G.S. 110-90 · Violation

Name of Operation: EARLY BIRD DAY CARE Facility ID: 09000102 Consultant: MIRIAM BYRD Operation Type: Center Case Number: Visit Date: 8/26/2025 Number Present: 6 Completed Date: 8/26/2025 Age: From 2 To 6 Total Minutes: 115 Time In: 10:35 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor applicable childcare requirements during a Routine Unannounced visit. Helen Johnson, Administrator, was present during today’s visit. This program currently operates with a 3-star Center License issued July 26, 2018 with 4 points earned in Staff Education, 2 points in Program Standards, and 1 point in Quality by meeting a programmatic option. Restrictions: 1st and 2nd shift, meets enhanced ratios, meets enhanced space. The last Annual Compliance visit was conducted on March 14, 2025. The NC Secretary of State website was reviewed on August 25, 2025, and Early Bird Day Care, Inc. was listed as current-active. Since Ms. Johnson did not inform me of the corporation, the following updated paperwork was completed and signed during today’s visit: Application-Facility Profile, Appendix E, Appendix I, Legal Designee Information and Pre-Service Requirements for Administrators of a Child Care Center. I informed Ms. Johnson she would receive a new star-rated license showing the Owner as Early Bid Day Care, Inc. I completed a general walk-through of the indoor and outdoor areas used by the children. Six children, ages 2-6, were present with Ms. Johnson. The space used for infants was observed. Ms. Johnson stated she currently does not have children under the age of two enrolled. The safe sleep policy was posted. All children were being attended to in a nurturing and appropriate manner and in keeping with their developmental level. Proper hand washing techniques were observed. Today’s lunch consisted of ham sub sandwich, broccoli, beans, banana and milk. The license and emergency medical care plan were posted. REQUIRED INSPECTIONS/DRILLS: The most recent annual fire inspection was completed on January 9, 2025. The most recent annual sanitation inspection was completed on June 16, 2025 and received an Approved classification with 20 demerits. The Emergency Drill Log form was monitored during today's visit. I verified Ms. Johnson is current with CBC Qualification, Health Questionnaire, CPR and First Aid, and ITS-SIDS. There was one violation documented during today's visit. Violation Number Comment Rule 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The operator did not complete the ABCMS provider portal. G.S. 110-90.2 & .2703(r) You are required to submit a compliance letter that explains how the violation was corrected. Please send the signed and dated compliance letter to me no later than September 9, 2025. You can mail or email the compliance letter to: Miriam.Byrd@dhhs.nc.gov Miriam Byrd, 2201 Mail Service Center, Raleigh, NC Child care licensing requirements were established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Make sure you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110- 90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Your current compliance history score is 92% as of August 25, 2025. Technical Assistance with the following was provided: There were many examples of artwork throughout the center classrooms. The majority of the work consisted of a pre-drawn “color sheet”. The purpose of art is creative expression and should represent what the child is interested in. If the theme is weather and your classroom is full of weather conversation, books, and visual observations then provide the child with a variety of materials to create their own work. Every child’s work should be unique to their ideas and reflection. An easy way to individualize younger children’s work is to quote what they say they are making. Here is an article on process style artwork: https://www.naeyc.org/resources/pubs/tyc/winter2023/art-story-and-process Reminder: DCDEE Teams will be working with child care facilities to transition to the new QRIS system, also known as Pathways to the Start in Section .3200 of the Child Care Rules. In the DCDEE e-learning Moodle platform a rule roll out module is available. To receive for information about the Star-Rated-License/QRIS-Modernization visit: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-RateLicense/QRIS-Modernization I verified during today's visit that you have not completed the ABCMS Criminal Background Portal. G.S. 110-90.2 & .2703(r) required child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. This information is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me with any questions or concerns at (910) 709-5985 or via email: Miriam.Byrd@dhhs.nc.gov. You may also contact Janet Edwards, Licensing Supervisor, at (910) 709-4160, janet.edwards@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: EARLY BIRD DAY CARE Facility ID: 09000102 Consultant: MIRIAM BYRD Operation Type: Center Case Number: Visit Date: 8/26/2025 Number Present: 6 Completed Date: 8/26/2025 Age: From 2 To 6 Total Minutes: 115 Time In: 10:35 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor applicable childcare requirements during a Routine Unannounced visit. Helen Johnson, Administrator, was present during today’s visit. This program currently operates with a 3-star Center License issued July 26, 2018 with 4 points earned in Staff Education, 2 points in Program Standards, and 1 point in Quality by meeting a programmatic option. Restrictions: 1st and 2nd shift, meets enhanced ratios, meets enhanced space. The last Annual Compliance visit was conducted on March 14, 2025. The NC Secretary of State website was reviewed on August 25, 2025, and Early Bird Day Care, Inc. was listed as current-active. Since Ms. Johnson did not inform me of the corporation, the following updated paperwork was completed and signed during today’s visit: Application-Facility Profile, Appendix E, Appendix I, Legal Designee Information and Pre-Service Requirements for Administrators of a Child Care Center. I informed Ms. Johnson she would receive a new star-rated license showing the Owner as Early Bid Day Care, Inc. I completed a general walk-through of the indoor and outdoor areas used by the children. Six children, ages 2-6, were present with Ms. Johnson. The space used for infants was observed. Ms. Johnson stated she currently does not have children under the age of two enrolled. The safe sleep policy was posted. All children were being attended to in a nurturing and appropriate manner and in keeping with their developmental level. Proper hand washing techniques were observed. Today’s lunch consisted of ham sub sandwich, broccoli, beans, banana and milk. The license and emergency medical care plan were posted. REQUIRED INSPECTIONS/DRILLS: The most recent annual fire inspection was completed on January 9, 2025. The most recent annual sanitation inspection was completed on June 16, 2025 and received an Approved classification with 20 demerits. The Emergency Drill Log form was monitored during today's visit. I verified Ms. Johnson is current with CBC Qualification, Health Questionnaire, CPR and First Aid, and ITS-SIDS. There was one violation documented during today's visit. Violation Number Comment Rule 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The operator did not complete the ABCMS provider portal. G.S. 110-90.2 & .2703(r) You are required to submit a compliance letter that explains how the violation was corrected. Please send the signed and dated compliance letter to me no later than September 9, 2025. You can mail or email the compliance letter to: Miriam.Byrd@dhhs.nc.gov Miriam Byrd, 2201 Mail Service Center, Raleigh, NC Child care licensing requirements were established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Make sure you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110- 90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Your current compliance history score is 92% as of August 25, 2025. Technical Assistance with the following was provided: There were many examples of artwork throughout the center classrooms. The majority of the work consisted of a pre-drawn “color sheet”. The purpose of art is creative expression and should represent what the child is interested in. If the theme is weather and your classroom is full of weather conversation, books, and visual observations then provide the child with a variety of materials to create their own work. Every child’s work should be unique to their ideas and reflection. An easy way to individualize younger children’s work is to quote what they say they are making. Here is an article on process style artwork: https://www.naeyc.org/resources/pubs/tyc/winter2023/art-story-and-process Reminder: DCDEE Teams will be working with child care facilities to transition to the new QRIS system, also known as Pathways to the Start in Section .3200 of the Child Care Rules. In the DCDEE e-learning Moodle platform a rule roll out module is available. To receive for information about the Star-Rated-License/QRIS-Modernization visit: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-RateLicense/QRIS-Modernization I verified during today's visit that you have not completed the ABCMS Criminal Background Portal. G.S. 110-90.2 & .2703(r) required child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. This information is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me with any questions or concerns at (910) 709-5985 or via email: Miriam.Byrd@dhhs.nc.gov. You may also contact Janet Edwards, Licensing Supervisor, at (910) 709-4160, janet.edwards@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: EARLY BIRD DAY CARE Facility ID: 09000102 Consultant: MIRIAM BYRD Operation Type: Center Case Number: Visit Date: 3/14/2025 Number Present: 4 Completed Date: 3/14/2025 Age: From 3 To 5 Total Minutes: 117 Time In: 11:03 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor the program for compliance with applicable child care requirements during the Annual Compliance visit. Mrs. Helen Johnson, owner/operator, was present with four children. Children were observe eating lunch and preparing for rest time. Today's lunch consisted of spicy chicken nuggets, broccoli, pears and milk. I observed all the indoor and outdoor space. Staff/child ratios, group size, supervision, use of licensed space, space capacity, and license restrictions were monitored. The license and emergency care plan were posted. Medication administration procedures were reviewed and storage of hazardous products were also monitored. The emergency drill log form was monitored and current. A sanitation inspection was conducted on 9-25-2024 with 20 demerits and an approved classification. A fire inspection was conducted on 1-9-2025. I verified you have current Health questionnaire and Emergency Information, as well as ITS-SIDS. You completed CPR/First Aid May 2024. One violation of child care requirements was observed and documented during today's visit. Computer-generated report was printed at the conclusion of today's visit. Violation Number Comment Rule 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The criminal background qualification letter for owner/operator expired March 9, 2025. G.S. 110-90.2(b) & .2703(n)&(o) The violation must be corrected immediately. Submit a compliance letter to me by March 28, 2025 stating a current criminal background qualification letter is on file. Send the compliance letter to me at Miriam.Byrd@dhhs.nc.gov. You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110- 90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Your current compliance history score is 90% from 9-2-2023 to 3-1-2025. Child care licensing requirements were established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. I explained that you have access to the on-line version of the Child Care Rule Book, as well as a hard copy of the rules. I recommend that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. Health and Safety Trainings: Health and Safety training requirements were monitored. You must renew the health and safety training topics by the end of April 2025. Also, you must complete the Recognizing and Responding to Suspicions of Child Maltreatment training by the end of April 2025. Don't forget to print the certificates and attach them to the Health and Safety training log. Clean Water for Kids- based on the information I obtained from the Clean Water for US Kids website, you have completed the Lead-In-Water testing and have started enrollment with the Lead-Based Paint and Asbestos testing. For assistance with completing your criminal background qualification, you may contact CBC Unit at 919.814.6401 or by email at DHHS.CBC.Unit@dhhs.nc.gov. For assistance with accessing MOODLE, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Contact me at (910) 709-5985 or via email with any questions or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110- 90 · Violation

Name of Operation: EARLY BIRD DAY CARE Facility ID: 09000102 Consultant: MIRIAM BYRD Operation Type: Center Case Number: Visit Date: 3/14/2025 Number Present: 4 Completed Date: 3/14/2025 Age: From 3 To 5 Total Minutes: 117 Time In: 11:03 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor the program for compliance with applicable child care requirements during the Annual Compliance visit. Mrs. Helen Johnson, owner/operator, was present with four children. Children were observe eating lunch and preparing for rest time. Today's lunch consisted of spicy chicken nuggets, broccoli, pears and milk. I observed all the indoor and outdoor space. Staff/child ratios, group size, supervision, use of licensed space, space capacity, and license restrictions were monitored. The license and emergency care plan were posted. Medication administration procedures were reviewed and storage of hazardous products were also monitored. The emergency drill log form was monitored and current. A sanitation inspection was conducted on 9-25-2024 with 20 demerits and an approved classification. A fire inspection was conducted on 1-9-2025. I verified you have current Health questionnaire and Emergency Information, as well as ITS-SIDS. You completed CPR/First Aid May 2024. One violation of child care requirements was observed and documented during today's visit. Computer-generated report was printed at the conclusion of today's visit. Violation Number Comment Rule 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The criminal background qualification letter for owner/operator expired March 9, 2025. G.S. 110-90.2(b) & .2703(n)&(o) The violation must be corrected immediately. Submit a compliance letter to me by March 28, 2025 stating a current criminal background qualification letter is on file. Send the compliance letter to me at Miriam.Byrd@dhhs.nc.gov. You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110- 90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Your current compliance history score is 90% from 9-2-2023 to 3-1-2025. Child care licensing requirements were established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. I explained that you have access to the on-line version of the Child Care Rule Book, as well as a hard copy of the rules. I recommend that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. Health and Safety Trainings: Health and Safety training requirements were monitored. You must renew the health and safety training topics by the end of April 2025. Also, you must complete the Recognizing and Responding to Suspicions of Child Maltreatment training by the end of April 2025. Don't forget to print the certificates and attach them to the Health and Safety training log. Clean Water for Kids- based on the information I obtained from the Clean Water for US Kids website, you have completed the Lead-In-Water testing and have started enrollment with the Lead-Based Paint and Asbestos testing. For assistance with completing your criminal background qualification, you may contact CBC Unit at 919.814.6401 or by email at DHHS.CBC.Unit@dhhs.nc.gov. For assistance with accessing MOODLE, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Contact me at (910) 709-5985 or via email with any questions or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: EARLY BIRD DAY CARE Facility ID: 09000102 Consultant: MIRIAM BYRD Operation Type: Center Case Number: Visit Date: 1/9/2025 Number Present: 5 Completed Date: 1/9/2025 Age: From 3 To 3 Total Minutes: 120 Time In: 10:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care . requirements for a routine unannounced visit. Mrs. Helen Johnson, owner/operator, was present during the visit. The last annual compliance visit was conducted April 9, 2024. The program currently operates with a three-star license, issued July 26, 2018, earning 4 points in Education Standards, 2 points in Program Standards, and 1 point in Quality for complying with a programmatic option. License restrictions include 1st and 2nd shift, meets enhanced ratios and enhanced space. I observed all the indoor and outdoor spaces. Staff/child ratios, group size, supervision, use of licensed space, space capacity, and license restrictions were monitored. The license and emergency care plan were posted. Fire drills, medication administration, and storage of hazardous products were also monitored. I observed five (5) children participating in an indoor gross motor activity via a child's exercise video as well as working with manipulatives. Today's lunch consisted of BBQ Pork on bun, sweet corn, applesauce, french fries and milk. A sanitation inspection was completed on 9-25-2024 with 20 demerits and an Approved status. The last fire inspection was completed on 10-23-2023. *See violation The Emergency Drill Log was monitored during today's visit. I verified you have current Health Questionnaire and Emergency Information, as well as ITS-SIDS. You completed CPR and First Aid May 20, 2024. Three items of non-compliance with child care requirements were observed and documented. Computer-generated report was printed at the conclusion of today's visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed on October 23, 2023. There was no verification on file of a current fire inspection. 10A NCAC 09 .0304(a) 405 A child's hands were not washed after each diaper change. Three diaper changes were observed during the visit and each child's hands were not washed after diapering. Children were given disinfecting hand wipes to wash their hands instead of using the handwashing sink with soap and water. 15A NCAC 18A .2803(c)(2) Child care programs must be in compliance with applicable child care requirements at all times. The violations must be corrected immediately. You must email or mail written verification addressing the individual violations and how they were corrected. The compliance letter must be received by January 23, 2025. Send to: Miriam.Byrd@dhhs.nc.gov Miriam Byrd, Child Care Consultant, 333 East Six Forks Road, 2201 Mail Service Center, Raleigh, NC 27699-2200 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 compliance with all applicable child care rules and regulations at all times. NC GS 110- 90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Any violation(s) documented may impact the compliance history score. Child care licensing requirements were established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. I explained that you have access to the on-line version of the Child Care Rule Book, as well as a hard copy of the rules. I recommend that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. Technical Assistance with gross motor play was provided today. Due to the cold temperature, I observed the children participating in an exercise activity via a video. Child care rules require children have outside play each day even in the winter. The Child Care Weather Watch, located at ww.idph.state.ia.us/hcci/products.weatherwatch.pdf provides guidelines for child care providers regarding temperature that may be dangerous for outdoor play. Reassure parents about the benefits of fresh air. Getting outside each day helps keep children healthy. Infectious disease organisms are less concentrated outdoors so children are less likely to re-breathe the groups' germs. The amount of time children must spend outdoors or the high and low temperatures for outdoor play are not specified in the child care rules. Child care operators are allowed to use their best judgment when deciding to take children outdoors. Short periods of time outdoors must be provided even in hot or cold weather. Playing in gentle rain or snow is a learning experience and can be both educational and fun for children. Make sure children are dressed appropriately. The schedule may need to be changed to allow children to go outdoors at the most appropriate time of the day. Refer to the NC Child Care Health and Safety Bulletin (www.healthychildcarenc.org) on Outdoor Health and Safety for additional information about how the outdoors is healthy for children. Reminder: 1. You must complete the required Health and Safety training topics by April 2025. This will be your 5 year renewal. Make sure to print the certificates and attach to the Health and Safety Training Log form 2. You must complete the Recognizing and Responding to Suspicions of Child Maltreatment training by April 2025. You may access this training via www.preventchildabusenc.org. Make sure to print the certificate. 3. Your Criminal Background Qualification letter expires March 9, 2025. Make sure to log into the Clean Classrooms for US Kids www.cleanwaterforUSkids.org/carolina to ensure the completion of the required Lead in Water Testing, Lead-Based Paint and Asbestos testing. 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: EARLY BIRD DAY CARE Facility ID: 09000102 Consultant: MIRIAM BYRD Operation Type: Center Case Number: Visit Date: 1/9/2025 Number Present: 5 Completed Date: 1/9/2025 Age: From 3 To 3 Total Minutes: 120 Time In: 10:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care . requirements for a routine unannounced visit. Mrs. Helen Johnson, owner/operator, was present during the visit. The last annual compliance visit was conducted April 9, 2024. The program currently operates with a three-star license, issued July 26, 2018, earning 4 points in Education Standards, 2 points in Program Standards, and 1 point in Quality for complying with a programmatic option. License restrictions include 1st and 2nd shift, meets enhanced ratios and enhanced space. I observed all the indoor and outdoor spaces. Staff/child ratios, group size, supervision, use of licensed space, space capacity, and license restrictions were monitored. The license and emergency care plan were posted. Fire drills, medication administration, and storage of hazardous products were also monitored. I observed five (5) children participating in an indoor gross motor activity via a child's exercise video as well as working with manipulatives. Today's lunch consisted of BBQ Pork on bun, sweet corn, applesauce, french fries and milk. A sanitation inspection was completed on 9-25-2024 with 20 demerits and an Approved status. The last fire inspection was completed on 10-23-2023. *See violation The Emergency Drill Log was monitored during today's visit. I verified you have current Health Questionnaire and Emergency Information, as well as ITS-SIDS. You completed CPR and First Aid May 20, 2024. Three items of non-compliance with child care requirements were observed and documented. Computer-generated report was printed at the conclusion of today's visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed on October 23, 2023. There was no verification on file of a current fire inspection. 10A NCAC 09 .0304(a) 405 A child's hands were not washed after each diaper change. Three diaper changes were observed during the visit and each child's hands were not washed after diapering. Children were given disinfecting hand wipes to wash their hands instead of using the handwashing sink with soap and water. 15A NCAC 18A .2803(c)(2) Child care programs must be in compliance with applicable child care requirements at all times. The violations must be corrected immediately. You must email or mail written verification addressing the individual violations and how they were corrected. The compliance letter must be received by January 23, 2025. Send to: Miriam.Byrd@dhhs.nc.gov Miriam Byrd, Child Care Consultant, 333 East Six Forks Road, 2201 Mail Service Center, Raleigh, NC 27699-2200 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 compliance with all applicable child care rules and regulations at all times. NC GS 110- 90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Any violation(s) documented may impact the compliance history score. Child care licensing requirements were established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. I explained that you have access to the on-line version of the Child Care Rule Book, as well as a hard copy of the rules. I recommend that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. Technical Assistance with gross motor play was provided today. Due to the cold temperature, I observed the children participating in an exercise activity via a video. Child care rules require children have outside play each day even in the winter. The Child Care Weather Watch, located at ww.idph.state.ia.us/hcci/products.weatherwatch.pdf provides guidelines for child care providers regarding temperature that may be dangerous for outdoor play. Reassure parents about the benefits of fresh air. Getting outside each day helps keep children healthy. Infectious disease organisms are less concentrated outdoors so children are less likely to re-breathe the groups' germs. The amount of time children must spend outdoors or the high and low temperatures for outdoor play are not specified in the child care rules. Child care operators are allowed to use their best judgment when deciding to take children outdoors. Short periods of time outdoors must be provided even in hot or cold weather. Playing in gentle rain or snow is a learning experience and can be both educational and fun for children. Make sure children are dressed appropriately. The schedule may need to be changed to allow children to go outdoors at the most appropriate time of the day. Refer to the NC Child Care Health and Safety Bulletin (www.healthychildcarenc.org) on Outdoor Health and Safety for additional information about how the outdoors is healthy for children. Reminder: 1. You must complete the required Health and Safety training topics by April 2025. This will be your 5 year renewal. Make sure to print the certificates and attach to the Health and Safety Training Log form 2. You must complete the Recognizing and Responding to Suspicions of Child Maltreatment training by April 2025. You may access this training via www.preventchildabusenc.org. Make sure to print the certificate. 3. Your Criminal Background Qualification letter expires March 9, 2025. Make sure to log into the Clean Classrooms for US Kids www.cleanwaterforUSkids.org/carolina to ensure the completion of the required Lead in Water Testing, Lead-Based Paint and Asbestos testing. 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: EARLY BIRD DAY CARE Facility ID: 09000102 Consultant: MIRIAM BYRD Operation Type: Center Case Number: Visit Date: 1/9/2025 Number Present: 5 Completed Date: 1/9/2025 Age: From 3 To 3 Total Minutes: 120 Time In: 10:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care . requirements for a routine unannounced visit. Mrs. Helen Johnson, owner/operator, was present during the visit. The last annual compliance visit was conducted April 9, 2024. The program currently operates with a three-star license, issued July 26, 2018, earning 4 points in Education Standards, 2 points in Program Standards, and 1 point in Quality for complying with a programmatic option. License restrictions include 1st and 2nd shift, meets enhanced ratios and enhanced space. I observed all the indoor and outdoor spaces. Staff/child ratios, group size, supervision, use of licensed space, space capacity, and license restrictions were monitored. The license and emergency care plan were posted. Fire drills, medication administration, and storage of hazardous products were also monitored. I observed five (5) children participating in an indoor gross motor activity via a child's exercise video as well as working with manipulatives. Today's lunch consisted of BBQ Pork on bun, sweet corn, applesauce, french fries and milk. A sanitation inspection was completed on 9-25-2024 with 20 demerits and an Approved status. The last fire inspection was completed on 10-23-2023. *See violation The Emergency Drill Log was monitored during today's visit. I verified you have current Health Questionnaire and Emergency Information, as well as ITS-SIDS. You completed CPR and First Aid May 20, 2024. Three items of non-compliance with child care requirements were observed and documented. Computer-generated report was printed at the conclusion of today's visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed on October 23, 2023. There was no verification on file of a current fire inspection. 10A NCAC 09 .0304(a) 405 A child's hands were not washed after each diaper change. Three diaper changes were observed during the visit and each child's hands were not washed after diapering. Children were given disinfecting hand wipes to wash their hands instead of using the handwashing sink with soap and water. 15A NCAC 18A .2803(c)(2) Child care programs must be in compliance with applicable child care requirements at all times. The violations must be corrected immediately. You must email or mail written verification addressing the individual violations and how they were corrected. The compliance letter must be received by January 23, 2025. Send to: Miriam.Byrd@dhhs.nc.gov Miriam Byrd, Child Care Consultant, 333 East Six Forks Road, 2201 Mail Service Center, Raleigh, NC 27699-2200 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 compliance with all applicable child care rules and regulations at all times. NC GS 110- 90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Any violation(s) documented may impact the compliance history score. Child care licensing requirements were established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. I explained that you have access to the on-line version of the Child Care Rule Book, as well as a hard copy of the rules. I recommend that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. Technical Assistance with gross motor play was provided today. Due to the cold temperature, I observed the children participating in an exercise activity via a video. Child care rules require children have outside play each day even in the winter. The Child Care Weather Watch, located at ww.idph.state.ia.us/hcci/products.weatherwatch.pdf provides guidelines for child care providers regarding temperature that may be dangerous for outdoor play. Reassure parents about the benefits of fresh air. Getting outside each day helps keep children healthy. Infectious disease organisms are less concentrated outdoors so children are less likely to re-breathe the groups' germs. The amount of time children must spend outdoors or the high and low temperatures for outdoor play are not specified in the child care rules. Child care operators are allowed to use their best judgment when deciding to take children outdoors. Short periods of time outdoors must be provided even in hot or cold weather. Playing in gentle rain or snow is a learning experience and can be both educational and fun for children. Make sure children are dressed appropriately. The schedule may need to be changed to allow children to go outdoors at the most appropriate time of the day. Refer to the NC Child Care Health and Safety Bulletin (www.healthychildcarenc.org) on Outdoor Health and Safety for additional information about how the outdoors is healthy for children. Reminder: 1. You must complete the required Health and Safety training topics by April 2025. This will be your 5 year renewal. Make sure to print the certificates and attach to the Health and Safety Training Log form 2. You must complete the Recognizing and Responding to Suspicions of Child Maltreatment training by April 2025. You may access this training via www.preventchildabusenc.org. Make sure to print the certificate. 3. Your Criminal Background Qualification letter expires March 9, 2025. Make sure to log into the Clean Classrooms for US Kids www.cleanwaterforUSkids.org/carolina to ensure the completion of the required Lead in Water Testing, Lead-Based Paint and Asbestos testing. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2818 · Violation

Name of Operation: EARLY BIRD DAY CARE Facility ID: 09000102 Consultant: MIRIAM BYRD Operation Type: Center Case Number: Visit Date: 6/3/2024 Number Present: 10 Completed Date: 6/3/2024 Age: From 1 To 6 Total Minutes: 80 Time In: 10:40 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable childcare requirements pertinent to the Routine Unannounced visit. Ms. Sandra Spence, substitute/volunteer, was present with 10 children, age’s 1-6 years. A one-year old was observed napping in their pack-n-play, while the other nine children (2-6) were watching A Smurf Movie, and sitting in chairs. Children under 3 years, that were not watching the movie, did not have any other age-appropriate activities provided. Staff/child ratios, group size, capacity, use of space, and supervision were observed. The Emergency Drill log was reviewed during today’s visit. Nine violations of child care requirements were observed. Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. There was no schedule posted for any of the age groups present (toddler, preschool and school-age). GS 110-91(12);.0508(a) 419 Activities and allotted times reflected in the schedule were not developmentally appropriate for the children in care. Children were observed sitting in desks while watching a PG movie with no other age-appropriate activities available. GS 110-91(12) 428 A current activity plan was not posted for each group of children for reference. There was no activity plan (lesson plan) posted for each group of children present (toddler, preschool and school-age). GS 110-91(12); .0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Six children, ages 3-5, were observed watching a PG Smurf movie from my arrival time to my departure time. .0510(d)(2)(A-C) 539 When screen time was provided to school-aged children, it was not offered as a free-choice activity; not used to meet a developmental goal; was not limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. One school-age child was observed watching a PG Smurf movie from my arrival time to my departure time. .2508(e)(1-5) 544 Screen time was offered to children under three years of age. Two children, two year of age, were watching a PG Smurf movie. .0510(f) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The substitute providing care, did not have an annual health questionnaire on file. .0701(a) 1756 Enhanced staff/child ratios and group sizes were not met. There were 10 children present, ages 1-6, with one caregiver. 10A NCAC 09 .2818 1894 At least one staff member was not present who had successfully completed First Aid and/or CPR training when children were in care. The substitute providing care, did not have current First Aid and CPR training on file. .1102(c-d) The above violations must be corrected immediately. In your response to the violations, submit a signed and dated compliance letter that explains how each violation was corrected. The compliance letter must be received by June 17, 2024. You may mail or email the letter: Miriam Byrd, Child Care Consultant, PO Box 1731, Clinton, NC 28329 Miriam.Byrd@dhhs.nc.gov You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110- 90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Technical assistance with screen time was provided: For children under two, spending time in front of a TV or computer can get in the way of exploring their surroundings, playing and interacting with peers, all of which are important for healthy minds and bodies. As children get older, too much screen time can get in the way of reading, doing homework, playing with friends, and spending time with family, and can also increase their risk for being overweight or obese. Health and safety experts in child care recommend that providers limit screen time to no more than 30 minutes per week. Limiting media time for kids two and older during their time in child care will help meet the AAP recommendation: reduce screen time to no more than 2 hours per day, including time at home. Make the commitment to change screen time: The first step in making a commitment is to understand the importance of screen time reduction, and why it’s crucial to help young children (and ourselves) reduce time with screens. • Keep track. Encourage youth to use the ScreenFree Activity Log included in this toolkit to allow them to be aware of what they are watching and why. • Be creative! Younger children can plan for things they would like to do in place of screen time and draw it on the “Picture It on Television” handout. Older youth may want to use the Screen Time Tracker to see how much time they spend each week in front of a screen. Check out the 50 Screen-Free Activities for ideas, too! • Pay special attention to times when you most depend on screen time and make a plan to be active during that time. • Talk about the benefits of limiting screen time and set your own screen-free times. • Remember, it takes a long time to change habits. Whatever works to reduce screen time is a positive step. I will email you a newsletter regarding Screen time. A follow-up visit will be made in the near future to monitor compliance with staff/child ratios and age-appropriate activities. Contact me at (910) 709-5985 or via email: Miriam.Byrd@dhhs.nc.gov with any questions or concerns. You may also contact Janet Edwards, Licensing Supervisor, (910) 709-4160, janet.edwards@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.

GS 110-91 · Violation

Name of Operation: EARLY BIRD DAY CARE Facility ID: 09000102 Consultant: MIRIAM BYRD Operation Type: Center Case Number: Visit Date: 6/3/2024 Number Present: 10 Completed Date: 6/3/2024 Age: From 1 To 6 Total Minutes: 80 Time In: 10:40 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable childcare requirements pertinent to the Routine Unannounced visit. Ms. Sandra Spence, substitute/volunteer, was present with 10 children, age’s 1-6 years. A one-year old was observed napping in their pack-n-play, while the other nine children (2-6) were watching A Smurf Movie, and sitting in chairs. Children under 3 years, that were not watching the movie, did not have any other age-appropriate activities provided. Staff/child ratios, group size, capacity, use of space, and supervision were observed. The Emergency Drill log was reviewed during today’s visit. Nine violations of child care requirements were observed. Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. There was no schedule posted for any of the age groups present (toddler, preschool and school-age). GS 110-91(12);.0508(a) 419 Activities and allotted times reflected in the schedule were not developmentally appropriate for the children in care. Children were observed sitting in desks while watching a PG movie with no other age-appropriate activities available. GS 110-91(12) 428 A current activity plan was not posted for each group of children for reference. There was no activity plan (lesson plan) posted for each group of children present (toddler, preschool and school-age). GS 110-91(12); .0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Six children, ages 3-5, were observed watching a PG Smurf movie from my arrival time to my departure time. .0510(d)(2)(A-C) 539 When screen time was provided to school-aged children, it was not offered as a free-choice activity; not used to meet a developmental goal; was not limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. One school-age child was observed watching a PG Smurf movie from my arrival time to my departure time. .2508(e)(1-5) 544 Screen time was offered to children under three years of age. Two children, two year of age, were watching a PG Smurf movie. .0510(f) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The substitute providing care, did not have an annual health questionnaire on file. .0701(a) 1756 Enhanced staff/child ratios and group sizes were not met. There were 10 children present, ages 1-6, with one caregiver. 10A NCAC 09 .2818 1894 At least one staff member was not present who had successfully completed First Aid and/or CPR training when children were in care. The substitute providing care, did not have current First Aid and CPR training on file. .1102(c-d) The above violations must be corrected immediately. In your response to the violations, submit a signed and dated compliance letter that explains how each violation was corrected. The compliance letter must be received by June 17, 2024. You may mail or email the letter: Miriam Byrd, Child Care Consultant, PO Box 1731, Clinton, NC 28329 Miriam.Byrd@dhhs.nc.gov You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110- 90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Technical assistance with screen time was provided: For children under two, spending time in front of a TV or computer can get in the way of exploring their surroundings, playing and interacting with peers, all of which are important for healthy minds and bodies. As children get older, too much screen time can get in the way of reading, doing homework, playing with friends, and spending time with family, and can also increase their risk for being overweight or obese. Health and safety experts in child care recommend that providers limit screen time to no more than 30 minutes per week. Limiting media time for kids two and older during their time in child care will help meet the AAP recommendation: reduce screen time to no more than 2 hours per day, including time at home. Make the commitment to change screen time: The first step in making a commitment is to understand the importance of screen time reduction, and why it’s crucial to help young children (and ourselves) reduce time with screens. • Keep track. Encourage youth to use the ScreenFree Activity Log included in this toolkit to allow them to be aware of what they are watching and why. • Be creative! Younger children can plan for things they would like to do in place of screen time and draw it on the “Picture It on Television” handout. Older youth may want to use the Screen Time Tracker to see how much time they spend each week in front of a screen. Check out the 50 Screen-Free Activities for ideas, too! • Pay special attention to times when you most depend on screen time and make a plan to be active during that time. • Talk about the benefits of limiting screen time and set your own screen-free times. • Remember, it takes a long time to change habits. Whatever works to reduce screen time is a positive step. I will email you a newsletter regarding Screen time. A follow-up visit will be made in the near future to monitor compliance with staff/child ratios and age-appropriate activities. Contact me at (910) 709-5985 or via email: Miriam.Byrd@dhhs.nc.gov with any questions or concerns. You may also contact Janet Edwards, Licensing Supervisor, (910) 709-4160, janet.edwards@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: EARLY BIRD DAY CARE Facility ID: 09000102 Consultant: MIRIAM BYRD Operation Type: Center Case Number: Visit Date: 6/3/2024 Number Present: 10 Completed Date: 6/3/2024 Age: From 1 To 6 Total Minutes: 80 Time In: 10:40 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable childcare requirements pertinent to the Routine Unannounced visit. Ms. Sandra Spence, substitute/volunteer, was present with 10 children, age’s 1-6 years. A one-year old was observed napping in their pack-n-play, while the other nine children (2-6) were watching A Smurf Movie, and sitting in chairs. Children under 3 years, that were not watching the movie, did not have any other age-appropriate activities provided. Staff/child ratios, group size, capacity, use of space, and supervision were observed. The Emergency Drill log was reviewed during today’s visit. Nine violations of child care requirements were observed. Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. There was no schedule posted for any of the age groups present (toddler, preschool and school-age). GS 110-91(12);.0508(a) 419 Activities and allotted times reflected in the schedule were not developmentally appropriate for the children in care. Children were observed sitting in desks while watching a PG movie with no other age-appropriate activities available. GS 110-91(12) 428 A current activity plan was not posted for each group of children for reference. There was no activity plan (lesson plan) posted for each group of children present (toddler, preschool and school-age). GS 110-91(12); .0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Six children, ages 3-5, were observed watching a PG Smurf movie from my arrival time to my departure time. .0510(d)(2)(A-C) 539 When screen time was provided to school-aged children, it was not offered as a free-choice activity; not used to meet a developmental goal; was not limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. One school-age child was observed watching a PG Smurf movie from my arrival time to my departure time. .2508(e)(1-5) 544 Screen time was offered to children under three years of age. Two children, two year of age, were watching a PG Smurf movie. .0510(f) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The substitute providing care, did not have an annual health questionnaire on file. .0701(a) 1756 Enhanced staff/child ratios and group sizes were not met. There were 10 children present, ages 1-6, with one caregiver. 10A NCAC 09 .2818 1894 At least one staff member was not present who had successfully completed First Aid and/or CPR training when children were in care. The substitute providing care, did not have current First Aid and CPR training on file. .1102(c-d) The above violations must be corrected immediately. In your response to the violations, submit a signed and dated compliance letter that explains how each violation was corrected. The compliance letter must be received by June 17, 2024. You may mail or email the letter: Miriam Byrd, Child Care Consultant, PO Box 1731, Clinton, NC 28329 Miriam.Byrd@dhhs.nc.gov You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110- 90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Technical assistance with screen time was provided: For children under two, spending time in front of a TV or computer can get in the way of exploring their surroundings, playing and interacting with peers, all of which are important for healthy minds and bodies. As children get older, too much screen time can get in the way of reading, doing homework, playing with friends, and spending time with family, and can also increase their risk for being overweight or obese. Health and safety experts in child care recommend that providers limit screen time to no more than 30 minutes per week. Limiting media time for kids two and older during their time in child care will help meet the AAP recommendation: reduce screen time to no more than 2 hours per day, including time at home. Make the commitment to change screen time: The first step in making a commitment is to understand the importance of screen time reduction, and why it’s crucial to help young children (and ourselves) reduce time with screens. • Keep track. Encourage youth to use the ScreenFree Activity Log included in this toolkit to allow them to be aware of what they are watching and why. • Be creative! Younger children can plan for things they would like to do in place of screen time and draw it on the “Picture It on Television” handout. Older youth may want to use the Screen Time Tracker to see how much time they spend each week in front of a screen. Check out the 50 Screen-Free Activities for ideas, too! • Pay special attention to times when you most depend on screen time and make a plan to be active during that time. • Talk about the benefits of limiting screen time and set your own screen-free times. • Remember, it takes a long time to change habits. Whatever works to reduce screen time is a positive step. I will email you a newsletter regarding Screen time. A follow-up visit will be made in the near future to monitor compliance with staff/child ratios and age-appropriate activities. Contact me at (910) 709-5985 or via email: Miriam.Byrd@dhhs.nc.gov with any questions or concerns. You may also contact Janet Edwards, Licensing Supervisor, (910) 709-4160, janet.edwards@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: EARLY BIRD DAY CARE Facility ID: 09000102 Consultant: MIRIAM BYRD Operation Type: Center Case Number: Visit Date: 4/9/2024 Number Present: 8 Completed Date: 4/9/2024 Age: From 2 To 5 Total Minutes: 120 Time In: 10:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable childcare requirements pertinent to an annual compliance visit. The Annual Compliance Monitoring Checklist for Child care Centers was used today to note requirements that were monitored. The program operates with a 3-star rated license issued July 26, 2018, earning 4 points for education standards, 2 points for program standards, and one quality point for complying with a programmatic option. License restrictions include: 1st and 2nd shift, meets enhanced ratios and enhanced space Today’s visit was conducted with Mrs. Helen Johnson, owner/lead teacher. Eight children, ages 2-5, were present. One child was observed sleeping. Children were observed participating in teacher-directed activities. Each child was observed sitting in chairs with desk attached. This is not developmentally appropriate especially for the children who are two years old. Technical assistance with room arrangement and developmentally appropriate activities will be provided in the comments. The indoor and outdoor areas were monitored. Staff/child ratios, group size, capacity, use of space, and supervision were observed. Positive and nurturing communication occurred as you interacted with children. A sanitation inspection was completed on November 27, 2023 with 25 demerits and an Approved rating. A fire inspection was completed on October 23, 2023. The Emergency Drill log was reviewed during today’s visit. The fire drill for March 2024 was not documented. Your record reviewed during today's visit. The staff and training worksheet was completed during the visit. During today’s visit, three children records were reviewed. The children’s records form was completed during the visit. Two items of non-compliance with child care requirements were observed and documented. Each were thoroughly reviewed with Mrs. Johnson. Computer-generated report was printed at the conclusion of today's visit. Violation Number Comment Rule 419 Activities and allotted times reflected in the schedule were not developmentally appropriate for the children in care. Three two-year old children were observed sitting in a 'desk type' chair, participating in teacher-directed activities that were geared to older preschool children. GS 110-91(12) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last documented fire drill was February 6, 2024. The fire drill for March was not documented. .0604(t); .0302(d)(5) Child care programs must be in compliance with applicable child care requirements at all times. The violations must be corrected immediately. You must email, or mail written verification addressing the individual violations and how they were corrected. The compliance letter must be received by April 23, 2024. Mail or email the compliance letter to: Miriam Byrd, Child Care Consultant, PO Box 1731, Clinton, NC 28329 Miriam.Byrd@dhhs.nc.gov You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110- 90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Child care licensing requirements were established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. I explained that you have access to the on-line version of the Child Care Rule Book, as well as a hard copy of the rules. I recommend that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. Technical assistance with the following was provided: An effective environment supports children's interaction with space, materials and people. When the environment is designed properly, children have the freedom to move about safely while sampling a variety of curriculum activities with little intervention required by caregivers. Adults can then concentrate on developing activities, observing children, and meeting their individual needs. Effective environments help children feel invited and welcome to explore and learn. *Provide options for children. Don’t expect all children to be doing the same thing at the same time. *Encourage children to make choices from a variety of available activities. *Arrange space so children can easily move around and among the equipment and materials. *Allow and encourage children to move about the room A major part of a child's day is spent indoors. Children learn through their own experiences, trial and error, repetition, and imitation. Caregivers can guide and encourage children's learning by ensuring that the environment is emotionally appropriate, invites play, active exploration and movement by children and supports an array of experiences. For additional assistance with room arrangement, go to childcarelounge.com/child care room arrangement tips You may also contact Matthew Schaeffer Early Childhood Education Specialist Region 4 Child Care Resource & Referral Southeastern Community College Whiteville, NC 28472 Email: matt.schaeffer@sccnc.edu Phone: 910-788-6463 Reminders: *Your ITS-SIDS will expire April 19, 2024. There is virtual ITS-SIDS training tonight (4-9-2024) from 6:30pm-8:30pm via Region 4 CCR&R. Contact ccrr.regiion4@sccnc.edu to register for this class or the next ITS-SIDS training. *You completed the Health and Safety Trainings in 2019. Two were completed in 2022. You must complete all required topics by December 2023. *You completed Recognizing and Responding to Suspicions of Child Maltreatment July 2019. Therefore, you must complete the training before July 31, 2024. Go to preventchildabusenc.org to complete the training. Contact me at (910) 709-5985 or email Miriam.Byrd@dhhs.nc.gov with any questions or concerns. You may also contact Janet Edwards, Licensing Supervisor (910) 709-4160, janet.edwards@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: EARLY BIRD DAY CARE Facility ID: 09000102 Consultant: MIRIAM BYRD Operation Type: Center Case Number: Visit Date: 4/9/2024 Number Present: 8 Completed Date: 4/9/2024 Age: From 2 To 5 Total Minutes: 120 Time In: 10:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable childcare requirements pertinent to an annual compliance visit. The Annual Compliance Monitoring Checklist for Child care Centers was used today to note requirements that were monitored. The program operates with a 3-star rated license issued July 26, 2018, earning 4 points for education standards, 2 points for program standards, and one quality point for complying with a programmatic option. License restrictions include: 1st and 2nd shift, meets enhanced ratios and enhanced space Today’s visit was conducted with Mrs. Helen Johnson, owner/lead teacher. Eight children, ages 2-5, were present. One child was observed sleeping. Children were observed participating in teacher-directed activities. Each child was observed sitting in chairs with desk attached. This is not developmentally appropriate especially for the children who are two years old. Technical assistance with room arrangement and developmentally appropriate activities will be provided in the comments. The indoor and outdoor areas were monitored. Staff/child ratios, group size, capacity, use of space, and supervision were observed. Positive and nurturing communication occurred as you interacted with children. A sanitation inspection was completed on November 27, 2023 with 25 demerits and an Approved rating. A fire inspection was completed on October 23, 2023. The Emergency Drill log was reviewed during today’s visit. The fire drill for March 2024 was not documented. Your record reviewed during today's visit. The staff and training worksheet was completed during the visit. During today’s visit, three children records were reviewed. The children’s records form was completed during the visit. Two items of non-compliance with child care requirements were observed and documented. Each were thoroughly reviewed with Mrs. Johnson. Computer-generated report was printed at the conclusion of today's visit. Violation Number Comment Rule 419 Activities and allotted times reflected in the schedule were not developmentally appropriate for the children in care. Three two-year old children were observed sitting in a 'desk type' chair, participating in teacher-directed activities that were geared to older preschool children. GS 110-91(12) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last documented fire drill was February 6, 2024. The fire drill for March was not documented. .0604(t); .0302(d)(5) Child care programs must be in compliance with applicable child care requirements at all times. The violations must be corrected immediately. You must email, or mail written verification addressing the individual violations and how they were corrected. The compliance letter must be received by April 23, 2024. Mail or email the compliance letter to: Miriam Byrd, Child Care Consultant, PO Box 1731, Clinton, NC 28329 Miriam.Byrd@dhhs.nc.gov You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110- 90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Child care licensing requirements were established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. I explained that you have access to the on-line version of the Child Care Rule Book, as well as a hard copy of the rules. I recommend that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. Technical assistance with the following was provided: An effective environment supports children's interaction with space, materials and people. When the environment is designed properly, children have the freedom to move about safely while sampling a variety of curriculum activities with little intervention required by caregivers. Adults can then concentrate on developing activities, observing children, and meeting their individual needs. Effective environments help children feel invited and welcome to explore and learn. *Provide options for children. Don’t expect all children to be doing the same thing at the same time. *Encourage children to make choices from a variety of available activities. *Arrange space so children can easily move around and among the equipment and materials. *Allow and encourage children to move about the room A major part of a child's day is spent indoors. Children learn through their own experiences, trial and error, repetition, and imitation. Caregivers can guide and encourage children's learning by ensuring that the environment is emotionally appropriate, invites play, active exploration and movement by children and supports an array of experiences. For additional assistance with room arrangement, go to childcarelounge.com/child care room arrangement tips You may also contact Matthew Schaeffer Early Childhood Education Specialist Region 4 Child Care Resource & Referral Southeastern Community College Whiteville, NC 28472 Email: matt.schaeffer@sccnc.edu Phone: 910-788-6463 Reminders: *Your ITS-SIDS will expire April 19, 2024. There is virtual ITS-SIDS training tonight (4-9-2024) from 6:30pm-8:30pm via Region 4 CCR&R. Contact ccrr.regiion4@sccnc.edu to register for this class or the next ITS-SIDS training. *You completed the Health and Safety Trainings in 2019. Two were completed in 2022. You must complete all required topics by December 2023. *You completed Recognizing and Responding to Suspicions of Child Maltreatment July 2019. Therefore, you must complete the training before July 31, 2024. Go to preventchildabusenc.org to complete the training. Contact me at (910) 709-5985 or email Miriam.Byrd@dhhs.nc.gov with any questions or concerns. You may also contact Janet Edwards, Licensing Supervisor (910) 709-4160, janet.edwards@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