10A NCAC 09 .0604 · Violation

Name of Operation: PAMLICO CHILD DEVELOPMENT CENTER Facility ID: 69000055 Consultant: MICHELLE O'KELLEY Operation Type: Center Case Number: Visit Date: 3/4/2026 Number Present: 33 Completed Date: 3/4/2026 Age: From 3 To 5 Total Minutes: 353 Time In: 09:07 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Rated License Assessment Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to complete a rated license assessment and to monitor compliance with applicable child care requirements since your program’s last annual compliance visit on 9/3/25. Your program currently operates with a five-star license, issued 4/30/21, earning 6 points in the education component, 7 points in the program standards component and 1 quality point for meeting a programmatic option. The last annual compliance visit was conducted 9/3/25. The sanitation inspection was completed 8/27/25 with a “Superior” classification. The last fire inspection was conducted 10/27/2025. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website. The information is current and accurate. Contact me if you need to make any changes to your information, e.g., phone numbers, email address, mailing address, owner information, or Legal Designee. During today’s visit we updated the email address for the facility. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent as of 3/2/26. The NC Secretary of State website was reviewed on 3/2/26 and Coastal Community Action, Inc. was listed as current- active. Please contact me prior to any information changing regarding the ownership of this facility. During today's monitoring, I observed children throughout the center were engaged in free play, routines, and transitions. Children were building with blocks, pretending to cook, and pouring sand using funnels. The outdoor space included stationary climbers, ride-on toys, balls, and storage for more materials. Proper handwashing was observed. Lunch was observed and consisted of BBQ beef sliders on whole wheat bun, baked beans, peaches, and milk. The following violation(s) were documented: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed on 10/27/25, you provided me with a copy of the inspection during today's visit. 10A NCAC 09 .0304(a) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. In an unlocked hallway closet was a spray bottle of Mr. Clean, a spray bottle of Windex, gallon sized containers of Clorox bleach. .0604(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two (2) uncovered outlet in the computer area of the classroom was accessible to the children in care. 10A NCAC 09 .0604(c) 1041 Prior to employment a Criminal Background Check was not completed. Janie Romin, therapist, was alone with a child providing therapy, there was no Qualifying Letter available for review. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. Janie Romin, therapist, was alone with a child for therapy, upon review of ABCMS there has not been a Criminal Background Check completed for the individual. G.S. 110-90.2(b) & (d) & .2703(e) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 3/18/26, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Michelle O’Kelley, Child Care Consultant PO Box 56 Jamesville, NC 27846 Michelle.OKelley@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the 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 Technical Assistance: Fire Inspections –You must schedule and obtain a fire inspection with the local fire inspector within 12 months of the previous fire inspection. The last fire inspection was completed on 10/27/25, you provided me with a copy of the inspection during today's visit. When you obtain the fire inspection you must submit the original of the approved annual fire inspection report to me within one week of the inspection visit on the form provided by the Division. Electrical Outlets- Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. For this reason, all electrical outlets, including those on power strips, not in use that are in areas accessible to children must be protected with a safety plug or a tamper-resistant electrical outlet. Two (2) uncovered outlet in the computer area of the classroom was accessible to the children in care. You installed two (2) outlet covers during the visit. Consider adding a note near the outlets to serve as a reminder to re-cover the outlets. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. In an unlocked hallway closet was a spray bottle of Mr. Clean, a spray bottle of Windex, gallon sized containers of Clorox bleach. You locked the door immediately. Review storage of hazardous items with staff. I provided you with a hazardous items storage for Child Care document for your review. Qualifying Letter - Criminal Background Check - Criminal background checks (CBC) are completed to protect children from abuse and reduce liability risks. A CBC must be completed prior to employee hire and every five years thereafter. A Qualification Letter must be on file and available for review. Janie Romin, therapist, was alone with a child for therapy, there has not been a Criminal Background Check completed or a Qualifying Letter available for review. Therapists that remove a child from the classroom would take on the role of child care provider; therefore, they would need to have a Criminal Background Check (CBC) and a Qualifying Letter on file for review. If a therapist always has a staff member present, they would not be required to have a CBC or Qualifying Letter on file for review. Additional comments: Today we discussed QRIS: Pathway to the Stars. We spoke with Maria Ward, Operations Manager, via phone. She stated the facility has decided to move forward with Pathway #3: Accreditation and Head Start. You filled out all applicable forms, and I received the forms during today’s visit. Reminders: • We discussed the difference for medication expiration dates on the label and on the container, always go by the date listed on the pharmacy label. • I provided you with a document that shows how long different authorizations are valid for. Sex Offender Registry: North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. The Pamlico Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 745-7850 or check out their website at www.pamlicopartnership.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Michelle O’Kelley, Child Care Consultant, (252) 508-3955, Michelle.OKelley@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: PAMLICO CHILD DEVELOPMENT CENTER Facility ID: 69000055 Consultant: MICHELLE O'KELLEY Operation Type: Center Case Number: Visit Date: 3/4/2026 Number Present: 33 Completed Date: 3/4/2026 Age: From 3 To 5 Total Minutes: 353 Time In: 09:07 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Rated License Assessment Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to complete a rated license assessment and to monitor compliance with applicable child care requirements since your program’s last annual compliance visit on 9/3/25. Your program currently operates with a five-star license, issued 4/30/21, earning 6 points in the education component, 7 points in the program standards component and 1 quality point for meeting a programmatic option. The last annual compliance visit was conducted 9/3/25. The sanitation inspection was completed 8/27/25 with a “Superior” classification. The last fire inspection was conducted 10/27/2025. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website. The information is current and accurate. Contact me if you need to make any changes to your information, e.g., phone numbers, email address, mailing address, owner information, or Legal Designee. During today’s visit we updated the email address for the facility. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent as of 3/2/26. The NC Secretary of State website was reviewed on 3/2/26 and Coastal Community Action, Inc. was listed as current- active. Please contact me prior to any information changing regarding the ownership of this facility. During today's monitoring, I observed children throughout the center were engaged in free play, routines, and transitions. Children were building with blocks, pretending to cook, and pouring sand using funnels. The outdoor space included stationary climbers, ride-on toys, balls, and storage for more materials. Proper handwashing was observed. Lunch was observed and consisted of BBQ beef sliders on whole wheat bun, baked beans, peaches, and milk. The following violation(s) were documented: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed on 10/27/25, you provided me with a copy of the inspection during today's visit. 10A NCAC 09 .0304(a) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. In an unlocked hallway closet was a spray bottle of Mr. Clean, a spray bottle of Windex, gallon sized containers of Clorox bleach. .0604(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two (2) uncovered outlet in the computer area of the classroom was accessible to the children in care. 10A NCAC 09 .0604(c) 1041 Prior to employment a Criminal Background Check was not completed. Janie Romin, therapist, was alone with a child providing therapy, there was no Qualifying Letter available for review. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. Janie Romin, therapist, was alone with a child for therapy, upon review of ABCMS there has not been a Criminal Background Check completed for the individual. G.S. 110-90.2(b) & (d) & .2703(e) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 3/18/26, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Michelle O’Kelley, Child Care Consultant PO Box 56 Jamesville, NC 27846 Michelle.OKelley@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the 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 Technical Assistance: Fire Inspections –You must schedule and obtain a fire inspection with the local fire inspector within 12 months of the previous fire inspection. The last fire inspection was completed on 10/27/25, you provided me with a copy of the inspection during today's visit. When you obtain the fire inspection you must submit the original of the approved annual fire inspection report to me within one week of the inspection visit on the form provided by the Division. Electrical Outlets- Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. For this reason, all electrical outlets, including those on power strips, not in use that are in areas accessible to children must be protected with a safety plug or a tamper-resistant electrical outlet. Two (2) uncovered outlet in the computer area of the classroom was accessible to the children in care. You installed two (2) outlet covers during the visit. Consider adding a note near the outlets to serve as a reminder to re-cover the outlets. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. In an unlocked hallway closet was a spray bottle of Mr. Clean, a spray bottle of Windex, gallon sized containers of Clorox bleach. You locked the door immediately. Review storage of hazardous items with staff. I provided you with a hazardous items storage for Child Care document for your review. Qualifying Letter - Criminal Background Check - Criminal background checks (CBC) are completed to protect children from abuse and reduce liability risks. A CBC must be completed prior to employee hire and every five years thereafter. A Qualification Letter must be on file and available for review. Janie Romin, therapist, was alone with a child for therapy, there has not been a Criminal Background Check completed or a Qualifying Letter available for review. Therapists that remove a child from the classroom would take on the role of child care provider; therefore, they would need to have a Criminal Background Check (CBC) and a Qualifying Letter on file for review. If a therapist always has a staff member present, they would not be required to have a CBC or Qualifying Letter on file for review. Additional comments: Today we discussed QRIS: Pathway to the Stars. We spoke with Maria Ward, Operations Manager, via phone. She stated the facility has decided to move forward with Pathway #3: Accreditation and Head Start. You filled out all applicable forms, and I received the forms during today’s visit. Reminders: • We discussed the difference for medication expiration dates on the label and on the container, always go by the date listed on the pharmacy label. • I provided you with a document that shows how long different authorizations are valid for. Sex Offender Registry: North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. The Pamlico Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 745-7850 or check out their website at www.pamlicopartnership.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Michelle O’Kelley, Child Care Consultant, (252) 508-3955, Michelle.OKelley@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: PAMLICO CHILD DEVELOPMENT CENTER Facility ID: 69000055 Consultant: MICHELLE O'KELLEY Operation Type: Center Case Number: Visit Date: 3/4/2026 Number Present: 33 Completed Date: 3/4/2026 Age: From 3 To 5 Total Minutes: 353 Time In: 09:07 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Rated License Assessment Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to complete a rated license assessment and to monitor compliance with applicable child care requirements since your program’s last annual compliance visit on 9/3/25. Your program currently operates with a five-star license, issued 4/30/21, earning 6 points in the education component, 7 points in the program standards component and 1 quality point for meeting a programmatic option. The last annual compliance visit was conducted 9/3/25. The sanitation inspection was completed 8/27/25 with a “Superior” classification. The last fire inspection was conducted 10/27/2025. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website. The information is current and accurate. Contact me if you need to make any changes to your information, e.g., phone numbers, email address, mailing address, owner information, or Legal Designee. During today’s visit we updated the email address for the facility. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent as of 3/2/26. The NC Secretary of State website was reviewed on 3/2/26 and Coastal Community Action, Inc. was listed as current- active. Please contact me prior to any information changing regarding the ownership of this facility. During today's monitoring, I observed children throughout the center were engaged in free play, routines, and transitions. Children were building with blocks, pretending to cook, and pouring sand using funnels. The outdoor space included stationary climbers, ride-on toys, balls, and storage for more materials. Proper handwashing was observed. Lunch was observed and consisted of BBQ beef sliders on whole wheat bun, baked beans, peaches, and milk. The following violation(s) were documented: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed on 10/27/25, you provided me with a copy of the inspection during today's visit. 10A NCAC 09 .0304(a) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. In an unlocked hallway closet was a spray bottle of Mr. Clean, a spray bottle of Windex, gallon sized containers of Clorox bleach. .0604(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two (2) uncovered outlet in the computer area of the classroom was accessible to the children in care. 10A NCAC 09 .0604(c) 1041 Prior to employment a Criminal Background Check was not completed. Janie Romin, therapist, was alone with a child providing therapy, there was no Qualifying Letter available for review. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. Janie Romin, therapist, was alone with a child for therapy, upon review of ABCMS there has not been a Criminal Background Check completed for the individual. G.S. 110-90.2(b) & (d) & .2703(e) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 3/18/26, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Michelle O’Kelley, Child Care Consultant PO Box 56 Jamesville, NC 27846 Michelle.OKelley@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the 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 Technical Assistance: Fire Inspections –You must schedule and obtain a fire inspection with the local fire inspector within 12 months of the previous fire inspection. The last fire inspection was completed on 10/27/25, you provided me with a copy of the inspection during today's visit. When you obtain the fire inspection you must submit the original of the approved annual fire inspection report to me within one week of the inspection visit on the form provided by the Division. Electrical Outlets- Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. For this reason, all electrical outlets, including those on power strips, not in use that are in areas accessible to children must be protected with a safety plug or a tamper-resistant electrical outlet. Two (2) uncovered outlet in the computer area of the classroom was accessible to the children in care. You installed two (2) outlet covers during the visit. Consider adding a note near the outlets to serve as a reminder to re-cover the outlets. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. In an unlocked hallway closet was a spray bottle of Mr. Clean, a spray bottle of Windex, gallon sized containers of Clorox bleach. You locked the door immediately. Review storage of hazardous items with staff. I provided you with a hazardous items storage for Child Care document for your review. Qualifying Letter - Criminal Background Check - Criminal background checks (CBC) are completed to protect children from abuse and reduce liability risks. A CBC must be completed prior to employee hire and every five years thereafter. A Qualification Letter must be on file and available for review. Janie Romin, therapist, was alone with a child for therapy, there has not been a Criminal Background Check completed or a Qualifying Letter available for review. Therapists that remove a child from the classroom would take on the role of child care provider; therefore, they would need to have a Criminal Background Check (CBC) and a Qualifying Letter on file for review. If a therapist always has a staff member present, they would not be required to have a CBC or Qualifying Letter on file for review. Additional comments: Today we discussed QRIS: Pathway to the Stars. We spoke with Maria Ward, Operations Manager, via phone. She stated the facility has decided to move forward with Pathway #3: Accreditation and Head Start. You filled out all applicable forms, and I received the forms during today’s visit. Reminders: • We discussed the difference for medication expiration dates on the label and on the container, always go by the date listed on the pharmacy label. • I provided you with a document that shows how long different authorizations are valid for. Sex Offender Registry: North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. The Pamlico Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 745-7850 or check out their website at www.pamlicopartnership.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Michelle O’Kelley, Child Care Consultant, (252) 508-3955, Michelle.OKelley@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: PAMLICO CHILD DEVELOPMENT CENTER Facility ID: 69000055 Consultant: MICHELLE O'KELLEY Operation Type: Center Case Number: Visit Date: 3/4/2026 Number Present: 33 Completed Date: 3/4/2026 Age: From 3 To 5 Total Minutes: 353 Time In: 09:07 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Rated License Assessment Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to complete a rated license assessment and to monitor compliance with applicable child care requirements since your program’s last annual compliance visit on 9/3/25. Your program currently operates with a five-star license, issued 4/30/21, earning 6 points in the education component, 7 points in the program standards component and 1 quality point for meeting a programmatic option. The last annual compliance visit was conducted 9/3/25. The sanitation inspection was completed 8/27/25 with a “Superior” classification. The last fire inspection was conducted 10/27/2025. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website. The information is current and accurate. Contact me if you need to make any changes to your information, e.g., phone numbers, email address, mailing address, owner information, or Legal Designee. During today’s visit we updated the email address for the facility. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent as of 3/2/26. The NC Secretary of State website was reviewed on 3/2/26 and Coastal Community Action, Inc. was listed as current- active. Please contact me prior to any information changing regarding the ownership of this facility. During today's monitoring, I observed children throughout the center were engaged in free play, routines, and transitions. Children were building with blocks, pretending to cook, and pouring sand using funnels. The outdoor space included stationary climbers, ride-on toys, balls, and storage for more materials. Proper handwashing was observed. Lunch was observed and consisted of BBQ beef sliders on whole wheat bun, baked beans, peaches, and milk. The following violation(s) were documented: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed on 10/27/25, you provided me with a copy of the inspection during today's visit. 10A NCAC 09 .0304(a) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. In an unlocked hallway closet was a spray bottle of Mr. Clean, a spray bottle of Windex, gallon sized containers of Clorox bleach. .0604(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two (2) uncovered outlet in the computer area of the classroom was accessible to the children in care. 10A NCAC 09 .0604(c) 1041 Prior to employment a Criminal Background Check was not completed. Janie Romin, therapist, was alone with a child providing therapy, there was no Qualifying Letter available for review. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. Janie Romin, therapist, was alone with a child for therapy, upon review of ABCMS there has not been a Criminal Background Check completed for the individual. G.S. 110-90.2(b) & (d) & .2703(e) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 3/18/26, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Michelle O’Kelley, Child Care Consultant PO Box 56 Jamesville, NC 27846 Michelle.OKelley@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the 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 Technical Assistance: Fire Inspections –You must schedule and obtain a fire inspection with the local fire inspector within 12 months of the previous fire inspection. The last fire inspection was completed on 10/27/25, you provided me with a copy of the inspection during today's visit. When you obtain the fire inspection you must submit the original of the approved annual fire inspection report to me within one week of the inspection visit on the form provided by the Division. Electrical Outlets- Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. For this reason, all electrical outlets, including those on power strips, not in use that are in areas accessible to children must be protected with a safety plug or a tamper-resistant electrical outlet. Two (2) uncovered outlet in the computer area of the classroom was accessible to the children in care. You installed two (2) outlet covers during the visit. Consider adding a note near the outlets to serve as a reminder to re-cover the outlets. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. In an unlocked hallway closet was a spray bottle of Mr. Clean, a spray bottle of Windex, gallon sized containers of Clorox bleach. You locked the door immediately. Review storage of hazardous items with staff. I provided you with a hazardous items storage for Child Care document for your review. Qualifying Letter - Criminal Background Check - Criminal background checks (CBC) are completed to protect children from abuse and reduce liability risks. A CBC must be completed prior to employee hire and every five years thereafter. A Qualification Letter must be on file and available for review. Janie Romin, therapist, was alone with a child for therapy, there has not been a Criminal Background Check completed or a Qualifying Letter available for review. Therapists that remove a child from the classroom would take on the role of child care provider; therefore, they would need to have a Criminal Background Check (CBC) and a Qualifying Letter on file for review. If a therapist always has a staff member present, they would not be required to have a CBC or Qualifying Letter on file for review. Additional comments: Today we discussed QRIS: Pathway to the Stars. We spoke with Maria Ward, Operations Manager, via phone. She stated the facility has decided to move forward with Pathway #3: Accreditation and Head Start. You filled out all applicable forms, and I received the forms during today’s visit. Reminders: • We discussed the difference for medication expiration dates on the label and on the container, always go by the date listed on the pharmacy label. • I provided you with a document that shows how long different authorizations are valid for. Sex Offender Registry: North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. The Pamlico Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 745-7850 or check out their website at www.pamlicopartnership.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Michelle O’Kelley, Child Care Consultant, (252) 508-3955, Michelle.OKelley@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: PAMLICO CHILD DEVELOPMENT CENTER Facility ID: 69000055 Consultant: MICHELLE O'KELLEY Operation Type: Center Case Number: 0325-116L Visit Date: 3/18/2025 Number Present: 9 Completed Date: 3/18/2025 Age: From 4 To 5 Total Minutes: 130 Time In: 10:05 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. Jennifer Linhardt, Licensing Supervisor, accompanied me during today’s visit. The allegation was shared with Maria Ward, Operation Manager. The allegation is as follows: There is a concern that a registered sex offender was allowed on the premises while children were present. I completed limited monitoring of child care requirements during the visit. Supervision of children, staff/child ratios, adequate/approved space and permit restrictions were observed in compliance at the time of my observations. Children were engaged in free play outdoors. Space 4 - Ratio 1:9 (9 present; 4 four-year-olds and 5 five-year-olds with one (1) teacher). We interviewed Maria Ward, Operation Manager and one additional staff member. You shared during the visit conducted on 3/6/25 that the parent has not been on site and that your staff meets the parent at the Dollar General parking lot next door to pick up and drop off when the child does not ride the bus. A police report was submitted by Officer J. Cutler and it confirmed the parent was on site on 11/14/24. You shared he was on site in the parking lot once earlier in the school year. A staff member walked the child to the car and the parent never got out of their vehicle. You stated if he were to come onto the property, the police would be called. You shared after that incident the center supervisor at that time had a meeting with you and a protocol was shared for what steps to take if the parent comes onto the property again. Based on the police report dated November 14, 2024, collateral reports, and staff interviews, the allegation is confirmed. Violation Number Comment Rule 1838 The child care operator knowingly permitted a person on the premises of a child care center who has been convicted of a "reportable conviction." A police report stated that a sex offender was on site on 11/14/24. .0205(c) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 4/1/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Michelle O’Kelley, Child Care Consultant PO Box 56 Jamesville, NC 27846 Michelle.OKelley@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the 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 Technical Assistance: Per General Statute 14-208.18, it is “unlawful for any person required to register under this Article, if the offense requiring registration is described in subsection (c) of this section, to knowingly be at any of the following locations: (1)On the premises of any place intended primarily for the use, care, or supervision of minors, including, but not limited to, schools, children's museums, child care centers, nurseries, and playgrounds. A police report stated that a sex offender was on site on 11/14/24. You are to create a plan for what steps staff are to take if a convictable offender enters the property in the future. Share a copy of the plan with me in your compliance letter. Reminders: General Safety – Daily monitoring of all spaces helps to ensure the children are cared for in a safe and healthy environment. Adult scissors and sharp objects are a safety concern with children. Young children in early care and education programs are at risk for unintentional injuries indoors and outdoors. Awareness of potential hazards and proper choice, use, and maintenance of equipment, materials, and furnishings can help prevent injuries. Additional comments: I received your compliance letter via email and no further action is required. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Michelle O’Kelley, Childcare Consultant, 252-508-3955, Michelle.OKelley@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0601 · Violation

Name of Operation: PAMLICO CHILD DEVELOPMENT CENTER Facility ID: 69000055 Consultant: MICHELLE O'KELLEY Operation Type: Center Case Number: Visit Date: 3/6/2025 Number Present: 47 Completed Date: 3/6/2025 Age: From 3 To 5 Total Minutes: 175 Time In: 09:25 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a Routine Unannounced visit. Jennifer Linhardt, Licensing Supervisor accompanied me during today’s visit. Your program currently operates with a five-star license, issued 4/30/21, earning 6 points in the education component, 7 points in the program standards component and 1 quality point for meeting a programmatic option. The last annual compliance visit was conducted 9/19/24. The sanitation inspection was completed 12/20/24 with a “Superior” classification. The last fire inspection was conducted 11/22/24. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website. The information is current and accurate. Contact me if you need to make any changes to your information, e.g., phone numbers, email address, mailing address, owner information, or Legal Designee. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent as of 3/5/25. The NC Secretary of State website was reviewed on 3/5/25 and Coastal Community Action, Inc. was listed as current- active. Please contact me prior to any information changing regarding the ownership of this facility. During today's monitoring, I observed children throughout the center were engaged in free play, routines, and transitions. Children were painting, building with blocks, pretending to cook sushi, matching different pictures of Dr. Suess characters, and pouring sand using funnels. The outdoor space included stationary climbers, rid-on toys, balls, and storage for more materials. Proper handwashing was observed. Lunch was observed and consisted of meatballs with gravy, rice, broccoli, pears, whole wheat dinner rolls, and milk. The following violation(s) were documented: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last documented fire drill was dated for 1/30/25. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. On playground #2 located near the covered structure in the middle towards the back of the playground that has tree roots exposed creating a tripping hazard for children. On playground #3 there is black matting protruding above ground where the old stationary equipment used to be and the stationary fire engine anchor on the front left side in protruding above ground. 10A NCAC 09 .0601(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill was not completed in the third quarter of 2024. .0604(u);.0302(d)(8) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 3/20/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Michelle O’Kelley, Child Care Consultant PO Box 56 Jamesville, NC 27846 Michelle.OKelley@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the 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 Technical Assistance: Fire Drills: Fire drills are required to be conducted at least monthly to ensure that all staff and children, are aware of what actions to take in the event of a life-threatening emergency. It is important that you use the pull station that is installed in your facility as the source of notification. It is most beneficial for staff and children to become familiar with the sound of the alarm that will go off should a real fire occur. Contact your fire alarm company and the local fire department prior to initiating the fire drill to let them know to set the system to test. The last documented fire drill was dated for 1/30/25. You stated that this is the first week that you have been at this site. Plan ahead for your drills, add tentative dates to your calendar for fire drills to take place. Emergency Drills: You must conduct either a shelter-in-place or a lockdown drill every three months to ensure that the operator and children are aware of what actions to take in the event of a life-threatening emergency. An emergency drill was not completed in the third quarter of 2024. You stated that you will stay on top of it moving forward and you will do better. Add dates to your calendar for proposed dates to conduct shelter-in-place or lockdown drills. Safe Outdoors: Young children in early care and education programs are at risk for unintentional injuries indoors and outdoors. Awareness of potential hazards and proper choice, use, and maintenance of equipment, materials, and furnishings can help prevent injuries. On playground space #2 located near the stand at the back of the playground that has tree roots exposed creating a tripping hazard for children. On playground #3 there is black matting protruding above ground where the old stationary equipment used to be and the stationary fire engine anchor on the front left side in protruding above ground, this is a tripping hazard for children. You stated that the teachers stand near the area that used to have stationary equipment, and the children are not allowed to play in that area. You stated you would let maintenance know to get it taken care of. Consider putting a barrier around the area where the old stationary equipment was installed. When staff monitor the playground daily have them monitor for possible tripping hazards. Additional Comments: We discussed Clean Classrooms for Carolina Kids and you have completed Lead in Water. You have started the enrollment process for Lead-Based Paint and Asbestos testing. We discussed the new QRIS Modernization Plan. You can find more information about the QRIS on DCDEE website under What’s new tab. https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization You have three (3) different pathways to choose from. Raise NC- Stay current with communication and email blasts from DCDEE. Be sure to check your email at least weekly. If you are not currently receiving the email, please visit the DCDEE home page. Add your contact information and click subscribe to be added to the mailing list. The Pamlico Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 745-7850 or check out their website at www.pamlicopartnership.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Michelle O’Kelley, Child Care Consultant, (252) 508-3955, Michelle.OKelley@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: PAMLICO CHILD DEVELOPMENT CENTER Facility ID: 69000055 Consultant: MICHELLE O'KELLEY Operation Type: Center Case Number: Visit Date: 3/6/2025 Number Present: 47 Completed Date: 3/6/2025 Age: From 3 To 5 Total Minutes: 175 Time In: 09:25 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a Routine Unannounced visit. Jennifer Linhardt, Licensing Supervisor accompanied me during today’s visit. Your program currently operates with a five-star license, issued 4/30/21, earning 6 points in the education component, 7 points in the program standards component and 1 quality point for meeting a programmatic option. The last annual compliance visit was conducted 9/19/24. The sanitation inspection was completed 12/20/24 with a “Superior” classification. The last fire inspection was conducted 11/22/24. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website. The information is current and accurate. Contact me if you need to make any changes to your information, e.g., phone numbers, email address, mailing address, owner information, or Legal Designee. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent as of 3/5/25. The NC Secretary of State website was reviewed on 3/5/25 and Coastal Community Action, Inc. was listed as current- active. Please contact me prior to any information changing regarding the ownership of this facility. During today's monitoring, I observed children throughout the center were engaged in free play, routines, and transitions. Children were painting, building with blocks, pretending to cook sushi, matching different pictures of Dr. Suess characters, and pouring sand using funnels. The outdoor space included stationary climbers, rid-on toys, balls, and storage for more materials. Proper handwashing was observed. Lunch was observed and consisted of meatballs with gravy, rice, broccoli, pears, whole wheat dinner rolls, and milk. The following violation(s) were documented: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last documented fire drill was dated for 1/30/25. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. On playground #2 located near the covered structure in the middle towards the back of the playground that has tree roots exposed creating a tripping hazard for children. On playground #3 there is black matting protruding above ground where the old stationary equipment used to be and the stationary fire engine anchor on the front left side in protruding above ground. 10A NCAC 09 .0601(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill was not completed in the third quarter of 2024. .0604(u);.0302(d)(8) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 3/20/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Michelle O’Kelley, Child Care Consultant PO Box 56 Jamesville, NC 27846 Michelle.OKelley@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the 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 Technical Assistance: Fire Drills: Fire drills are required to be conducted at least monthly to ensure that all staff and children, are aware of what actions to take in the event of a life-threatening emergency. It is important that you use the pull station that is installed in your facility as the source of notification. It is most beneficial for staff and children to become familiar with the sound of the alarm that will go off should a real fire occur. Contact your fire alarm company and the local fire department prior to initiating the fire drill to let them know to set the system to test. The last documented fire drill was dated for 1/30/25. You stated that this is the first week that you have been at this site. Plan ahead for your drills, add tentative dates to your calendar for fire drills to take place. Emergency Drills: You must conduct either a shelter-in-place or a lockdown drill every three months to ensure that the operator and children are aware of what actions to take in the event of a life-threatening emergency. An emergency drill was not completed in the third quarter of 2024. You stated that you will stay on top of it moving forward and you will do better. Add dates to your calendar for proposed dates to conduct shelter-in-place or lockdown drills. Safe Outdoors: Young children in early care and education programs are at risk for unintentional injuries indoors and outdoors. Awareness of potential hazards and proper choice, use, and maintenance of equipment, materials, and furnishings can help prevent injuries. On playground space #2 located near the stand at the back of the playground that has tree roots exposed creating a tripping hazard for children. On playground #3 there is black matting protruding above ground where the old stationary equipment used to be and the stationary fire engine anchor on the front left side in protruding above ground, this is a tripping hazard for children. You stated that the teachers stand near the area that used to have stationary equipment, and the children are not allowed to play in that area. You stated you would let maintenance know to get it taken care of. Consider putting a barrier around the area where the old stationary equipment was installed. When staff monitor the playground daily have them monitor for possible tripping hazards. Additional Comments: We discussed Clean Classrooms for Carolina Kids and you have completed Lead in Water. You have started the enrollment process for Lead-Based Paint and Asbestos testing. We discussed the new QRIS Modernization Plan. You can find more information about the QRIS on DCDEE website under What’s new tab. https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization You have three (3) different pathways to choose from. Raise NC- Stay current with communication and email blasts from DCDEE. Be sure to check your email at least weekly. If you are not currently receiving the email, please visit the DCDEE home page. Add your contact information and click subscribe to be added to the mailing list. The Pamlico Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 745-7850 or check out their website at www.pamlicopartnership.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Michelle O’Kelley, Child Care Consultant, (252) 508-3955, Michelle.OKelley@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: PAMLICO CHILD DEVELOPMENT CENTER Facility ID: 69000055 Consultant: ANNE BUCK Operation Type: Center Case Number: Visit Date: 9/19/2024 Number Present: 46 Completed Date: 9/19/2024 Age: From 3 To 4 Total Minutes: 420 Time In: 09:30 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s Annual Compliance visit was to monitor applicable childcare requirements. Michelle O’Kelley, Child Care Consultant accompanied me during today’s visit. The administrator was away at a meeting today. F. Presley, Family Service Worker, assisted me with today’s visit. Your program currently operates with a five-star license, issued 4/30/21, earning 6 points in the education component, 7 points in the program standards component and 1 quality point for meeting a programmatic option. The last annual compliance visit was conducted 10/13/23. The sanitation inspection was completed 3/19/24 with a “Superior” classification. The last fire inspection was conducted 11/9/23. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website. The information is current and accurate. Contact me if you need to make any changes to your information, e.g., phone numbers, email address, mailing address, owner information, or Legal Designee. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-six percent as of 9/18/24. The NC Secretary of State website was reviewed on 9/18/24 and Coastal Community Action, Inc. was listed as current- active. Please contact me prior to any information changing regarding the ownership of this facility. During today's monitoring, I observed children throughout the center were engaged in free play, routines, and transitions. Children were building with blocks, completing puzzles, pretending to be the teacher during circle time, and listened to stories being read. Lunch was observed and consisted of tilapia fillet, summer squash, peaches, whole wheat roll, and milk. During rest time the children rested on linen covered mats. Proper hand washing was observed. The outdoor space included stationary and portable equipment to engage in gross motor activities. The following violation(s) were documented: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Pears were listed to be served on the menu and peaches were served at lunch time. The substitution was not documented on the posted menu before the food was served. 10A NCAC 09 .0901(b) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. The two playgrounds on the sides of the building have multiple active fire ant hills. 15A NCAC 18A .2832(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In Space #4 an inhaler, albuterol medication and a spacer was stored in a ziplock bag labeled with a child’s first and last name. The medication was not accompanied by the original packaging or the pharmacy label. .0803(2)(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Eleven children's information was missing a photograph. One child, DG, being transported did not have documentation of emergency information on file. 10A NCAC 09 .1003(d) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Five out of the six children’s files reviewed did not have the date of enrollment on the statement signed by parent that discipline policy received and explained. .1804(b) 1329 Application for enrollment did not include all required information. One out of six children’s applications on file did not include the child’s fears. .0801(a)(1-7) As a licensed child care operator, it is your responsibility to be knowledgeable of the child care laws and rules and to maintain compliance with them. The NC General Statutes (Updated September 2020), Child Care Rules (Updated January 1, 2024), and the “What’s New” section of The Division of Child Development and Early Education (DCDEE) website, ncchildcare.ncdhhs.gov, are excellent resources to help you stay current with the child care requirements. The most current forms and documents needed for your licensed facility are available under the Provider tab. Many of them are now interactive so that you can type right into the form. Many of the forms needed for families are now offered in Spanish too. And of course, I am also available to assist you, should you have questions about the child care requirements. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 10/3/24. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: Anne Buck, Child Care Consultant PO Box 2363 Elizabeth City, NC 27906 Anne.Buck@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the 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 Technical Assistance: Transportation: Motor vehicle crashes are the leading cause of death in children two to fourteen years of age in the United States. It is necessary for the safety of children to require that the caregiver/teacher comply with requirements governing the transportation of children in care, in the absence of the parent/guardian. Each child transported must have emergency contact information, including a photograph, on the bus during transportation. This is helpful in identifying children in the event of an emergency/accident. Eleven children's information was missing a photograph. One child, DG, being transported did not have documentation of emergency information on file. The bus driver stated that she did not know that she was missing children’s photographs. She made copies of the one child’s missing emergency information form and included it in her transportation notebook. Review transportation files to ensure that all information is current for each child. Medication- Medicines can be crucial to the health and wellness of children. They can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. In Space #4 an inhaler, albuterol medication and a spacer was stored in a ziplock bag labeled with a child’s first and last name. The medication was not accompanied by the original packaging or the pharmacy label. Prescribed medications must be in the original container with a label that includes the child’s name, date filled, prescribing clinician’s name, pharmacy name and phone number, dosage/instructions, and relevant warnings. You stated that you did not know who accepted the child’s medication without the original box and prescription label. Create a plan for how to receive medication and track requirements. Children’s Records: Children's records consist of various documentation such as a child's medical and immunization history, emergency medical care information and parental permission to participate in specific activities. This information is the basis for meeting each child's physical, emotional, cognitive and social needs. When enrolling children into the facility, a statement regarding the facility’s discipline policy must be signed by parents and include the child’s name and date of enrollment. Five, out of the six children’s files reviewed, did not document the date of enrollment on the statement signed by the parent that discipline policy was received and explained. One out of six children’s applications on file did not include the child’s fears. You stated that the education manager had just recently been hired, and she is the one who checks the enrollment forms. When accepting forms from parents, check to ensure that they are filled out completely and every question is answered. Menus/Substitutions -Parent must be made aware of the food being served in the facility. This can help them avoid any foods the child does not like or is allergic to. Document food substitutions on all posted menus before the food is served. The posted menu stated that pears would be served for lunch. Peaches were served and the change was not documented on the posted menu before service. The kitchen staff member stated she did not know that she needed to write substitute menu items on the menu before serving. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. As we discussed the children can use the playground directly behind the building until the fire ants have been treated and contained. You stated you have already let maintenance know to correct the issue. Check your playgrounds daily to ensure that there are no potential hazards for the children. Additional Comments: Provider Access to ABCMS - Beginning February 1, child care administrators can access the Automated Background Check Management System (ABCMS) This access will allow providers to: •See the real-time background check status of staff members. •Run a printable report of the staff roster to assist with compliance visits. •See new background check applicants and add them to staff roster. Access to the ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. All staff must connect their CBC with your license number and the date this was completed listed on your Staff and Training Worksheet. Required Water, Lead Paint, and Asbestos Testing - New child care rules require child care facilities to test for lead in drinking water, lead paint, and asbestos. Testing is required by 1/1/2025. Check out the FAQ in the updated Clean Classrooms for Carolina Kids. Currently there is funding to pay for the testing and to mitigate lead paint or asbestos hazards. Depending on the age of your home or building and the information you provide in the enrollment process, testing for lead paint and asbestos may not be required. Water testing will be required every three years. For more information go to https://www.cleanwaterforuskids.org/en/carolina/ or contact your Environmental Health Specialist. Status: Water – Completed 4/10/24 Lead Paint – Enrollment Started Asbestos – Enrollment Started Natural Learning Initiative: https://naturalearning.org/resources/ Resources are created, often in collaboration with the Natural Learning Initiative’s interdisciplinary partners, to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience of all children. Please use and share. The Pamlico Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 745-7850 or check out their website at www.pamlicopartnership.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If I may be of further assistance, please contact me by phone at 252-333-2084 or Jennifer Linhardt, Licensing Supervisor, may also be contacted at (252) 373-4199. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1003 · Violation

Name of Operation: PAMLICO CHILD DEVELOPMENT CENTER Facility ID: 69000055 Consultant: ANNE BUCK Operation Type: Center Case Number: Visit Date: 9/19/2024 Number Present: 46 Completed Date: 9/19/2024 Age: From 3 To 4 Total Minutes: 420 Time In: 09:30 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s Annual Compliance visit was to monitor applicable childcare requirements. Michelle O’Kelley, Child Care Consultant accompanied me during today’s visit. The administrator was away at a meeting today. F. Presley, Family Service Worker, assisted me with today’s visit. Your program currently operates with a five-star license, issued 4/30/21, earning 6 points in the education component, 7 points in the program standards component and 1 quality point for meeting a programmatic option. The last annual compliance visit was conducted 10/13/23. The sanitation inspection was completed 3/19/24 with a “Superior” classification. The last fire inspection was conducted 11/9/23. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website. The information is current and accurate. Contact me if you need to make any changes to your information, e.g., phone numbers, email address, mailing address, owner information, or Legal Designee. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-six percent as of 9/18/24. The NC Secretary of State website was reviewed on 9/18/24 and Coastal Community Action, Inc. was listed as current- active. Please contact me prior to any information changing regarding the ownership of this facility. During today's monitoring, I observed children throughout the center were engaged in free play, routines, and transitions. Children were building with blocks, completing puzzles, pretending to be the teacher during circle time, and listened to stories being read. Lunch was observed and consisted of tilapia fillet, summer squash, peaches, whole wheat roll, and milk. During rest time the children rested on linen covered mats. Proper hand washing was observed. The outdoor space included stationary and portable equipment to engage in gross motor activities. The following violation(s) were documented: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Pears were listed to be served on the menu and peaches were served at lunch time. The substitution was not documented on the posted menu before the food was served. 10A NCAC 09 .0901(b) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. The two playgrounds on the sides of the building have multiple active fire ant hills. 15A NCAC 18A .2832(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In Space #4 an inhaler, albuterol medication and a spacer was stored in a ziplock bag labeled with a child’s first and last name. The medication was not accompanied by the original packaging or the pharmacy label. .0803(2)(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Eleven children's information was missing a photograph. One child, DG, being transported did not have documentation of emergency information on file. 10A NCAC 09 .1003(d) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Five out of the six children’s files reviewed did not have the date of enrollment on the statement signed by parent that discipline policy received and explained. .1804(b) 1329 Application for enrollment did not include all required information. One out of six children’s applications on file did not include the child’s fears. .0801(a)(1-7) As a licensed child care operator, it is your responsibility to be knowledgeable of the child care laws and rules and to maintain compliance with them. The NC General Statutes (Updated September 2020), Child Care Rules (Updated January 1, 2024), and the “What’s New” section of The Division of Child Development and Early Education (DCDEE) website, ncchildcare.ncdhhs.gov, are excellent resources to help you stay current with the child care requirements. The most current forms and documents needed for your licensed facility are available under the Provider tab. Many of them are now interactive so that you can type right into the form. Many of the forms needed for families are now offered in Spanish too. And of course, I am also available to assist you, should you have questions about the child care requirements. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 10/3/24. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: Anne Buck, Child Care Consultant PO Box 2363 Elizabeth City, NC 27906 Anne.Buck@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the 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 Technical Assistance: Transportation: Motor vehicle crashes are the leading cause of death in children two to fourteen years of age in the United States. It is necessary for the safety of children to require that the caregiver/teacher comply with requirements governing the transportation of children in care, in the absence of the parent/guardian. Each child transported must have emergency contact information, including a photograph, on the bus during transportation. This is helpful in identifying children in the event of an emergency/accident. Eleven children's information was missing a photograph. One child, DG, being transported did not have documentation of emergency information on file. The bus driver stated that she did not know that she was missing children’s photographs. She made copies of the one child’s missing emergency information form and included it in her transportation notebook. Review transportation files to ensure that all information is current for each child. Medication- Medicines can be crucial to the health and wellness of children. They can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. In Space #4 an inhaler, albuterol medication and a spacer was stored in a ziplock bag labeled with a child’s first and last name. The medication was not accompanied by the original packaging or the pharmacy label. Prescribed medications must be in the original container with a label that includes the child’s name, date filled, prescribing clinician’s name, pharmacy name and phone number, dosage/instructions, and relevant warnings. You stated that you did not know who accepted the child’s medication without the original box and prescription label. Create a plan for how to receive medication and track requirements. Children’s Records: Children's records consist of various documentation such as a child's medical and immunization history, emergency medical care information and parental permission to participate in specific activities. This information is the basis for meeting each child's physical, emotional, cognitive and social needs. When enrolling children into the facility, a statement regarding the facility’s discipline policy must be signed by parents and include the child’s name and date of enrollment. Five, out of the six children’s files reviewed, did not document the date of enrollment on the statement signed by the parent that discipline policy was received and explained. One out of six children’s applications on file did not include the child’s fears. You stated that the education manager had just recently been hired, and she is the one who checks the enrollment forms. When accepting forms from parents, check to ensure that they are filled out completely and every question is answered. Menus/Substitutions -Parent must be made aware of the food being served in the facility. This can help them avoid any foods the child does not like or is allergic to. Document food substitutions on all posted menus before the food is served. The posted menu stated that pears would be served for lunch. Peaches were served and the change was not documented on the posted menu before service. The kitchen staff member stated she did not know that she needed to write substitute menu items on the menu before serving. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. As we discussed the children can use the playground directly behind the building until the fire ants have been treated and contained. You stated you have already let maintenance know to correct the issue. Check your playgrounds daily to ensure that there are no potential hazards for the children. Additional Comments: Provider Access to ABCMS - Beginning February 1, child care administrators can access the Automated Background Check Management System (ABCMS) This access will allow providers to: •See the real-time background check status of staff members. •Run a printable report of the staff roster to assist with compliance visits. •See new background check applicants and add them to staff roster. Access to the ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. All staff must connect their CBC with your license number and the date this was completed listed on your Staff and Training Worksheet. Required Water, Lead Paint, and Asbestos Testing - New child care rules require child care facilities to test for lead in drinking water, lead paint, and asbestos. Testing is required by 1/1/2025. Check out the FAQ in the updated Clean Classrooms for Carolina Kids. Currently there is funding to pay for the testing and to mitigate lead paint or asbestos hazards. Depending on the age of your home or building and the information you provide in the enrollment process, testing for lead paint and asbestos may not be required. Water testing will be required every three years. For more information go to https://www.cleanwaterforuskids.org/en/carolina/ or contact your Environmental Health Specialist. Status: Water – Completed 4/10/24 Lead Paint – Enrollment Started Asbestos – Enrollment Started Natural Learning Initiative: https://naturalearning.org/resources/ Resources are created, often in collaboration with the Natural Learning Initiative’s interdisciplinary partners, to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience of all children. Please use and share. The Pamlico Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 745-7850 or check out their website at www.pamlicopartnership.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If I may be of further assistance, please contact me by phone at 252-333-2084 or Jennifer Linhardt, Licensing Supervisor, may also be contacted at (252) 373-4199. 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: PAMLICO CHILD DEVELOPMENT CENTER Facility ID: 69000055 Consultant: ANNE BUCK Operation Type: Center Case Number: Visit Date: 9/19/2024 Number Present: 46 Completed Date: 9/19/2024 Age: From 3 To 4 Total Minutes: 420 Time In: 09:30 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s Annual Compliance visit was to monitor applicable childcare requirements. Michelle O’Kelley, Child Care Consultant accompanied me during today’s visit. The administrator was away at a meeting today. F. Presley, Family Service Worker, assisted me with today’s visit. Your program currently operates with a five-star license, issued 4/30/21, earning 6 points in the education component, 7 points in the program standards component and 1 quality point for meeting a programmatic option. The last annual compliance visit was conducted 10/13/23. The sanitation inspection was completed 3/19/24 with a “Superior” classification. The last fire inspection was conducted 11/9/23. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website. The information is current and accurate. Contact me if you need to make any changes to your information, e.g., phone numbers, email address, mailing address, owner information, or Legal Designee. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-six percent as of 9/18/24. The NC Secretary of State website was reviewed on 9/18/24 and Coastal Community Action, Inc. was listed as current- active. Please contact me prior to any information changing regarding the ownership of this facility. During today's monitoring, I observed children throughout the center were engaged in free play, routines, and transitions. Children were building with blocks, completing puzzles, pretending to be the teacher during circle time, and listened to stories being read. Lunch was observed and consisted of tilapia fillet, summer squash, peaches, whole wheat roll, and milk. During rest time the children rested on linen covered mats. Proper hand washing was observed. The outdoor space included stationary and portable equipment to engage in gross motor activities. The following violation(s) were documented: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Pears were listed to be served on the menu and peaches were served at lunch time. The substitution was not documented on the posted menu before the food was served. 10A NCAC 09 .0901(b) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. The two playgrounds on the sides of the building have multiple active fire ant hills. 15A NCAC 18A .2832(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In Space #4 an inhaler, albuterol medication and a spacer was stored in a ziplock bag labeled with a child’s first and last name. The medication was not accompanied by the original packaging or the pharmacy label. .0803(2)(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Eleven children's information was missing a photograph. One child, DG, being transported did not have documentation of emergency information on file. 10A NCAC 09 .1003(d) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Five out of the six children’s files reviewed did not have the date of enrollment on the statement signed by parent that discipline policy received and explained. .1804(b) 1329 Application for enrollment did not include all required information. One out of six children’s applications on file did not include the child’s fears. .0801(a)(1-7) As a licensed child care operator, it is your responsibility to be knowledgeable of the child care laws and rules and to maintain compliance with them. The NC General Statutes (Updated September 2020), Child Care Rules (Updated January 1, 2024), and the “What’s New” section of The Division of Child Development and Early Education (DCDEE) website, ncchildcare.ncdhhs.gov, are excellent resources to help you stay current with the child care requirements. The most current forms and documents needed for your licensed facility are available under the Provider tab. Many of them are now interactive so that you can type right into the form. Many of the forms needed for families are now offered in Spanish too. And of course, I am also available to assist you, should you have questions about the child care requirements. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 10/3/24. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: Anne Buck, Child Care Consultant PO Box 2363 Elizabeth City, NC 27906 Anne.Buck@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the 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 Technical Assistance: Transportation: Motor vehicle crashes are the leading cause of death in children two to fourteen years of age in the United States. It is necessary for the safety of children to require that the caregiver/teacher comply with requirements governing the transportation of children in care, in the absence of the parent/guardian. Each child transported must have emergency contact information, including a photograph, on the bus during transportation. This is helpful in identifying children in the event of an emergency/accident. Eleven children's information was missing a photograph. One child, DG, being transported did not have documentation of emergency information on file. The bus driver stated that she did not know that she was missing children’s photographs. She made copies of the one child’s missing emergency information form and included it in her transportation notebook. Review transportation files to ensure that all information is current for each child. Medication- Medicines can be crucial to the health and wellness of children. They can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. In Space #4 an inhaler, albuterol medication and a spacer was stored in a ziplock bag labeled with a child’s first and last name. The medication was not accompanied by the original packaging or the pharmacy label. Prescribed medications must be in the original container with a label that includes the child’s name, date filled, prescribing clinician’s name, pharmacy name and phone number, dosage/instructions, and relevant warnings. You stated that you did not know who accepted the child’s medication without the original box and prescription label. Create a plan for how to receive medication and track requirements. Children’s Records: Children's records consist of various documentation such as a child's medical and immunization history, emergency medical care information and parental permission to participate in specific activities. This information is the basis for meeting each child's physical, emotional, cognitive and social needs. When enrolling children into the facility, a statement regarding the facility’s discipline policy must be signed by parents and include the child’s name and date of enrollment. Five, out of the six children’s files reviewed, did not document the date of enrollment on the statement signed by the parent that discipline policy was received and explained. One out of six children’s applications on file did not include the child’s fears. You stated that the education manager had just recently been hired, and she is the one who checks the enrollment forms. When accepting forms from parents, check to ensure that they are filled out completely and every question is answered. Menus/Substitutions -Parent must be made aware of the food being served in the facility. This can help them avoid any foods the child does not like or is allergic to. Document food substitutions on all posted menus before the food is served. The posted menu stated that pears would be served for lunch. Peaches were served and the change was not documented on the posted menu before service. The kitchen staff member stated she did not know that she needed to write substitute menu items on the menu before serving. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. As we discussed the children can use the playground directly behind the building until the fire ants have been treated and contained. You stated you have already let maintenance know to correct the issue. Check your playgrounds daily to ensure that there are no potential hazards for the children. Additional Comments: Provider Access to ABCMS - Beginning February 1, child care administrators can access the Automated Background Check Management System (ABCMS) This access will allow providers to: •See the real-time background check status of staff members. •Run a printable report of the staff roster to assist with compliance visits. •See new background check applicants and add them to staff roster. Access to the ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. All staff must connect their CBC with your license number and the date this was completed listed on your Staff and Training Worksheet. Required Water, Lead Paint, and Asbestos Testing - New child care rules require child care facilities to test for lead in drinking water, lead paint, and asbestos. Testing is required by 1/1/2025. Check out the FAQ in the updated Clean Classrooms for Carolina Kids. Currently there is funding to pay for the testing and to mitigate lead paint or asbestos hazards. Depending on the age of your home or building and the information you provide in the enrollment process, testing for lead paint and asbestos may not be required. Water testing will be required every three years. For more information go to https://www.cleanwaterforuskids.org/en/carolina/ or contact your Environmental Health Specialist. Status: Water – Completed 4/10/24 Lead Paint – Enrollment Started Asbestos – Enrollment Started Natural Learning Initiative: https://naturalearning.org/resources/ Resources are created, often in collaboration with the Natural Learning Initiative’s interdisciplinary partners, to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience of all children. Please use and share. The Pamlico Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 745-7850 or check out their website at www.pamlicopartnership.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If I may be of further assistance, please contact me by phone at 252-333-2084 or Jennifer Linhardt, Licensing Supervisor, may also be contacted at (252) 373-4199. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: PAMLICO CHILD DEVELOPMENT CENTER Facility ID: 69000055 Consultant: ANNE BUCK Operation Type: Center Case Number: Visit Date: 2/14/2024 Number Present: 41 Completed Date: 2/14/2024 Age: From 3 To 5 Total Minutes: 290 Time In: 10:10 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements for a routine unannounced visit. N. Pollard, Center Manager, assisted me with today’s visit. Your program currently operates with a five-star license, issued 4/30/21 earning 7 points in the education component, 6 points in the program standards component (meeting enhanced ratios and space; meets reduced ratios minus 1) and 1 quality point for: Staff benefits package and infrastructure of parent involvement. On June 27, 2023, the Division of Child Development and Early Education (DCDEE) introduced a cohort model and timeline for resuming the star rated license reassessments. This cohort model includes a preparation year and a reassessment year. Your facility will be in Cohort 2, which means your preparation year will be 7/1/24-6/30/25 and your reassessment year will be 7/1/25-6/30/26. There are opportunities within the preparation year that will help prepare your facility for the reassessment year. Additional information and supports are available on the Division website under Providers, Licensing, Star Rated License, and Resuming Star Rated License. Additional resources are also available on the North Carolina Rated License Assessment Project website at https://ncrlap.org/ . The center's compliance history was reviewed with the operator. The program’s compliance history was 98 % as of 2/12/24. The NC Secretary of State website was reviewed on 2/12/24 and Coastal Community Action, INC was listed as current and active. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. The license was posted, and the restrictions were in compliance. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, transitions, and personal care routines. Lunch was observed and consisted of spaghetti with meat sauce, salad, apple slices, and milk. Files for new staff were reviewed. Transportation requirements were also monitored. The Pamlico Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 745-7850 or check out their website at www.pamlicopartnership.org. The following violation(s) were documented: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two electrical outlets located in the space used for children who are ill did not have outlet covers. 10A NCAC 09 .0604(c) 853 Incident logs were not completed and maintained as required. The completed incident reports were located with the log but had not been filed in the children’s files. .0802(g)(1-6) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. Documentation of registration for the large school bus was not available for review. .1002(b) 1757 A valid qualification letter was not on file and available to review at the facility. One staff member, working in the front office, did not have a qualifying letter available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File did not contain an Emergency Information form for the Center Manager. A list of the children with medical needs was located in the file, but copies of the their medical action plans were not in the file. .0607(d)(10) Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules (updated1/1/24) and environmental health rules (updated 7/1/23) in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 2/26/24, 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 will be conducted. Mail or email the information to: Anne Buck, Child Care Consultant PO Box 2363 Elizabeth City, NC 27906 Anne.Buck@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the 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 Technical Assistance: Criminal Records Check- Ensuring all staff complete the required criminal record check process helps to protect children in the facility. All staff on site must have a criminal background check qualifying letter on file and available for review. One staff member, working in the front office, did not have a qualifying letter on file. You stated that the person is temporarily assisting at your facility until someone new is hired to work in the front office and that their file is housed at the other facility. The ABCMS was reviewed, and the person is currently qualified. Per our discussion, any staff, working in your building, must have verification of their qualifying letter stating that they are safe to be around the children in care. Ready to Go File – A Ready to Go file ensures that you have all the information you need to provide a safe environment for children in the event of an emergency. The Ready to Go File monitored today did not contain an Emergency Information form for the Center Manager. A list of the children with medical needs was located in the file, but copies of the children’s medical action plans were not in the file. Per our discussion, review the rule for the full list of all required information that must be included in the file. Electrical Outlets - Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. Two electrical outlets located in the space used for children who are ill did not have outlet covers. All electrical outlets, not in use, that are in areas accessible to children must be protected with an outlet cover. Per our discussion, staff must check outlets each day, in all areas used by the children, before children arrive to ensure there are no electrical hazards. Covers were placed on the outlets during the visit. Incident Reports and Log - You must now document every injury incurred while a child is in your care, including cuts, scrapes, bumps, and bitemarks. These incidents must be recorded on the incident report form supplied by the Division. The report must include all required information and be signed by the parent. The incident must then be logged on the facility incident report log and the completed report placed in the child’s file. The completed incident reports were located with the log but had not been filed in the children’s files. You stated that you were not aware that they must be filed in the children’s file. The incident reports were placed in the files during the visit. Transportation – When transporting children, their safety is the highest priority. Vehicles used to transport children enrolled in child care centers must comply with all applicable State and federal laws and regulations. This includes having documentation of the vehicle’s registration available for review. The registration card verifies that the vehicle has been inspected and is safe to transport children. Documentation of registration for the large school bus was not available for review. You stated that, when you contacted the main office to obtain a copy, it was discovered that the vehicle had not been inspected since 2022. Per our discussion, the vehicle cannot be used to transport children until an inspection has been completed and the vehicle has been verified as safe to transport children. A substitute bus was brought which met all requirements and the facility was able to use it for today. Additional Technical Assistance: Early Childhood Environment Rating Scale – Technical assistance was shared with you on how to use the ECERS-R tool to self-evaluate your facility as you prepare for your next rated license assessment. Together we reviewed how each item is scored and how to use the scoring sheet at the back of the book to review your classrooms. Per our discussion, reviewing the items used for scoring can help providers to be less anxious and more prepared for the assessment. Consider working through the book in sections at staff meetings. Your local partnership may also be able to assist you as you prepare. Medications - Administering medication requires skill, knowledge, and careful attention to detail. Remember, before accepting medication from a parent, you must have: 1. The medication in the original pharmacy box with all the required information. Make sure the expiration date on the box matches the date on the medication. 2. A Medical Action Plan completed by a physician attached to the child’s application in their file and in the Ready to Go file. 3. Written permission to administer the medication, with complete instructions for how and when the medication is to be administered and signed by the parent. You would use the long form for chronic conditions for this type of medication. Before receiving any medication from a parent, you must carefully review the medication, the pharmacy box, the medical action plan, and the permission to administer forms to ensure everything is correct and all information matches. Consider creating a checklist to complete each time medication is brought to the facility to help staff verify they have all the required information. Provider Access to ABCMS - Beginning February 1, child care administrators can access the Automated Background Check Management System (ABCMS) This access will allow providers to: •See the real-time background check status of staff members. •Run a printable report of the staff roster to assist with compliance visits. •See new background check applicants and add to staff roster. Access to the ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. All staff must register their criminal background check with your license number. The date of the registration must be documented on your Staff and Training Worksheet to verify that this has been completed. Staff who move from one facility to another, can register with multiple facilities. This helps to ensure that, if a provider becomes disqualified, you will be notified. Funding Opportunity to Address Asbestos and Lead Based Pant - The NCDHHS, Health Hazards Control Unit (HHCU) is providing a presentation regarding the American Rescue Plan Act (ARPA) Reimbursement Program for NC Licensed Child Care Centers and Family Child Care Homes. Under the ARPA Reimbursement Program licensed facilities can be reimbursed up to 100% for eligible expenses related to asbestos or lead-based paint abatement or remediation activities. Funding for reimbursement will be available until December 31, 2026, or until it is depleted, whichever comes first. For more information, you can attend one of the 2 information meetings being held on 2/5/24 at 1:00 pm and again at 7:00 pm. To log into the meeting, see the Raise NC Weekly Newsletter sent on 1/16/24 and click on the Zoom link provided. The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor, contact 1-888-600-1685 option 1. New Pathways to the Early Childhood Education Profession – Early educators now have multiple options to achieve higher education. •Staff can earn a no-cost nationally recognized Child Development Associate® (CDA) certificate through a free Professional Development Teacher Membership from Teaching Strategies. Courses are offered in English and Spanish. In addition, a T.E.A.C.H. scholarship is available to cover the CDA book and assessment fees. •They could also choose to take the free online NC Early Childhood Equivalency Exam on DCDEE Moodle to earn the North Carolina Early Childhood Equivalency Certificate. This certificate is equivalent to the EDU 119 college course for star rated license evaluation. •A third options for staff is to turn their training and experience into a degree in Early Childhood Education. Providers can submit a Credit for Prior Learning portfolio to receive up to nine community college ECE credits for your early childhood knowledge and skills from participating NC Community Colleges. Credits can be applied toward the newly created Early Childhood Workforce Certificate, Early Childhood Education Diploma, Certificate and/or an Associate in Applied Science (AAS) Degree in Early Childhood Education. See the Raise North Carolina email blast from 9/1/23 for links to more information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If I may be of further assistance, please contact me by phone at 252-333-2084 or Jennifer Linhardt, Licensing Supervisor, may also be contacted at (252) 373-4199. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-90 · Violation

Name of Operation: PAMLICO CHILD DEVELOPMENT CENTER Facility ID: 69000055 Consultant: ANNE BUCK Operation Type: Center Case Number: Visit Date: 2/14/2024 Number Present: 41 Completed Date: 2/14/2024 Age: From 3 To 5 Total Minutes: 290 Time In: 10:10 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements for a routine unannounced visit. N. Pollard, Center Manager, assisted me with today’s visit. Your program currently operates with a five-star license, issued 4/30/21 earning 7 points in the education component, 6 points in the program standards component (meeting enhanced ratios and space; meets reduced ratios minus 1) and 1 quality point for: Staff benefits package and infrastructure of parent involvement. On June 27, 2023, the Division of Child Development and Early Education (DCDEE) introduced a cohort model and timeline for resuming the star rated license reassessments. This cohort model includes a preparation year and a reassessment year. Your facility will be in Cohort 2, which means your preparation year will be 7/1/24-6/30/25 and your reassessment year will be 7/1/25-6/30/26. There are opportunities within the preparation year that will help prepare your facility for the reassessment year. Additional information and supports are available on the Division website under Providers, Licensing, Star Rated License, and Resuming Star Rated License. Additional resources are also available on the North Carolina Rated License Assessment Project website at https://ncrlap.org/ . The center's compliance history was reviewed with the operator. The program’s compliance history was 98 % as of 2/12/24. The NC Secretary of State website was reviewed on 2/12/24 and Coastal Community Action, INC was listed as current and active. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. The license was posted, and the restrictions were in compliance. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, transitions, and personal care routines. Lunch was observed and consisted of spaghetti with meat sauce, salad, apple slices, and milk. Files for new staff were reviewed. Transportation requirements were also monitored. The Pamlico Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 745-7850 or check out their website at www.pamlicopartnership.org. The following violation(s) were documented: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two electrical outlets located in the space used for children who are ill did not have outlet covers. 10A NCAC 09 .0604(c) 853 Incident logs were not completed and maintained as required. The completed incident reports were located with the log but had not been filed in the children’s files. .0802(g)(1-6) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. Documentation of registration for the large school bus was not available for review. .1002(b) 1757 A valid qualification letter was not on file and available to review at the facility. One staff member, working in the front office, did not have a qualifying letter available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File did not contain an Emergency Information form for the Center Manager. A list of the children with medical needs was located in the file, but copies of the their medical action plans were not in the file. .0607(d)(10) Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules (updated1/1/24) and environmental health rules (updated 7/1/23) in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 2/26/24, 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 will be conducted. Mail or email the information to: Anne Buck, Child Care Consultant PO Box 2363 Elizabeth City, NC 27906 Anne.Buck@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the 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 Technical Assistance: Criminal Records Check- Ensuring all staff complete the required criminal record check process helps to protect children in the facility. All staff on site must have a criminal background check qualifying letter on file and available for review. One staff member, working in the front office, did not have a qualifying letter on file. You stated that the person is temporarily assisting at your facility until someone new is hired to work in the front office and that their file is housed at the other facility. The ABCMS was reviewed, and the person is currently qualified. Per our discussion, any staff, working in your building, must have verification of their qualifying letter stating that they are safe to be around the children in care. Ready to Go File – A Ready to Go file ensures that you have all the information you need to provide a safe environment for children in the event of an emergency. The Ready to Go File monitored today did not contain an Emergency Information form for the Center Manager. A list of the children with medical needs was located in the file, but copies of the children’s medical action plans were not in the file. Per our discussion, review the rule for the full list of all required information that must be included in the file. Electrical Outlets - Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. Two electrical outlets located in the space used for children who are ill did not have outlet covers. All electrical outlets, not in use, that are in areas accessible to children must be protected with an outlet cover. Per our discussion, staff must check outlets each day, in all areas used by the children, before children arrive to ensure there are no electrical hazards. Covers were placed on the outlets during the visit. Incident Reports and Log - You must now document every injury incurred while a child is in your care, including cuts, scrapes, bumps, and bitemarks. These incidents must be recorded on the incident report form supplied by the Division. The report must include all required information and be signed by the parent. The incident must then be logged on the facility incident report log and the completed report placed in the child’s file. The completed incident reports were located with the log but had not been filed in the children’s files. You stated that you were not aware that they must be filed in the children’s file. The incident reports were placed in the files during the visit. Transportation – When transporting children, their safety is the highest priority. Vehicles used to transport children enrolled in child care centers must comply with all applicable State and federal laws and regulations. This includes having documentation of the vehicle’s registration available for review. The registration card verifies that the vehicle has been inspected and is safe to transport children. Documentation of registration for the large school bus was not available for review. You stated that, when you contacted the main office to obtain a copy, it was discovered that the vehicle had not been inspected since 2022. Per our discussion, the vehicle cannot be used to transport children until an inspection has been completed and the vehicle has been verified as safe to transport children. A substitute bus was brought which met all requirements and the facility was able to use it for today. Additional Technical Assistance: Early Childhood Environment Rating Scale – Technical assistance was shared with you on how to use the ECERS-R tool to self-evaluate your facility as you prepare for your next rated license assessment. Together we reviewed how each item is scored and how to use the scoring sheet at the back of the book to review your classrooms. Per our discussion, reviewing the items used for scoring can help providers to be less anxious and more prepared for the assessment. Consider working through the book in sections at staff meetings. Your local partnership may also be able to assist you as you prepare. Medications - Administering medication requires skill, knowledge, and careful attention to detail. Remember, before accepting medication from a parent, you must have: 1. The medication in the original pharmacy box with all the required information. Make sure the expiration date on the box matches the date on the medication. 2. A Medical Action Plan completed by a physician attached to the child’s application in their file and in the Ready to Go file. 3. Written permission to administer the medication, with complete instructions for how and when the medication is to be administered and signed by the parent. You would use the long form for chronic conditions for this type of medication. Before receiving any medication from a parent, you must carefully review the medication, the pharmacy box, the medical action plan, and the permission to administer forms to ensure everything is correct and all information matches. Consider creating a checklist to complete each time medication is brought to the facility to help staff verify they have all the required information. Provider Access to ABCMS - Beginning February 1, child care administrators can access the Automated Background Check Management System (ABCMS) This access will allow providers to: •See the real-time background check status of staff members. •Run a printable report of the staff roster to assist with compliance visits. •See new background check applicants and add to staff roster. Access to the ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. All staff must register their criminal background check with your license number. The date of the registration must be documented on your Staff and Training Worksheet to verify that this has been completed. Staff who move from one facility to another, can register with multiple facilities. This helps to ensure that, if a provider becomes disqualified, you will be notified. Funding Opportunity to Address Asbestos and Lead Based Pant - The NCDHHS, Health Hazards Control Unit (HHCU) is providing a presentation regarding the American Rescue Plan Act (ARPA) Reimbursement Program for NC Licensed Child Care Centers and Family Child Care Homes. Under the ARPA Reimbursement Program licensed facilities can be reimbursed up to 100% for eligible expenses related to asbestos or lead-based paint abatement or remediation activities. Funding for reimbursement will be available until December 31, 2026, or until it is depleted, whichever comes first. For more information, you can attend one of the 2 information meetings being held on 2/5/24 at 1:00 pm and again at 7:00 pm. To log into the meeting, see the Raise NC Weekly Newsletter sent on 1/16/24 and click on the Zoom link provided. The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor, contact 1-888-600-1685 option 1. New Pathways to the Early Childhood Education Profession – Early educators now have multiple options to achieve higher education. •Staff can earn a no-cost nationally recognized Child Development Associate® (CDA) certificate through a free Professional Development Teacher Membership from Teaching Strategies. Courses are offered in English and Spanish. In addition, a T.E.A.C.H. scholarship is available to cover the CDA book and assessment fees. •They could also choose to take the free online NC Early Childhood Equivalency Exam on DCDEE Moodle to earn the North Carolina Early Childhood Equivalency Certificate. This certificate is equivalent to the EDU 119 college course for star rated license evaluation. •A third options for staff is to turn their training and experience into a degree in Early Childhood Education. Providers can submit a Credit for Prior Learning portfolio to receive up to nine community college ECE credits for your early childhood knowledge and skills from participating NC Community Colleges. Credits can be applied toward the newly created Early Childhood Workforce Certificate, Early Childhood Education Diploma, Certificate and/or an Associate in Applied Science (AAS) Degree in Early Childhood Education. See the Raise North Carolina email blast from 9/1/23 for links to more information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If I may be of further assistance, please contact me by phone at 252-333-2084 or Jennifer Linhardt, Licensing Supervisor, may also be contacted at (252) 373-4199. 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: PAMLICO CHILD DEVELOPMENT CENTER Facility ID: 69000055 Consultant: ANNE BUCK Operation Type: Center Case Number: Visit Date: 2/14/2024 Number Present: 41 Completed Date: 2/14/2024 Age: From 3 To 5 Total Minutes: 290 Time In: 10:10 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements for a routine unannounced visit. N. Pollard, Center Manager, assisted me with today’s visit. Your program currently operates with a five-star license, issued 4/30/21 earning 7 points in the education component, 6 points in the program standards component (meeting enhanced ratios and space; meets reduced ratios minus 1) and 1 quality point for: Staff benefits package and infrastructure of parent involvement. On June 27, 2023, the Division of Child Development and Early Education (DCDEE) introduced a cohort model and timeline for resuming the star rated license reassessments. This cohort model includes a preparation year and a reassessment year. Your facility will be in Cohort 2, which means your preparation year will be 7/1/24-6/30/25 and your reassessment year will be 7/1/25-6/30/26. There are opportunities within the preparation year that will help prepare your facility for the reassessment year. Additional information and supports are available on the Division website under Providers, Licensing, Star Rated License, and Resuming Star Rated License. Additional resources are also available on the North Carolina Rated License Assessment Project website at https://ncrlap.org/ . The center's compliance history was reviewed with the operator. The program’s compliance history was 98 % as of 2/12/24. The NC Secretary of State website was reviewed on 2/12/24 and Coastal Community Action, INC was listed as current and active. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. The license was posted, and the restrictions were in compliance. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, transitions, and personal care routines. Lunch was observed and consisted of spaghetti with meat sauce, salad, apple slices, and milk. Files for new staff were reviewed. Transportation requirements were also monitored. The Pamlico Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 745-7850 or check out their website at www.pamlicopartnership.org. The following violation(s) were documented: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two electrical outlets located in the space used for children who are ill did not have outlet covers. 10A NCAC 09 .0604(c) 853 Incident logs were not completed and maintained as required. The completed incident reports were located with the log but had not been filed in the children’s files. .0802(g)(1-6) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. Documentation of registration for the large school bus was not available for review. .1002(b) 1757 A valid qualification letter was not on file and available to review at the facility. One staff member, working in the front office, did not have a qualifying letter available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File did not contain an Emergency Information form for the Center Manager. A list of the children with medical needs was located in the file, but copies of the their medical action plans were not in the file. .0607(d)(10) Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules (updated1/1/24) and environmental health rules (updated 7/1/23) in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 2/26/24, 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 will be conducted. Mail or email the information to: Anne Buck, Child Care Consultant PO Box 2363 Elizabeth City, NC 27906 Anne.Buck@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the 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 Technical Assistance: Criminal Records Check- Ensuring all staff complete the required criminal record check process helps to protect children in the facility. All staff on site must have a criminal background check qualifying letter on file and available for review. One staff member, working in the front office, did not have a qualifying letter on file. You stated that the person is temporarily assisting at your facility until someone new is hired to work in the front office and that their file is housed at the other facility. The ABCMS was reviewed, and the person is currently qualified. Per our discussion, any staff, working in your building, must have verification of their qualifying letter stating that they are safe to be around the children in care. Ready to Go File – A Ready to Go file ensures that you have all the information you need to provide a safe environment for children in the event of an emergency. The Ready to Go File monitored today did not contain an Emergency Information form for the Center Manager. A list of the children with medical needs was located in the file, but copies of the children’s medical action plans were not in the file. Per our discussion, review the rule for the full list of all required information that must be included in the file. Electrical Outlets - Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. Two electrical outlets located in the space used for children who are ill did not have outlet covers. All electrical outlets, not in use, that are in areas accessible to children must be protected with an outlet cover. Per our discussion, staff must check outlets each day, in all areas used by the children, before children arrive to ensure there are no electrical hazards. Covers were placed on the outlets during the visit. Incident Reports and Log - You must now document every injury incurred while a child is in your care, including cuts, scrapes, bumps, and bitemarks. These incidents must be recorded on the incident report form supplied by the Division. The report must include all required information and be signed by the parent. The incident must then be logged on the facility incident report log and the completed report placed in the child’s file. The completed incident reports were located with the log but had not been filed in the children’s files. You stated that you were not aware that they must be filed in the children’s file. The incident reports were placed in the files during the visit. Transportation – When transporting children, their safety is the highest priority. Vehicles used to transport children enrolled in child care centers must comply with all applicable State and federal laws and regulations. This includes having documentation of the vehicle’s registration available for review. The registration card verifies that the vehicle has been inspected and is safe to transport children. Documentation of registration for the large school bus was not available for review. You stated that, when you contacted the main office to obtain a copy, it was discovered that the vehicle had not been inspected since 2022. Per our discussion, the vehicle cannot be used to transport children until an inspection has been completed and the vehicle has been verified as safe to transport children. A substitute bus was brought which met all requirements and the facility was able to use it for today. Additional Technical Assistance: Early Childhood Environment Rating Scale – Technical assistance was shared with you on how to use the ECERS-R tool to self-evaluate your facility as you prepare for your next rated license assessment. Together we reviewed how each item is scored and how to use the scoring sheet at the back of the book to review your classrooms. Per our discussion, reviewing the items used for scoring can help providers to be less anxious and more prepared for the assessment. Consider working through the book in sections at staff meetings. Your local partnership may also be able to assist you as you prepare. Medications - Administering medication requires skill, knowledge, and careful attention to detail. Remember, before accepting medication from a parent, you must have: 1. The medication in the original pharmacy box with all the required information. Make sure the expiration date on the box matches the date on the medication. 2. A Medical Action Plan completed by a physician attached to the child’s application in their file and in the Ready to Go file. 3. Written permission to administer the medication, with complete instructions for how and when the medication is to be administered and signed by the parent. You would use the long form for chronic conditions for this type of medication. Before receiving any medication from a parent, you must carefully review the medication, the pharmacy box, the medical action plan, and the permission to administer forms to ensure everything is correct and all information matches. Consider creating a checklist to complete each time medication is brought to the facility to help staff verify they have all the required information. Provider Access to ABCMS - Beginning February 1, child care administrators can access the Automated Background Check Management System (ABCMS) This access will allow providers to: •See the real-time background check status of staff members. •Run a printable report of the staff roster to assist with compliance visits. •See new background check applicants and add to staff roster. Access to the ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. All staff must register their criminal background check with your license number. The date of the registration must be documented on your Staff and Training Worksheet to verify that this has been completed. Staff who move from one facility to another, can register with multiple facilities. This helps to ensure that, if a provider becomes disqualified, you will be notified. Funding Opportunity to Address Asbestos and Lead Based Pant - The NCDHHS, Health Hazards Control Unit (HHCU) is providing a presentation regarding the American Rescue Plan Act (ARPA) Reimbursement Program for NC Licensed Child Care Centers and Family Child Care Homes. Under the ARPA Reimbursement Program licensed facilities can be reimbursed up to 100% for eligible expenses related to asbestos or lead-based paint abatement or remediation activities. Funding for reimbursement will be available until December 31, 2026, or until it is depleted, whichever comes first. For more information, you can attend one of the 2 information meetings being held on 2/5/24 at 1:00 pm and again at 7:00 pm. To log into the meeting, see the Raise NC Weekly Newsletter sent on 1/16/24 and click on the Zoom link provided. The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor, contact 1-888-600-1685 option 1. New Pathways to the Early Childhood Education Profession – Early educators now have multiple options to achieve higher education. •Staff can earn a no-cost nationally recognized Child Development Associate® (CDA) certificate through a free Professional Development Teacher Membership from Teaching Strategies. Courses are offered in English and Spanish. In addition, a T.E.A.C.H. scholarship is available to cover the CDA book and assessment fees. •They could also choose to take the free online NC Early Childhood Equivalency Exam on DCDEE Moodle to earn the North Carolina Early Childhood Equivalency Certificate. This certificate is equivalent to the EDU 119 college course for star rated license evaluation. •A third options for staff is to turn their training and experience into a degree in Early Childhood Education. Providers can submit a Credit for Prior Learning portfolio to receive up to nine community college ECE credits for your early childhood knowledge and skills from participating NC Community Colleges. Credits can be applied toward the newly created Early Childhood Workforce Certificate, Early Childhood Education Diploma, Certificate and/or an Associate in Applied Science (AAS) Degree in Early Childhood Education. See the Raise North Carolina email blast from 9/1/23 for links to more information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If I may be of further assistance, please contact me by phone at 252-333-2084 or Jennifer Linhardt, Licensing Supervisor, may also be contacted at (252) 373-4199. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: PAMLICO CHILD DEVELOPMENT CENTER Facility ID: 69000055 Consultant: LAKISHA SKINNER Operation Type: Center Case Number: Visit Date: 10/13/2023 Number Present: 28 Completed Date: 10/13/2023 Age: From 3 To 4 Total Minutes: 180 Time In: 08:45 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced * The purpose of today’s Annual Compliance visit was to monitor applicable childcare requirements. Your program currently operates with a five-star license, issued 4/30/21, earning 6 points in the education component, 7 points in the program standards component and 1 quality point for meeting a programmatic option. The last annual compliance visit was conducted 11/9/22. The sanitation inspection was completed on 10/11/23 with a “Superior” classification. The last fire inspection was conducted 11/21/22. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-eight percent as of 10/12/23. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. The NC Secretary of State website was reviewed on 10/12/23 and Coastal Community Action, INC was listed as current- active. Children throughout the center were engaged in free play, routines, and transitions. Breakfast included biscuits, apple sauce, and milk. Proper hand washing was observed. The outdoor space included stationary and portable equipment to engage in gross motor activities. One (1) violation was observed and corrected during the visit requiring no further action. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two (2) uncovered electrical outlets were observed in Space 4 behind the computer monitor used by the children. One (1) open electrical outlet was observed in Space 6 near the locked cabinets on the wall by the hand washing sinks. 10A NCAC 09 .0604(c) * TECHNICAL ASSISTANCE FOR THE DOCUMENTED VIOLATION: Electrical Outlets- Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. For this reason, all electrical outlets, including those on power strips, not in use that are in areas accessible to children must be protected with a safety plug or a tamper-resistant electrical outlet. Two (2) uncovered electrical outlets were observed in Space 4 behind the computer monitor used by the children. One (1) open electrical outlet was observed in Space 6 near the locked cabinets on the wall by the hand washing sinks. You covered the outlets during during today's visit. Taping a reminder on the wall over each socket and power stick can serve as a reminder to add the safety cover when not in use or have the wall plate on the socket replaced with a tamper resistant electrical outlet. ADDITIONAL COMMENTS: Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. The Pamlico Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 745-7850 or check out their website at www.pamlicopartnership.org. Child Care Immunization Report – This year’s Child Care Immunization Reports are due by midnight on Wednesday November 1, 2023, and will not be accepted after that date. Failure to submit an annual child care immunization report per G.S. 130A-155 will be reported to the Local Health Director for your county. Go to https://survey.alchemer.com/s3/7488181/Child-Care-Immunization-Report-2023-2024 to find instruction, a helpful worksheet, and a guide to submitting your report through the online portal. If you have any questions about the Child Care Immunization Report, please email Immunization.Reports@dhhs.nc.gov or call 919-707-5595. Self-Service License Fee Coming in November - This fall DCDEE will use the ABCMS portal to offer a new way to manage the annual license fee*. Instead of watching your mailbox for a paper invoice, you’ll be emailed an invoice directly from ABCMS. Concerned you’ll miss or lose the invoice? Don’t worry. You’ll be able to download/print invoices and submit online payments all within the same ABCMS portal. Operators and administrators will sign in to ABCMS using your business NCID credentials. If you don’t have a business NCID account, register one at https://ncid.nc.gov/. *Annual license fees do not apply to state or public-school operated child care facilities, or to religious sponsored facilities operated pursuant to a Notice of Compliance. New Sanitation Rules - DCDEE and the Department of Public Health have received feedback from child care programs that additional guidance would be helpful in implementing the child care sanitation rules that the Public Health Commission readopted effective July 1, 2023. Please know that no demerits will be taken for new requirements of these rules until January 2024. Until then, DPH and DCDEE will work together to make sure NC child care centers have the necessary training, technical assistance, and operational support needed to meet the new requirements. The NC Early Childhood Credential Equivalency Exam is another pathway option comparable to a NC Early Childhood Credential. This equivalency exam assesses the foundations of culturally responsive, equitable and inclusive early childhood education, planning intentional developmentally appropriate experiences, learning activities, and teaching strategies for indoor and outdoor environments for all young children, guidance techniques, and professionalism. 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 DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Lakisha Skinner, Child Care Consultant, 252-820-5976, Lakisha.Skinner@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.