G.S. 110-90 · Violation

Name of Operation: NORA PALMER'S CHILD CARE HOME Facility ID: 19000071 Consultant: BRANDON FRY Operation Type: Family CC Home Case Number: Visit Date: 5/22/2025 Number Present: 4 Completed Date: 5/22/2025 Age: From 1 To 8 Total Minutes: 75 Time In: 09:00 AM Time Out: 10:15 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with the applicable child care requirements for a routine unannounced visit. You currently operate with a four-star license, issued January 21, 2022, earning 7 points in the education component, 2 points in the program standards component meeting minimum requirements and conducting self-study and self-assessment using FCCERS and 1 quality point by restricting infant capacity to no more than two children under one year of age. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-eight percent as of May 22, 2025. The license was posted, and the restrictions were in compliance. A walk-through of your program was completed today; all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and interactions to be in compliance. Children were participating in group time, free play in activity areas, transitions, and personal care routines. The operator was interacting and meeting the developmental needs of each of the children. Rated license requirements were reviewed to ensure compliance was maintained with the current program and education components as well as the quality point. The following was cited during today’s inspection. Violation Number Comment Rule 1847 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 has not updated their roster in the ABCMS Provider Portal. G.S. 110-90.2 & .2703(r) Child care programs are expected to always achieve and maintain compliance and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 5, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Brandon Fry, Child Care Consultant, 80 Blake Blvd, PO Box 4441, Pinehurst, NC 28374, brandon.fry@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Nora Palmer, Operator, Nora Palmer’s Child Care Home, ID # 19000071 Technical assistance: Children eating books and paper is a common behavior, often driven by exploring their environment and their sensory needs, and can sometimes be associated with pica. It's important to understand why this happens and how to manage it, as it's generally not a cause for significant concern unless it's excessive or accompanied by other concerning behaviors. Some safe substitutes would be to provide alternative chewable toys or snacks that are safe for the child to help meet their sensory needs. We discussed the importance of updating your roster in the ABCMS Provider portal. As stated in G.S. 110-90.2 & .2703(r) 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. The process of notifying the Division has changed and 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 on 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. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8601 and someone will assist you. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brandon Fry, Child Care Consultant, 80 Blake Blvd, PO Box 4441, Pinehurst, NC 28374, brandon.fry@dhhs.nc.gov if you have questions. 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: NORA PALMER'S CHILD CARE HOME Facility ID: 19000071 Consultant: BRANDON FRY Operation Type: Family CC Home Case Number: Visit Date: 5/22/2025 Number Present: 4 Completed Date: 5/22/2025 Age: From 1 To 8 Total Minutes: 75 Time In: 09:00 AM Time Out: 10:15 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with the applicable child care requirements for a routine unannounced visit. You currently operate with a four-star license, issued January 21, 2022, earning 7 points in the education component, 2 points in the program standards component meeting minimum requirements and conducting self-study and self-assessment using FCCERS and 1 quality point by restricting infant capacity to no more than two children under one year of age. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-eight percent as of May 22, 2025. The license was posted, and the restrictions were in compliance. A walk-through of your program was completed today; all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and interactions to be in compliance. Children were participating in group time, free play in activity areas, transitions, and personal care routines. The operator was interacting and meeting the developmental needs of each of the children. Rated license requirements were reviewed to ensure compliance was maintained with the current program and education components as well as the quality point. The following was cited during today’s inspection. Violation Number Comment Rule 1847 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 has not updated their roster in the ABCMS Provider Portal. G.S. 110-90.2 & .2703(r) Child care programs are expected to always achieve and maintain compliance and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 5, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Brandon Fry, Child Care Consultant, 80 Blake Blvd, PO Box 4441, Pinehurst, NC 28374, brandon.fry@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Nora Palmer, Operator, Nora Palmer’s Child Care Home, ID # 19000071 Technical assistance: Children eating books and paper is a common behavior, often driven by exploring their environment and their sensory needs, and can sometimes be associated with pica. It's important to understand why this happens and how to manage it, as it's generally not a cause for significant concern unless it's excessive or accompanied by other concerning behaviors. Some safe substitutes would be to provide alternative chewable toys or snacks that are safe for the child to help meet their sensory needs. We discussed the importance of updating your roster in the ABCMS Provider portal. As stated in G.S. 110-90.2 & .2703(r) 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. The process of notifying the Division has changed and 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 on 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. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8601 and someone will assist you. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brandon Fry, Child Care Consultant, 80 Blake Blvd, PO Box 4441, Pinehurst, NC 28374, brandon.fry@dhhs.nc.gov if you have questions. 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: NORA PALMER'S CHILD CARE HOME Facility ID: 19000071 Consultant: BRANDON FRY Operation Type: Family CC Home Case Number: Visit Date: 3/13/2024 Number Present: 3 Completed Date: 3/13/2024 Age: From 0 To 2 Total Minutes: 65 Time In: 09:40 AM Time Out: 10:45 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Your currently operate with a four-star license, issued January 21, 2022, earning 7 points in the education component, 2 points in the program standards component meeting minimum requirements and conducting a self-study and self-assessment using FCCERS and 1 quality point by restricting infant capacity to no more than two children under one year of age. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-nine percent as of March 12, 2024. The license was posted, and the restrictions were in compliance. A walk-through of your program was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor learning environment and found supervision and interactions to be in compliance. Children were participating in group time, free play in activity areas. The operator was interacting and meeting the developmental needs of each of the children. The children and operator were playing with toys at a table. During play, they would discuss numbers and how many hands, feet, eyes, ears, etc. each child had. Rated license requirements were reviewed to ensure compliance was maintained with current program and education components as well as the quality point. The following was cited during today’s inspection. Violation Number Comment Rule 1945 Items that are prohibited to be an infants sleep space, eg. pillows, wedges, blankets, toys, bumper pads, quilts, loose bedding, towels, and wash cloths were present in the crib with a sleeping infant. An infant was sleeping in a pack and play with a blanket. The blanket was removed during the visit. .1724(a )(3) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical assistance: We discussed the importance of not allowing blankets with infants until they are 12 months old because blankets can increase the risk of suffocation. Sleep sacks can be used as long as they have the arms free and the infant is able to turn over while wearing the sleep sack. We discussed registering with Clean Classrooms for Carolina Kids at https://www.cleanwaterforuskids.org/en/carolina/. The goal of the Clean Classrooms for Carolina Kids™ program is to identify and eliminate lead and asbestos hazards where North Carolina children learn and play. This is a legislatively mandated effort to address lead and asbestos hazards in North Carolina public schools, licensed child care centers, and licensed family child care homes. Participation allows facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. We discussed requesting Environment Rating Scale (ERS) assessments in an effort to increase the program's star rating. Resources such as Child Care Resource and Referral and Smart Start can be valuable when preparing for the ERS. On the NCRLAP website, there are training videos, sample questions and clarifying information regarding the assessments you may find helpful. You are in Cohort 2 for the rated license process. This means that your preparation year is July 1, 2024 – June 30, 2025. You will complete the assessment for the July 1, 2025 – June 30, 2026, year. The Chatham County Partnership for Children is a great resource to help prepare you for the assessment. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brandon Fry, Child Care Consultant, 80 Blake Blvd, PO Box 4441, Pinehurst, NC 28374, brandon.fry@dhhs.nc.gov if you have questions. 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.