Precious Memories

G.S. 110-90 · Violation

Name of Operation: PRECIOUS MEMORIES Facility ID: 14000356 Consultant: DINAH BROWN Operation Type: Family CC Home Case Number: Visit Date: 1/8/2026 Number Present: 4 Completed Date: 1/8/2026 Age: From 1 To 3 Total Minutes: 280 Time In: 11:20 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. You, Kathy Burchette, Owner/Operator, assisted with today’s visit. Your program currently operates with a five-star license issued on August 6, 2018. The restrictions listed on your license include First and Second Shift; Maximum of 5 preschool children at any time; No more than two infants under age one year; Fireplace/woodstove not in use during operating hours. You stated that you have six (6) children enrolled and five (5) were present when I arrived. Children throughout the home were participating in routines, lunch, free play, and rest time during the visit. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor and learning environment and found supervision and staff/child ratios to be in compliance Required Inspections: The last playground inspection was conducted on December 17, 2025. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on May 2, 2023. Per the facility data on the Clean Classrooms for Carolina Kids website, your facility is exempt from lead-based paint and asbestos testing. Emergency Drills: The last fire drill documented was conducted on December 16, 2025. The last emergency drill documented was conducted on December 12, 2025. A checklist was used to note the requirements I monitored today. I reviewed the ABCMS Provider portal during the visit. There is currently no one listed under the Precious Memories roster. Files Reviewed: One (1) child’s file was reviewed during the visit. One (1) existing staff file was reviewed during the visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 716 Electrical outlets not in use were not covered. I observed one outlet near the writing center that was not covered and was accessible to children. I also observed one outlet in the home living center that was not covered and was accessible to children. 10A NCAC .1719(a)(27) 1735 The daily schedule, activity plan, infant feeding plan, allergy posting, SIDS Sleep Chart/visual check were not maintained on file for a minimum of 30 days from the revision or replacement date. The daily schedule was not posted and was not available for review during today's visit. .1721((f)(4)(A) 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. Currently there is no one listed under the roster for Precious Memories in the ABCMS system. G.S. 110-90.2 & .2703(r) 2008 Operator did not document the review of requirements found in .1700 and in G.S. 110, including Emergency Preparedness and Response Plan. The most recent review of your Emergency Preparedness Plan was conducted on January 7, 2025. .1729(a) (10) The violation(s) documented must be corrected immediately. On or before January 22, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send your letter to dinah.brown@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 97%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: Electrical Outlets: I suggested that you monitor all spaces throughout the day to ensure all electrical outlets not in use are covered with a safety plug. In addition, check all electrical outlets at the beginning of the day. Required Postings/Daily Schedule: I suggested that you create a checklist to use each day, week, and month to use to ensure all required items are completed within the required timeframe and are posted in the locations where they are required. ABCMS: I discussed with you that you must notify the Division of all new child care providers who are hired or have moved into the child care facility within five business days by entering each staff member’s information into the Automated Background Check Management System (ABCMS) Provider Portal. I reviewed with you the ABCMS Provider Portal Access Guide document and provided you with a copy of the document during the visit. Emergency Preparedness: I suggested you set a reminder in your calendar at least twice per year for trained staff to review the Emergency Preparedness Plan to ensure all information is up to date. I suggested that you complete the annual review the EPR plan at the same time you review the Emergency Medical Care Plan. Consultation: We discussed the QRIS Modernization and the Pathway to the Stars. We reviewed all three (3) pathways, as well as the Education standards, Continuous Quality Improvement Standards (CQI), and Family and Community Engagement Standards. I encouraged you to visit the QRIS Modernization website to review information regarding the changes to the rated license process. Information on the three (3) pathway options, as well as links to upcoming webinars may be found on the DCDEE QRIS Modernization website: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. We discussed changes to the environmental rating scales and the implementation of the “3’s”. I encouraged you to visit the North Carolina Rated License Assessment Project website for more information regarding the 3’s, as well as webinars and training opportunities: https://ncrlap.org/Resources/pages/get-ready-for-3s/. I also suggested you reach out to Paula Arrowood or Wendy Smith, your technical assistant with the Partnership for Children Caldwell County, to request technical assistance as you prepare to begin the rated license process. Additionally, please ensure all staff members have a WORKS account, that all transcripts have been submitted, and all WORKS accounts are up to date. 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 in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. 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) 814-8401 and someone will assist you. DCDEE Website Link to the QRIS Modernization page: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Links for Resources Approved Curriculum: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/2/2023_Approved_Curriculum.pdf?ver=Hxr2QwCIRb8kdaccUr3ETA%3d%3d2023 NC Child Care Commission Approved Formative Assessments: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/2/2023_Approved_EC_Formative_Assessments.pdf?ver=TzSdkUdkhMNoa8W505qTEw%3d%3d DCDEE Provider Documents and Forms: Link: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-231-2311. Dinah Brown PO Box 6373 Hickory, NC 28601 Dinah.brown@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: PRECIOUS MEMORIES Facility ID: 14000356 Consultant: DINAH BROWN Operation Type: Family CC Home Case Number: 1024-363L Visit Date: 11/5/2024 Number Present: 4 Completed Date: 11/5/2024 Age: From 1 To 3 Total Minutes: 155 Time In: 02:45 PM Time Out: 05:20 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced complaint visit was to investigate a report alleging a violation of child care requirements regarding unsanitary conditions. You, Kathy Burchette, Owner/Operator, assisted with the visit. On October 29, 2024, the following allegation was received. There is a concern that child care area is not maintained in a sanitary condition. When I arrived, I discussed the allegation with you. I observed the children playing independently in centers, diapering, and departure. There was a smell of urine present. You stated that a child that was being toilet trained had recently soiled himself and that you had changed the child and placed the soiled clothes in the child’s bag to go home with the parents at pick up today. We discussed your procedures for daily, weekly, and monthly cleaning and sanitizing of all space, equipment, and toys used by children. You stated that you wash sheets on the mats weekly unless they are soiled. You stated that if a mat sheet is soiled that you clean and sanitize the mat and put on a clean sheet. You stated that you clean the kitchen area daily after the children leave. You stated that you mop weekly with a damp mop. We also discussed your procedures for the disposal of soiled diapers and used wipes. You stated that you put soiled diapers and used wipes in a trashcan. You stated that all of the children in your care are currently in diapers and one is currently being toilet trained. You stated that you are no longer using a training toilet and are using a standard toilet with a seat insert. We discussed your procedures for the handling of children’s soiled clothes and cot sheets. You stated that you put soiled clothes in the child’s bag that they bring each day and send them home with parents daily. We reviewed the pets you currently have listed on FCCH and Centers Located in a Residence Verification of Required Information for Operator and Additional Caregivers Form. You stated that you only have the two dogs listed on the FCCH and Centers Located in a Residence Verification of Required Information for Operator and Additional Caregivers Form and that they both stay in kennels in the kitchen area that is not accessible to the children. Based on my observations and your statements there was evidence that the child care area is not maintained in a sanitary condition; therefore, the allegation for “There is a concern that that the child care area is not maintained in a sanitary condition” was confirmed and therefore substantiated. There were 4 children present ages 1 to 3 during today’s visit. The following violation was observed during the walk through today. I discussed the violation with you in detail at the end of the visit. Violation Number Comment Rule 804 Soiled diapers were not placed in a covered, leak-proof container which was not emptied and cleaned daily. I observed a soiled diaper in a small gray trashcan with out a lid located between the kitchen area and the child care area. .1725(a)(6)(D) Technical Assistance: I recommended that you add a disinfectant/deodorizer to the mop water when you mop. I recommended that you dispose of soiled diapers and used wipes in the trashcan beside the front porch outside not accessible to children. I recommended that you bag children’s soiled clothes and place them in a container outside on the front porch not accessible to children. I recommended that you remove the soiled cot sheet from the area that the children use or place it in container with a lid labeled soiled items out of the reach of children. I recommended that you use a disinfectant daily after all the children have departed for the day. Consultation: Prior to today’s visit, your compliance history was ninety (90) percent as of November 4, 2024. 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. Compliance Letter: You must correct the violation found during today's visit immediately. Please send me a letter verifying compliance by November 19, 2024. Please include in that letter each item number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at dinah.brown@dhhs.nc.gov. Please be aware 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. Dinah Brown Child Care Consultant P.O. Box 6373 Hickory, NC 28601 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. If you have any concerns with today’s visit, please contact me or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov If I can be of assistance in the future, please feel free to contact me at 828-231-2311 or e-mail dinah.brown@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: PRECIOUS MEMORIES Facility ID: 14000356 Consultant: DINAH BROWN Operation Type: Family CC Home Case Number: Visit Date: 9/4/2024 Number Present: 1 Completed Date: 9/4/2024 Age: From 1 To 1 Total Minutes: 150 Time In: 01:50 PM Time Out: 04:20 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Kathy Burchette, Owner/Operator. Your program currently operates with a five star license effective August 6, 2018. The permit restrictions were in compliance including 1st shift, 2nd shift, fireplace/woodstoves not used during operating hours and no more than two infants under age one year. You reported that you are not currently serving any children on 2nd shift. The FCCH/Centers Located in a Residence Operator’s Statements of Responsibility form and Verification of Required Information for Operator and Additional Caregivers form were completed during the visit. A walk-through of all licensed indoor and outdoor spaces was conducted. You, Kathy Burchette, assisted me with today’s visit. I observed the child in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The child was observed during indoor free play activities, diapering, handwashing, and nap. Inspections/Emergency Drills: Emergency Drills/Playground Inspections: The last shelter-in-place drill was completed on June 3, 2024, and recorded. The last playground inspection was completed on September 2, 2024, and recorded. The last fire drill was completed on August 9, 2024, at 2:00pm and recorded. A checklist was used to note the requirements I monitored today. Files Reviewed: One (1) staff files were reviewed today. The following violations were observed during the walk through today. I discussed these violations with you in detail at the end of the visit. Violation Number Comment Rule 904 Documentation of the operator’s emergency medical care plan to follow in the event of a child medical emergency, was not on file and available for review. No Emergency Medical Care plan was posted for review. .1713 1931 Telephone numbers for the fire department, law enforcement office, emergency medical service, and poison control were not posted in a location visible in the home. No Emergency Telephone Numbers were posted for review. .1719(a )(12) 1940 Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care. I observed several poison oak plants on the playground. One small plant was on the ground in the middle on the right side next to the fence several plants were pushing through the chain linked fence onto the playground area. .1719(a)(6) Technical Assistance: Emergency Information: I recommended that all required information be current and posted at all times to ensure the safety of children and maintain compliance with all child care rules and requirements. Playground Safety: I suggested that a daily playground walk through take place to ensure the area is free of hazards that would be dangerous to children such as toxic plants, broken toys, spiders, bee nests and snakes to ensure the safety of children during outdoor play. Consultation: Prior to today’s visit, your compliance history was eighty-five (85) percent as of September 4, 2024. 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. Lead Testing: Child Care Rule .0601(f)- Safe Environments Child Care Rule Effective January 1, 2024 Rule Amendment- This rule was amended to include the specific requirements that child care centers must be free of asbestos hazards. This is in addition to the existing requirement that they be free of lead poisoning hazards. In addition to the updates to this rule, 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816, require all child care facilities (homes and centers) to test for lead in drinking, water, identify lead-based paint hazard, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar All licensed child care programs must register by May 1, 2024, at www.cleanwaterforUSkids.org/carolina and watch one of the pre-enrollment webinars. Moodle Information On-going Trainings: Please visit Moodle on the DCDEE website to obtain necessary on-going training hours as required annually. Challenging Behaviors Helpline by Healthy Social Behavior Project The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. I shared the flier with you with information on the Challenging Behaviors Helpline. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by September 18, 2024. Please include in that letter each item number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at dinah.brown@dhhs.nc.gov. Please be aware 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. Dinah Brown Child Care Consultant P.O. Box 6373 Hickory, NC 28601 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you have any concerns with today’s visit, please contact me or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov If I can be of assistance in the future, please feel free to contact me at 828-231-2311 or e-mail dinah.brown@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 .1102 · Violation

Name of Operation: PRECIOUS MEMORIES Facility ID: 14000356 Consultant: BETH ARCHER Operation Type: Family CC Home Case Number: Visit Date: 2/5/2024 Number Present: 3 Completed Date: 2/5/2024 Age: From 0 To 4 Total Minutes: 175 Time In: 09:35 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Kathy Burchette, Owner/Operator. Dinah Brown, child care consultant, accompanied on the visit. Your program currently operates with a five star license effective August 6, 2018. The permit restrictions were in compliance including 1st shift, 2nd shift, fireplace/woodstoves not used during operating hours and no more than two infants under age one year. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children were observed participating in group story time, free play activity, transitions and feeding. The infant children was engaged in feeding and personal care routines. You reported that you are not currently serving any children on 2nd shift. The FCCH/Centers Located in a Residence Operator’s Statements of Responsibility form and Verification of Required Information for Operator and Additional Caregivers form were completed during the visit. Children’s records and your staff file were reviewed during the visit. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 81 percent as of February 5, 2024. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The following violation(s) were observed today: Violation Number Comment Rule 905 Record of monthly fire drills, giving the date, time of day and length of time to evacuate, and operator's signature, were not available. No fire drill log was available for review. .1721 (e )(2) 920 Records were not made available for review. A record for one infant child enrolled in care was not available for review. G.S. 110-91(9) 1821 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. One infant’s last sleep check on file was dated 1/26/24. .1724(a)(8)&(f) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. No quarterly lockdown or shelter-in-place drill log was available for review. .1719(a )(16) & .1721(e )(7) 1990 Infant feeding plans did not include the required information, including but not limited to the type and amount of milk, formula and food, and the frequency of feedings, and/or was not available for reference. One feeding plan did not have a parent signature on file. .1706(i) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. The operator had verification of health and safety trainings from 2017. .1703(d)(2) The violation(s) documented must be corrected immediately. On or before February 19, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@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: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical assistance on violations was reviewed with you. Areas discussed included: Sleep Checks: Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. 10A NCAC 09 .1724(a)(8) & (f) Health and Safety Trainings: Health and Safety Trainings must completed every five years in all topics areas. 10A NCAC09.1703(d)(2) To access the health and safety trainings available in Moodle, visit https://www.dcdee.moodle.nc.gov/ 1. Sign in using your NCID username & password 2. Scroll all the way down to the end of the page and click on ALL COURSES 3. Click on "Early Childhood Professional Development" 4. Select a category from the training options 5. For Health and Safety Trainings, click on "Regulatory" 6. Select "CCDF Health and Safety in Child Care” OR select “Medication in Child Care” • Choose 2023 CCDF or Medication in Child Care *All trainings will be available here, except Recognizing and Responding to Suspicions of Child Maltreatment, First Aid, and CPR. The list of health and safety trainings can be found in Child Care Rule 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS. The topics listed in rule (below) match the titles of the trainings listed in Moodle, with the exception of Medication in Child Care. (b) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Paragraphs (c) and (d) of this Rule; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices. Feeding Plan: The parent or health care professional of each child under 15 months of age shall provide the operator an individual written feeding plan for the child. This plan shall be followed at the home. This plan shall include the child's name, be signed by the parent or health care professional, and be dated when received by the operator. 10A NCAC 09.1706(i). We discussed that you can have the child’s parent to sign the feeding plan at pick up time today. Fire Drill: Monthly drills must be recorded giving the date, time of day, length of time to evacuate, and operator’s signature. 10A NCAC 09.1721(e )(2). You reported that due to remodeling that you have missed placed your drill logs. I encouraged you to begin a new log and practice a fire drill in the next 2 weeks to become compliant. Shelter in place/Lockdown Drill: A drill record must be completed showing that an operator conducted a quarterly lockdown or shelter-in-place drill. 10A NCAC 09.1719(a)(16) .1721(e )(7) Child Record Availability: Accurate records must be maintained for all staff and children. G.S. 110-91(9). You reported that due to remodeling that the infant child’s record was stored in an outdoor storage building. You were unable to leave the caregiving space obtain the record during the visit. All records should be kept in the childcare area of the home for easy access when needed. Consultation or other topics discussed today: We discussed that you need eight hours of on-going training to be completed before 3/8/2024. Effective January 1, 2024, for existing FCCH providers already licensed, you have 12 months to obtain a lead water test and have the results on file for review. 10A NCAC 09 .1707 BUILDING REQUIREMENTS (2) all family child care homes must be free of lead poisoning hazards as defined in G.S. 130A-131.7(7) and asbestos hazards; For testing information and resources related to obtaining lead water tests, please visit: Clean Water for Carolina Kids. https://www.cleanwaterforcarolinakids.org/. Once testing has been completed, results must be kept on file for review. Water testing will be completed every three years. You have a had lead water testing completed in 2023 and were recommended no cost clean water habits. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 1 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2023, through June 30, 2024. Your child care program’s reassessment year will begin on July 1, 2024, through June 30, 2025. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment 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/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@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 .1707 · Violation

Name of Operation: PRECIOUS MEMORIES Facility ID: 14000356 Consultant: BETH ARCHER Operation Type: Family CC Home Case Number: Visit Date: 2/5/2024 Number Present: 3 Completed Date: 2/5/2024 Age: From 0 To 4 Total Minutes: 175 Time In: 09:35 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Kathy Burchette, Owner/Operator. Dinah Brown, child care consultant, accompanied on the visit. Your program currently operates with a five star license effective August 6, 2018. The permit restrictions were in compliance including 1st shift, 2nd shift, fireplace/woodstoves not used during operating hours and no more than two infants under age one year. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children were observed participating in group story time, free play activity, transitions and feeding. The infant children was engaged in feeding and personal care routines. You reported that you are not currently serving any children on 2nd shift. The FCCH/Centers Located in a Residence Operator’s Statements of Responsibility form and Verification of Required Information for Operator and Additional Caregivers form were completed during the visit. Children’s records and your staff file were reviewed during the visit. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 81 percent as of February 5, 2024. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The following violation(s) were observed today: Violation Number Comment Rule 905 Record of monthly fire drills, giving the date, time of day and length of time to evacuate, and operator's signature, were not available. No fire drill log was available for review. .1721 (e )(2) 920 Records were not made available for review. A record for one infant child enrolled in care was not available for review. G.S. 110-91(9) 1821 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. One infant’s last sleep check on file was dated 1/26/24. .1724(a)(8)&(f) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. No quarterly lockdown or shelter-in-place drill log was available for review. .1719(a )(16) & .1721(e )(7) 1990 Infant feeding plans did not include the required information, including but not limited to the type and amount of milk, formula and food, and the frequency of feedings, and/or was not available for reference. One feeding plan did not have a parent signature on file. .1706(i) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. The operator had verification of health and safety trainings from 2017. .1703(d)(2) The violation(s) documented must be corrected immediately. On or before February 19, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@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: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical assistance on violations was reviewed with you. Areas discussed included: Sleep Checks: Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. 10A NCAC 09 .1724(a)(8) & (f) Health and Safety Trainings: Health and Safety Trainings must completed every five years in all topics areas. 10A NCAC09.1703(d)(2) To access the health and safety trainings available in Moodle, visit https://www.dcdee.moodle.nc.gov/ 1. Sign in using your NCID username & password 2. Scroll all the way down to the end of the page and click on ALL COURSES 3. Click on "Early Childhood Professional Development" 4. Select a category from the training options 5. For Health and Safety Trainings, click on "Regulatory" 6. Select "CCDF Health and Safety in Child Care” OR select “Medication in Child Care” • Choose 2023 CCDF or Medication in Child Care *All trainings will be available here, except Recognizing and Responding to Suspicions of Child Maltreatment, First Aid, and CPR. The list of health and safety trainings can be found in Child Care Rule 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS. The topics listed in rule (below) match the titles of the trainings listed in Moodle, with the exception of Medication in Child Care. (b) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Paragraphs (c) and (d) of this Rule; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices. Feeding Plan: The parent or health care professional of each child under 15 months of age shall provide the operator an individual written feeding plan for the child. This plan shall be followed at the home. This plan shall include the child's name, be signed by the parent or health care professional, and be dated when received by the operator. 10A NCAC 09.1706(i). We discussed that you can have the child’s parent to sign the feeding plan at pick up time today. Fire Drill: Monthly drills must be recorded giving the date, time of day, length of time to evacuate, and operator’s signature. 10A NCAC 09.1721(e )(2). You reported that due to remodeling that you have missed placed your drill logs. I encouraged you to begin a new log and practice a fire drill in the next 2 weeks to become compliant. Shelter in place/Lockdown Drill: A drill record must be completed showing that an operator conducted a quarterly lockdown or shelter-in-place drill. 10A NCAC 09.1719(a)(16) .1721(e )(7) Child Record Availability: Accurate records must be maintained for all staff and children. G.S. 110-91(9). You reported that due to remodeling that the infant child’s record was stored in an outdoor storage building. You were unable to leave the caregiving space obtain the record during the visit. All records should be kept in the childcare area of the home for easy access when needed. Consultation or other topics discussed today: We discussed that you need eight hours of on-going training to be completed before 3/8/2024. Effective January 1, 2024, for existing FCCH providers already licensed, you have 12 months to obtain a lead water test and have the results on file for review. 10A NCAC 09 .1707 BUILDING REQUIREMENTS (2) all family child care homes must be free of lead poisoning hazards as defined in G.S. 130A-131.7(7) and asbestos hazards; For testing information and resources related to obtaining lead water tests, please visit: Clean Water for Carolina Kids. https://www.cleanwaterforcarolinakids.org/. Once testing has been completed, results must be kept on file for review. Water testing will be completed every three years. You have a had lead water testing completed in 2023 and were recommended no cost clean water habits. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 1 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2023, through June 30, 2024. Your child care program’s reassessment year will begin on July 1, 2024, through June 30, 2025. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment 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/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@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 .1724 · Violation

Name of Operation: PRECIOUS MEMORIES Facility ID: 14000356 Consultant: BETH ARCHER Operation Type: Family CC Home Case Number: Visit Date: 2/5/2024 Number Present: 3 Completed Date: 2/5/2024 Age: From 0 To 4 Total Minutes: 175 Time In: 09:35 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Kathy Burchette, Owner/Operator. Dinah Brown, child care consultant, accompanied on the visit. Your program currently operates with a five star license effective August 6, 2018. The permit restrictions were in compliance including 1st shift, 2nd shift, fireplace/woodstoves not used during operating hours and no more than two infants under age one year. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children were observed participating in group story time, free play activity, transitions and feeding. The infant children was engaged in feeding and personal care routines. You reported that you are not currently serving any children on 2nd shift. The FCCH/Centers Located in a Residence Operator’s Statements of Responsibility form and Verification of Required Information for Operator and Additional Caregivers form were completed during the visit. Children’s records and your staff file were reviewed during the visit. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 81 percent as of February 5, 2024. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The following violation(s) were observed today: Violation Number Comment Rule 905 Record of monthly fire drills, giving the date, time of day and length of time to evacuate, and operator's signature, were not available. No fire drill log was available for review. .1721 (e )(2) 920 Records were not made available for review. A record for one infant child enrolled in care was not available for review. G.S. 110-91(9) 1821 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. One infant’s last sleep check on file was dated 1/26/24. .1724(a)(8)&(f) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. No quarterly lockdown or shelter-in-place drill log was available for review. .1719(a )(16) & .1721(e )(7) 1990 Infant feeding plans did not include the required information, including but not limited to the type and amount of milk, formula and food, and the frequency of feedings, and/or was not available for reference. One feeding plan did not have a parent signature on file. .1706(i) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. The operator had verification of health and safety trainings from 2017. .1703(d)(2) The violation(s) documented must be corrected immediately. On or before February 19, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@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: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical assistance on violations was reviewed with you. Areas discussed included: Sleep Checks: Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. 10A NCAC 09 .1724(a)(8) & (f) Health and Safety Trainings: Health and Safety Trainings must completed every five years in all topics areas. 10A NCAC09.1703(d)(2) To access the health and safety trainings available in Moodle, visit https://www.dcdee.moodle.nc.gov/ 1. Sign in using your NCID username & password 2. Scroll all the way down to the end of the page and click on ALL COURSES 3. Click on "Early Childhood Professional Development" 4. Select a category from the training options 5. For Health and Safety Trainings, click on "Regulatory" 6. Select "CCDF Health and Safety in Child Care” OR select “Medication in Child Care” • Choose 2023 CCDF or Medication in Child Care *All trainings will be available here, except Recognizing and Responding to Suspicions of Child Maltreatment, First Aid, and CPR. The list of health and safety trainings can be found in Child Care Rule 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS. The topics listed in rule (below) match the titles of the trainings listed in Moodle, with the exception of Medication in Child Care. (b) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Paragraphs (c) and (d) of this Rule; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices. Feeding Plan: The parent or health care professional of each child under 15 months of age shall provide the operator an individual written feeding plan for the child. This plan shall be followed at the home. This plan shall include the child's name, be signed by the parent or health care professional, and be dated when received by the operator. 10A NCAC 09.1706(i). We discussed that you can have the child’s parent to sign the feeding plan at pick up time today. Fire Drill: Monthly drills must be recorded giving the date, time of day, length of time to evacuate, and operator’s signature. 10A NCAC 09.1721(e )(2). You reported that due to remodeling that you have missed placed your drill logs. I encouraged you to begin a new log and practice a fire drill in the next 2 weeks to become compliant. Shelter in place/Lockdown Drill: A drill record must be completed showing that an operator conducted a quarterly lockdown or shelter-in-place drill. 10A NCAC 09.1719(a)(16) .1721(e )(7) Child Record Availability: Accurate records must be maintained for all staff and children. G.S. 110-91(9). You reported that due to remodeling that the infant child’s record was stored in an outdoor storage building. You were unable to leave the caregiving space obtain the record during the visit. All records should be kept in the childcare area of the home for easy access when needed. Consultation or other topics discussed today: We discussed that you need eight hours of on-going training to be completed before 3/8/2024. Effective January 1, 2024, for existing FCCH providers already licensed, you have 12 months to obtain a lead water test and have the results on file for review. 10A NCAC 09 .1707 BUILDING REQUIREMENTS (2) all family child care homes must be free of lead poisoning hazards as defined in G.S. 130A-131.7(7) and asbestos hazards; For testing information and resources related to obtaining lead water tests, please visit: Clean Water for Carolina Kids. https://www.cleanwaterforcarolinakids.org/. Once testing has been completed, results must be kept on file for review. Water testing will be completed every three years. You have a had lead water testing completed in 2023 and were recommended no cost clean water habits. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 1 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2023, through June 30, 2024. Your child care program’s reassessment year will begin on July 1, 2024, through June 30, 2025. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment 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/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@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 09.1706 · Violation

Name of Operation: PRECIOUS MEMORIES Facility ID: 14000356 Consultant: BETH ARCHER Operation Type: Family CC Home Case Number: Visit Date: 2/5/2024 Number Present: 3 Completed Date: 2/5/2024 Age: From 0 To 4 Total Minutes: 175 Time In: 09:35 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Kathy Burchette, Owner/Operator. Dinah Brown, child care consultant, accompanied on the visit. Your program currently operates with a five star license effective August 6, 2018. The permit restrictions were in compliance including 1st shift, 2nd shift, fireplace/woodstoves not used during operating hours and no more than two infants under age one year. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children were observed participating in group story time, free play activity, transitions and feeding. The infant children was engaged in feeding and personal care routines. You reported that you are not currently serving any children on 2nd shift. The FCCH/Centers Located in a Residence Operator’s Statements of Responsibility form and Verification of Required Information for Operator and Additional Caregivers form were completed during the visit. Children’s records and your staff file were reviewed during the visit. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 81 percent as of February 5, 2024. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The following violation(s) were observed today: Violation Number Comment Rule 905 Record of monthly fire drills, giving the date, time of day and length of time to evacuate, and operator's signature, were not available. No fire drill log was available for review. .1721 (e )(2) 920 Records were not made available for review. A record for one infant child enrolled in care was not available for review. G.S. 110-91(9) 1821 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. One infant’s last sleep check on file was dated 1/26/24. .1724(a)(8)&(f) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. No quarterly lockdown or shelter-in-place drill log was available for review. .1719(a )(16) & .1721(e )(7) 1990 Infant feeding plans did not include the required information, including but not limited to the type and amount of milk, formula and food, and the frequency of feedings, and/or was not available for reference. One feeding plan did not have a parent signature on file. .1706(i) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. The operator had verification of health and safety trainings from 2017. .1703(d)(2) The violation(s) documented must be corrected immediately. On or before February 19, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@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: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical assistance on violations was reviewed with you. Areas discussed included: Sleep Checks: Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. 10A NCAC 09 .1724(a)(8) & (f) Health and Safety Trainings: Health and Safety Trainings must completed every five years in all topics areas. 10A NCAC09.1703(d)(2) To access the health and safety trainings available in Moodle, visit https://www.dcdee.moodle.nc.gov/ 1. Sign in using your NCID username & password 2. Scroll all the way down to the end of the page and click on ALL COURSES 3. Click on "Early Childhood Professional Development" 4. Select a category from the training options 5. For Health and Safety Trainings, click on "Regulatory" 6. Select "CCDF Health and Safety in Child Care” OR select “Medication in Child Care” • Choose 2023 CCDF or Medication in Child Care *All trainings will be available here, except Recognizing and Responding to Suspicions of Child Maltreatment, First Aid, and CPR. The list of health and safety trainings can be found in Child Care Rule 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS. The topics listed in rule (below) match the titles of the trainings listed in Moodle, with the exception of Medication in Child Care. (b) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Paragraphs (c) and (d) of this Rule; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices. Feeding Plan: The parent or health care professional of each child under 15 months of age shall provide the operator an individual written feeding plan for the child. This plan shall be followed at the home. This plan shall include the child's name, be signed by the parent or health care professional, and be dated when received by the operator. 10A NCAC 09.1706(i). We discussed that you can have the child’s parent to sign the feeding plan at pick up time today. Fire Drill: Monthly drills must be recorded giving the date, time of day, length of time to evacuate, and operator’s signature. 10A NCAC 09.1721(e )(2). You reported that due to remodeling that you have missed placed your drill logs. I encouraged you to begin a new log and practice a fire drill in the next 2 weeks to become compliant. Shelter in place/Lockdown Drill: A drill record must be completed showing that an operator conducted a quarterly lockdown or shelter-in-place drill. 10A NCAC 09.1719(a)(16) .1721(e )(7) Child Record Availability: Accurate records must be maintained for all staff and children. G.S. 110-91(9). You reported that due to remodeling that the infant child’s record was stored in an outdoor storage building. You were unable to leave the caregiving space obtain the record during the visit. All records should be kept in the childcare area of the home for easy access when needed. Consultation or other topics discussed today: We discussed that you need eight hours of on-going training to be completed before 3/8/2024. Effective January 1, 2024, for existing FCCH providers already licensed, you have 12 months to obtain a lead water test and have the results on file for review. 10A NCAC 09 .1707 BUILDING REQUIREMENTS (2) all family child care homes must be free of lead poisoning hazards as defined in G.S. 130A-131.7(7) and asbestos hazards; For testing information and resources related to obtaining lead water tests, please visit: Clean Water for Carolina Kids. https://www.cleanwaterforcarolinakids.org/. Once testing has been completed, results must be kept on file for review. Water testing will be completed every three years. You have a had lead water testing completed in 2023 and were recommended no cost clean water habits. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 1 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2023, through June 30, 2024. Your child care program’s reassessment year will begin on July 1, 2024, through June 30, 2025. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment 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/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.1719 · Violation

Name of Operation: PRECIOUS MEMORIES Facility ID: 14000356 Consultant: BETH ARCHER Operation Type: Family CC Home Case Number: Visit Date: 2/5/2024 Number Present: 3 Completed Date: 2/5/2024 Age: From 0 To 4 Total Minutes: 175 Time In: 09:35 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Kathy Burchette, Owner/Operator. Dinah Brown, child care consultant, accompanied on the visit. Your program currently operates with a five star license effective August 6, 2018. The permit restrictions were in compliance including 1st shift, 2nd shift, fireplace/woodstoves not used during operating hours and no more than two infants under age one year. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children were observed participating in group story time, free play activity, transitions and feeding. The infant children was engaged in feeding and personal care routines. You reported that you are not currently serving any children on 2nd shift. The FCCH/Centers Located in a Residence Operator’s Statements of Responsibility form and Verification of Required Information for Operator and Additional Caregivers form were completed during the visit. Children’s records and your staff file were reviewed during the visit. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 81 percent as of February 5, 2024. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The following violation(s) were observed today: Violation Number Comment Rule 905 Record of monthly fire drills, giving the date, time of day and length of time to evacuate, and operator's signature, were not available. No fire drill log was available for review. .1721 (e )(2) 920 Records were not made available for review. A record for one infant child enrolled in care was not available for review. G.S. 110-91(9) 1821 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. One infant’s last sleep check on file was dated 1/26/24. .1724(a)(8)&(f) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. No quarterly lockdown or shelter-in-place drill log was available for review. .1719(a )(16) & .1721(e )(7) 1990 Infant feeding plans did not include the required information, including but not limited to the type and amount of milk, formula and food, and the frequency of feedings, and/or was not available for reference. One feeding plan did not have a parent signature on file. .1706(i) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. The operator had verification of health and safety trainings from 2017. .1703(d)(2) The violation(s) documented must be corrected immediately. On or before February 19, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@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: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical assistance on violations was reviewed with you. Areas discussed included: Sleep Checks: Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. 10A NCAC 09 .1724(a)(8) & (f) Health and Safety Trainings: Health and Safety Trainings must completed every five years in all topics areas. 10A NCAC09.1703(d)(2) To access the health and safety trainings available in Moodle, visit https://www.dcdee.moodle.nc.gov/ 1. Sign in using your NCID username & password 2. Scroll all the way down to the end of the page and click on ALL COURSES 3. Click on "Early Childhood Professional Development" 4. Select a category from the training options 5. For Health and Safety Trainings, click on "Regulatory" 6. Select "CCDF Health and Safety in Child Care” OR select “Medication in Child Care” • Choose 2023 CCDF or Medication in Child Care *All trainings will be available here, except Recognizing and Responding to Suspicions of Child Maltreatment, First Aid, and CPR. The list of health and safety trainings can be found in Child Care Rule 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS. The topics listed in rule (below) match the titles of the trainings listed in Moodle, with the exception of Medication in Child Care. (b) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Paragraphs (c) and (d) of this Rule; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices. Feeding Plan: The parent or health care professional of each child under 15 months of age shall provide the operator an individual written feeding plan for the child. This plan shall be followed at the home. This plan shall include the child's name, be signed by the parent or health care professional, and be dated when received by the operator. 10A NCAC 09.1706(i). We discussed that you can have the child’s parent to sign the feeding plan at pick up time today. Fire Drill: Monthly drills must be recorded giving the date, time of day, length of time to evacuate, and operator’s signature. 10A NCAC 09.1721(e )(2). You reported that due to remodeling that you have missed placed your drill logs. I encouraged you to begin a new log and practice a fire drill in the next 2 weeks to become compliant. Shelter in place/Lockdown Drill: A drill record must be completed showing that an operator conducted a quarterly lockdown or shelter-in-place drill. 10A NCAC 09.1719(a)(16) .1721(e )(7) Child Record Availability: Accurate records must be maintained for all staff and children. G.S. 110-91(9). You reported that due to remodeling that the infant child’s record was stored in an outdoor storage building. You were unable to leave the caregiving space obtain the record during the visit. All records should be kept in the childcare area of the home for easy access when needed. Consultation or other topics discussed today: We discussed that you need eight hours of on-going training to be completed before 3/8/2024. Effective January 1, 2024, for existing FCCH providers already licensed, you have 12 months to obtain a lead water test and have the results on file for review. 10A NCAC 09 .1707 BUILDING REQUIREMENTS (2) all family child care homes must be free of lead poisoning hazards as defined in G.S. 130A-131.7(7) and asbestos hazards; For testing information and resources related to obtaining lead water tests, please visit: Clean Water for Carolina Kids. https://www.cleanwaterforcarolinakids.org/. Once testing has been completed, results must be kept on file for review. Water testing will be completed every three years. You have a had lead water testing completed in 2023 and were recommended no cost clean water habits. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 1 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2023, through June 30, 2024. Your child care program’s reassessment year will begin on July 1, 2024, through June 30, 2025. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment 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/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.1721 · Violation

Name of Operation: PRECIOUS MEMORIES Facility ID: 14000356 Consultant: BETH ARCHER Operation Type: Family CC Home Case Number: Visit Date: 2/5/2024 Number Present: 3 Completed Date: 2/5/2024 Age: From 0 To 4 Total Minutes: 175 Time In: 09:35 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Kathy Burchette, Owner/Operator. Dinah Brown, child care consultant, accompanied on the visit. Your program currently operates with a five star license effective August 6, 2018. The permit restrictions were in compliance including 1st shift, 2nd shift, fireplace/woodstoves not used during operating hours and no more than two infants under age one year. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children were observed participating in group story time, free play activity, transitions and feeding. The infant children was engaged in feeding and personal care routines. You reported that you are not currently serving any children on 2nd shift. The FCCH/Centers Located in a Residence Operator’s Statements of Responsibility form and Verification of Required Information for Operator and Additional Caregivers form were completed during the visit. Children’s records and your staff file were reviewed during the visit. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 81 percent as of February 5, 2024. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The following violation(s) were observed today: Violation Number Comment Rule 905 Record of monthly fire drills, giving the date, time of day and length of time to evacuate, and operator's signature, were not available. No fire drill log was available for review. .1721 (e )(2) 920 Records were not made available for review. A record for one infant child enrolled in care was not available for review. G.S. 110-91(9) 1821 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. One infant’s last sleep check on file was dated 1/26/24. .1724(a)(8)&(f) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. No quarterly lockdown or shelter-in-place drill log was available for review. .1719(a )(16) & .1721(e )(7) 1990 Infant feeding plans did not include the required information, including but not limited to the type and amount of milk, formula and food, and the frequency of feedings, and/or was not available for reference. One feeding plan did not have a parent signature on file. .1706(i) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. The operator had verification of health and safety trainings from 2017. .1703(d)(2) The violation(s) documented must be corrected immediately. On or before February 19, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@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: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical assistance on violations was reviewed with you. Areas discussed included: Sleep Checks: Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. 10A NCAC 09 .1724(a)(8) & (f) Health and Safety Trainings: Health and Safety Trainings must completed every five years in all topics areas. 10A NCAC09.1703(d)(2) To access the health and safety trainings available in Moodle, visit https://www.dcdee.moodle.nc.gov/ 1. Sign in using your NCID username & password 2. Scroll all the way down to the end of the page and click on ALL COURSES 3. Click on "Early Childhood Professional Development" 4. Select a category from the training options 5. For Health and Safety Trainings, click on "Regulatory" 6. Select "CCDF Health and Safety in Child Care” OR select “Medication in Child Care” • Choose 2023 CCDF or Medication in Child Care *All trainings will be available here, except Recognizing and Responding to Suspicions of Child Maltreatment, First Aid, and CPR. The list of health and safety trainings can be found in Child Care Rule 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS. The topics listed in rule (below) match the titles of the trainings listed in Moodle, with the exception of Medication in Child Care. (b) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Paragraphs (c) and (d) of this Rule; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices. Feeding Plan: The parent or health care professional of each child under 15 months of age shall provide the operator an individual written feeding plan for the child. This plan shall be followed at the home. This plan shall include the child's name, be signed by the parent or health care professional, and be dated when received by the operator. 10A NCAC 09.1706(i). We discussed that you can have the child’s parent to sign the feeding plan at pick up time today. Fire Drill: Monthly drills must be recorded giving the date, time of day, length of time to evacuate, and operator’s signature. 10A NCAC 09.1721(e )(2). You reported that due to remodeling that you have missed placed your drill logs. I encouraged you to begin a new log and practice a fire drill in the next 2 weeks to become compliant. Shelter in place/Lockdown Drill: A drill record must be completed showing that an operator conducted a quarterly lockdown or shelter-in-place drill. 10A NCAC 09.1719(a)(16) .1721(e )(7) Child Record Availability: Accurate records must be maintained for all staff and children. G.S. 110-91(9). You reported that due to remodeling that the infant child’s record was stored in an outdoor storage building. You were unable to leave the caregiving space obtain the record during the visit. All records should be kept in the childcare area of the home for easy access when needed. Consultation or other topics discussed today: We discussed that you need eight hours of on-going training to be completed before 3/8/2024. Effective January 1, 2024, for existing FCCH providers already licensed, you have 12 months to obtain a lead water test and have the results on file for review. 10A NCAC 09 .1707 BUILDING REQUIREMENTS (2) all family child care homes must be free of lead poisoning hazards as defined in G.S. 130A-131.7(7) and asbestos hazards; For testing information and resources related to obtaining lead water tests, please visit: Clean Water for Carolina Kids. https://www.cleanwaterforcarolinakids.org/. Once testing has been completed, results must be kept on file for review. Water testing will be completed every three years. You have a had lead water testing completed in 2023 and were recommended no cost clean water habits. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 1 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2023, through June 30, 2024. Your child care program’s reassessment year will begin on July 1, 2024, through June 30, 2025. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment 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/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: PRECIOUS MEMORIES Facility ID: 14000356 Consultant: BETH ARCHER Operation Type: Family CC Home Case Number: Visit Date: 2/5/2024 Number Present: 3 Completed Date: 2/5/2024 Age: From 0 To 4 Total Minutes: 175 Time In: 09:35 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Kathy Burchette, Owner/Operator. Dinah Brown, child care consultant, accompanied on the visit. Your program currently operates with a five star license effective August 6, 2018. The permit restrictions were in compliance including 1st shift, 2nd shift, fireplace/woodstoves not used during operating hours and no more than two infants under age one year. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children were observed participating in group story time, free play activity, transitions and feeding. The infant children was engaged in feeding and personal care routines. You reported that you are not currently serving any children on 2nd shift. The FCCH/Centers Located in a Residence Operator’s Statements of Responsibility form and Verification of Required Information for Operator and Additional Caregivers form were completed during the visit. Children’s records and your staff file were reviewed during the visit. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 81 percent as of February 5, 2024. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The following violation(s) were observed today: Violation Number Comment Rule 905 Record of monthly fire drills, giving the date, time of day and length of time to evacuate, and operator's signature, were not available. No fire drill log was available for review. .1721 (e )(2) 920 Records were not made available for review. A record for one infant child enrolled in care was not available for review. G.S. 110-91(9) 1821 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. One infant’s last sleep check on file was dated 1/26/24. .1724(a)(8)&(f) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. No quarterly lockdown or shelter-in-place drill log was available for review. .1719(a )(16) & .1721(e )(7) 1990 Infant feeding plans did not include the required information, including but not limited to the type and amount of milk, formula and food, and the frequency of feedings, and/or was not available for reference. One feeding plan did not have a parent signature on file. .1706(i) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. The operator had verification of health and safety trainings from 2017. .1703(d)(2) The violation(s) documented must be corrected immediately. On or before February 19, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@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: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical assistance on violations was reviewed with you. Areas discussed included: Sleep Checks: Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. 10A NCAC 09 .1724(a)(8) & (f) Health and Safety Trainings: Health and Safety Trainings must completed every five years in all topics areas. 10A NCAC09.1703(d)(2) To access the health and safety trainings available in Moodle, visit https://www.dcdee.moodle.nc.gov/ 1. Sign in using your NCID username & password 2. Scroll all the way down to the end of the page and click on ALL COURSES 3. Click on "Early Childhood Professional Development" 4. Select a category from the training options 5. For Health and Safety Trainings, click on "Regulatory" 6. Select "CCDF Health and Safety in Child Care” OR select “Medication in Child Care” • Choose 2023 CCDF or Medication in Child Care *All trainings will be available here, except Recognizing and Responding to Suspicions of Child Maltreatment, First Aid, and CPR. The list of health and safety trainings can be found in Child Care Rule 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS. The topics listed in rule (below) match the titles of the trainings listed in Moodle, with the exception of Medication in Child Care. (b) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Paragraphs (c) and (d) of this Rule; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices. Feeding Plan: The parent or health care professional of each child under 15 months of age shall provide the operator an individual written feeding plan for the child. This plan shall be followed at the home. This plan shall include the child's name, be signed by the parent or health care professional, and be dated when received by the operator. 10A NCAC 09.1706(i). We discussed that you can have the child’s parent to sign the feeding plan at pick up time today. Fire Drill: Monthly drills must be recorded giving the date, time of day, length of time to evacuate, and operator’s signature. 10A NCAC 09.1721(e )(2). You reported that due to remodeling that you have missed placed your drill logs. I encouraged you to begin a new log and practice a fire drill in the next 2 weeks to become compliant. Shelter in place/Lockdown Drill: A drill record must be completed showing that an operator conducted a quarterly lockdown or shelter-in-place drill. 10A NCAC 09.1719(a)(16) .1721(e )(7) Child Record Availability: Accurate records must be maintained for all staff and children. G.S. 110-91(9). You reported that due to remodeling that the infant child’s record was stored in an outdoor storage building. You were unable to leave the caregiving space obtain the record during the visit. All records should be kept in the childcare area of the home for easy access when needed. Consultation or other topics discussed today: We discussed that you need eight hours of on-going training to be completed before 3/8/2024. Effective January 1, 2024, for existing FCCH providers already licensed, you have 12 months to obtain a lead water test and have the results on file for review. 10A NCAC 09 .1707 BUILDING REQUIREMENTS (2) all family child care homes must be free of lead poisoning hazards as defined in G.S. 130A-131.7(7) and asbestos hazards; For testing information and resources related to obtaining lead water tests, please visit: Clean Water for Carolina Kids. https://www.cleanwaterforcarolinakids.org/. Once testing has been completed, results must be kept on file for review. Water testing will be completed every three years. You have a had lead water testing completed in 2023 and were recommended no cost clean water habits. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 1 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2023, through June 30, 2024. Your child care program’s reassessment year will begin on July 1, 2024, through June 30, 2025. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment 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/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: PRECIOUS MEMORIES Facility ID: 14000356 Consultant: BETH ARCHER Operation Type: Family CC Home Case Number: Visit Date: 2/5/2024 Number Present: 3 Completed Date: 2/5/2024 Age: From 0 To 4 Total Minutes: 175 Time In: 09:35 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Kathy Burchette, Owner/Operator. Dinah Brown, child care consultant, accompanied on the visit. Your program currently operates with a five star license effective August 6, 2018. The permit restrictions were in compliance including 1st shift, 2nd shift, fireplace/woodstoves not used during operating hours and no more than two infants under age one year. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children were observed participating in group story time, free play activity, transitions and feeding. The infant children was engaged in feeding and personal care routines. You reported that you are not currently serving any children on 2nd shift. The FCCH/Centers Located in a Residence Operator’s Statements of Responsibility form and Verification of Required Information for Operator and Additional Caregivers form were completed during the visit. Children’s records and your staff file were reviewed during the visit. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 81 percent as of February 5, 2024. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The following violation(s) were observed today: Violation Number Comment Rule 905 Record of monthly fire drills, giving the date, time of day and length of time to evacuate, and operator's signature, were not available. No fire drill log was available for review. .1721 (e )(2) 920 Records were not made available for review. A record for one infant child enrolled in care was not available for review. G.S. 110-91(9) 1821 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. One infant’s last sleep check on file was dated 1/26/24. .1724(a)(8)&(f) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. No quarterly lockdown or shelter-in-place drill log was available for review. .1719(a )(16) & .1721(e )(7) 1990 Infant feeding plans did not include the required information, including but not limited to the type and amount of milk, formula and food, and the frequency of feedings, and/or was not available for reference. One feeding plan did not have a parent signature on file. .1706(i) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. The operator had verification of health and safety trainings from 2017. .1703(d)(2) The violation(s) documented must be corrected immediately. On or before February 19, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@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: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical assistance on violations was reviewed with you. Areas discussed included: Sleep Checks: Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. 10A NCAC 09 .1724(a)(8) & (f) Health and Safety Trainings: Health and Safety Trainings must completed every five years in all topics areas. 10A NCAC09.1703(d)(2) To access the health and safety trainings available in Moodle, visit https://www.dcdee.moodle.nc.gov/ 1. Sign in using your NCID username & password 2. Scroll all the way down to the end of the page and click on ALL COURSES 3. Click on "Early Childhood Professional Development" 4. Select a category from the training options 5. For Health and Safety Trainings, click on "Regulatory" 6. Select "CCDF Health and Safety in Child Care” OR select “Medication in Child Care” • Choose 2023 CCDF or Medication in Child Care *All trainings will be available here, except Recognizing and Responding to Suspicions of Child Maltreatment, First Aid, and CPR. The list of health and safety trainings can be found in Child Care Rule 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS. The topics listed in rule (below) match the titles of the trainings listed in Moodle, with the exception of Medication in Child Care. (b) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Paragraphs (c) and (d) of this Rule; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices. Feeding Plan: The parent or health care professional of each child under 15 months of age shall provide the operator an individual written feeding plan for the child. This plan shall be followed at the home. This plan shall include the child's name, be signed by the parent or health care professional, and be dated when received by the operator. 10A NCAC 09.1706(i). We discussed that you can have the child’s parent to sign the feeding plan at pick up time today. Fire Drill: Monthly drills must be recorded giving the date, time of day, length of time to evacuate, and operator’s signature. 10A NCAC 09.1721(e )(2). You reported that due to remodeling that you have missed placed your drill logs. I encouraged you to begin a new log and practice a fire drill in the next 2 weeks to become compliant. Shelter in place/Lockdown Drill: A drill record must be completed showing that an operator conducted a quarterly lockdown or shelter-in-place drill. 10A NCAC 09.1719(a)(16) .1721(e )(7) Child Record Availability: Accurate records must be maintained for all staff and children. G.S. 110-91(9). You reported that due to remodeling that the infant child’s record was stored in an outdoor storage building. You were unable to leave the caregiving space obtain the record during the visit. All records should be kept in the childcare area of the home for easy access when needed. Consultation or other topics discussed today: We discussed that you need eight hours of on-going training to be completed before 3/8/2024. Effective January 1, 2024, for existing FCCH providers already licensed, you have 12 months to obtain a lead water test and have the results on file for review. 10A NCAC 09 .1707 BUILDING REQUIREMENTS (2) all family child care homes must be free of lead poisoning hazards as defined in G.S. 130A-131.7(7) and asbestos hazards; For testing information and resources related to obtaining lead water tests, please visit: Clean Water for Carolina Kids. https://www.cleanwaterforcarolinakids.org/. Once testing has been completed, results must be kept on file for review. Water testing will be completed every three years. You have a had lead water testing completed in 2023 and were recommended no cost clean water habits. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 1 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2023, through June 30, 2024. Your child care program’s reassessment year will begin on July 1, 2024, through June 30, 2025. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment 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/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@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