .1719(a)(1)&(17) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. One child (K.T.) did not have a valid medical report on file. The medical report was not completed by a licensed medical professional. GS 110-91(1); 10A NCAC 09.1721(a)(1) 2011 Individual who provides care for 5 hours or more a week, did not complete ITS-SIDS training prior to caring for infants. S.M., additional caregiver, did not complete ITS-SIDS training prior to caring for infants, or within the past three years. The previous ITS-SIDS training on S.M.'s file was taken on 11/19/2020. .1729(a)(8) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on February 10, 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 Special Training A violation was cited today for a staff member not having documentation on file of taking an ITS-SIDS course within the past 3 years. According to child care rule 10A NCAC 09 .1729(a)(8), an individual who provides care for five hours or more in a week during planned absences of the family child care home operator shall have completed ITS-SIDS training, if licensed to care for infants. The legal designee found an upcoming ITS-SIDS course with the Partnership for Children and registered for it. When the course is completed, please attach a copy of your training certificate with your compliance letter as supporting documentation. Safe Outdoor Environment A violation was cited today for protrusions being observed on a damaged storage bin in the outdoor learning environment and sharp edges being observed on the barrier surrounding the AC unit. According to child care rule 10A NCAC 09 .1719(a)(17), the operator of a family child care home shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to checking the indoor and outdoor environment daily for debris, vandalism, broken equipment and animal waste. The operator shall keep all areas used by the children, indoors and outdoors, clean and orderly and free of items which are potentially hazardous to children. This includes the removal of items that a child can swallow and use of outdoor play equipment that is too hot to touch. In addition, loose nails or screws and splinters shall be removed on inside and outside equipment. We discussed either repairing the storage bin, replacing it with a new storage bin, or removing it from the premises. We also discussed replacing the wooden stakes that hold the wire barrier in place. Medical Records A violation was cited today for a child not having a valid medical report on file. According to NC General Statute 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 a licensed physician; 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; a certified nurse practitioner; or a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. We discussed reviewing documents for validity when receiving documents from parents. Reminders Sanitation Inspection According to your records, your sanitation inspection is due to expire on March 25, 2025. To remain in compliance with NC General Statute 110-91, I encouraged the legal designee to contact the Cumberland County Environmental Health Department at (910) 433-3618 to schedule and obtain an updated inspection prior to the expiration date. 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. Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and School-Aged Children This free course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). This course is approved by the Division of Child Development and Early Education for 3 contact hours. For more information about the course, please visit https://bhs.unc.edu/teaching-whole-child-supporting-social-emotional-wellness-preschool-and-elementary-school-aged. Darkness to Light Darkness to Light is a nonprofit organization with a mission to equip and empower adults to build safe environments that protect children from sexual abuse. Darkness to Light’s flagship program, Stewards of Children®, is a trauma and evidence-informed training that teaches adults to prevent, recognize, and react responsibly to child sexual abuse. More than 2.2 million adults have been trained using the program. To learn more about child sexual abuse prevention training or to enroll your organization in Darkness to Light’s “Partner in Prevention” program, please visit www.D2L.org/education/partner-in-prevention. DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: TINY IMPRINTS CHILDCARE Facility ID: 26002437 Consultant: TIFFANY REED Operation Type: Family CC Home Case Number: Visit Date: 1/27/2025 Number Present: 4 Completed Date: 1/27/2025 Age: From 0 To 3 Total Minutes: 345 Time In: 09:30 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to an Annual Compliance Visit, including Health and Safety Training. The previous Annual Compliance Visit was completed on February 08, 2024, and prior to today’s visit, the eighteen-month compliance history score was 99% 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 October 10, 2019. 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 restricting infant capacity to no more than two children under one year of age. The information on record was verified as correct by Syania McLean, Legal Designee/Lead Teacher. Current Inspections are as follows: Sanitation Classification of Superior was completed on March 25, 2024. S. McLean, Lead Teacher, was present while I observed the indoor and outdoor areas. Four children were present upon my arrival. The children had access to blocks, fine motor, dramatic play, creative art, and literacy materials. The children were observed participating in free-choice activities and a painting activity. Routine care and handwashing practices were observed. Lunch consisted of chicken nuggets, corn, banana, whole wheat bread, ketchup, and milk. Due to heavy rain, the children were not observed participating in outdoor play activities. The outdoor learning environment was monitored for health and safety requirements. A damaged storage bin, containing balls and toys, was observed with exposed metal bars, creating protrusions. Additionally, the wooden stakes that were used to hold the wire barrier around the AC units, were observed in poor repair and exposed sharp edges. Two staff files were reviewed. One staff member did not have documentation on file of completing an ITS-SIDS course within the past three years. Seven children’s records were reviewed. One child did not have a valid medical report on file. It was not completed by a licensed medical professional. Program files, including the EPR plan, were reviewed. The most recent fire drill was completed on January 03, 2025. The most recent shelter-in-place drill was completed on January 03, 2025. The most recent outdoor inspection was completed on January 01, 2025. The vehicle used to transport children was not on the premises and could not be monitored for transportation requirements. At the completion of the visit, the Visit Summary was reviewed with S. McLean. The following violations were observed: Violation Number Comment Rule 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. In the outdoor learning environment, a storage bin was observed in poor repair. The storage bin had metal bars sticking out of it, creating protrusion hazards. Additionally, the barrier surrounding the AC unit was observed in poor repair. The wooden stakes that support the wire barrier were observed cracked and broken, exposing sharp edges. .1719(a)(1)&(17) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. One child (K.T.) did not have a valid medical report on file. The medical report was not completed by a licensed medical professional. GS 110-91(1); 10A NCAC 09.1721(a)(1) 2011 Individual who provides care for 5 hours or more a week, did not complete ITS-SIDS training prior to caring for infants. S.M., additional caregiver, did not complete ITS-SIDS training prior to caring for infants, or within the past three years. The previous ITS-SIDS training on S.M.'s file was taken on 11/19/2020. .1729(a)(8) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on February 10, 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 Special Training A violation was cited today for a staff member not having documentation on file of taking an ITS-SIDS course within the past 3 years. According to child care rule 10A NCAC 09 .1729(a)(8), an individual who provides care for five hours or more in a week during planned absences of the family child care home operator shall have completed ITS-SIDS training, if licensed to care for infants. The legal designee found an upcoming ITS-SIDS course with the Partnership for Children and registered for it. When the course is completed, please attach a copy of your training certificate with your compliance letter as supporting documentation. Safe Outdoor Environment A violation was cited today for protrusions being observed on a damaged storage bin in the outdoor learning environment and sharp edges being observed on the barrier surrounding the AC unit. According to child care rule 10A NCAC 09 .1719(a)(17), the operator of a family child care home shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to checking the indoor and outdoor environment daily for debris, vandalism, broken equipment and animal waste. The operator shall keep all areas used by the children, indoors and outdoors, clean and orderly and free of items which are potentially hazardous to children. This includes the removal of items that a child can swallow and use of outdoor play equipment that is too hot to touch. In addition, loose nails or screws and splinters shall be removed on inside and outside equipment. We discussed either repairing the storage bin, replacing it with a new storage bin, or removing it from the premises. We also discussed replacing the wooden stakes that hold the wire barrier in place. Medical Records A violation was cited today for a child not having a valid medical report on file. According to NC General Statute 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 a licensed physician; 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; a certified nurse practitioner; or a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. We discussed reviewing documents for validity when receiving documents from parents. Reminders Sanitation Inspection According to your records, your sanitation inspection is due to expire on March 25, 2025. To remain in compliance with NC General Statute 110-91, I encouraged the legal designee to contact the Cumberland County Environmental Health Department at (910) 433-3618 to schedule and obtain an updated inspection prior to the expiration date. 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. Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and School-Aged Children This free course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). This course is approved by the Division of Child Development and Early Education for 3 contact hours. For more information about the course, please visit https://bhs.unc.edu/teaching-whole-child-supporting-social-emotional-wellness-preschool-and-elementary-school-aged. Darkness to Light Darkness to Light is a nonprofit organization with a mission to equip and empower adults to build safe environments that protect children from sexual abuse. Darkness to Light’s flagship program, Stewards of Children®, is a trauma and evidence-informed training that teaches adults to prevent, recognize, and react responsibly to child sexual abuse. More than 2.2 million adults have been trained using the program. To learn more about child sexual abuse prevention training or to enroll your organization in Darkness to Light’s “Partner in Prevention” program, please visit www.D2L.org/education/partner-in-prevention. DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: TINY IMPRINTS CHILDCARE Facility ID: 26002437 Consultant: TIFFANY REED Operation Type: Family CC Home Case Number: 0823-130L Visit Date: 8/16/2023 Number Present: 4 Completed Date: 8/16/2023 Age: From 1 To 5 Total Minutes: 390 Time In: 10:00 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations regarding violations of child care requirements. The previous Annual Compliance Visit was completed March 02, 2023, 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 October 10, 2019. The information on record with DCDEE was verified as correct by Shanay Eason, Owner/Operator. Current Inspections are as follows: Sanitation Classification of superior completed August 22, 2022. Allegations are as follows: There are concerns that a parent was attacked by a large dog inside the home. There are concerns that a dog was not separated from the child care operation. There are concerns that the operational policies shared with a parent during enrollment were not current. There are concerns that staff did not respond to the needs of a child in a nurturing manner. I was greeted today by S. Eason, Owner/Operator. I observed the indoor and outdoor areas. Upon my arrival, four (4) children, the operator, and two additional caregivers were present. Children were observed participating in free-choice activities in the designated caregiving space. Children transitioned to bathroom and handwashing routines before sitting at a child-sized table for lunch. Lunch consisted of macaroni and cheese, carrots, mixed fruit, bread, and milk. I observed the pet dog being escorted outside from upstairs. An additional caregiver escorted the dog down the stairs, through the caregiving space, and out the back door to use the bathroom. The dog was restrained with a leash and harness. The allegations were discussed with the operator. I interviewed the operator and one additional caregiver. During the interview with the operator, she stated that on July 20, 2023, an additional caregiver brought the pet dog down the stairs to use the bathroom outside. The dog is usually escorted down the stairs, through the caregiving space, and out the back door to use the bathroom. While the dog was being escorted outside, it barked loudly at a parent who was standing in the doorway to drop off two children. The dog did not touch the parent or children. The operator stated that the dog is always restrained with a leash and harness before being escorted outside to use the bathroom. The operator also stated that on August 07, 2023, she received a text message from a parent stating that she will be dropping her children off later than usual due to oversleeping. The operator stated that the parent arrived at the facility at approximately 8:35am, and that she had already finished serving breakfast. She reminded the parent of the daily schedule, that she stopped serving breakfast at 8:30am, and she would provide the children with a snack. The parent arrived at approximately 9:00am to drop off diapers for one of her children. After discovering that her children had not yet eaten, the parent decided to take her children back home. During the interview with the additional caregiver, she stated that on July 20, 2023, she took the pet dog outside to use the bathroom as a parent was arriving to drop off her children. The dog barked loudly at the parent. The dog was restrained with a leash and harness and did not touch the parent or children. The caregiver stated that she always restrains the dog with a leash and harness before escorting the dog outside. During my review of records, sign-in/sign-out logs were not available for review and I could not determine the length of time the children in question were in care on August 07, 2023. Upon my review of the daily schedule, it was verified that breakfast is served between 8:00am – 8:30am. Upon reviewing documents from Cape Fear Tutoring, Inc., it has been verified that the facility’s time frame for serving breakfast is between 7:00am – 8:30am. Operational policies were reviewed. Upon my review of the pet acknowledgment form for all enrolled children, it was verified that the parents of all enrolled and previously enrolled children signed the animal acknowledgement form during enrollment. Some of the acknowledgments state that the dog will be located upstairs or outside. Other acknowledgments state that the dog will be located everywhere but the child care space. None of the pet acknowledgements stated that the dog will walk through the caregiving space to go outside to use the bathroom. Based on the information gathered and observations made, there was not sufficient information to confirm a parent was attacked by a large dog in the home. Based on the information gathered and observations made, the allegations of violations of child care requirements pertaining to a dog not being separated from the child care operation is unsubstantiated. Based on the information gathered and observations made, the allegation of violations of child care requirements pertaining to current operational policies not being shared with a parent during enrollment is substantiated. Based on the information gathered and observations made, there was not sufficient information to confirm that staff did not respond to the needs of a child in a nurturing manner. At the completion of the visit, the Visit Summary was reviewed with S. Eason. The following violations were observed: Violation Number Comment Rule 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. Attendance records were not available for review when the child care consultant asked for sign-in/sign-out logs to investigate allegations from July 20, 2023 and August 07, 2023. .1721(e)(6) 1741 Prior to enrollment of children in a Family Child Care Home, and before animals come into the Family Child Care Home, the operator did not obtain each parent's signature on a form acknowledging the type of animal located on the premises and where the animal will be kept during child care operating hours and /or the signed form was not maintained in the child's file. The signed animal acknowledgements on file did not accurately state the location the animal would be kept during operating hours. 10 NCAC 09 .1719(b)(3) 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 and must be corrected immediately. Additionally, you must submit a written, dated, and signed statement to me by 5:00pm on August 30, 2023. 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 Child Care ID# 12345678 Technical Assistance: Daily Attendance Records A violation was cited during today’s visit for not having attendance and sign-in/sign-out logs available for review. According to Child Care Rule .1721(e)(6), the family child care home operator shall complete and maintain daily attendance records for all children in care, including the operator's own preschool children. The attendance record shall indicate the date and time of arrival and departure for each child and shall be maintained as children arrive and depart. Attendance records shall be kept on file for the minimum of one year. Operational Policies A violation was cited during today’s visit for not following the operational policies regarding the location of pets during operating hours. According to Child Care Rule .1719(b)(3), prior to enrollment of children in a family child care home, and before new animals come into the family child care home, the family child care home operator shall obtain each parent's signature on a form acknowledging the type of animal located on the premises and where the animal will be kept during operating hours. This documentation shall be maintained in each child's file. I suggested taking the dog out the front door to use the bathroom, and separating the front entrance from the caregiving space with a child safety gate. Sanitation Inspection According to your records, your sanitation inspection is due to expire on August 22, 2023. I encouraged the operator to contact the Cumberland County Environmental Health Department at (910) 433-3618 to schedule an updated sanitation inspection before the expiration date. DCDEE Child Care Consultant Contact Information If you have any questions or concerns, please contact me at (910) 605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.