Little Stepping Stones

10A NCAC 09 .0604 · Violation

Name of Operation: LITTLE STEPPING STONES Facility ID: 51000919 Consultant: TAMEKA JOHNSON Operation Type: Center Case Number: Visit Date: 6/25/2026 Number Present: 112 Completed Date: 6/25/2026 Age: From 0 To 5 Total Minutes: 195 Time In: 11:00 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to conduct a joint visit with environmental health to monitor sanitation requirements. I was accompanied by Ashley Blake, registered environmental health program specialist. Upon our arrival, we were greeted by the assistant director, C. Tassielli. The administrator, N. Pittman, arrived a short time later. Limited monitoring of the child care requirements occurred during today’s visit. The license was posted. We were accompanied by Ms. Pittman as we completed a general walk-through of the indoor areas. A total of 112 children were present. The children were observed during naptime and completing routine care tasks. During today’s visit the facility’s cleaning and sanitizing practices, hand washing practices, diapering procedures, health policies, exclusion procedures and communication with families were reviewed due to a reported exposure to Norovirus/E.coli. Environmental Health provided guidance regarding infection control measures, cleaning and disinfection procedures, and recommendations to reduce the spread of illness within the facility. The following violations were observed, documented and technical assistance regarding maintaining compliance was offered. Violation Number Comment Rule 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. A teacher reported that in the classroom designated for one year old children did not go outside this week. GS 110-91(2);.0508(c) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. An infant's hands were not washed prior to a bottle feeding. 15A NCAC 18A .2803(c) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In two classrooms, electrical outlets were not covered with safety plugs. 10A NCAC 09 .0604(c) 875 The center did not follow all procedures to prevent the spread of communicable diseases described in 15A NCAC 18A .2800. Following a confirmed case of norovirus and E. coli, fifty three (53) children and staff have been excluded from care or work due to symptoms of diarrhea and vomiting. 10A NCAC 09 .0804(b)(1) 876 The center did not separate from others those children who became ill or who were suspected of being ill with a communicable disease or condition that would exclude them from care. The facility does not have a designated area for children that become ill and/or are suspected of being ill with a communicable disease. The administrator stated that children that are sick children remain in their designated classrooms until the child(ren) can be picked up by a parent or guardian. 10A NCAC 09 .0804(b)(2) To comply with the NC Laws and Rules any violations cited must be corrected immediately. A compliance letter must be sent to me by July 9, 2026. The letter must address each violation, explain how it has been corrected and how it will be maintained in the future, If the letter is not received by the date listed, a return visit will be made to the child care center. Please send this to tameka.b.johnson@dhhs.nc.gov ad include the following: Facility name Facility ID number Each item number Technical Assistance: We reviewed the importance of frequent handwashing for children and staff, proper cleaning and sanitizing of high touch surfaces, toys, restrooms, and classroom materials, and ensuring that disinfectant solution registered at the appropriate strength. Additionally, we discussed monitoring children and staff symptoms of illness, maintaining accurate illness logs, promptly notifying families of potential exposure concerns and reinforcing exclusion criteria for children and staff. The facility was encouraged to limit the sharing of materials that are difficult to sanitize. As a reminder, ensure that there is adequate supply of soap, paper towels, and sanitizing products available and increase cleaning frequency in classrooms experiencing higher rates of illness. The administrators were encouraged to continue following recommendations from Environmental Health and the local public health officials to document any new cases or concerns as they arise. Please continue to visit the DCDEE website for the latest information and updates. If I can be of any assistance, I can be reached at 252-326-1867 or by email tameka.b.johnson@dhhs.nc.gov. You can also contact Licensing Supervisor, Teraesa Leak at 919-971- 7765 or by email at Teraesa.Leak@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 .0804 · Violation

Name of Operation: LITTLE STEPPING STONES Facility ID: 51000919 Consultant: TAMEKA JOHNSON Operation Type: Center Case Number: Visit Date: 6/25/2026 Number Present: 112 Completed Date: 6/25/2026 Age: From 0 To 5 Total Minutes: 195 Time In: 11:00 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to conduct a joint visit with environmental health to monitor sanitation requirements. I was accompanied by Ashley Blake, registered environmental health program specialist. Upon our arrival, we were greeted by the assistant director, C. Tassielli. The administrator, N. Pittman, arrived a short time later. Limited monitoring of the child care requirements occurred during today’s visit. The license was posted. We were accompanied by Ms. Pittman as we completed a general walk-through of the indoor areas. A total of 112 children were present. The children were observed during naptime and completing routine care tasks. During today’s visit the facility’s cleaning and sanitizing practices, hand washing practices, diapering procedures, health policies, exclusion procedures and communication with families were reviewed due to a reported exposure to Norovirus/E.coli. Environmental Health provided guidance regarding infection control measures, cleaning and disinfection procedures, and recommendations to reduce the spread of illness within the facility. The following violations were observed, documented and technical assistance regarding maintaining compliance was offered. Violation Number Comment Rule 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. A teacher reported that in the classroom designated for one year old children did not go outside this week. GS 110-91(2);.0508(c) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. An infant's hands were not washed prior to a bottle feeding. 15A NCAC 18A .2803(c) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In two classrooms, electrical outlets were not covered with safety plugs. 10A NCAC 09 .0604(c) 875 The center did not follow all procedures to prevent the spread of communicable diseases described in 15A NCAC 18A .2800. Following a confirmed case of norovirus and E. coli, fifty three (53) children and staff have been excluded from care or work due to symptoms of diarrhea and vomiting. 10A NCAC 09 .0804(b)(1) 876 The center did not separate from others those children who became ill or who were suspected of being ill with a communicable disease or condition that would exclude them from care. The facility does not have a designated area for children that become ill and/or are suspected of being ill with a communicable disease. The administrator stated that children that are sick children remain in their designated classrooms until the child(ren) can be picked up by a parent or guardian. 10A NCAC 09 .0804(b)(2) To comply with the NC Laws and Rules any violations cited must be corrected immediately. A compliance letter must be sent to me by July 9, 2026. The letter must address each violation, explain how it has been corrected and how it will be maintained in the future, If the letter is not received by the date listed, a return visit will be made to the child care center. Please send this to tameka.b.johnson@dhhs.nc.gov ad include the following: Facility name Facility ID number Each item number Technical Assistance: We reviewed the importance of frequent handwashing for children and staff, proper cleaning and sanitizing of high touch surfaces, toys, restrooms, and classroom materials, and ensuring that disinfectant solution registered at the appropriate strength. Additionally, we discussed monitoring children and staff symptoms of illness, maintaining accurate illness logs, promptly notifying families of potential exposure concerns and reinforcing exclusion criteria for children and staff. The facility was encouraged to limit the sharing of materials that are difficult to sanitize. As a reminder, ensure that there is adequate supply of soap, paper towels, and sanitizing products available and increase cleaning frequency in classrooms experiencing higher rates of illness. The administrators were encouraged to continue following recommendations from Environmental Health and the local public health officials to document any new cases or concerns as they arise. Please continue to visit the DCDEE website for the latest information and updates. If I can be of any assistance, I can be reached at 252-326-1867 or by email tameka.b.johnson@dhhs.nc.gov. You can also contact Licensing Supervisor, Teraesa Leak at 919-971- 7765 or by email at Teraesa.Leak@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: LITTLE STEPPING STONES Facility ID: 51000919 Consultant: TAMEKA JOHNSON Operation Type: Center Case Number: Visit Date: 6/25/2026 Number Present: 112 Completed Date: 6/25/2026 Age: From 0 To 5 Total Minutes: 195 Time In: 11:00 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to conduct a joint visit with environmental health to monitor sanitation requirements. I was accompanied by Ashley Blake, registered environmental health program specialist. Upon our arrival, we were greeted by the assistant director, C. Tassielli. The administrator, N. Pittman, arrived a short time later. Limited monitoring of the child care requirements occurred during today’s visit. The license was posted. We were accompanied by Ms. Pittman as we completed a general walk-through of the indoor areas. A total of 112 children were present. The children were observed during naptime and completing routine care tasks. During today’s visit the facility’s cleaning and sanitizing practices, hand washing practices, diapering procedures, health policies, exclusion procedures and communication with families were reviewed due to a reported exposure to Norovirus/E.coli. Environmental Health provided guidance regarding infection control measures, cleaning and disinfection procedures, and recommendations to reduce the spread of illness within the facility. The following violations were observed, documented and technical assistance regarding maintaining compliance was offered. Violation Number Comment Rule 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. A teacher reported that in the classroom designated for one year old children did not go outside this week. GS 110-91(2);.0508(c) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. An infant's hands were not washed prior to a bottle feeding. 15A NCAC 18A .2803(c) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In two classrooms, electrical outlets were not covered with safety plugs. 10A NCAC 09 .0604(c) 875 The center did not follow all procedures to prevent the spread of communicable diseases described in 15A NCAC 18A .2800. Following a confirmed case of norovirus and E. coli, fifty three (53) children and staff have been excluded from care or work due to symptoms of diarrhea and vomiting. 10A NCAC 09 .0804(b)(1) 876 The center did not separate from others those children who became ill or who were suspected of being ill with a communicable disease or condition that would exclude them from care. The facility does not have a designated area for children that become ill and/or are suspected of being ill with a communicable disease. The administrator stated that children that are sick children remain in their designated classrooms until the child(ren) can be picked up by a parent or guardian. 10A NCAC 09 .0804(b)(2) To comply with the NC Laws and Rules any violations cited must be corrected immediately. A compliance letter must be sent to me by July 9, 2026. The letter must address each violation, explain how it has been corrected and how it will be maintained in the future, If the letter is not received by the date listed, a return visit will be made to the child care center. Please send this to tameka.b.johnson@dhhs.nc.gov ad include the following: Facility name Facility ID number Each item number Technical Assistance: We reviewed the importance of frequent handwashing for children and staff, proper cleaning and sanitizing of high touch surfaces, toys, restrooms, and classroom materials, and ensuring that disinfectant solution registered at the appropriate strength. Additionally, we discussed monitoring children and staff symptoms of illness, maintaining accurate illness logs, promptly notifying families of potential exposure concerns and reinforcing exclusion criteria for children and staff. The facility was encouraged to limit the sharing of materials that are difficult to sanitize. As a reminder, ensure that there is adequate supply of soap, paper towels, and sanitizing products available and increase cleaning frequency in classrooms experiencing higher rates of illness. The administrators were encouraged to continue following recommendations from Environmental Health and the local public health officials to document any new cases or concerns as they arise. Please continue to visit the DCDEE website for the latest information and updates. If I can be of any assistance, I can be reached at 252-326-1867 or by email tameka.b.johnson@dhhs.nc.gov. You can also contact Licensing Supervisor, Teraesa Leak at 919-971- 7765 or by email at Teraesa.Leak@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: LITTLE STEPPING STONES Facility ID: 51000919 Consultant: PAULA DAVIS Operation Type: Center Case Number: Visit Date: 10/2/2025 Number Present: 144 Completed Date: 10/2/2025 Age: From 0 To 5 Total Minutes: 240 Time In: 10:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance of applicable child care requirements during your annual compliance visit. The administrator, N. Pittman was present and assisted with today’s visit. I monitored the indoor and outdoor environments for compliance with child care requirements. Staff/child ratios, supervision, use of space and capacity were monitored for compliance. The permit, sanitation, evacuation, safe arrival and departure procedures, first aid chart, menus, activity plan, daily schedule, staff/child ratios, emergency medical care plan, emergency telephone numbers and a summary of NC Child Care Law were all posted at the time of the visit. The storage of medication and hazardous products was also monitored for compliance. Ten new staff members had been hired since your June 11, 2025 routine unannounced visit. The ten new staff files, and a sample of existing staff files were reviewed and the Staff and Training worksheets were reviewed. A sample of children's records were reviewed, and the worksheet was completed. The last fire drill was documented as conducted on 7-3-25 at 2:30 pm with an evacuation time of one minute and six seconds. The last outdoor inspection was documented as conducted 7-21-25. A lockdown drill was documented as conducted on 7-21-25 at 11:45 am. An approved fire inspection was last completed on 9-5-25. A sanitation inspection was last completed on 6-16-25 with zero demerits and a superior classification. The corporation status of Premier NC Garner, LLC was verified as current and active during today's visit using the Secretary of State's website. During the visit, the children were observed playing outside, participating in routines and eating lunch. For lunch the children had marinated meatballs, mashed potatoes, bananas and milk. A four star child care center license with four points in education, five points in program standards and one quality point was issued to you on 6-4-22. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted for the children in the Toddler 1 class. GS 110-91(12); .0508(a) ****Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all of 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.**** During today’s visit I discussed the Pathways to the Stars with you. After we reviewed the Pathways you stated that you had been informed by Corporate that you would be applying for Pathway 2. I reminded you of the Director meeting on October 7, 2025 from 10 to 12 at the Medical Mall in Smithfield. Please send me a written statement describing how and when the above violations were corrected. The written statement must be received no later than 10-16-25. Please note that if your letter is mailed, a hand written signature is required. As an alternative, compliance letters can now be submitted via email. I recommend emailing your letter to reduce the time needed to ensure my receipt of your information; however, if you do not have access to email, please ensure that your letter is mailed in a timely fashion and that you allow for any possible delays in the mail service. Please contact me if you have questions pertaining to your compliance letter or if you will not be able to meet the two week timeframe for submission of your compliance letter. Please contact me at 919-819-9302 or at paula.davis@dhhs.nc.gov if I can be of assistance. 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 .0802 · Violation

Name of Operation: LITTLE STEPPING STONES Facility ID: 51000919 Consultant: PAULA DAVIS Operation Type: Center Case Number: Visit Date: 6/11/2025 Number Present: 140 Completed Date: 6/11/2025 Age: From 0 To 5 Total Minutes: 90 Time In: 09:30 AM Time Out: 11:00 AM 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 compliance of applicable child care requirements during a routine unannounced visit. I monitored the indoor environments for compliance with child care requirements. Staff/child ratios, supervision, use of space and capacity were monitored for compliance. The permit, sanitation, evacuation, safe arrival and departure procedures, first aid chart, menus, activity plans, daily schedules, staff/child ratios, emergency medical care plan, emergency telephone numbers and a summary of child care law were posted. New staff files were reviewed today. The storage of medication and hazardous products was also monitored for compliance. A fire drill was documented as conducted on 5-27-25. An outdoor inspection was documented as conducted on 5-7-25. A lockdown drill was documented as conducted on 4-13-25. An approved fire inspection was completed on 9-24-24. A sanitation inspection was last completed on 6-9-25 with eighteen demerits and a provisional classification. The children were observed playing in activity areas and playing outside. A meal or snack was not observed. According to the menu the children were having bbq meatballs, green beans, apples and milk. A four star license with four points in education, five points in program and one quality point was issued to you on 6-4-22. Based on observations made and information provided, you continue to meet the requirements previously met to obtain such a license. Violation Number Comment Rule 832 There was no written emergency medical care (EMC) plan. The Emergency Medical Care Plan was not posted. 10A NCAC 09 .0802(a) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy was not posted. .0606(b) 1043 All staff records, except financial records, were not made available for review. A file was not available for one staff member. G.S. 110-91( 9) Please contact me at 919-819-9302 or at paula.davis@dhhs.nc.gov if I can be of assistance. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: LITTLE STEPPING STONES Facility ID: 51000919 Consultant: PAULA DAVIS Operation Type: Center Case Number: Visit Date: 6/11/2025 Number Present: 140 Completed Date: 6/11/2025 Age: From 0 To 5 Total Minutes: 90 Time In: 09:30 AM Time Out: 11:00 AM 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 compliance of applicable child care requirements during a routine unannounced visit. I monitored the indoor environments for compliance with child care requirements. Staff/child ratios, supervision, use of space and capacity were monitored for compliance. The permit, sanitation, evacuation, safe arrival and departure procedures, first aid chart, menus, activity plans, daily schedules, staff/child ratios, emergency medical care plan, emergency telephone numbers and a summary of child care law were posted. New staff files were reviewed today. The storage of medication and hazardous products was also monitored for compliance. A fire drill was documented as conducted on 5-27-25. An outdoor inspection was documented as conducted on 5-7-25. A lockdown drill was documented as conducted on 4-13-25. An approved fire inspection was completed on 9-24-24. A sanitation inspection was last completed on 6-9-25 with eighteen demerits and a provisional classification. The children were observed playing in activity areas and playing outside. A meal or snack was not observed. According to the menu the children were having bbq meatballs, green beans, apples and milk. A four star license with four points in education, five points in program and one quality point was issued to you on 6-4-22. Based on observations made and information provided, you continue to meet the requirements previously met to obtain such a license. Violation Number Comment Rule 832 There was no written emergency medical care (EMC) plan. The Emergency Medical Care Plan was not posted. 10A NCAC 09 .0802(a) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy was not posted. .0606(b) 1043 All staff records, except financial records, were not made available for review. A file was not available for one staff member. G.S. 110-91( 9) Please contact me at 919-819-9302 or at paula.davis@dhhs.nc.gov if I can be of assistance. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: LITTLE STEPPING STONES Facility ID: 51000919 Consultant: PAULA DAVIS Operation Type: Center Case Number: 0724-246L Visit Date: 7/25/2024 Number Present: 131 Completed Date: 7/25/2024 Age: From 0 To 5 Total Minutes: 90 Time In: 02:00 PM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate an allegation of non-compliance received by DCDEE on 7-22-24. Child Care Consultant, Tanya Herring accompanied me on today’s visit. Upon our arrival we were greeted by Director N. Pittman and Assistant Director, Kristin Antonucci. Limited monitoring of the child care requirements occurred during today's visit. The license was posted. I completed a general walk-through of the indoor play environments. Children were observed getting up from nap, eating snack and participating in teacher directed circle time activities. For a snack the children had graham crackers, orange slices and water as indicated on the menu. Some of the younger children had bananas rather than oranges slices. Staff/child ratios were maintained, and children were adequately supervised. We reviewed the complaint with both Ms. Pittman and Ms. Antonucci and both were given an opportunity to provide their perspective surrounding the allegations outlined in the report. The allegations were as follows: There is a concern that diapers are not changed as needed in the classroom for the one-year-old children. There is a concern related to sanitation and health. There is a concern of inadequate supervision in the classroom for one-year-old children. There is a concern that the posted menu for meals and snacks is not followed. There is a concern related to nutrition. There is a concern that daily activity plans are not posted or implemented. There is a concern that children are being offered screen-time on a daily basis. There is a concern that children were not attended to in a nurturing and appropriate manner or in keeping with the children’s developmental needed in the classroom for three-year-old children. The following violations were cited during today's visit: Each allegation was reviewed with you. The following information was provided, and observations were made: You stated that you use Pro Care Engage and each diaper change is entered and can be viewed by the parents at any time. Today we observed the entries for your daughter. You stated that diapers are changed on an as needed basis. Based on the information provided and on observations made during the visit, the allegation pertaining to diaper changes was not confirmed and a violation was not documented. A sanitation inspection was completed on June 27, 2024. There were three demerits and a superior classification. While visiting the classrooms today we observed sanitizer on the tables as they were being cleaned. The classrooms appeared clean today. Based on the information provided and on observations made during the visit, the allegation pertaining to sanitation and health was not confirmed and a violation was not documented. We observed adequate supervision throughout the facility today. In the Toddler 1 classroom there were twelve (12) children enrolled and nine (9) children present with two teachers. In the Toddler 2 classroom there were twelve (12) children enrolled and six (6) children present with one teacher. We observed the teachers in the classrooms for the toddlers and the teachers throughout the facility being attentive to the needs of the children. You stated today that all staff members are required to keep their cell phones locked in the closet in the classroom during the day while they are responsible for a group of children. Based on the information provided and on observations made during the visit, the allegation pertaining to inadequate supervision was not confirmed and a violation was not documented. Today we observed a current menu posted in the area by the front door where the parents enter the building and a menu in the kitchen and in each classroom. We observed the children eating snack today in several classrooms. The snack they were eating was what was indicated on the menu. We also observed the July menu today. There were a variety of foods listed on the menu and the menu met Meals Patterns for Children in Child Care. You stated today that the information regarding what each child eats is logged into Pro Care Engage so the parents know not only what was served but also how much their child ate. You stated today that you have recently changed your menu to add more fresh and fresh frozen items. Based on the information provided and on observations made during the visit, the allegations pertaining to the posted menu not being followed and nutrition was not confirmed, and a violation was not documented. An activity plan and daily schedule was posted in each classroom today. The activity plans were current and based on observations during the walk through of the classrooms today, it appeared that they were being followed. You stated today that the children play outside for an hour in the morning and an hour in the afternoon as the weather permits. You stated that they go outside everyday, but depending on the weather the time might be broken up into shorter increments of time. You stated today that the older children (3-5) are allowed to have screen time for 30 minutes per day, but they usually choose not to have it because they do not want to have to log it in the screen time log. Based on the information provided and on observations made during the visit, the allegations pertaining to activity plans not being posted or implemented and children being offered screen time on a daily basis was not confirmed and a violation was not documented. Today we observed all of the teachers being attentive to the needs of the children. All of the children seemed happy and relaxed in the classroom for the three year old children and throughout the facility. We did not hear any teachers being loud or talking ugly or inappropriately to the children. Based on the information provided and on observations made during the visit, the allegations pertaining to children not being attended to in a nurturing and appropriate manner or in keeping with the children’s developmental needs in the classroom for the three year old children was not confirmed and a violation was not documented. Violation Number Comment Rule 115 A summary of the NC Child Care Law was not posted in a prominent place in the center. A NC Summary of Child Care Law was not posted. G.S. 110-102 428 A current activity plan was not posted for each group of children for reference. The activity plan in the classroom for the Toddlers was posted, but could not be seen be easily seen by the parents because last week's plan was on top. GS 110-91(12); .0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An electrical outlet in the Prek 1 class was not being used and was not covered. 10A NCAC 09 .0604(c) 832 There was no written emergency medical care (EMC) plan. The emergency medical care plan was not posted. 10A NCAC 09 .0802(a) 1791 The child care provider did not provide the required beverage(s). In the refrigerator there was reduced fat (2%) milk rather than low fat (1%) or skim milk. .0901(e)(1-7) Today you served the younger children bananas, but oranges were listed on the menu. I did not document a violation because you stated that the parents were informed through Pro Care Engage as to what was served and what the child ate. Today you had a menu posted in each classroom and one by the entrance and one in the kitchen. I suggested today that you take the menus out of the classrooms and leave the one in the central location by the entrance and in the kitchen because when substitutions are made to the menu you must make the changes on each menu prior to serving the food. You are not required to post a menu in each classroom and if you removed them it lessen the chance of you overlooking one when substitutions are made. Today you stated that you plan to add a column to the menu for notes such as what might be served to the younger children when they cannot eat what is listed on the menu. A violation was documented today because you did not have any low fat or skim milk. You had 2% milk which is reduced fat not low fat as required by child care rule. Today I reminded you that if your policies do not explain your outdoor play policy and expectations that you need to add it and make the parents aware of it when they enroll their child. I reminded you today that if you choose to allow the children (three years of age and older) to participate in screen time it must be educational, it must be logged and it cannot be for more than thirty minutes per day. Child care licensing requirements are 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 program. It is your responsibility to maintain compliance with all of 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 childcare 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 recommended 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. Please send me a written statement describing how and when the above violations were corrected. The written statement must be received no later than 8-9-24. Please note that if your letter is mailed, a hand written signature is required. As an alternative, compliance letters can now be submitted via email. I recommend emailing your letter to reduce the time needed to ensure my receipt of your information; however, if you do not have access to email, please ensure that your letter is mailed in a timely fashion and that you allow for any possible delays in the mail service. Please contact me if you have questions pertaining to your compliance letter or if you will not be able to meet the two week timeframe for submission of your compliance letter. Please contact me at 919-819-9302 or at paula.davis@dhhs.nc.gov if I can be of assistance. Please use my local mailing address for submitting items directly to me: PO Box 696, Pine Level, NC 27568. 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 .0802 · Violation

Name of Operation: LITTLE STEPPING STONES Facility ID: 51000919 Consultant: PAULA DAVIS Operation Type: Center Case Number: 0724-246L Visit Date: 7/25/2024 Number Present: 131 Completed Date: 7/25/2024 Age: From 0 To 5 Total Minutes: 90 Time In: 02:00 PM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate an allegation of non-compliance received by DCDEE on 7-22-24. Child Care Consultant, Tanya Herring accompanied me on today’s visit. Upon our arrival we were greeted by Director N. Pittman and Assistant Director, Kristin Antonucci. Limited monitoring of the child care requirements occurred during today's visit. The license was posted. I completed a general walk-through of the indoor play environments. Children were observed getting up from nap, eating snack and participating in teacher directed circle time activities. For a snack the children had graham crackers, orange slices and water as indicated on the menu. Some of the younger children had bananas rather than oranges slices. Staff/child ratios were maintained, and children were adequately supervised. We reviewed the complaint with both Ms. Pittman and Ms. Antonucci and both were given an opportunity to provide their perspective surrounding the allegations outlined in the report. The allegations were as follows: There is a concern that diapers are not changed as needed in the classroom for the one-year-old children. There is a concern related to sanitation and health. There is a concern of inadequate supervision in the classroom for one-year-old children. There is a concern that the posted menu for meals and snacks is not followed. There is a concern related to nutrition. There is a concern that daily activity plans are not posted or implemented. There is a concern that children are being offered screen-time on a daily basis. There is a concern that children were not attended to in a nurturing and appropriate manner or in keeping with the children’s developmental needed in the classroom for three-year-old children. The following violations were cited during today's visit: Each allegation was reviewed with you. The following information was provided, and observations were made: You stated that you use Pro Care Engage and each diaper change is entered and can be viewed by the parents at any time. Today we observed the entries for your daughter. You stated that diapers are changed on an as needed basis. Based on the information provided and on observations made during the visit, the allegation pertaining to diaper changes was not confirmed and a violation was not documented. A sanitation inspection was completed on June 27, 2024. There were three demerits and a superior classification. While visiting the classrooms today we observed sanitizer on the tables as they were being cleaned. The classrooms appeared clean today. Based on the information provided and on observations made during the visit, the allegation pertaining to sanitation and health was not confirmed and a violation was not documented. We observed adequate supervision throughout the facility today. In the Toddler 1 classroom there were twelve (12) children enrolled and nine (9) children present with two teachers. In the Toddler 2 classroom there were twelve (12) children enrolled and six (6) children present with one teacher. We observed the teachers in the classrooms for the toddlers and the teachers throughout the facility being attentive to the needs of the children. You stated today that all staff members are required to keep their cell phones locked in the closet in the classroom during the day while they are responsible for a group of children. Based on the information provided and on observations made during the visit, the allegation pertaining to inadequate supervision was not confirmed and a violation was not documented. Today we observed a current menu posted in the area by the front door where the parents enter the building and a menu in the kitchen and in each classroom. We observed the children eating snack today in several classrooms. The snack they were eating was what was indicated on the menu. We also observed the July menu today. There were a variety of foods listed on the menu and the menu met Meals Patterns for Children in Child Care. You stated today that the information regarding what each child eats is logged into Pro Care Engage so the parents know not only what was served but also how much their child ate. You stated today that you have recently changed your menu to add more fresh and fresh frozen items. Based on the information provided and on observations made during the visit, the allegations pertaining to the posted menu not being followed and nutrition was not confirmed, and a violation was not documented. An activity plan and daily schedule was posted in each classroom today. The activity plans were current and based on observations during the walk through of the classrooms today, it appeared that they were being followed. You stated today that the children play outside for an hour in the morning and an hour in the afternoon as the weather permits. You stated that they go outside everyday, but depending on the weather the time might be broken up into shorter increments of time. You stated today that the older children (3-5) are allowed to have screen time for 30 minutes per day, but they usually choose not to have it because they do not want to have to log it in the screen time log. Based on the information provided and on observations made during the visit, the allegations pertaining to activity plans not being posted or implemented and children being offered screen time on a daily basis was not confirmed and a violation was not documented. Today we observed all of the teachers being attentive to the needs of the children. All of the children seemed happy and relaxed in the classroom for the three year old children and throughout the facility. We did not hear any teachers being loud or talking ugly or inappropriately to the children. Based on the information provided and on observations made during the visit, the allegations pertaining to children not being attended to in a nurturing and appropriate manner or in keeping with the children’s developmental needs in the classroom for the three year old children was not confirmed and a violation was not documented. Violation Number Comment Rule 115 A summary of the NC Child Care Law was not posted in a prominent place in the center. A NC Summary of Child Care Law was not posted. G.S. 110-102 428 A current activity plan was not posted for each group of children for reference. The activity plan in the classroom for the Toddlers was posted, but could not be seen be easily seen by the parents because last week's plan was on top. GS 110-91(12); .0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An electrical outlet in the Prek 1 class was not being used and was not covered. 10A NCAC 09 .0604(c) 832 There was no written emergency medical care (EMC) plan. The emergency medical care plan was not posted. 10A NCAC 09 .0802(a) 1791 The child care provider did not provide the required beverage(s). In the refrigerator there was reduced fat (2%) milk rather than low fat (1%) or skim milk. .0901(e)(1-7) Today you served the younger children bananas, but oranges were listed on the menu. I did not document a violation because you stated that the parents were informed through Pro Care Engage as to what was served and what the child ate. Today you had a menu posted in each classroom and one by the entrance and one in the kitchen. I suggested today that you take the menus out of the classrooms and leave the one in the central location by the entrance and in the kitchen because when substitutions are made to the menu you must make the changes on each menu prior to serving the food. You are not required to post a menu in each classroom and if you removed them it lessen the chance of you overlooking one when substitutions are made. Today you stated that you plan to add a column to the menu for notes such as what might be served to the younger children when they cannot eat what is listed on the menu. A violation was documented today because you did not have any low fat or skim milk. You had 2% milk which is reduced fat not low fat as required by child care rule. Today I reminded you that if your policies do not explain your outdoor play policy and expectations that you need to add it and make the parents aware of it when they enroll their child. I reminded you today that if you choose to allow the children (three years of age and older) to participate in screen time it must be educational, it must be logged and it cannot be for more than thirty minutes per day. Child care licensing requirements are 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 program. It is your responsibility to maintain compliance with all of 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 childcare 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 recommended 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. Please send me a written statement describing how and when the above violations were corrected. The written statement must be received no later than 8-9-24. Please note that if your letter is mailed, a hand written signature is required. As an alternative, compliance letters can now be submitted via email. I recommend emailing your letter to reduce the time needed to ensure my receipt of your information; however, if you do not have access to email, please ensure that your letter is mailed in a timely fashion and that you allow for any possible delays in the mail service. Please contact me if you have questions pertaining to your compliance letter or if you will not be able to meet the two week timeframe for submission of your compliance letter. Please contact me at 919-819-9302 or at paula.davis@dhhs.nc.gov if I can be of assistance. Please use my local mailing address for submitting items directly to me: PO Box 696, Pine Level, NC 27568. 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. 110-102 · Violation

Name of Operation: LITTLE STEPPING STONES Facility ID: 51000919 Consultant: PAULA DAVIS Operation Type: Center Case Number: 0724-246L Visit Date: 7/25/2024 Number Present: 131 Completed Date: 7/25/2024 Age: From 0 To 5 Total Minutes: 90 Time In: 02:00 PM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate an allegation of non-compliance received by DCDEE on 7-22-24. Child Care Consultant, Tanya Herring accompanied me on today’s visit. Upon our arrival we were greeted by Director N. Pittman and Assistant Director, Kristin Antonucci. Limited monitoring of the child care requirements occurred during today's visit. The license was posted. I completed a general walk-through of the indoor play environments. Children were observed getting up from nap, eating snack and participating in teacher directed circle time activities. For a snack the children had graham crackers, orange slices and water as indicated on the menu. Some of the younger children had bananas rather than oranges slices. Staff/child ratios were maintained, and children were adequately supervised. We reviewed the complaint with both Ms. Pittman and Ms. Antonucci and both were given an opportunity to provide their perspective surrounding the allegations outlined in the report. The allegations were as follows: There is a concern that diapers are not changed as needed in the classroom for the one-year-old children. There is a concern related to sanitation and health. There is a concern of inadequate supervision in the classroom for one-year-old children. There is a concern that the posted menu for meals and snacks is not followed. There is a concern related to nutrition. There is a concern that daily activity plans are not posted or implemented. There is a concern that children are being offered screen-time on a daily basis. There is a concern that children were not attended to in a nurturing and appropriate manner or in keeping with the children’s developmental needed in the classroom for three-year-old children. The following violations were cited during today's visit: Each allegation was reviewed with you. The following information was provided, and observations were made: You stated that you use Pro Care Engage and each diaper change is entered and can be viewed by the parents at any time. Today we observed the entries for your daughter. You stated that diapers are changed on an as needed basis. Based on the information provided and on observations made during the visit, the allegation pertaining to diaper changes was not confirmed and a violation was not documented. A sanitation inspection was completed on June 27, 2024. There were three demerits and a superior classification. While visiting the classrooms today we observed sanitizer on the tables as they were being cleaned. The classrooms appeared clean today. Based on the information provided and on observations made during the visit, the allegation pertaining to sanitation and health was not confirmed and a violation was not documented. We observed adequate supervision throughout the facility today. In the Toddler 1 classroom there were twelve (12) children enrolled and nine (9) children present with two teachers. In the Toddler 2 classroom there were twelve (12) children enrolled and six (6) children present with one teacher. We observed the teachers in the classrooms for the toddlers and the teachers throughout the facility being attentive to the needs of the children. You stated today that all staff members are required to keep their cell phones locked in the closet in the classroom during the day while they are responsible for a group of children. Based on the information provided and on observations made during the visit, the allegation pertaining to inadequate supervision was not confirmed and a violation was not documented. Today we observed a current menu posted in the area by the front door where the parents enter the building and a menu in the kitchen and in each classroom. We observed the children eating snack today in several classrooms. The snack they were eating was what was indicated on the menu. We also observed the July menu today. There were a variety of foods listed on the menu and the menu met Meals Patterns for Children in Child Care. You stated today that the information regarding what each child eats is logged into Pro Care Engage so the parents know not only what was served but also how much their child ate. You stated today that you have recently changed your menu to add more fresh and fresh frozen items. Based on the information provided and on observations made during the visit, the allegations pertaining to the posted menu not being followed and nutrition was not confirmed, and a violation was not documented. An activity plan and daily schedule was posted in each classroom today. The activity plans were current and based on observations during the walk through of the classrooms today, it appeared that they were being followed. You stated today that the children play outside for an hour in the morning and an hour in the afternoon as the weather permits. You stated that they go outside everyday, but depending on the weather the time might be broken up into shorter increments of time. You stated today that the older children (3-5) are allowed to have screen time for 30 minutes per day, but they usually choose not to have it because they do not want to have to log it in the screen time log. Based on the information provided and on observations made during the visit, the allegations pertaining to activity plans not being posted or implemented and children being offered screen time on a daily basis was not confirmed and a violation was not documented. Today we observed all of the teachers being attentive to the needs of the children. All of the children seemed happy and relaxed in the classroom for the three year old children and throughout the facility. We did not hear any teachers being loud or talking ugly or inappropriately to the children. Based on the information provided and on observations made during the visit, the allegations pertaining to children not being attended to in a nurturing and appropriate manner or in keeping with the children’s developmental needs in the classroom for the three year old children was not confirmed and a violation was not documented. Violation Number Comment Rule 115 A summary of the NC Child Care Law was not posted in a prominent place in the center. A NC Summary of Child Care Law was not posted. G.S. 110-102 428 A current activity plan was not posted for each group of children for reference. The activity plan in the classroom for the Toddlers was posted, but could not be seen be easily seen by the parents because last week's plan was on top. GS 110-91(12); .0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An electrical outlet in the Prek 1 class was not being used and was not covered. 10A NCAC 09 .0604(c) 832 There was no written emergency medical care (EMC) plan. The emergency medical care plan was not posted. 10A NCAC 09 .0802(a) 1791 The child care provider did not provide the required beverage(s). In the refrigerator there was reduced fat (2%) milk rather than low fat (1%) or skim milk. .0901(e)(1-7) Today you served the younger children bananas, but oranges were listed on the menu. I did not document a violation because you stated that the parents were informed through Pro Care Engage as to what was served and what the child ate. Today you had a menu posted in each classroom and one by the entrance and one in the kitchen. I suggested today that you take the menus out of the classrooms and leave the one in the central location by the entrance and in the kitchen because when substitutions are made to the menu you must make the changes on each menu prior to serving the food. You are not required to post a menu in each classroom and if you removed them it lessen the chance of you overlooking one when substitutions are made. Today you stated that you plan to add a column to the menu for notes such as what might be served to the younger children when they cannot eat what is listed on the menu. A violation was documented today because you did not have any low fat or skim milk. You had 2% milk which is reduced fat not low fat as required by child care rule. Today I reminded you that if your policies do not explain your outdoor play policy and expectations that you need to add it and make the parents aware of it when they enroll their child. I reminded you today that if you choose to allow the children (three years of age and older) to participate in screen time it must be educational, it must be logged and it cannot be for more than thirty minutes per day. Child care licensing requirements are 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 program. It is your responsibility to maintain compliance with all of 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 childcare 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 recommended 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. Please send me a written statement describing how and when the above violations were corrected. The written statement must be received no later than 8-9-24. Please note that if your letter is mailed, a hand written signature is required. As an alternative, compliance letters can now be submitted via email. I recommend emailing your letter to reduce the time needed to ensure my receipt of your information; however, if you do not have access to email, please ensure that your letter is mailed in a timely fashion and that you allow for any possible delays in the mail service. Please contact me if you have questions pertaining to your compliance letter or if you will not be able to meet the two week timeframe for submission of your compliance letter. Please contact me at 919-819-9302 or at paula.davis@dhhs.nc.gov if I can be of assistance. Please use my local mailing address for submitting items directly to me: PO Box 696, Pine Level, NC 27568. 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: LITTLE STEPPING STONES Facility ID: 51000919 Consultant: PAULA DAVIS Operation Type: Center Case Number: 0724-246L Visit Date: 7/25/2024 Number Present: 131 Completed Date: 7/25/2024 Age: From 0 To 5 Total Minutes: 90 Time In: 02:00 PM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate an allegation of non-compliance received by DCDEE on 7-22-24. Child Care Consultant, Tanya Herring accompanied me on today’s visit. Upon our arrival we were greeted by Director N. Pittman and Assistant Director, Kristin Antonucci. Limited monitoring of the child care requirements occurred during today's visit. The license was posted. I completed a general walk-through of the indoor play environments. Children were observed getting up from nap, eating snack and participating in teacher directed circle time activities. For a snack the children had graham crackers, orange slices and water as indicated on the menu. Some of the younger children had bananas rather than oranges slices. Staff/child ratios were maintained, and children were adequately supervised. We reviewed the complaint with both Ms. Pittman and Ms. Antonucci and both were given an opportunity to provide their perspective surrounding the allegations outlined in the report. The allegations were as follows: There is a concern that diapers are not changed as needed in the classroom for the one-year-old children. There is a concern related to sanitation and health. There is a concern of inadequate supervision in the classroom for one-year-old children. There is a concern that the posted menu for meals and snacks is not followed. There is a concern related to nutrition. There is a concern that daily activity plans are not posted or implemented. There is a concern that children are being offered screen-time on a daily basis. There is a concern that children were not attended to in a nurturing and appropriate manner or in keeping with the children’s developmental needed in the classroom for three-year-old children. The following violations were cited during today's visit: Each allegation was reviewed with you. The following information was provided, and observations were made: You stated that you use Pro Care Engage and each diaper change is entered and can be viewed by the parents at any time. Today we observed the entries for your daughter. You stated that diapers are changed on an as needed basis. Based on the information provided and on observations made during the visit, the allegation pertaining to diaper changes was not confirmed and a violation was not documented. A sanitation inspection was completed on June 27, 2024. There were three demerits and a superior classification. While visiting the classrooms today we observed sanitizer on the tables as they were being cleaned. The classrooms appeared clean today. Based on the information provided and on observations made during the visit, the allegation pertaining to sanitation and health was not confirmed and a violation was not documented. We observed adequate supervision throughout the facility today. In the Toddler 1 classroom there were twelve (12) children enrolled and nine (9) children present with two teachers. In the Toddler 2 classroom there were twelve (12) children enrolled and six (6) children present with one teacher. We observed the teachers in the classrooms for the toddlers and the teachers throughout the facility being attentive to the needs of the children. You stated today that all staff members are required to keep their cell phones locked in the closet in the classroom during the day while they are responsible for a group of children. Based on the information provided and on observations made during the visit, the allegation pertaining to inadequate supervision was not confirmed and a violation was not documented. Today we observed a current menu posted in the area by the front door where the parents enter the building and a menu in the kitchen and in each classroom. We observed the children eating snack today in several classrooms. The snack they were eating was what was indicated on the menu. We also observed the July menu today. There were a variety of foods listed on the menu and the menu met Meals Patterns for Children in Child Care. You stated today that the information regarding what each child eats is logged into Pro Care Engage so the parents know not only what was served but also how much their child ate. You stated today that you have recently changed your menu to add more fresh and fresh frozen items. Based on the information provided and on observations made during the visit, the allegations pertaining to the posted menu not being followed and nutrition was not confirmed, and a violation was not documented. An activity plan and daily schedule was posted in each classroom today. The activity plans were current and based on observations during the walk through of the classrooms today, it appeared that they were being followed. You stated today that the children play outside for an hour in the morning and an hour in the afternoon as the weather permits. You stated that they go outside everyday, but depending on the weather the time might be broken up into shorter increments of time. You stated today that the older children (3-5) are allowed to have screen time for 30 minutes per day, but they usually choose not to have it because they do not want to have to log it in the screen time log. Based on the information provided and on observations made during the visit, the allegations pertaining to activity plans not being posted or implemented and children being offered screen time on a daily basis was not confirmed and a violation was not documented. Today we observed all of the teachers being attentive to the needs of the children. All of the children seemed happy and relaxed in the classroom for the three year old children and throughout the facility. We did not hear any teachers being loud or talking ugly or inappropriately to the children. Based on the information provided and on observations made during the visit, the allegations pertaining to children not being attended to in a nurturing and appropriate manner or in keeping with the children’s developmental needs in the classroom for the three year old children was not confirmed and a violation was not documented. Violation Number Comment Rule 115 A summary of the NC Child Care Law was not posted in a prominent place in the center. A NC Summary of Child Care Law was not posted. G.S. 110-102 428 A current activity plan was not posted for each group of children for reference. The activity plan in the classroom for the Toddlers was posted, but could not be seen be easily seen by the parents because last week's plan was on top. GS 110-91(12); .0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An electrical outlet in the Prek 1 class was not being used and was not covered. 10A NCAC 09 .0604(c) 832 There was no written emergency medical care (EMC) plan. The emergency medical care plan was not posted. 10A NCAC 09 .0802(a) 1791 The child care provider did not provide the required beverage(s). In the refrigerator there was reduced fat (2%) milk rather than low fat (1%) or skim milk. .0901(e)(1-7) Today you served the younger children bananas, but oranges were listed on the menu. I did not document a violation because you stated that the parents were informed through Pro Care Engage as to what was served and what the child ate. Today you had a menu posted in each classroom and one by the entrance and one in the kitchen. I suggested today that you take the menus out of the classrooms and leave the one in the central location by the entrance and in the kitchen because when substitutions are made to the menu you must make the changes on each menu prior to serving the food. You are not required to post a menu in each classroom and if you removed them it lessen the chance of you overlooking one when substitutions are made. Today you stated that you plan to add a column to the menu for notes such as what might be served to the younger children when they cannot eat what is listed on the menu. A violation was documented today because you did not have any low fat or skim milk. You had 2% milk which is reduced fat not low fat as required by child care rule. Today I reminded you that if your policies do not explain your outdoor play policy and expectations that you need to add it and make the parents aware of it when they enroll their child. I reminded you today that if you choose to allow the children (three years of age and older) to participate in screen time it must be educational, it must be logged and it cannot be for more than thirty minutes per day. Child care licensing requirements are 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 program. It is your responsibility to maintain compliance with all of 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 childcare 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 recommended 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. Please send me a written statement describing how and when the above violations were corrected. The written statement must be received no later than 8-9-24. Please note that if your letter is mailed, a hand written signature is required. As an alternative, compliance letters can now be submitted via email. I recommend emailing your letter to reduce the time needed to ensure my receipt of your information; however, if you do not have access to email, please ensure that your letter is mailed in a timely fashion and that you allow for any possible delays in the mail service. Please contact me if you have questions pertaining to your compliance letter or if you will not be able to meet the two week timeframe for submission of your compliance letter. Please contact me at 919-819-9302 or at paula.davis@dhhs.nc.gov if I can be of assistance. Please use my local mailing address for submitting items directly to me: PO Box 696, Pine Level, NC 27568. 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 .0902 · Violation

Name of Operation: LITTLE STEPPING STONES Facility ID: 51000919 Consultant: PAULA DAVIS Operation Type: Center Case Number: Visit Date: 11/15/2023 Number Present: 150 Completed Date: 11/15/2023 Age: From 0 To 5 Total Minutes: 275 Time In: 10:45 AM Time Out: 03:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance of applicable child care requirements during your annual compliance visit. I monitored the indoor and outdoor environments for compliance with child care requirements. Staff/child ratios, supervision, use of space and capacity were monitored for compliance. The permit, sanitation, evacuation, safe arrival and departure procedures, first aid chart, menus, daily schedules, activity plans, summary of NC Child Care Law and staff/child ratios were posted at the time of the visit. The storage of medication and hazardous products was also monitored for compliance. Eleven new staff members’ files and files for a percentage of existing staff were reviewed and the information on the Staff and Training Worksheet was verified. A sample of children's records were reviewed during the visit and the worksheets were completed. The last outdoor inspection was documented as conducted on 11-8-23. A fire drill was documented as conducted on 10-19-23 at 10:45am with an evacuation time of sixty seconds. A lockdown drill was documented as conducted on 10-23-23 at 10:00 am. An approved fire inspection was completed on 11-28-22. A sanitation inspection was last completed on 6-14-23 with eight demerits and a superior classification. The children were observed preparing for lunch and eating lunch which consisted of spaghetti with meat sauce, peas, apples and milk. A four-star child care center with four points in education, five points in program and one quality point was issued to you on 6-4-22. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The current activity plan was not posted where it could be seen by the parents. GS 110-91(12); .0508(a) 533 Breast milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. A sippy cup in the classroom for the Waddlers was not labeled and dated. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) A feeding schedule was not posted for one infant child. 10A NCAC 09 .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator in the classroom for the infant children was 50 degrees. 15A NCAC 18A .2806(j)(2) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. The key was left in the closet containing cleaning supplies in the classroom for the two year old children. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A container of Vaseline was not stored in locked storage in the classroom for the Toddlers. 15A NCAC 18A .2820(d) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Three new staff members did not complete first aid within the first 90 days of employment as required, and one staff member's first aid had expired. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Three new staff members did not complete CPR training within 90 days of hire as required and one staff member's CPR had expired. .1102(d) Please send me a signed written statement by 12-1-23 stating how and when the above violations were corrected and how you intend to maintain compliance in the future. Please be reminded that your letter/email must contain a signature to be considered valid. Please submit your letter/email to my local address: P.O. Box 696, Pine Level, NC 27568. Please contact me at 919-819-9302 or at paula.davis@dhhs.nc.gov if I can be of further assistance. 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: LITTLE STEPPING STONES Facility ID: 51000919 Consultant: PAULA DAVIS Operation Type: Center Case Number: Visit Date: 11/15/2023 Number Present: 150 Completed Date: 11/15/2023 Age: From 0 To 5 Total Minutes: 275 Time In: 10:45 AM Time Out: 03:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance of applicable child care requirements during your annual compliance visit. I monitored the indoor and outdoor environments for compliance with child care requirements. Staff/child ratios, supervision, use of space and capacity were monitored for compliance. The permit, sanitation, evacuation, safe arrival and departure procedures, first aid chart, menus, daily schedules, activity plans, summary of NC Child Care Law and staff/child ratios were posted at the time of the visit. The storage of medication and hazardous products was also monitored for compliance. Eleven new staff members’ files and files for a percentage of existing staff were reviewed and the information on the Staff and Training Worksheet was verified. A sample of children's records were reviewed during the visit and the worksheets were completed. The last outdoor inspection was documented as conducted on 11-8-23. A fire drill was documented as conducted on 10-19-23 at 10:45am with an evacuation time of sixty seconds. A lockdown drill was documented as conducted on 10-23-23 at 10:00 am. An approved fire inspection was completed on 11-28-22. A sanitation inspection was last completed on 6-14-23 with eight demerits and a superior classification. The children were observed preparing for lunch and eating lunch which consisted of spaghetti with meat sauce, peas, apples and milk. A four-star child care center with four points in education, five points in program and one quality point was issued to you on 6-4-22. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The current activity plan was not posted where it could be seen by the parents. GS 110-91(12); .0508(a) 533 Breast milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. A sippy cup in the classroom for the Waddlers was not labeled and dated. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) A feeding schedule was not posted for one infant child. 10A NCAC 09 .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator in the classroom for the infant children was 50 degrees. 15A NCAC 18A .2806(j)(2) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. The key was left in the closet containing cleaning supplies in the classroom for the two year old children. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A container of Vaseline was not stored in locked storage in the classroom for the Toddlers. 15A NCAC 18A .2820(d) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Three new staff members did not complete first aid within the first 90 days of employment as required, and one staff member's first aid had expired. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Three new staff members did not complete CPR training within 90 days of hire as required and one staff member's CPR had expired. .1102(d) Please send me a signed written statement by 12-1-23 stating how and when the above violations were corrected and how you intend to maintain compliance in the future. Please be reminded that your letter/email must contain a signature to be considered valid. Please submit your letter/email to my local address: P.O. Box 696, Pine Level, NC 27568. Please contact me at 919-819-9302 or at paula.davis@dhhs.nc.gov if I can be of further assistance. 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