Angelic Angels Child Care

NC GS 110-90 · Violation

Name of Operation: Angelic Angels Child Care Facility ID: 74000953 Consultant: MEGAN BROWN Operation Type: Family CC Home Case Number: Visit Date: 8/5/2025 Number Present: 1 Completed Date: 8/5/2025 Age: From 1 To 1 Total Minutes: 115 Time In: 09:35 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. A. Villarreal, operator assisted me with the visit. Your program currently operates with a four-star license, issued 2/16/2025 earning 7 points in the education component, 2 points in the program standards component and 1 quality point for infant capacity restricted to no more than two children under one year of age. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-five percent as of 8/4/25. The NC Secretary of State website was reviewed on 8/4/25 and your family child care home is not owned by a corporation. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website. The information is current. Contact me anytime you need to make any changes to your contact information, e.g., phone numbers, mailing address. I visited indoor and outdoor spaces of your family child care home. You were caring for child in the room designated for child care. The child was observed during free play and coloring with crayons on construction paper. You engaged in back and forth conversation with the child encouraging language including counting. A fenced outdoor playground space is located at the back of the home. Lunch was observed and included chicken strips, corn, applesauce, wheat bread and milk. The following violations were documented. Violation Number Comment Rule 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. There was two active ant hills near the seesaw. .1719(a)(1)&(17) 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. There were two cans of paint stored in an unlocked cabinet under the kitchen sink. .1719 (a)(7) – 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 August 19. 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware 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: Megan Brown, Child Care Consultant PO BOX 3187 Greenville, NC 27836 Megan.Brown@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 regarding violations: Safe Environment: Building and physical premises safety refers to actively identifying and mitigating potential hazards within a building or outdoor space that could cause bodily harm. By implementing preventative measures and safety protocols to protect individuals on the premises the risk of injury is reduced. Today there were two active ant hills on the playground and two cans of paint were stored in an unlocked cabinet below the kitchen sink. You stated you would remove the paint cans and have the ant hills treated with spray. Additional Comments: As DCDEE transitions to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition will begin soon with the following informational opportunities: August 18th 6:30pm August 20th at 1:00pm Please make time to attend one of the information sessions. Visit the QRIS Modernization page on the DCDEE website to learn more on the Pathways we reviewed during todays visit. Reminders: 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 or to submit a question visit https://docs.google.com/forms/d/e/1FAIpQLSc-4ADUCpoHc9MrxFvD15H12AwsNWbUtWEJRXW38q_41Y3hzA/viewform The Martin-Pitt 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) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@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 .1720 · Violation

Name of Operation: Angelic Angels Child Care Facility ID: 74000953 Consultant: MEGAN BROWN Operation Type: Family CC Home Case Number: Visit Date: 3/27/2025 Number Present: 6 Completed Date: 3/27/2025 Age: From 1 To 4 Total Minutes: 130 Time In: 11:15 AM Time Out: 01:25 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A. Villarreal, operator assisted me with today’s visit. Your program currently operates with a four-star license, issued 2/16/2025 earning 7 points in the education component, 2 points in the program standards component and 1 quality point for restricting Infant capacity to no more than two children under one year of age. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-two percent as of 3/21/25. The NC Secretary of State website was reviewed on 3/21/2025 and your family child care home is not owned by a corporation. 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 license was posted, and the restrictions were in compliance. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You were caring for six children in the designated child care space. Children were observed eating lunch and transitioning to rest time. Children rested on linen cover cots while soft music played. Today’s lunch included corn dogs, corn, sliced bread, applesauce and milk. The violations are as follows: Violation Number Comment Rule 1401 Prescribed medications were not stored in their original containers in which they are dispensed with the pharmacy label. A Ventolin HFA inhaler stored in a kitchen cabinet above five feet was not in the original container with a pharmacy label. 10A NCAC 09 .1720(c)(1)&(2) 1406 Authorization for up to 6 months to administer prescription or over-the-counter medication, when needed, for chronic medical conditions and for allergic reactions was not in writing and did not contain information required by rule 10 NCAC 09 .1720(c)(6)(A-I). Authorization was not on file for two epi-pens stored in a cabinet above five feet in the kitchen area. 10A NCAC 09 .1720(b)(4) 1920 Indoor and outdoor area was not checked daily for debris, vandalism, broken equipment, and animal waste. The steps of the portable climber are cracked, the fabric top of the playhouse is torn, and there was two pieces of plastic debris. .1719(a)(17) 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 April 10, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware 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: Megan Brown, Child Care Consultant PO BOX 3187 Greenville, NC 27836 Megan.Brown@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 was provided on the following: Medication Authorization- Administering medication requires skill, knowledge and careful attention to detail. Parents/guardians and prescribing health professionals must give a caregiver/teacher written authorization to administer medication to the child. Caregivers/teachers must be diligent in their adherence to the medication administration policy and procedures to prevent any inadvertent medication errors, which may be harmful to the child. There is always a risk that a child may have a negative reaction to a medication, and children should be monitored for serious side effects that may require an emergency response. Medication authorization was not on file for two epi-pens and a Ventolin inhaler. During the visit you provided one parent with the permission form to complete. Medication can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. Prescribed medications should 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). We discussed getting the original box with a pharmacy label for the Ventolin inhaler. Outdoor Environment: The outdoor learning environment offers a sense of freedom for children. Children can play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. The steps of the portable climber are cracked, the fabric top of the playhouse is torn, and there was two pieces of plastic debris. Additional Comments: ABCMS: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. You have already completed the ABCMS training. To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. A certificate will be issued upon successful completion of the test. Email the certificate and Powerform along with your full name, position and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. You inquired about adding transportation. We reviewed the transportation requirements in section .1723 of the child care rules. In addition, you will need to update your written plan of care and operational policies to include your transportation. We discussed adding an additional caregiver to your family child care home. I provided you with the file checklist for an additional caregiver during today’s visit. Prior to the individual’s start date ensure the required documents are on file. NCID: Did you know that if you do not login on any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. When you change your current password after Feb. 23, however, you will be required to create a new one that must: • Be a minimum of 14 characters. • Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. • Passwords shall not contain number or character substitutes to create dictionary words (e.g., d33psl33p for deepsleep). Public Notice: QRIS Modernization Proposed Rule This set of rules is proposed for adoption and amendment by the N.C. Child Care Commission in response to Session Laws 2023-40 and 2024-34 regarding the modernization of the state’s Quality Rating Improvement System (QRIS). QRIS is based on a star-rating licensing system that applies to child care centers and family child care homes that meet all minimum child care requirements which include but are not limited to health and safety standards and those who voluntarily choose to meet higher standards. You can access the Proposed Amendments and Adoption on the Division’s website under the “What’s New” tab visit QRIS Modernization. Public comments ends April 4, 2025. Reminders: The Martin-Pitt 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) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@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: Angelic Angels Child Care Facility ID: 74000953 Consultant: MEGAN BROWN Operation Type: Family CC Home Case Number: Visit Date: 3/27/2025 Number Present: 6 Completed Date: 3/27/2025 Age: From 1 To 4 Total Minutes: 130 Time In: 11:15 AM Time Out: 01:25 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A. Villarreal, operator assisted me with today’s visit. Your program currently operates with a four-star license, issued 2/16/2025 earning 7 points in the education component, 2 points in the program standards component and 1 quality point for restricting Infant capacity to no more than two children under one year of age. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-two percent as of 3/21/25. The NC Secretary of State website was reviewed on 3/21/2025 and your family child care home is not owned by a corporation. 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 license was posted, and the restrictions were in compliance. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You were caring for six children in the designated child care space. Children were observed eating lunch and transitioning to rest time. Children rested on linen cover cots while soft music played. Today’s lunch included corn dogs, corn, sliced bread, applesauce and milk. The violations are as follows: Violation Number Comment Rule 1401 Prescribed medications were not stored in their original containers in which they are dispensed with the pharmacy label. A Ventolin HFA inhaler stored in a kitchen cabinet above five feet was not in the original container with a pharmacy label. 10A NCAC 09 .1720(c)(1)&(2) 1406 Authorization for up to 6 months to administer prescription or over-the-counter medication, when needed, for chronic medical conditions and for allergic reactions was not in writing and did not contain information required by rule 10 NCAC 09 .1720(c)(6)(A-I). Authorization was not on file for two epi-pens stored in a cabinet above five feet in the kitchen area. 10A NCAC 09 .1720(b)(4) 1920 Indoor and outdoor area was not checked daily for debris, vandalism, broken equipment, and animal waste. The steps of the portable climber are cracked, the fabric top of the playhouse is torn, and there was two pieces of plastic debris. .1719(a)(17) 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 April 10, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware 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: Megan Brown, Child Care Consultant PO BOX 3187 Greenville, NC 27836 Megan.Brown@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 was provided on the following: Medication Authorization- Administering medication requires skill, knowledge and careful attention to detail. Parents/guardians and prescribing health professionals must give a caregiver/teacher written authorization to administer medication to the child. Caregivers/teachers must be diligent in their adherence to the medication administration policy and procedures to prevent any inadvertent medication errors, which may be harmful to the child. There is always a risk that a child may have a negative reaction to a medication, and children should be monitored for serious side effects that may require an emergency response. Medication authorization was not on file for two epi-pens and a Ventolin inhaler. During the visit you provided one parent with the permission form to complete. Medication can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. Prescribed medications should 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). We discussed getting the original box with a pharmacy label for the Ventolin inhaler. Outdoor Environment: The outdoor learning environment offers a sense of freedom for children. Children can play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. The steps of the portable climber are cracked, the fabric top of the playhouse is torn, and there was two pieces of plastic debris. Additional Comments: ABCMS: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. You have already completed the ABCMS training. To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. A certificate will be issued upon successful completion of the test. Email the certificate and Powerform along with your full name, position and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. You inquired about adding transportation. We reviewed the transportation requirements in section .1723 of the child care rules. In addition, you will need to update your written plan of care and operational policies to include your transportation. We discussed adding an additional caregiver to your family child care home. I provided you with the file checklist for an additional caregiver during today’s visit. Prior to the individual’s start date ensure the required documents are on file. NCID: Did you know that if you do not login on any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. When you change your current password after Feb. 23, however, you will be required to create a new one that must: • Be a minimum of 14 characters. • Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. • Passwords shall not contain number or character substitutes to create dictionary words (e.g., d33psl33p for deepsleep). Public Notice: QRIS Modernization Proposed Rule This set of rules is proposed for adoption and amendment by the N.C. Child Care Commission in response to Session Laws 2023-40 and 2024-34 regarding the modernization of the state’s Quality Rating Improvement System (QRIS). QRIS is based on a star-rating licensing system that applies to child care centers and family child care homes that meet all minimum child care requirements which include but are not limited to health and safety standards and those who voluntarily choose to meet higher standards. You can access the Proposed Amendments and Adoption on the Division’s website under the “What’s New” tab visit QRIS Modernization. Public comments ends April 4, 2025. Reminders: The Martin-Pitt 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) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@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: Angelic Angels Child Care Facility ID: 74000953 Consultant: MEGAN BROWN Operation Type: Family CC Home Case Number: Visit Date: 3/27/2025 Number Present: 6 Completed Date: 3/27/2025 Age: From 1 To 4 Total Minutes: 130 Time In: 11:15 AM Time Out: 01:25 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A. Villarreal, operator assisted me with today’s visit. Your program currently operates with a four-star license, issued 2/16/2025 earning 7 points in the education component, 2 points in the program standards component and 1 quality point for restricting Infant capacity to no more than two children under one year of age. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-two percent as of 3/21/25. The NC Secretary of State website was reviewed on 3/21/2025 and your family child care home is not owned by a corporation. 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 license was posted, and the restrictions were in compliance. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You were caring for six children in the designated child care space. Children were observed eating lunch and transitioning to rest time. Children rested on linen cover cots while soft music played. Today’s lunch included corn dogs, corn, sliced bread, applesauce and milk. The violations are as follows: Violation Number Comment Rule 1401 Prescribed medications were not stored in their original containers in which they are dispensed with the pharmacy label. A Ventolin HFA inhaler stored in a kitchen cabinet above five feet was not in the original container with a pharmacy label. 10A NCAC 09 .1720(c)(1)&(2) 1406 Authorization for up to 6 months to administer prescription or over-the-counter medication, when needed, for chronic medical conditions and for allergic reactions was not in writing and did not contain information required by rule 10 NCAC 09 .1720(c)(6)(A-I). Authorization was not on file for two epi-pens stored in a cabinet above five feet in the kitchen area. 10A NCAC 09 .1720(b)(4) 1920 Indoor and outdoor area was not checked daily for debris, vandalism, broken equipment, and animal waste. The steps of the portable climber are cracked, the fabric top of the playhouse is torn, and there was two pieces of plastic debris. .1719(a)(17) 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 April 10, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware 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: Megan Brown, Child Care Consultant PO BOX 3187 Greenville, NC 27836 Megan.Brown@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 was provided on the following: Medication Authorization- Administering medication requires skill, knowledge and careful attention to detail. Parents/guardians and prescribing health professionals must give a caregiver/teacher written authorization to administer medication to the child. Caregivers/teachers must be diligent in their adherence to the medication administration policy and procedures to prevent any inadvertent medication errors, which may be harmful to the child. There is always a risk that a child may have a negative reaction to a medication, and children should be monitored for serious side effects that may require an emergency response. Medication authorization was not on file for two epi-pens and a Ventolin inhaler. During the visit you provided one parent with the permission form to complete. Medication can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. Prescribed medications should 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). We discussed getting the original box with a pharmacy label for the Ventolin inhaler. Outdoor Environment: The outdoor learning environment offers a sense of freedom for children. Children can play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. The steps of the portable climber are cracked, the fabric top of the playhouse is torn, and there was two pieces of plastic debris. Additional Comments: ABCMS: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. You have already completed the ABCMS training. To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. A certificate will be issued upon successful completion of the test. Email the certificate and Powerform along with your full name, position and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. You inquired about adding transportation. We reviewed the transportation requirements in section .1723 of the child care rules. In addition, you will need to update your written plan of care and operational policies to include your transportation. We discussed adding an additional caregiver to your family child care home. I provided you with the file checklist for an additional caregiver during today’s visit. Prior to the individual’s start date ensure the required documents are on file. NCID: Did you know that if you do not login on any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. When you change your current password after Feb. 23, however, you will be required to create a new one that must: • Be a minimum of 14 characters. • Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. • Passwords shall not contain number or character substitutes to create dictionary words (e.g., d33psl33p for deepsleep). Public Notice: QRIS Modernization Proposed Rule This set of rules is proposed for adoption and amendment by the N.C. Child Care Commission in response to Session Laws 2023-40 and 2024-34 regarding the modernization of the state’s Quality Rating Improvement System (QRIS). QRIS is based on a star-rating licensing system that applies to child care centers and family child care homes that meet all minimum child care requirements which include but are not limited to health and safety standards and those who voluntarily choose to meet higher standards. You can access the Proposed Amendments and Adoption on the Division’s website under the “What’s New” tab visit QRIS Modernization. Public comments ends April 4, 2025. Reminders: The Martin-Pitt 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) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@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 09.1721 · Violation

Name of Operation: Angelic Angels Child Care Facility ID: 74000953 Consultant: LAKISHA SKINNER Operation Type: Family CC Home Case Number: Visit Date: 10/9/2024 Number Present: 3 Completed Date: 10/9/2024 Age: From 1 To 3 Total Minutes: 220 Time In: 08:50 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced * The purpose of today's visit was to monitor your program for compliance with all applicable child care requirements during the first temporary time period visit (TTP). You, Angelicia Villareal, Owner/Operator, assisted me with the visit. This facility was issued a temporary license on August 15, 2024, providing first and second shift care. 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. Reprint - You indicated during today's visit that an "R" was missing in your last name on the Temporary License printed and issued on August 15, 2024. I corrected it, reprinted and re-issued the permit during today's visit. A walk through of the entire facility was completed. I observed the indoor and outdoor environment and completed a full assessment of the licensed space. Children were observed engaged in free play activities and personal care routines. The outdoor play area provided additional space and materials to promote physical development and gross motor skills. Lunch was observed today, and it included chicken nuggets, French fries, mixed fruit, and milk. Rated License - You were reminded a compliance history score of seventy five percent or above must be maintained in order to receive a rated license. You indicated you are not requesting the Family Childcare Home Environment Rating Scale Assessment. The Initial Application for Assessment for a Two Component Star Rated License was completed and signed today. For continued eligibility in the subsidized child care program, you must achieve a three star or higher rated license at the end of the temporary licensed period. Program Standards - Documents regarding the self-study that is required for programs choosing to earn higher points towards a star rated license were provided to you during the August 15, 2024 Initial Assessment visit. We reviewed the documents and discussed that the process is represented for a 3-month timeframe. Continue working on the self-study for completion by the end of the Temporary Time Period. Education Standards - You have already submitted information to the DCDEE WORKS System and have been evaluated. Based on your education (AAS in ECE) your facility will be eligible for 7 out of 7 points in education. We discussed the quality point options. Quality Point - You have opted to meet the following Program Option- Serve no more than two infants under age one. The following violations were documented. Violation Number Comment Rule 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification. The operator's First Aid certification expired on 9/20/2024 and has not been renewed to date. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. The operator's CPR certification expired on 9/20/2024 and has not been renewed to date. .1703(a)(3) 542 When screen time was provided, it was not offered to stimulate a developmental domain in accordance with NC Foundations for Early Learning and Development. Three (3) children ages 1-3 years old were watching an episode of Paw Patrol. The operator indicated the children were watching as they ate breakfast. .1718(b)(1) 543 Screen time was not prohibited for children under the age of three. The operator did not offer alternative activities for children under the age of three years. Children ranging on age from 1-3 years old were watching an episode of Paw Patrol. .1718(c) 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. A aerosol can of Lysol Air Sanitizer was stored on a high shelf above the changing table. .1719 (a)(7) 714 Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division. A monthly check for hazards on the outdoor play area was not completed for August 2024 or September 2024. 10A NCAC .1721(e)(5)(A-F) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. Three children enrolled on August 26, 2024 do not have a health assessment on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1853 The operator did not conduct a monthly fire drill. A fire drill was not conducted in August 2024 or September 2024. .1719(a)(15) & .1721( e)(2) 2035 Operator did not document screen time on a cumulative log or activity plan and/or it was not available for review. The operator did not have documentation of screen time available for review. .1718(b)(3) * Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 10/23/24, 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: Lakisha Skinner, Child Care Consultant PO BOX 431 Grimesland, NC 27837 Lakisha.Skinner@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 WITH THE DOCUMENTED VIOLATION (S): 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 acknowledgements. This information is the basis for meeting each child's physical, emotional, cognitive and social needs. When enrolling children into the facility, medical and immunization reports must be received within 30 days of the enrollment date. Three out of the ten children enrolled in August do not have a medical report on file. You indicated all three children are from the same household and you have spoken with the parent but have not received the reports. Best practice is to receive medical reports prior to enrollment. CPR & FA - To ensure the health and safety of children in a child care setting, all staff providing direct care must be qualified to respond to life-threatening emergencies. All staff trained in pediatric first aid, including pediatric CPR can mitigate the consequences of injury, and reduce the potential for death from life-threatening conditions. The CPR & FA card on file for the operator expired on September 20, 2024. You indicated that you serve children or first and second shifts and were unable until recently to find a class offered on the weekend. Knowledge of pediatric first aid, including pediatric CPR which addresses management of a blocked airway and rescue breathing, and the confidence to use these skills, are critically important to the outcome of an emergency situation. Screen Time - The first two years of life are critical periods of growth and development for children’s brains and bodies, and rapid brain development continues through the early childhood years. During today’s visit, three children were present and one of the children was younger than three-years of age. The children were in the designated child care space of the family child care home watching an episode of Paw Patrol. Screen time for children under three-years of age is prohibited. You indicated you allow the children to watch television during breakfast. To best develop a child’s cognitive, language, motor, and social-emotional skills, toddlers need hands-on exploration and social interaction with their caregiver. When screen time is being offered plan developmentally appropriate activities for your toddlers. When limited screen time is used by children three years of age or older, co-viewing and co-teaching with an engaged adult promotes more effective learning and development. Many children have easy access to digital screens such as computers, tablets, TVs, or smartphones for both education and entertainment. When children spend too much time looking at screens, they can experience eye fatigue, dry eyes, or blurry vision. Also, too much or poor-quality screen time for children can lead to obesity, irregular sleep schedules and shorter duration of sleep, behavioral problems, loss of social skills, violence and less time for play. Children three years old and older should have screen time for no more than thirty minutes per day no more than a total of two and a half hours per week, per child; and it must be documented on a cumulative log or the activity plan as long as the content is age appropriate. Storage of Hazardous Products - Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. An aerosol can of Lysol Air Sanitizer was observed on a high shelf located in the designated childcare space. You did not indicate why the aerosol can was stored there. All aerosol cans are highly flammable and present a hazard because of the compressed gas used as a propellant. If punctured, the contents may be released so forcefully that injuries can result. All aerosols must be kept in locked storage. Locked storage rooms and cabinets include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices must be kept out of the reach of a child and must not be stored in the lock. Outdoor Inspections - Outdoor inspections must be completed and documented monthly on the Outdoor Inspection Checklist for Family Child Care Homes form. Documentation of the completion of a monthly outdoor inspection was not on file for the months of August and September 2024. The monthly checklist must be maintained for 12 months in your files. You indicated you forgot. Completing your fire drill and monthly playground inspections on the same day is a great way to ensure compliance with this requirement. Fire Drills - Facilities must develop a plan for responding in the event of a fire in or near the facility that includes your responsibilities and protocols regarding evacuation and notifying emergency personnel and families. Documentation of the completion of a fire drill for the months of August and September 2024 was not available for review. You indicated you forgot. Planning drills on your activity plan each month will help to ensure they are completed within required timeframes. Additional Comments/ Reminders: Be knowledgeable of the child care laws and rules, review the with your center staff, and assist your staff with maintaining compliance with the laws and rules. The most recent version of laws and rules regarding child care facilities in North Carolina are available on the DCDEE website, https://ncchildcare.ncdhhs.gov/. The Martin-Pitt 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) 758-8885 or check out their website at www.mppfc.org. A. Slade, Regional Family Child Care Consultant can provide technical assistance on topics related to business practices and professional development. Ms. Slade can be reached at (252) 758-8885 or aslade@mppfc.org. K. Coulter, Child Care Health Consultant can provide training and technical assistance on topics related to health and safety such as sanitation, handwashing, diapering, illness policies, etc. Ms. Coulter can be reached at (252) 902-2357 or kristy.coulter@pittcountync.gov. Southwestern Child Development Commission https://www.swcdcinc.org/ offers a variety of online courses and trainings, including BSAC. We discussed this site being a resource for completing on-going training hours, BSAC, and orientation. 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. NITTO - The Birth-to-Three Quality Initiative and DCDEE are offering a New Infant Toddler Teacher Orientation (NITTO). * Free online format, with 14 credit hours upon completion * Comprehensive training completed in 7 weeks * Practical knowledge that you can apply in a birth-to-three classroom Understand your value as a birth-to-three teacher and ways to care for yourself while caring for our youngest. Find the course at dcdee.moodle.nc.gov. Individuals will need to have an NCID to access the Moodle site. 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. Unannounced Visits - I will conduct one additional temporary time period visit. Ensure you document updates on your verification of required information for operator form for future monitoring. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at (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

GS 110-91 · Violation

Name of Operation: Angelic Angels Child Care Facility ID: 74000953 Consultant: LAKISHA SKINNER Operation Type: Family CC Home Case Number: Visit Date: 10/9/2024 Number Present: 3 Completed Date: 10/9/2024 Age: From 1 To 3 Total Minutes: 220 Time In: 08:50 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced * The purpose of today's visit was to monitor your program for compliance with all applicable child care requirements during the first temporary time period visit (TTP). You, Angelicia Villareal, Owner/Operator, assisted me with the visit. This facility was issued a temporary license on August 15, 2024, providing first and second shift care. 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. Reprint - You indicated during today's visit that an "R" was missing in your last name on the Temporary License printed and issued on August 15, 2024. I corrected it, reprinted and re-issued the permit during today's visit. A walk through of the entire facility was completed. I observed the indoor and outdoor environment and completed a full assessment of the licensed space. Children were observed engaged in free play activities and personal care routines. The outdoor play area provided additional space and materials to promote physical development and gross motor skills. Lunch was observed today, and it included chicken nuggets, French fries, mixed fruit, and milk. Rated License - You were reminded a compliance history score of seventy five percent or above must be maintained in order to receive a rated license. You indicated you are not requesting the Family Childcare Home Environment Rating Scale Assessment. The Initial Application for Assessment for a Two Component Star Rated License was completed and signed today. For continued eligibility in the subsidized child care program, you must achieve a three star or higher rated license at the end of the temporary licensed period. Program Standards - Documents regarding the self-study that is required for programs choosing to earn higher points towards a star rated license were provided to you during the August 15, 2024 Initial Assessment visit. We reviewed the documents and discussed that the process is represented for a 3-month timeframe. Continue working on the self-study for completion by the end of the Temporary Time Period. Education Standards - You have already submitted information to the DCDEE WORKS System and have been evaluated. Based on your education (AAS in ECE) your facility will be eligible for 7 out of 7 points in education. We discussed the quality point options. Quality Point - You have opted to meet the following Program Option- Serve no more than two infants under age one. The following violations were documented. Violation Number Comment Rule 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification. The operator's First Aid certification expired on 9/20/2024 and has not been renewed to date. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. The operator's CPR certification expired on 9/20/2024 and has not been renewed to date. .1703(a)(3) 542 When screen time was provided, it was not offered to stimulate a developmental domain in accordance with NC Foundations for Early Learning and Development. Three (3) children ages 1-3 years old were watching an episode of Paw Patrol. The operator indicated the children were watching as they ate breakfast. .1718(b)(1) 543 Screen time was not prohibited for children under the age of three. The operator did not offer alternative activities for children under the age of three years. Children ranging on age from 1-3 years old were watching an episode of Paw Patrol. .1718(c) 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. A aerosol can of Lysol Air Sanitizer was stored on a high shelf above the changing table. .1719 (a)(7) 714 Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division. A monthly check for hazards on the outdoor play area was not completed for August 2024 or September 2024. 10A NCAC .1721(e)(5)(A-F) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. Three children enrolled on August 26, 2024 do not have a health assessment on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1853 The operator did not conduct a monthly fire drill. A fire drill was not conducted in August 2024 or September 2024. .1719(a)(15) & .1721( e)(2) 2035 Operator did not document screen time on a cumulative log or activity plan and/or it was not available for review. The operator did not have documentation of screen time available for review. .1718(b)(3) * Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 10/23/24, 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: Lakisha Skinner, Child Care Consultant PO BOX 431 Grimesland, NC 27837 Lakisha.Skinner@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 WITH THE DOCUMENTED VIOLATION (S): 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 acknowledgements. This information is the basis for meeting each child's physical, emotional, cognitive and social needs. When enrolling children into the facility, medical and immunization reports must be received within 30 days of the enrollment date. Three out of the ten children enrolled in August do not have a medical report on file. You indicated all three children are from the same household and you have spoken with the parent but have not received the reports. Best practice is to receive medical reports prior to enrollment. CPR & FA - To ensure the health and safety of children in a child care setting, all staff providing direct care must be qualified to respond to life-threatening emergencies. All staff trained in pediatric first aid, including pediatric CPR can mitigate the consequences of injury, and reduce the potential for death from life-threatening conditions. The CPR & FA card on file for the operator expired on September 20, 2024. You indicated that you serve children or first and second shifts and were unable until recently to find a class offered on the weekend. Knowledge of pediatric first aid, including pediatric CPR which addresses management of a blocked airway and rescue breathing, and the confidence to use these skills, are critically important to the outcome of an emergency situation. Screen Time - The first two years of life are critical periods of growth and development for children’s brains and bodies, and rapid brain development continues through the early childhood years. During today’s visit, three children were present and one of the children was younger than three-years of age. The children were in the designated child care space of the family child care home watching an episode of Paw Patrol. Screen time for children under three-years of age is prohibited. You indicated you allow the children to watch television during breakfast. To best develop a child’s cognitive, language, motor, and social-emotional skills, toddlers need hands-on exploration and social interaction with their caregiver. When screen time is being offered plan developmentally appropriate activities for your toddlers. When limited screen time is used by children three years of age or older, co-viewing and co-teaching with an engaged adult promotes more effective learning and development. Many children have easy access to digital screens such as computers, tablets, TVs, or smartphones for both education and entertainment. When children spend too much time looking at screens, they can experience eye fatigue, dry eyes, or blurry vision. Also, too much or poor-quality screen time for children can lead to obesity, irregular sleep schedules and shorter duration of sleep, behavioral problems, loss of social skills, violence and less time for play. Children three years old and older should have screen time for no more than thirty minutes per day no more than a total of two and a half hours per week, per child; and it must be documented on a cumulative log or the activity plan as long as the content is age appropriate. Storage of Hazardous Products - Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. An aerosol can of Lysol Air Sanitizer was observed on a high shelf located in the designated childcare space. You did not indicate why the aerosol can was stored there. All aerosol cans are highly flammable and present a hazard because of the compressed gas used as a propellant. If punctured, the contents may be released so forcefully that injuries can result. All aerosols must be kept in locked storage. Locked storage rooms and cabinets include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices must be kept out of the reach of a child and must not be stored in the lock. Outdoor Inspections - Outdoor inspections must be completed and documented monthly on the Outdoor Inspection Checklist for Family Child Care Homes form. Documentation of the completion of a monthly outdoor inspection was not on file for the months of August and September 2024. The monthly checklist must be maintained for 12 months in your files. You indicated you forgot. Completing your fire drill and monthly playground inspections on the same day is a great way to ensure compliance with this requirement. Fire Drills - Facilities must develop a plan for responding in the event of a fire in or near the facility that includes your responsibilities and protocols regarding evacuation and notifying emergency personnel and families. Documentation of the completion of a fire drill for the months of August and September 2024 was not available for review. You indicated you forgot. Planning drills on your activity plan each month will help to ensure they are completed within required timeframes. Additional Comments/ Reminders: Be knowledgeable of the child care laws and rules, review the with your center staff, and assist your staff with maintaining compliance with the laws and rules. The most recent version of laws and rules regarding child care facilities in North Carolina are available on the DCDEE website, https://ncchildcare.ncdhhs.gov/. The Martin-Pitt 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) 758-8885 or check out their website at www.mppfc.org. A. Slade, Regional Family Child Care Consultant can provide technical assistance on topics related to business practices and professional development. Ms. Slade can be reached at (252) 758-8885 or aslade@mppfc.org. K. Coulter, Child Care Health Consultant can provide training and technical assistance on topics related to health and safety such as sanitation, handwashing, diapering, illness policies, etc. Ms. Coulter can be reached at (252) 902-2357 or kristy.coulter@pittcountync.gov. Southwestern Child Development Commission https://www.swcdcinc.org/ offers a variety of online courses and trainings, including BSAC. We discussed this site being a resource for completing on-going training hours, BSAC, and orientation. 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. NITTO - The Birth-to-Three Quality Initiative and DCDEE are offering a New Infant Toddler Teacher Orientation (NITTO). * Free online format, with 14 credit hours upon completion * Comprehensive training completed in 7 weeks * Practical knowledge that you can apply in a birth-to-three classroom Understand your value as a birth-to-three teacher and ways to care for yourself while caring for our youngest. Find the course at dcdee.moodle.nc.gov. Individuals will need to have an NCID to access the Moodle site. 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. Unannounced Visits - I will conduct one additional temporary time period visit. Ensure you document updates on your verification of required information for operator form for future monitoring. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at (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

NC GS 110-90 · Violation

Name of Operation: Angelic Angels Child Care Facility ID: 74000953 Consultant: LAKISHA SKINNER Operation Type: Family CC Home Case Number: Visit Date: 10/9/2024 Number Present: 3 Completed Date: 10/9/2024 Age: From 1 To 3 Total Minutes: 220 Time In: 08:50 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced * The purpose of today's visit was to monitor your program for compliance with all applicable child care requirements during the first temporary time period visit (TTP). You, Angelicia Villareal, Owner/Operator, assisted me with the visit. This facility was issued a temporary license on August 15, 2024, providing first and second shift care. 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. Reprint - You indicated during today's visit that an "R" was missing in your last name on the Temporary License printed and issued on August 15, 2024. I corrected it, reprinted and re-issued the permit during today's visit. A walk through of the entire facility was completed. I observed the indoor and outdoor environment and completed a full assessment of the licensed space. Children were observed engaged in free play activities and personal care routines. The outdoor play area provided additional space and materials to promote physical development and gross motor skills. Lunch was observed today, and it included chicken nuggets, French fries, mixed fruit, and milk. Rated License - You were reminded a compliance history score of seventy five percent or above must be maintained in order to receive a rated license. You indicated you are not requesting the Family Childcare Home Environment Rating Scale Assessment. The Initial Application for Assessment for a Two Component Star Rated License was completed and signed today. For continued eligibility in the subsidized child care program, you must achieve a three star or higher rated license at the end of the temporary licensed period. Program Standards - Documents regarding the self-study that is required for programs choosing to earn higher points towards a star rated license were provided to you during the August 15, 2024 Initial Assessment visit. We reviewed the documents and discussed that the process is represented for a 3-month timeframe. Continue working on the self-study for completion by the end of the Temporary Time Period. Education Standards - You have already submitted information to the DCDEE WORKS System and have been evaluated. Based on your education (AAS in ECE) your facility will be eligible for 7 out of 7 points in education. We discussed the quality point options. Quality Point - You have opted to meet the following Program Option- Serve no more than two infants under age one. The following violations were documented. Violation Number Comment Rule 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification. The operator's First Aid certification expired on 9/20/2024 and has not been renewed to date. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. The operator's CPR certification expired on 9/20/2024 and has not been renewed to date. .1703(a)(3) 542 When screen time was provided, it was not offered to stimulate a developmental domain in accordance with NC Foundations for Early Learning and Development. Three (3) children ages 1-3 years old were watching an episode of Paw Patrol. The operator indicated the children were watching as they ate breakfast. .1718(b)(1) 543 Screen time was not prohibited for children under the age of three. The operator did not offer alternative activities for children under the age of three years. Children ranging on age from 1-3 years old were watching an episode of Paw Patrol. .1718(c) 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. A aerosol can of Lysol Air Sanitizer was stored on a high shelf above the changing table. .1719 (a)(7) 714 Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division. A monthly check for hazards on the outdoor play area was not completed for August 2024 or September 2024. 10A NCAC .1721(e)(5)(A-F) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. Three children enrolled on August 26, 2024 do not have a health assessment on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1853 The operator did not conduct a monthly fire drill. A fire drill was not conducted in August 2024 or September 2024. .1719(a)(15) & .1721( e)(2) 2035 Operator did not document screen time on a cumulative log or activity plan and/or it was not available for review. The operator did not have documentation of screen time available for review. .1718(b)(3) * Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 10/23/24, 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: Lakisha Skinner, Child Care Consultant PO BOX 431 Grimesland, NC 27837 Lakisha.Skinner@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 WITH THE DOCUMENTED VIOLATION (S): 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 acknowledgements. This information is the basis for meeting each child's physical, emotional, cognitive and social needs. When enrolling children into the facility, medical and immunization reports must be received within 30 days of the enrollment date. Three out of the ten children enrolled in August do not have a medical report on file. You indicated all three children are from the same household and you have spoken with the parent but have not received the reports. Best practice is to receive medical reports prior to enrollment. CPR & FA - To ensure the health and safety of children in a child care setting, all staff providing direct care must be qualified to respond to life-threatening emergencies. All staff trained in pediatric first aid, including pediatric CPR can mitigate the consequences of injury, and reduce the potential for death from life-threatening conditions. The CPR & FA card on file for the operator expired on September 20, 2024. You indicated that you serve children or first and second shifts and were unable until recently to find a class offered on the weekend. Knowledge of pediatric first aid, including pediatric CPR which addresses management of a blocked airway and rescue breathing, and the confidence to use these skills, are critically important to the outcome of an emergency situation. Screen Time - The first two years of life are critical periods of growth and development for children’s brains and bodies, and rapid brain development continues through the early childhood years. During today’s visit, three children were present and one of the children was younger than three-years of age. The children were in the designated child care space of the family child care home watching an episode of Paw Patrol. Screen time for children under three-years of age is prohibited. You indicated you allow the children to watch television during breakfast. To best develop a child’s cognitive, language, motor, and social-emotional skills, toddlers need hands-on exploration and social interaction with their caregiver. When screen time is being offered plan developmentally appropriate activities for your toddlers. When limited screen time is used by children three years of age or older, co-viewing and co-teaching with an engaged adult promotes more effective learning and development. Many children have easy access to digital screens such as computers, tablets, TVs, or smartphones for both education and entertainment. When children spend too much time looking at screens, they can experience eye fatigue, dry eyes, or blurry vision. Also, too much or poor-quality screen time for children can lead to obesity, irregular sleep schedules and shorter duration of sleep, behavioral problems, loss of social skills, violence and less time for play. Children three years old and older should have screen time for no more than thirty minutes per day no more than a total of two and a half hours per week, per child; and it must be documented on a cumulative log or the activity plan as long as the content is age appropriate. Storage of Hazardous Products - Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. An aerosol can of Lysol Air Sanitizer was observed on a high shelf located in the designated childcare space. You did not indicate why the aerosol can was stored there. All aerosol cans are highly flammable and present a hazard because of the compressed gas used as a propellant. If punctured, the contents may be released so forcefully that injuries can result. All aerosols must be kept in locked storage. Locked storage rooms and cabinets include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices must be kept out of the reach of a child and must not be stored in the lock. Outdoor Inspections - Outdoor inspections must be completed and documented monthly on the Outdoor Inspection Checklist for Family Child Care Homes form. Documentation of the completion of a monthly outdoor inspection was not on file for the months of August and September 2024. The monthly checklist must be maintained for 12 months in your files. You indicated you forgot. Completing your fire drill and monthly playground inspections on the same day is a great way to ensure compliance with this requirement. Fire Drills - Facilities must develop a plan for responding in the event of a fire in or near the facility that includes your responsibilities and protocols regarding evacuation and notifying emergency personnel and families. Documentation of the completion of a fire drill for the months of August and September 2024 was not available for review. You indicated you forgot. Planning drills on your activity plan each month will help to ensure they are completed within required timeframes. Additional Comments/ Reminders: Be knowledgeable of the child care laws and rules, review the with your center staff, and assist your staff with maintaining compliance with the laws and rules. The most recent version of laws and rules regarding child care facilities in North Carolina are available on the DCDEE website, https://ncchildcare.ncdhhs.gov/. The Martin-Pitt 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) 758-8885 or check out their website at www.mppfc.org. A. Slade, Regional Family Child Care Consultant can provide technical assistance on topics related to business practices and professional development. Ms. Slade can be reached at (252) 758-8885 or aslade@mppfc.org. K. Coulter, Child Care Health Consultant can provide training and technical assistance on topics related to health and safety such as sanitation, handwashing, diapering, illness policies, etc. Ms. Coulter can be reached at (252) 902-2357 or kristy.coulter@pittcountync.gov. Southwestern Child Development Commission https://www.swcdcinc.org/ offers a variety of online courses and trainings, including BSAC. We discussed this site being a resource for completing on-going training hours, BSAC, and orientation. 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. NITTO - The Birth-to-Three Quality Initiative and DCDEE are offering a New Infant Toddler Teacher Orientation (NITTO). * Free online format, with 14 credit hours upon completion * Comprehensive training completed in 7 weeks * Practical knowledge that you can apply in a birth-to-three classroom Understand your value as a birth-to-three teacher and ways to care for yourself while caring for our youngest. Find the course at dcdee.moodle.nc.gov. Individuals will need to have an NCID to access the Moodle site. 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. Unannounced Visits - I will conduct one additional temporary time period visit. Ensure you document updates on your verification of required information for operator form for future monitoring. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at (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