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Home › NC › Fletcher › Tammy Pratt Day Care Home
Fletcher NC 28732 · License #11000284 · Home-based · Family Child Care Home
Not published by the state. Owners can add hours via profile claim.
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Ages served
10A NCAC 09 .1102 · Violation
Name of Operation: TAMMY PRATT DAY CARE HOME Facility ID: 11000284 Consultant: KARLA TERRY Operation Type: Family CC Home Case Number: Visit Date: 11/19/2025 Number Present: 4 Completed Date: 11/19/2025 Age: From 2 To 4 Total Minutes: 185 Time In: 09:55 AM Time Out: 01:00 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 during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Tammy Pratt, Owner/Operator, during the visit. A signed copy of the visit summary was left on-site with to you. Tammy Pratt, Owner/Operator available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for family child care home was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-eight percent (98%) as of 11/17/2025. Permit type – Four Star Rated License, issued 3/1/2022. Special Services/Restrictions – first shift, second shift, maximum of five (5) preschool children at any time, no more than three (3) children less than one year old, serves no more than two (2) infants under one year of age. The last annual compliance visit was conducted on 12/9/2024. The last fire drill was practiced on11/12/2025. The last lockdown drill was practiced on 10/20/2025. The last playground inspection was documented on 11/12/2025. The Emergency Medical Care plan was posted and current. The last well water testing was completed on 11/22/2024. Lead water testing was completed on 4/14/2024 without hazards. Lead paint and asbestos testing was completed on 6/4/2024. The approved curriculum for four-year-old children is Creative Curriculum for Family Child Care Homes. The program does not provide transportation. When I arrived, the group of two- to four-year-olds were finishing cleanup from free play. Once the area was clean, they transitioned into the playroom, where they engaged in a pretend camping activity. Using an orange scarf and a light to represent a campfire, along with flashlights and pretend food, the children collaborated to create a camping scenario. The caregiver actively joined the play, asking open-ended questions that encouraged the children to elaborate on their ideas, fostering creativity, language development, and social interaction. When the camping activity concluded, the group transitioned to self-care routines. The children used the restroom, washed their hands, and prepared to go outside. At 10:40a, Thomas Pratt, Additional Caregiver arrived. Mr. Pratt assisted Mrs. Pratt with ensuring the outdoor environment was checked prior to the children transitioning outdoors for gross motor play. Once outdoors, the group engaged in a variety of play experiences. Several children jumped into a leaf pile, others pretended to fish with a fishing rod and toy fish and climbing on the climber. While observing outdoors, I observed a broken board with sharp edges on the Little Tikes wooden cottage. The caregiver stated that she noticed that yesterday. She stated that she would close the Little Tikes wooden cottage until the board could be replaced. During the visit, the additional caregiver replaced the board to ensure a safe environment was provided for the children. At 12:26p, the group transitioned indoors to wash hands and prepare for lunch. Operator/Caregiver and children’s files were monitored during the visit. The verification of required information for operator and additional caregiver form was received. The enrolled children have a nutritional opt out form on file and bring their food from home. The food was stored properly and labeled in the refrigerator. Operator/Caregiver files were reviewed and documented the health and safety training topics were not completed as part of on-going training topics every five (5) years. The previous health and safety training was completed on 5/8/2020 and retaken on 6/8/2025. The caregiver stated that she understands that the training was late and will adjust her tracking system to ensure the training is completed within the five (5) year timeframe. The additional caregiver, Mr. Pratt engaged in taking the children on a nature walk around the outdoor environment while Mrs. Pratt and I discussed the Quality Rating and Improvement System (QRIS). QRIS modernization 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 facility will pursue Classroom and Instructional Quality Pathway. We reviewed the caregiver must ensure the curriculum in use is on the approved list, select an approved formative assessment, receive training on its use, and begin implementation. Assessment results should be shared with families at least once a year, and ongoing coaching/training support is required. The facility plans to apply for a rated license during the next six (6) month visit. All facility licenses are to be reassessed by December 31, 2026. I used the Family Child Care Home Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 709 Equipment and toys were not in good repair and developmentally appropriate. Outdoors, a broken board with sharp edges was observed on the Little Tikes wooden cottage. 10 A NCAC 09.1720(a)(7) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. Health and safety training topics were not completed as part of on-going training topics every five (5) years. The previous health and safety training was completed on 5/8/2020 and retaken on 6/8/2025. .1703(d)(2) Technical assistance was provided as follows: Item 709- While observing outdoors, a broken board with sharp edges was observed on the Little Tikes wooden cottage. The caregiver stated that she noticed that yesterday. She stated that she would close the Little Tikes wooden cottage until the board could be replaced. During the visit, the additional caregiver replaced the board to ensure a safe environment was provided for the children. We discussed continuing to conduct daily outdoor checks looking closely at the climber, and Little tikes cottage to ensure items are not showing signs of wear and tear. Rule Reference: 10A NCAC 09.1719(21) Item 2023- Health and safety training topics were not completed as part of on-going training topics every five (5) years. The previous health and safety training was completed on 5/8/2020 and retaken on 6/8/2025. The caregiver stated that she understands that the training was late and will adjust her tracking system to ensure the training is completed within the five (5) year timeframe. Rule Reference: 10A NCAC 09.1703(d)(2) Achieving Compliance: 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. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/3/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We discussed the Family Child Care Home (FCCH) new rule changes regarding capacity. Mrs. Pratt stated that she does not wish to pursue a capacity change at the present time. However, she would like to pursue the capacity change in the future. -Children’s Emergency Information is to be reviewed when changes occur or at least annually with the parents. Ensuring the parents complete the form in its entirety listing a health care professional and hospital preference to be listed for all children enrolled. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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
Generated from this facility's specific inspection record
Data synced from North Carolina's child care licensing agency on Jul 9, 2026 · Report an error
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .1703 · Violation
Name of Operation: TAMMY PRATT DAY CARE HOME Facility ID: 11000284 Consultant: KARLA TERRY Operation Type: Family CC Home Case Number: Visit Date: 11/19/2025 Number Present: 4 Completed Date: 11/19/2025 Age: From 2 To 4 Total Minutes: 185 Time In: 09:55 AM Time Out: 01:00 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 during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Tammy Pratt, Owner/Operator, during the visit. A signed copy of the visit summary was left on-site with to you. Tammy Pratt, Owner/Operator available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for family child care home was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-eight percent (98%) as of 11/17/2025. Permit type – Four Star Rated License, issued 3/1/2022. Special Services/Restrictions – first shift, second shift, maximum of five (5) preschool children at any time, no more than three (3) children less than one year old, serves no more than two (2) infants under one year of age. The last annual compliance visit was conducted on 12/9/2024. The last fire drill was practiced on11/12/2025. The last lockdown drill was practiced on 10/20/2025. The last playground inspection was documented on 11/12/2025. The Emergency Medical Care plan was posted and current. The last well water testing was completed on 11/22/2024. Lead water testing was completed on 4/14/2024 without hazards. Lead paint and asbestos testing was completed on 6/4/2024. The approved curriculum for four-year-old children is Creative Curriculum for Family Child Care Homes. The program does not provide transportation. When I arrived, the group of two- to four-year-olds were finishing cleanup from free play. Once the area was clean, they transitioned into the playroom, where they engaged in a pretend camping activity. Using an orange scarf and a light to represent a campfire, along with flashlights and pretend food, the children collaborated to create a camping scenario. The caregiver actively joined the play, asking open-ended questions that encouraged the children to elaborate on their ideas, fostering creativity, language development, and social interaction. When the camping activity concluded, the group transitioned to self-care routines. The children used the restroom, washed their hands, and prepared to go outside. At 10:40a, Thomas Pratt, Additional Caregiver arrived. Mr. Pratt assisted Mrs. Pratt with ensuring the outdoor environment was checked prior to the children transitioning outdoors for gross motor play. Once outdoors, the group engaged in a variety of play experiences. Several children jumped into a leaf pile, others pretended to fish with a fishing rod and toy fish and climbing on the climber. While observing outdoors, I observed a broken board with sharp edges on the Little Tikes wooden cottage. The caregiver stated that she noticed that yesterday. She stated that she would close the Little Tikes wooden cottage until the board could be replaced. During the visit, the additional caregiver replaced the board to ensure a safe environment was provided for the children. At 12:26p, the group transitioned indoors to wash hands and prepare for lunch. Operator/Caregiver and children’s files were monitored during the visit. The verification of required information for operator and additional caregiver form was received. The enrolled children have a nutritional opt out form on file and bring their food from home. The food was stored properly and labeled in the refrigerator. Operator/Caregiver files were reviewed and documented the health and safety training topics were not completed as part of on-going training topics every five (5) years. The previous health and safety training was completed on 5/8/2020 and retaken on 6/8/2025. The caregiver stated that she understands that the training was late and will adjust her tracking system to ensure the training is completed within the five (5) year timeframe. The additional caregiver, Mr. Pratt engaged in taking the children on a nature walk around the outdoor environment while Mrs. Pratt and I discussed the Quality Rating and Improvement System (QRIS). QRIS modernization 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 facility will pursue Classroom and Instructional Quality Pathway. We reviewed the caregiver must ensure the curriculum in use is on the approved list, select an approved formative assessment, receive training on its use, and begin implementation. Assessment results should be shared with families at least once a year, and ongoing coaching/training support is required. The facility plans to apply for a rated license during the next six (6) month visit. All facility licenses are to be reassessed by December 31, 2026. I used the Family Child Care Home Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 709 Equipment and toys were not in good repair and developmentally appropriate. Outdoors, a broken board with sharp edges was observed on the Little Tikes wooden cottage. 10 A NCAC 09.1720(a)(7) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. Health and safety training topics were not completed as part of on-going training topics every five (5) years. The previous health and safety training was completed on 5/8/2020 and retaken on 6/8/2025. .1703(d)(2) Technical assistance was provided as follows: Item 709- While observing outdoors, a broken board with sharp edges was observed on the Little Tikes wooden cottage. The caregiver stated that she noticed that yesterday. She stated that she would close the Little Tikes wooden cottage until the board could be replaced. During the visit, the additional caregiver replaced the board to ensure a safe environment was provided for the children. We discussed continuing to conduct daily outdoor checks looking closely at the climber, and Little tikes cottage to ensure items are not showing signs of wear and tear. Rule Reference: 10A NCAC 09.1719(21) Item 2023- Health and safety training topics were not completed as part of on-going training topics every five (5) years. The previous health and safety training was completed on 5/8/2020 and retaken on 6/8/2025. The caregiver stated that she understands that the training was late and will adjust her tracking system to ensure the training is completed within the five (5) year timeframe. Rule Reference: 10A NCAC 09.1703(d)(2) Achieving Compliance: 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. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/3/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We discussed the Family Child Care Home (FCCH) new rule changes regarding capacity. Mrs. Pratt stated that she does not wish to pursue a capacity change at the present time. However, she would like to pursue the capacity change in the future. -Children’s Emergency Information is to be reviewed when changes occur or at least annually with the parents. Ensuring the parents complete the form in its entirety listing a health care professional and hospital preference to be listed for all children enrolled. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .2830 · Violation
Name of Operation: TAMMY PRATT DAY CARE HOME Facility ID: 11000284 Consultant: KARLA TERRY Operation Type: Family CC Home Case Number: Visit Date: 11/19/2025 Number Present: 4 Completed Date: 11/19/2025 Age: From 2 To 4 Total Minutes: 185 Time In: 09:55 AM Time Out: 01:00 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 during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Tammy Pratt, Owner/Operator, during the visit. A signed copy of the visit summary was left on-site with to you. Tammy Pratt, Owner/Operator available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for family child care home was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-eight percent (98%) as of 11/17/2025. Permit type – Four Star Rated License, issued 3/1/2022. Special Services/Restrictions – first shift, second shift, maximum of five (5) preschool children at any time, no more than three (3) children less than one year old, serves no more than two (2) infants under one year of age. The last annual compliance visit was conducted on 12/9/2024. The last fire drill was practiced on11/12/2025. The last lockdown drill was practiced on 10/20/2025. The last playground inspection was documented on 11/12/2025. The Emergency Medical Care plan was posted and current. The last well water testing was completed on 11/22/2024. Lead water testing was completed on 4/14/2024 without hazards. Lead paint and asbestos testing was completed on 6/4/2024. The approved curriculum for four-year-old children is Creative Curriculum for Family Child Care Homes. The program does not provide transportation. When I arrived, the group of two- to four-year-olds were finishing cleanup from free play. Once the area was clean, they transitioned into the playroom, where they engaged in a pretend camping activity. Using an orange scarf and a light to represent a campfire, along with flashlights and pretend food, the children collaborated to create a camping scenario. The caregiver actively joined the play, asking open-ended questions that encouraged the children to elaborate on their ideas, fostering creativity, language development, and social interaction. When the camping activity concluded, the group transitioned to self-care routines. The children used the restroom, washed their hands, and prepared to go outside. At 10:40a, Thomas Pratt, Additional Caregiver arrived. Mr. Pratt assisted Mrs. Pratt with ensuring the outdoor environment was checked prior to the children transitioning outdoors for gross motor play. Once outdoors, the group engaged in a variety of play experiences. Several children jumped into a leaf pile, others pretended to fish with a fishing rod and toy fish and climbing on the climber. While observing outdoors, I observed a broken board with sharp edges on the Little Tikes wooden cottage. The caregiver stated that she noticed that yesterday. She stated that she would close the Little Tikes wooden cottage until the board could be replaced. During the visit, the additional caregiver replaced the board to ensure a safe environment was provided for the children. At 12:26p, the group transitioned indoors to wash hands and prepare for lunch. Operator/Caregiver and children’s files were monitored during the visit. The verification of required information for operator and additional caregiver form was received. The enrolled children have a nutritional opt out form on file and bring their food from home. The food was stored properly and labeled in the refrigerator. Operator/Caregiver files were reviewed and documented the health and safety training topics were not completed as part of on-going training topics every five (5) years. The previous health and safety training was completed on 5/8/2020 and retaken on 6/8/2025. The caregiver stated that she understands that the training was late and will adjust her tracking system to ensure the training is completed within the five (5) year timeframe. The additional caregiver, Mr. Pratt engaged in taking the children on a nature walk around the outdoor environment while Mrs. Pratt and I discussed the Quality Rating and Improvement System (QRIS). QRIS modernization 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 facility will pursue Classroom and Instructional Quality Pathway. We reviewed the caregiver must ensure the curriculum in use is on the approved list, select an approved formative assessment, receive training on its use, and begin implementation. Assessment results should be shared with families at least once a year, and ongoing coaching/training support is required. The facility plans to apply for a rated license during the next six (6) month visit. All facility licenses are to be reassessed by December 31, 2026. I used the Family Child Care Home Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 709 Equipment and toys were not in good repair and developmentally appropriate. Outdoors, a broken board with sharp edges was observed on the Little Tikes wooden cottage. 10 A NCAC 09.1720(a)(7) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. Health and safety training topics were not completed as part of on-going training topics every five (5) years. The previous health and safety training was completed on 5/8/2020 and retaken on 6/8/2025. .1703(d)(2) Technical assistance was provided as follows: Item 709- While observing outdoors, a broken board with sharp edges was observed on the Little Tikes wooden cottage. The caregiver stated that she noticed that yesterday. She stated that she would close the Little Tikes wooden cottage until the board could be replaced. During the visit, the additional caregiver replaced the board to ensure a safe environment was provided for the children. We discussed continuing to conduct daily outdoor checks looking closely at the climber, and Little tikes cottage to ensure items are not showing signs of wear and tear. Rule Reference: 10A NCAC 09.1719(21) Item 2023- Health and safety training topics were not completed as part of on-going training topics every five (5) years. The previous health and safety training was completed on 5/8/2020 and retaken on 6/8/2025. The caregiver stated that she understands that the training was late and will adjust her tracking system to ensure the training is completed within the five (5) year timeframe. Rule Reference: 10A NCAC 09.1703(d)(2) Achieving Compliance: 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. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/3/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We discussed the Family Child Care Home (FCCH) new rule changes regarding capacity. Mrs. Pratt stated that she does not wish to pursue a capacity change at the present time. However, she would like to pursue the capacity change in the future. -Children’s Emergency Information is to be reviewed when changes occur or at least annually with the parents. Ensuring the parents complete the form in its entirety listing a health care professional and hospital preference to be listed for all children enrolled. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09.1703 · Violation
Name of Operation: TAMMY PRATT DAY CARE HOME Facility ID: 11000284 Consultant: KARLA TERRY Operation Type: Family CC Home Case Number: Visit Date: 11/19/2025 Number Present: 4 Completed Date: 11/19/2025 Age: From 2 To 4 Total Minutes: 185 Time In: 09:55 AM Time Out: 01:00 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 during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Tammy Pratt, Owner/Operator, during the visit. A signed copy of the visit summary was left on-site with to you. Tammy Pratt, Owner/Operator available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for family child care home was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-eight percent (98%) as of 11/17/2025. Permit type – Four Star Rated License, issued 3/1/2022. Special Services/Restrictions – first shift, second shift, maximum of five (5) preschool children at any time, no more than three (3) children less than one year old, serves no more than two (2) infants under one year of age. The last annual compliance visit was conducted on 12/9/2024. The last fire drill was practiced on11/12/2025. The last lockdown drill was practiced on 10/20/2025. The last playground inspection was documented on 11/12/2025. The Emergency Medical Care plan was posted and current. The last well water testing was completed on 11/22/2024. Lead water testing was completed on 4/14/2024 without hazards. Lead paint and asbestos testing was completed on 6/4/2024. The approved curriculum for four-year-old children is Creative Curriculum for Family Child Care Homes. The program does not provide transportation. When I arrived, the group of two- to four-year-olds were finishing cleanup from free play. Once the area was clean, they transitioned into the playroom, where they engaged in a pretend camping activity. Using an orange scarf and a light to represent a campfire, along with flashlights and pretend food, the children collaborated to create a camping scenario. The caregiver actively joined the play, asking open-ended questions that encouraged the children to elaborate on their ideas, fostering creativity, language development, and social interaction. When the camping activity concluded, the group transitioned to self-care routines. The children used the restroom, washed their hands, and prepared to go outside. At 10:40a, Thomas Pratt, Additional Caregiver arrived. Mr. Pratt assisted Mrs. Pratt with ensuring the outdoor environment was checked prior to the children transitioning outdoors for gross motor play. Once outdoors, the group engaged in a variety of play experiences. Several children jumped into a leaf pile, others pretended to fish with a fishing rod and toy fish and climbing on the climber. While observing outdoors, I observed a broken board with sharp edges on the Little Tikes wooden cottage. The caregiver stated that she noticed that yesterday. She stated that she would close the Little Tikes wooden cottage until the board could be replaced. During the visit, the additional caregiver replaced the board to ensure a safe environment was provided for the children. At 12:26p, the group transitioned indoors to wash hands and prepare for lunch. Operator/Caregiver and children’s files were monitored during the visit. The verification of required information for operator and additional caregiver form was received. The enrolled children have a nutritional opt out form on file and bring their food from home. The food was stored properly and labeled in the refrigerator. Operator/Caregiver files were reviewed and documented the health and safety training topics were not completed as part of on-going training topics every five (5) years. The previous health and safety training was completed on 5/8/2020 and retaken on 6/8/2025. The caregiver stated that she understands that the training was late and will adjust her tracking system to ensure the training is completed within the five (5) year timeframe. The additional caregiver, Mr. Pratt engaged in taking the children on a nature walk around the outdoor environment while Mrs. Pratt and I discussed the Quality Rating and Improvement System (QRIS). QRIS modernization 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 facility will pursue Classroom and Instructional Quality Pathway. We reviewed the caregiver must ensure the curriculum in use is on the approved list, select an approved formative assessment, receive training on its use, and begin implementation. Assessment results should be shared with families at least once a year, and ongoing coaching/training support is required. The facility plans to apply for a rated license during the next six (6) month visit. All facility licenses are to be reassessed by December 31, 2026. I used the Family Child Care Home Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 709 Equipment and toys were not in good repair and developmentally appropriate. Outdoors, a broken board with sharp edges was observed on the Little Tikes wooden cottage. 10 A NCAC 09.1720(a)(7) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. Health and safety training topics were not completed as part of on-going training topics every five (5) years. The previous health and safety training was completed on 5/8/2020 and retaken on 6/8/2025. .1703(d)(2) Technical assistance was provided as follows: Item 709- While observing outdoors, a broken board with sharp edges was observed on the Little Tikes wooden cottage. The caregiver stated that she noticed that yesterday. She stated that she would close the Little Tikes wooden cottage until the board could be replaced. During the visit, the additional caregiver replaced the board to ensure a safe environment was provided for the children. We discussed continuing to conduct daily outdoor checks looking closely at the climber, and Little tikes cottage to ensure items are not showing signs of wear and tear. Rule Reference: 10A NCAC 09.1719(21) Item 2023- Health and safety training topics were not completed as part of on-going training topics every five (5) years. The previous health and safety training was completed on 5/8/2020 and retaken on 6/8/2025. The caregiver stated that she understands that the training was late and will adjust her tracking system to ensure the training is completed within the five (5) year timeframe. Rule Reference: 10A NCAC 09.1703(d)(2) Achieving Compliance: 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. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/3/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We discussed the Family Child Care Home (FCCH) new rule changes regarding capacity. Mrs. Pratt stated that she does not wish to pursue a capacity change at the present time. However, she would like to pursue the capacity change in the future. -Children’s Emergency Information is to be reviewed when changes occur or at least annually with the parents. Ensuring the parents complete the form in its entirety listing a health care professional and hospital preference to be listed for all children enrolled. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09.1719 · Violation
Name of Operation: TAMMY PRATT DAY CARE HOME Facility ID: 11000284 Consultant: KARLA TERRY Operation Type: Family CC Home Case Number: Visit Date: 11/19/2025 Number Present: 4 Completed Date: 11/19/2025 Age: From 2 To 4 Total Minutes: 185 Time In: 09:55 AM Time Out: 01:00 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 during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Tammy Pratt, Owner/Operator, during the visit. A signed copy of the visit summary was left on-site with to you. Tammy Pratt, Owner/Operator available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for family child care home was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-eight percent (98%) as of 11/17/2025. Permit type – Four Star Rated License, issued 3/1/2022. Special Services/Restrictions – first shift, second shift, maximum of five (5) preschool children at any time, no more than three (3) children less than one year old, serves no more than two (2) infants under one year of age. The last annual compliance visit was conducted on 12/9/2024. The last fire drill was practiced on11/12/2025. The last lockdown drill was practiced on 10/20/2025. The last playground inspection was documented on 11/12/2025. The Emergency Medical Care plan was posted and current. The last well water testing was completed on 11/22/2024. Lead water testing was completed on 4/14/2024 without hazards. Lead paint and asbestos testing was completed on 6/4/2024. The approved curriculum for four-year-old children is Creative Curriculum for Family Child Care Homes. The program does not provide transportation. When I arrived, the group of two- to four-year-olds were finishing cleanup from free play. Once the area was clean, they transitioned into the playroom, where they engaged in a pretend camping activity. Using an orange scarf and a light to represent a campfire, along with flashlights and pretend food, the children collaborated to create a camping scenario. The caregiver actively joined the play, asking open-ended questions that encouraged the children to elaborate on their ideas, fostering creativity, language development, and social interaction. When the camping activity concluded, the group transitioned to self-care routines. The children used the restroom, washed their hands, and prepared to go outside. At 10:40a, Thomas Pratt, Additional Caregiver arrived. Mr. Pratt assisted Mrs. Pratt with ensuring the outdoor environment was checked prior to the children transitioning outdoors for gross motor play. Once outdoors, the group engaged in a variety of play experiences. Several children jumped into a leaf pile, others pretended to fish with a fishing rod and toy fish and climbing on the climber. While observing outdoors, I observed a broken board with sharp edges on the Little Tikes wooden cottage. The caregiver stated that she noticed that yesterday. She stated that she would close the Little Tikes wooden cottage until the board could be replaced. During the visit, the additional caregiver replaced the board to ensure a safe environment was provided for the children. At 12:26p, the group transitioned indoors to wash hands and prepare for lunch. Operator/Caregiver and children’s files were monitored during the visit. The verification of required information for operator and additional caregiver form was received. The enrolled children have a nutritional opt out form on file and bring their food from home. The food was stored properly and labeled in the refrigerator. Operator/Caregiver files were reviewed and documented the health and safety training topics were not completed as part of on-going training topics every five (5) years. The previous health and safety training was completed on 5/8/2020 and retaken on 6/8/2025. The caregiver stated that she understands that the training was late and will adjust her tracking system to ensure the training is completed within the five (5) year timeframe. The additional caregiver, Mr. Pratt engaged in taking the children on a nature walk around the outdoor environment while Mrs. Pratt and I discussed the Quality Rating and Improvement System (QRIS). QRIS modernization 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 facility will pursue Classroom and Instructional Quality Pathway. We reviewed the caregiver must ensure the curriculum in use is on the approved list, select an approved formative assessment, receive training on its use, and begin implementation. Assessment results should be shared with families at least once a year, and ongoing coaching/training support is required. The facility plans to apply for a rated license during the next six (6) month visit. All facility licenses are to be reassessed by December 31, 2026. I used the Family Child Care Home Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 709 Equipment and toys were not in good repair and developmentally appropriate. Outdoors, a broken board with sharp edges was observed on the Little Tikes wooden cottage. 10 A NCAC 09.1720(a)(7) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. Health and safety training topics were not completed as part of on-going training topics every five (5) years. The previous health and safety training was completed on 5/8/2020 and retaken on 6/8/2025. .1703(d)(2) Technical assistance was provided as follows: Item 709- While observing outdoors, a broken board with sharp edges was observed on the Little Tikes wooden cottage. The caregiver stated that she noticed that yesterday. She stated that she would close the Little Tikes wooden cottage until the board could be replaced. During the visit, the additional caregiver replaced the board to ensure a safe environment was provided for the children. We discussed continuing to conduct daily outdoor checks looking closely at the climber, and Little tikes cottage to ensure items are not showing signs of wear and tear. Rule Reference: 10A NCAC 09.1719(21) Item 2023- Health and safety training topics were not completed as part of on-going training topics every five (5) years. The previous health and safety training was completed on 5/8/2020 and retaken on 6/8/2025. The caregiver stated that she understands that the training was late and will adjust her tracking system to ensure the training is completed within the five (5) year timeframe. Rule Reference: 10A NCAC 09.1703(d)(2) Achieving Compliance: 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. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/3/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We discussed the Family Child Care Home (FCCH) new rule changes regarding capacity. Mrs. Pratt stated that she does not wish to pursue a capacity change at the present time. However, she would like to pursue the capacity change in the future. -Children’s Emergency Information is to be reviewed when changes occur or at least annually with the parents. Ensuring the parents complete the form in its entirety listing a health care professional and hospital preference to be listed for all children enrolled. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
NC GS 110-90 · Violation
Name of Operation: TAMMY PRATT DAY CARE HOME Facility ID: 11000284 Consultant: KARLA TERRY Operation Type: Family CC Home Case Number: Visit Date: 11/19/2025 Number Present: 4 Completed Date: 11/19/2025 Age: From 2 To 4 Total Minutes: 185 Time In: 09:55 AM Time Out: 01:00 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 during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Tammy Pratt, Owner/Operator, during the visit. A signed copy of the visit summary was left on-site with to you. Tammy Pratt, Owner/Operator available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for family child care home was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-eight percent (98%) as of 11/17/2025. Permit type – Four Star Rated License, issued 3/1/2022. Special Services/Restrictions – first shift, second shift, maximum of five (5) preschool children at any time, no more than three (3) children less than one year old, serves no more than two (2) infants under one year of age. The last annual compliance visit was conducted on 12/9/2024. The last fire drill was practiced on11/12/2025. The last lockdown drill was practiced on 10/20/2025. The last playground inspection was documented on 11/12/2025. The Emergency Medical Care plan was posted and current. The last well water testing was completed on 11/22/2024. Lead water testing was completed on 4/14/2024 without hazards. Lead paint and asbestos testing was completed on 6/4/2024. The approved curriculum for four-year-old children is Creative Curriculum for Family Child Care Homes. The program does not provide transportation. When I arrived, the group of two- to four-year-olds were finishing cleanup from free play. Once the area was clean, they transitioned into the playroom, where they engaged in a pretend camping activity. Using an orange scarf and a light to represent a campfire, along with flashlights and pretend food, the children collaborated to create a camping scenario. The caregiver actively joined the play, asking open-ended questions that encouraged the children to elaborate on their ideas, fostering creativity, language development, and social interaction. When the camping activity concluded, the group transitioned to self-care routines. The children used the restroom, washed their hands, and prepared to go outside. At 10:40a, Thomas Pratt, Additional Caregiver arrived. Mr. Pratt assisted Mrs. Pratt with ensuring the outdoor environment was checked prior to the children transitioning outdoors for gross motor play. Once outdoors, the group engaged in a variety of play experiences. Several children jumped into a leaf pile, others pretended to fish with a fishing rod and toy fish and climbing on the climber. While observing outdoors, I observed a broken board with sharp edges on the Little Tikes wooden cottage. The caregiver stated that she noticed that yesterday. She stated that she would close the Little Tikes wooden cottage until the board could be replaced. During the visit, the additional caregiver replaced the board to ensure a safe environment was provided for the children. At 12:26p, the group transitioned indoors to wash hands and prepare for lunch. Operator/Caregiver and children’s files were monitored during the visit. The verification of required information for operator and additional caregiver form was received. The enrolled children have a nutritional opt out form on file and bring their food from home. The food was stored properly and labeled in the refrigerator. Operator/Caregiver files were reviewed and documented the health and safety training topics were not completed as part of on-going training topics every five (5) years. The previous health and safety training was completed on 5/8/2020 and retaken on 6/8/2025. The caregiver stated that she understands that the training was late and will adjust her tracking system to ensure the training is completed within the five (5) year timeframe. The additional caregiver, Mr. Pratt engaged in taking the children on a nature walk around the outdoor environment while Mrs. Pratt and I discussed the Quality Rating and Improvement System (QRIS). QRIS modernization 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 facility will pursue Classroom and Instructional Quality Pathway. We reviewed the caregiver must ensure the curriculum in use is on the approved list, select an approved formative assessment, receive training on its use, and begin implementation. Assessment results should be shared with families at least once a year, and ongoing coaching/training support is required. The facility plans to apply for a rated license during the next six (6) month visit. All facility licenses are to be reassessed by December 31, 2026. I used the Family Child Care Home Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 709 Equipment and toys were not in good repair and developmentally appropriate. Outdoors, a broken board with sharp edges was observed on the Little Tikes wooden cottage. 10 A NCAC 09.1720(a)(7) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. Health and safety training topics were not completed as part of on-going training topics every five (5) years. The previous health and safety training was completed on 5/8/2020 and retaken on 6/8/2025. .1703(d)(2) Technical assistance was provided as follows: Item 709- While observing outdoors, a broken board with sharp edges was observed on the Little Tikes wooden cottage. The caregiver stated that she noticed that yesterday. She stated that she would close the Little Tikes wooden cottage until the board could be replaced. During the visit, the additional caregiver replaced the board to ensure a safe environment was provided for the children. We discussed continuing to conduct daily outdoor checks looking closely at the climber, and Little tikes cottage to ensure items are not showing signs of wear and tear. Rule Reference: 10A NCAC 09.1719(21) Item 2023- Health and safety training topics were not completed as part of on-going training topics every five (5) years. The previous health and safety training was completed on 5/8/2020 and retaken on 6/8/2025. The caregiver stated that she understands that the training was late and will adjust her tracking system to ensure the training is completed within the five (5) year timeframe. Rule Reference: 10A NCAC 09.1703(d)(2) Achieving Compliance: 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. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/3/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We discussed the Family Child Care Home (FCCH) new rule changes regarding capacity. Mrs. Pratt stated that she does not wish to pursue a capacity change at the present time. However, she would like to pursue the capacity change in the future. -Children’s Emergency Information is to be reviewed when changes occur or at least annually with the parents. Ensuring the parents complete the form in its entirety listing a health care professional and hospital preference to be listed for all children enrolled. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .1102 · Violation
Name of Operation: TAMMY PRATT DAY CARE HOME Facility ID: 11000284 Consultant: KARLA TERRY Operation Type: Family CC Home Case Number: Visit Date: 12/9/2024 Number Present: 4 Completed Date: 12/9/2024 Age: From 1 To 4 Total Minutes: 126 Time In: 10:19 AM Time Out: 12:25 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 during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Tammy Pratt, Owner/Operator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Tammy Pratt, Owner/Operator was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for family child care homes was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred percent (100%) as of 12/3/2024. The program operates with a Four (4) Star Rated License, issued 3/1/2022. The permit restrictions were in compliance including first (1st) Shift (daytime care), Second (2nd) shift, maximum of five (5) preschool children at any time, no more than three (3) children less than one years old. Serves no more than two (2) infants under one year of age. The last annual compliance visit was conducted on 12/15/2023. The last fire drill was practiced on 11/19/2024. A drill will be due by 12/31/2024. The last lockdown drill was practiced on 10/21/2024. A drill will be due in January. The last outdoor inspection was documented on 12/5/2024. The last lead and asbestos testing completed on 6/11/2024. The Emergency Medical Care plan was posted and current. The last well water testing was completed 11/22/2024. The approved curriculum for four-year-old children is Creative Curriculum. All medications were monitored, and two (2) medications were on-site in a locked cabinet that expired in December and January 2021. The program does not provide transportation. Ms. Pratt did inquire about transportation during the last visit, but does not wish to add transportation to her license at this time. When I arrived, the group of one to four year olds were engaged in decorating the Christmas tree. After decorating the children, the group transitioned to the play room to engage in free play with dolls, blocks, toy tools, and animals. Ms. Pratt engaged in play and conversations with the children while actively supervising the children. The children enrolled have a nutritional opt out form on file and bring their food from home. The food was stored properly and labeled in the refrigerator. Operator/Caregiver and children’s files were monitored during the visit. The verification of required information for operator and additional caregiver form was received. While observing outdoors, I observed two (2) free range chickens beside the play area. The children had not been outside due to the rain. The operator and I discussed that she would need to have a discussion with the owner to keep the chickens on their property, as Ms. Pratt owns and operates a licensed child care facility. Per licensing requirements animals must be kept in a cage or inaccessible to children through out the daily operation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 1404 Medication remaining after the course of treatment is completed, after authorization is withdrawn. or after authorization has expired, was not returned to the parent/guardian. Any medication not retrieved by parent/guardian within 72 hours of completion of treatment, or withdrawal of authorization, was not discarded. Two (2) medications were observed in a locked cabinet that expired. One (1) Aquaphor expired 1/2021 and one (1) itch cream expired 12/2021. 10A NCAC 09 .1720(c)(5) Technical assistance was provided as follows: Item #1404- Two (2) medications were observed in a locked cabinet that expired. One (1) Aquaphor expired 1/2021 and one (1) itch cream expired 12/2021. When I asked the operator about it she stated one (1) child no longer attends the facility and the other child no longer needs the medication. We discussed the need to dispose of the medication after the children leave for the day but until she is able to safely dispose of the medication to leave it in the locked cabinet. Rule Reference: 10A NCAC 09 .1720 (b)(12) Achieving Compliance: 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. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/23/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed the need to conduct a monthly medication check to ensure that the medication and the medication forms are valid. Free range chickens- You will need to have a discussion with the neighbor to keep the chickens on their property as you own and operator a licensed child care facility. Per licensing rules, animals must been contained in a cage away from the children. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the family child care home operator, and additional caregivers shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the operator’s responsibility to make sure themselves and additional caregivers have registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .1703 · Violation
Name of Operation: TAMMY PRATT DAY CARE HOME Facility ID: 11000284 Consultant: KARLA TERRY Operation Type: Family CC Home Case Number: Visit Date: 12/9/2024 Number Present: 4 Completed Date: 12/9/2024 Age: From 1 To 4 Total Minutes: 126 Time In: 10:19 AM Time Out: 12:25 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 during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Tammy Pratt, Owner/Operator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Tammy Pratt, Owner/Operator was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for family child care homes was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred percent (100%) as of 12/3/2024. The program operates with a Four (4) Star Rated License, issued 3/1/2022. The permit restrictions were in compliance including first (1st) Shift (daytime care), Second (2nd) shift, maximum of five (5) preschool children at any time, no more than three (3) children less than one years old. Serves no more than two (2) infants under one year of age. The last annual compliance visit was conducted on 12/15/2023. The last fire drill was practiced on 11/19/2024. A drill will be due by 12/31/2024. The last lockdown drill was practiced on 10/21/2024. A drill will be due in January. The last outdoor inspection was documented on 12/5/2024. The last lead and asbestos testing completed on 6/11/2024. The Emergency Medical Care plan was posted and current. The last well water testing was completed 11/22/2024. The approved curriculum for four-year-old children is Creative Curriculum. All medications were monitored, and two (2) medications were on-site in a locked cabinet that expired in December and January 2021. The program does not provide transportation. Ms. Pratt did inquire about transportation during the last visit, but does not wish to add transportation to her license at this time. When I arrived, the group of one to four year olds were engaged in decorating the Christmas tree. After decorating the children, the group transitioned to the play room to engage in free play with dolls, blocks, toy tools, and animals. Ms. Pratt engaged in play and conversations with the children while actively supervising the children. The children enrolled have a nutritional opt out form on file and bring their food from home. The food was stored properly and labeled in the refrigerator. Operator/Caregiver and children’s files were monitored during the visit. The verification of required information for operator and additional caregiver form was received. While observing outdoors, I observed two (2) free range chickens beside the play area. The children had not been outside due to the rain. The operator and I discussed that she would need to have a discussion with the owner to keep the chickens on their property, as Ms. Pratt owns and operates a licensed child care facility. Per licensing requirements animals must be kept in a cage or inaccessible to children through out the daily operation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 1404 Medication remaining after the course of treatment is completed, after authorization is withdrawn. or after authorization has expired, was not returned to the parent/guardian. Any medication not retrieved by parent/guardian within 72 hours of completion of treatment, or withdrawal of authorization, was not discarded. Two (2) medications were observed in a locked cabinet that expired. One (1) Aquaphor expired 1/2021 and one (1) itch cream expired 12/2021. 10A NCAC 09 .1720(c)(5) Technical assistance was provided as follows: Item #1404- Two (2) medications were observed in a locked cabinet that expired. One (1) Aquaphor expired 1/2021 and one (1) itch cream expired 12/2021. When I asked the operator about it she stated one (1) child no longer attends the facility and the other child no longer needs the medication. We discussed the need to dispose of the medication after the children leave for the day but until she is able to safely dispose of the medication to leave it in the locked cabinet. Rule Reference: 10A NCAC 09 .1720 (b)(12) Achieving Compliance: 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. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/23/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed the need to conduct a monthly medication check to ensure that the medication and the medication forms are valid. Free range chickens- You will need to have a discussion with the neighbor to keep the chickens on their property as you own and operator a licensed child care facility. Per licensing rules, animals must been contained in a cage away from the children. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the family child care home operator, and additional caregivers shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the operator’s responsibility to make sure themselves and additional caregivers have registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1720 · Violation
Name of Operation: TAMMY PRATT DAY CARE HOME Facility ID: 11000284 Consultant: KARLA TERRY Operation Type: Family CC Home Case Number: Visit Date: 12/9/2024 Number Present: 4 Completed Date: 12/9/2024 Age: From 1 To 4 Total Minutes: 126 Time In: 10:19 AM Time Out: 12:25 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 during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Tammy Pratt, Owner/Operator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Tammy Pratt, Owner/Operator was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for family child care homes was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred percent (100%) as of 12/3/2024. The program operates with a Four (4) Star Rated License, issued 3/1/2022. The permit restrictions were in compliance including first (1st) Shift (daytime care), Second (2nd) shift, maximum of five (5) preschool children at any time, no more than three (3) children less than one years old. Serves no more than two (2) infants under one year of age. The last annual compliance visit was conducted on 12/15/2023. The last fire drill was practiced on 11/19/2024. A drill will be due by 12/31/2024. The last lockdown drill was practiced on 10/21/2024. A drill will be due in January. The last outdoor inspection was documented on 12/5/2024. The last lead and asbestos testing completed on 6/11/2024. The Emergency Medical Care plan was posted and current. The last well water testing was completed 11/22/2024. The approved curriculum for four-year-old children is Creative Curriculum. All medications were monitored, and two (2) medications were on-site in a locked cabinet that expired in December and January 2021. The program does not provide transportation. Ms. Pratt did inquire about transportation during the last visit, but does not wish to add transportation to her license at this time. When I arrived, the group of one to four year olds were engaged in decorating the Christmas tree. After decorating the children, the group transitioned to the play room to engage in free play with dolls, blocks, toy tools, and animals. Ms. Pratt engaged in play and conversations with the children while actively supervising the children. The children enrolled have a nutritional opt out form on file and bring their food from home. The food was stored properly and labeled in the refrigerator. Operator/Caregiver and children’s files were monitored during the visit. The verification of required information for operator and additional caregiver form was received. While observing outdoors, I observed two (2) free range chickens beside the play area. The children had not been outside due to the rain. The operator and I discussed that she would need to have a discussion with the owner to keep the chickens on their property, as Ms. Pratt owns and operates a licensed child care facility. Per licensing requirements animals must be kept in a cage or inaccessible to children through out the daily operation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 1404 Medication remaining after the course of treatment is completed, after authorization is withdrawn. or after authorization has expired, was not returned to the parent/guardian. Any medication not retrieved by parent/guardian within 72 hours of completion of treatment, or withdrawal of authorization, was not discarded. Two (2) medications were observed in a locked cabinet that expired. One (1) Aquaphor expired 1/2021 and one (1) itch cream expired 12/2021. 10A NCAC 09 .1720(c)(5) Technical assistance was provided as follows: Item #1404- Two (2) medications were observed in a locked cabinet that expired. One (1) Aquaphor expired 1/2021 and one (1) itch cream expired 12/2021. When I asked the operator about it she stated one (1) child no longer attends the facility and the other child no longer needs the medication. We discussed the need to dispose of the medication after the children leave for the day but until she is able to safely dispose of the medication to leave it in the locked cabinet. Rule Reference: 10A NCAC 09 .1720 (b)(12) Achieving Compliance: 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. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/23/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed the need to conduct a monthly medication check to ensure that the medication and the medication forms are valid. Free range chickens- You will need to have a discussion with the neighbor to keep the chickens on their property as you own and operator a licensed child care facility. Per licensing rules, animals must been contained in a cage away from the children. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the family child care home operator, and additional caregivers shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the operator’s responsibility to make sure themselves and additional caregivers have registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .2830 · Violation
Name of Operation: TAMMY PRATT DAY CARE HOME Facility ID: 11000284 Consultant: KARLA TERRY Operation Type: Family CC Home Case Number: Visit Date: 12/9/2024 Number Present: 4 Completed Date: 12/9/2024 Age: From 1 To 4 Total Minutes: 126 Time In: 10:19 AM Time Out: 12:25 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 during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Tammy Pratt, Owner/Operator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Tammy Pratt, Owner/Operator was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for family child care homes was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred percent (100%) as of 12/3/2024. The program operates with a Four (4) Star Rated License, issued 3/1/2022. The permit restrictions were in compliance including first (1st) Shift (daytime care), Second (2nd) shift, maximum of five (5) preschool children at any time, no more than three (3) children less than one years old. Serves no more than two (2) infants under one year of age. The last annual compliance visit was conducted on 12/15/2023. The last fire drill was practiced on 11/19/2024. A drill will be due by 12/31/2024. The last lockdown drill was practiced on 10/21/2024. A drill will be due in January. The last outdoor inspection was documented on 12/5/2024. The last lead and asbestos testing completed on 6/11/2024. The Emergency Medical Care plan was posted and current. The last well water testing was completed 11/22/2024. The approved curriculum for four-year-old children is Creative Curriculum. All medications were monitored, and two (2) medications were on-site in a locked cabinet that expired in December and January 2021. The program does not provide transportation. Ms. Pratt did inquire about transportation during the last visit, but does not wish to add transportation to her license at this time. When I arrived, the group of one to four year olds were engaged in decorating the Christmas tree. After decorating the children, the group transitioned to the play room to engage in free play with dolls, blocks, toy tools, and animals. Ms. Pratt engaged in play and conversations with the children while actively supervising the children. The children enrolled have a nutritional opt out form on file and bring their food from home. The food was stored properly and labeled in the refrigerator. Operator/Caregiver and children’s files were monitored during the visit. The verification of required information for operator and additional caregiver form was received. While observing outdoors, I observed two (2) free range chickens beside the play area. The children had not been outside due to the rain. The operator and I discussed that she would need to have a discussion with the owner to keep the chickens on their property, as Ms. Pratt owns and operates a licensed child care facility. Per licensing requirements animals must be kept in a cage or inaccessible to children through out the daily operation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 1404 Medication remaining after the course of treatment is completed, after authorization is withdrawn. or after authorization has expired, was not returned to the parent/guardian. Any medication not retrieved by parent/guardian within 72 hours of completion of treatment, or withdrawal of authorization, was not discarded. Two (2) medications were observed in a locked cabinet that expired. One (1) Aquaphor expired 1/2021 and one (1) itch cream expired 12/2021. 10A NCAC 09 .1720(c)(5) Technical assistance was provided as follows: Item #1404- Two (2) medications were observed in a locked cabinet that expired. One (1) Aquaphor expired 1/2021 and one (1) itch cream expired 12/2021. When I asked the operator about it she stated one (1) child no longer attends the facility and the other child no longer needs the medication. We discussed the need to dispose of the medication after the children leave for the day but until she is able to safely dispose of the medication to leave it in the locked cabinet. Rule Reference: 10A NCAC 09 .1720 (b)(12) Achieving Compliance: 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. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/23/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed the need to conduct a monthly medication check to ensure that the medication and the medication forms are valid. Free range chickens- You will need to have a discussion with the neighbor to keep the chickens on their property as you own and operator a licensed child care facility. Per licensing rules, animals must been contained in a cage away from the children. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the family child care home operator, and additional caregivers shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the operator’s responsibility to make sure themselves and additional caregivers have registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: TAMMY PRATT DAY CARE HOME Facility ID: 11000284 Consultant: KARLA TERRY Operation Type: Family CC Home Case Number: Visit Date: 12/9/2024 Number Present: 4 Completed Date: 12/9/2024 Age: From 1 To 4 Total Minutes: 126 Time In: 10:19 AM Time Out: 12:25 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 during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Tammy Pratt, Owner/Operator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Tammy Pratt, Owner/Operator was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for family child care homes was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred percent (100%) as of 12/3/2024. The program operates with a Four (4) Star Rated License, issued 3/1/2022. The permit restrictions were in compliance including first (1st) Shift (daytime care), Second (2nd) shift, maximum of five (5) preschool children at any time, no more than three (3) children less than one years old. Serves no more than two (2) infants under one year of age. The last annual compliance visit was conducted on 12/15/2023. The last fire drill was practiced on 11/19/2024. A drill will be due by 12/31/2024. The last lockdown drill was practiced on 10/21/2024. A drill will be due in January. The last outdoor inspection was documented on 12/5/2024. The last lead and asbestos testing completed on 6/11/2024. The Emergency Medical Care plan was posted and current. The last well water testing was completed 11/22/2024. The approved curriculum for four-year-old children is Creative Curriculum. All medications were monitored, and two (2) medications were on-site in a locked cabinet that expired in December and January 2021. The program does not provide transportation. Ms. Pratt did inquire about transportation during the last visit, but does not wish to add transportation to her license at this time. When I arrived, the group of one to four year olds were engaged in decorating the Christmas tree. After decorating the children, the group transitioned to the play room to engage in free play with dolls, blocks, toy tools, and animals. Ms. Pratt engaged in play and conversations with the children while actively supervising the children. The children enrolled have a nutritional opt out form on file and bring their food from home. The food was stored properly and labeled in the refrigerator. Operator/Caregiver and children’s files were monitored during the visit. The verification of required information for operator and additional caregiver form was received. While observing outdoors, I observed two (2) free range chickens beside the play area. The children had not been outside due to the rain. The operator and I discussed that she would need to have a discussion with the owner to keep the chickens on their property, as Ms. Pratt owns and operates a licensed child care facility. Per licensing requirements animals must be kept in a cage or inaccessible to children through out the daily operation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 1404 Medication remaining after the course of treatment is completed, after authorization is withdrawn. or after authorization has expired, was not returned to the parent/guardian. Any medication not retrieved by parent/guardian within 72 hours of completion of treatment, or withdrawal of authorization, was not discarded. Two (2) medications were observed in a locked cabinet that expired. One (1) Aquaphor expired 1/2021 and one (1) itch cream expired 12/2021. 10A NCAC 09 .1720(c)(5) Technical assistance was provided as follows: Item #1404- Two (2) medications were observed in a locked cabinet that expired. One (1) Aquaphor expired 1/2021 and one (1) itch cream expired 12/2021. When I asked the operator about it she stated one (1) child no longer attends the facility and the other child no longer needs the medication. We discussed the need to dispose of the medication after the children leave for the day but until she is able to safely dispose of the medication to leave it in the locked cabinet. Rule Reference: 10A NCAC 09 .1720 (b)(12) Achieving Compliance: 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. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/23/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed the need to conduct a monthly medication check to ensure that the medication and the medication forms are valid. Free range chickens- You will need to have a discussion with the neighbor to keep the chickens on their property as you own and operator a licensed child care facility. Per licensing rules, animals must been contained in a cage away from the children. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the family child care home operator, and additional caregivers shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the operator’s responsibility to make sure themselves and additional caregivers have registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.