Little Sunshines Academy

10A NCAC 09 .0304 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY Facility ID: 74000892 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 2/16/2026 Number Present: 61 Completed Date: 2/16/2026 Age: From 0 To 5 Total Minutes: 421 Time In: 08:44 AM Time Out: 03:07 PM Time In: 04:22 PM Time Out: 05:00 PM List to Use: Center 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. V. Colson, Director, assisted me with the visit. Your program currently operates with a five-star license, issued 11/13/21, earning 6 points in the education component, 6 points in the program standards component (meeting enhanced ratio and space) and 1 quality point for the programmatic option of staff benefits package and infrastructure of parent involvement. The last annual compliance visit was conducted 2/19/25. The sanitation inspection was completed 11/26/25 with a “Superior” classification. The last fire inspection was conducted 12/30/24 and your facility was approved for day time and night care. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty nine percent as of 2/06/26. The NC Secretary of State website was reviewed on 2/06/26 and Howard World Enterprises, LLC was listed as current- active. 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. Six groups were observed using the indoor learning environment. Children enrolled in space #1 engaged in tummy time and moved freely about the space. Children in spaces #2, # 3, #4, #5, and #6 engaged in group time, where children listened to the teacher read books, identified colors and shapes and reviewed sign language. Staff were observed leading group time, assisting children with materials and moving about the classroom space. Proper hand washing techniques were observed. Breakfast was observed and consisted of pancakes, bananas, and milk. The following violations 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 12/30/24. 10A NCAC 09 .0304(a) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Medication authorization form for a Ventolin HFA inhaler located in space #6, did not include a parent signature of date. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A certificate for the completion of Recognizing and Responding to Suspicions of Child Maltreatment training was not on file for staff employed on 2/19/24. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Staff employed 1/6/25 and 2/19/24 did not have certificates on file for all the health and safety trainings. .1102(a) 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 3/2/26, 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: Health and Safety Trainings- Child care providers who have direct responsibility for the care and oversight of children, including center administrators must complete health and safety trainings to comply with the NC Child Care Rules. All health and safety trainings must be completed within one year of employment. A certificate of completion of Recognizing and Responding to suspicions of child maltreatment training was not on file for staff employed on 2/19/24. A certificate of completion of Medication in Child Care training was not of file for staff employed on 2/19/24 and 1/6/25. It was reported that staff had completed to trainings but certificates could not be located during the visit. File certificated immediately and encourage staff member to keep a copy for their own records. Medication Authorization- All medications must be accompanied by written authorizations from parents with complete instructions for administration. Prescription medications must also be in the original container with the pharmacy label attached. Today, the authorization form for a Ventolin HFA inhaler did not include a parent signature. When medication is received, review the packaging, medical action plan, and authorization form to ensure all documents are complete and instructions are clear. Medication and authorization forms should be reviewed by the classroom staff and administrator. Review Child Care Rule .0803 for mediation requirements, share this information with your staff and periodically check behind them to ensure all requirements are met. Annual Fire Inspection- Fire inspections must be obtained annually. You reported that you thought an inspection was completed in July 2025. No records of a visit in July could be located. You were able to request an inspection during the visit. I suggest noting the date of your most recent inspection on a calendar and setting a reminder for yourself to call and request your inspection at least one month in advance of the deadline. Additional Comments: Pathways to the Stars During the visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. You informed me that your facility will pursue Pathway #1: Program Assessment Pathway. Your facility currently uses the Frog Street curriculum for all preschool groups. Three-Month Self-Study-Today we discussed what the self-study is. We reviewed the resources on the North Carolina Rated License Assessment Project (NCRLAP) website, www.ncrlap.org. You stated you may be interested in the outreach assessment. I shared information with you on how to request the outreach assessment. CQI-We walked through the Individual and Facility Continuous Quality Improvement (CQI) forms (individual and center). Each staff member will complete an Individual CQI annually. Maintain these in the staff’s personnel files. The administrator will also complete the Facility CQI Plan to create an overall goal for the center. Family and Community Engagement- We reviewed Foundational Practices and discussed how the center already meets these required practices. You stated that you wish to strive for 5-Stars, this means you will need to identify four optional practices, one from each of the three categories plus a fourth one. Education-Today, we reviewed education requirements for the various positions (lead teacher, Teacher, Group leader, administrator). Staff’s education will be evaluated at 50% of Lead Teaches and 50% of Other Educators to determine the facility’s expected star level. Any staff person who will be evaluated as part of the Lead Teachers or Other Educators needs to register for a WORKS account and submit original, official transcripts or update their current WORKS account and submit new education. Have all staff submit and/or update their WORKS accounts by March 20, 2026. Submit your Rated License Application by July 2026. Resources: As a licensed child care facility, it is your responsibility to be knowledgeable of the child care laws and rules and to teach your staff the rules to ensure your center remains in compliance. The following resources are available to you: 1. DCDEE website, www.ncchildcare.ncdhhs.gov – current laws and rules regarding child care facilities in North Carolina, “What’s New” tab, Items Number Listing which you can use as a checklist for your program. 2. Raise NC Newsletter—Weekly newsletter emailed to facility email including relevant information from the Division, training opportunities, grants, and more. You can sign up to receive Raise NC on the What’s New tab. 3. Your local Child Care Resource & Referral Agencies— 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. 4. North Carolina Rate License Assessment Project (NCRLAP)- Check out resources, webinars, and trainings about the Third Editions of the Environment Rating Scales , The Self-Study Process, and Outreach Assessments by visiting https://ncrlap.org/. 5. Moodle Support - The Division of Child Development and Early Education offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Reminders: 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. 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, 2025, 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). At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@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: LITTLE SUNSHINES ACADEMY Facility ID: 74000892 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 2/16/2026 Number Present: 61 Completed Date: 2/16/2026 Age: From 0 To 5 Total Minutes: 421 Time In: 08:44 AM Time Out: 03:07 PM Time In: 04:22 PM Time Out: 05:00 PM List to Use: Center 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. V. Colson, Director, assisted me with the visit. Your program currently operates with a five-star license, issued 11/13/21, earning 6 points in the education component, 6 points in the program standards component (meeting enhanced ratio and space) and 1 quality point for the programmatic option of staff benefits package and infrastructure of parent involvement. The last annual compliance visit was conducted 2/19/25. The sanitation inspection was completed 11/26/25 with a “Superior” classification. The last fire inspection was conducted 12/30/24 and your facility was approved for day time and night care. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty nine percent as of 2/06/26. The NC Secretary of State website was reviewed on 2/06/26 and Howard World Enterprises, LLC was listed as current- active. 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. Six groups were observed using the indoor learning environment. Children enrolled in space #1 engaged in tummy time and moved freely about the space. Children in spaces #2, # 3, #4, #5, and #6 engaged in group time, where children listened to the teacher read books, identified colors and shapes and reviewed sign language. Staff were observed leading group time, assisting children with materials and moving about the classroom space. Proper hand washing techniques were observed. Breakfast was observed and consisted of pancakes, bananas, and milk. The following violations 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 12/30/24. 10A NCAC 09 .0304(a) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Medication authorization form for a Ventolin HFA inhaler located in space #6, did not include a parent signature of date. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A certificate for the completion of Recognizing and Responding to Suspicions of Child Maltreatment training was not on file for staff employed on 2/19/24. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Staff employed 1/6/25 and 2/19/24 did not have certificates on file for all the health and safety trainings. .1102(a) 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 3/2/26, 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: Health and Safety Trainings- Child care providers who have direct responsibility for the care and oversight of children, including center administrators must complete health and safety trainings to comply with the NC Child Care Rules. All health and safety trainings must be completed within one year of employment. A certificate of completion of Recognizing and Responding to suspicions of child maltreatment training was not on file for staff employed on 2/19/24. A certificate of completion of Medication in Child Care training was not of file for staff employed on 2/19/24 and 1/6/25. It was reported that staff had completed to trainings but certificates could not be located during the visit. File certificated immediately and encourage staff member to keep a copy for their own records. Medication Authorization- All medications must be accompanied by written authorizations from parents with complete instructions for administration. Prescription medications must also be in the original container with the pharmacy label attached. Today, the authorization form for a Ventolin HFA inhaler did not include a parent signature. When medication is received, review the packaging, medical action plan, and authorization form to ensure all documents are complete and instructions are clear. Medication and authorization forms should be reviewed by the classroom staff and administrator. Review Child Care Rule .0803 for mediation requirements, share this information with your staff and periodically check behind them to ensure all requirements are met. Annual Fire Inspection- Fire inspections must be obtained annually. You reported that you thought an inspection was completed in July 2025. No records of a visit in July could be located. You were able to request an inspection during the visit. I suggest noting the date of your most recent inspection on a calendar and setting a reminder for yourself to call and request your inspection at least one month in advance of the deadline. Additional Comments: Pathways to the Stars During the visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. You informed me that your facility will pursue Pathway #1: Program Assessment Pathway. Your facility currently uses the Frog Street curriculum for all preschool groups. Three-Month Self-Study-Today we discussed what the self-study is. We reviewed the resources on the North Carolina Rated License Assessment Project (NCRLAP) website, www.ncrlap.org. You stated you may be interested in the outreach assessment. I shared information with you on how to request the outreach assessment. CQI-We walked through the Individual and Facility Continuous Quality Improvement (CQI) forms (individual and center). Each staff member will complete an Individual CQI annually. Maintain these in the staff’s personnel files. The administrator will also complete the Facility CQI Plan to create an overall goal for the center. Family and Community Engagement- We reviewed Foundational Practices and discussed how the center already meets these required practices. You stated that you wish to strive for 5-Stars, this means you will need to identify four optional practices, one from each of the three categories plus a fourth one. Education-Today, we reviewed education requirements for the various positions (lead teacher, Teacher, Group leader, administrator). Staff’s education will be evaluated at 50% of Lead Teaches and 50% of Other Educators to determine the facility’s expected star level. Any staff person who will be evaluated as part of the Lead Teachers or Other Educators needs to register for a WORKS account and submit original, official transcripts or update their current WORKS account and submit new education. Have all staff submit and/or update their WORKS accounts by March 20, 2026. Submit your Rated License Application by July 2026. Resources: As a licensed child care facility, it is your responsibility to be knowledgeable of the child care laws and rules and to teach your staff the rules to ensure your center remains in compliance. The following resources are available to you: 1. DCDEE website, www.ncchildcare.ncdhhs.gov – current laws and rules regarding child care facilities in North Carolina, “What’s New” tab, Items Number Listing which you can use as a checklist for your program. 2. Raise NC Newsletter—Weekly newsletter emailed to facility email including relevant information from the Division, training opportunities, grants, and more. You can sign up to receive Raise NC on the What’s New tab. 3. Your local Child Care Resource & Referral Agencies— 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. 4. North Carolina Rate License Assessment Project (NCRLAP)- Check out resources, webinars, and trainings about the Third Editions of the Environment Rating Scales , The Self-Study Process, and Outreach Assessments by visiting https://ncrlap.org/. 5. Moodle Support - The Division of Child Development and Early Education offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Reminders: 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. 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, 2025, 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). At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@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 .0601 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY Facility ID: 74000892 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 9/18/2025 Number Present: 60 Completed Date: 9/18/2025 Age: From 0 To 4 Total Minutes: 273 Time In: 09:27 AM Time Out: 02:00 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. V. Colson, Director, assisted me with today’s visit. Your program currently operates with a five-star license, issued 11/13/21, earning 6 points in the education component, 6 points in the program standards component (meeting enhanced requirements) and 1 quality point for the programmatic option of staff benefits package and infrastructure for parent involvement. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-five percent as of 9/16/25. The NC Secretary of State website was reviewed on 9/16/25 and Howard World Enterprises, LLC was listed as current-active. The license was posted, and the restrictions were in compliance. I completed a walk through of all indoor and outdoor spaces and found supervision and staff/child ratios to be in compliance. Six groups of children were observed in the indoor and outdoor learning environments. Children engaged in free play with age-appropriate materials including blocks, books, animals, and dramatic play materials and art materials. Safe sleep checks were completed and documented. Teachers were observed moving out the indoor and outdoor spaces, interacting with the children through conversation and play. Fire inspection and sanitation inspections remain current. The violation was as follows: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Rubber mat tiles were placed over a hole, causing four tiles to have raised edges, creating a trip hazard on outdoor space #3. Grass is growing in the mulch of the containment area on outdoor space #3. The bottom, anchoring chain of the pendulum swing on outdoor space #3 is detached and rusted. 10A NCAC 09 .0601(a) 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 10/2/25, 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 considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: LeShaunda McCotter, Child Care Consultant PO Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance: Outdoor Environment- Proper maintenance is a key factor when trying to ensure a safe play environment for children. Today, I observed uneven rubber tiles that caused a trip hazards, a rusted, detached anchor chain below the pendulum swing, and grass growing in the containment area of the climbing structure of outdoor space #3. In review of the outdoor inspection, you notate mulch needed to be added (August 4, 2025) and fluffed (September 4, 2025). During the visit, you were able to contact facility maintenance personnel, and they were able come and make a plan for correction. Review the manufactures instructions of the climbing structure to see if the anchoring chain for the pendulum swing is required and needs to be replaced or if it can be removed. Fill the hole under the rubber tiles to create a flat surface for them to sit on. Until a permanent solution can be made, keep the children from using the swing and the rubber tiled areas. Consultation: File Monitoring- Technical assistance was provided for monitoring staff and children’s records. You shared with me your current system of monitoring and updating records. Designate a specific day(s) and time(s) that is specifically dedicated for reviewing files. You shared with me how you currently update files at least annually and are in them periodically to review them. We discussed several methods of monitoring, including looking in the files for specific documents at a time, reviewing the full contents of a select number of documents at a time, and selecting a files at random to review. Outdoor Monitoring-During your daily and monthly inspections of the outdoor learning environment, be sure to take your time to observe the smaller details. Address things as soon as you notice them to help create a safe environment for the children in care. Create a schedule for fluffing mulch, with extra attention following heavy rain, causing mulch to become more compact. We are located in a humid environment that can cause the buildup of mold and mildew on outdoor equipment. Address them by cleaning with a cleaning solution or power washing the equipment. Pathways to the Stars- Today, we discussed the three pathways. We visited the QRIS Modernization page on the division’s website to review the requirements for the pathways. Please join us for Pathways to the Stars Informational Training on September 29, 2025, at 10:00 am. Additional information has already been emailed to you. 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. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at 252-751-8634, LeShaunda.McCotter@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: LITTLE SUNSHINES ACADEMY Facility ID: 74000892 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 9/18/2025 Number Present: 60 Completed Date: 9/18/2025 Age: From 0 To 4 Total Minutes: 273 Time In: 09:27 AM Time Out: 02:00 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. V. Colson, Director, assisted me with today’s visit. Your program currently operates with a five-star license, issued 11/13/21, earning 6 points in the education component, 6 points in the program standards component (meeting enhanced requirements) and 1 quality point for the programmatic option of staff benefits package and infrastructure for parent involvement. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-five percent as of 9/16/25. The NC Secretary of State website was reviewed on 9/16/25 and Howard World Enterprises, LLC was listed as current-active. The license was posted, and the restrictions were in compliance. I completed a walk through of all indoor and outdoor spaces and found supervision and staff/child ratios to be in compliance. Six groups of children were observed in the indoor and outdoor learning environments. Children engaged in free play with age-appropriate materials including blocks, books, animals, and dramatic play materials and art materials. Safe sleep checks were completed and documented. Teachers were observed moving out the indoor and outdoor spaces, interacting with the children through conversation and play. Fire inspection and sanitation inspections remain current. The violation was as follows: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Rubber mat tiles were placed over a hole, causing four tiles to have raised edges, creating a trip hazard on outdoor space #3. Grass is growing in the mulch of the containment area on outdoor space #3. The bottom, anchoring chain of the pendulum swing on outdoor space #3 is detached and rusted. 10A NCAC 09 .0601(a) 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 10/2/25, 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 considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: LeShaunda McCotter, Child Care Consultant PO Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance: Outdoor Environment- Proper maintenance is a key factor when trying to ensure a safe play environment for children. Today, I observed uneven rubber tiles that caused a trip hazards, a rusted, detached anchor chain below the pendulum swing, and grass growing in the containment area of the climbing structure of outdoor space #3. In review of the outdoor inspection, you notate mulch needed to be added (August 4, 2025) and fluffed (September 4, 2025). During the visit, you were able to contact facility maintenance personnel, and they were able come and make a plan for correction. Review the manufactures instructions of the climbing structure to see if the anchoring chain for the pendulum swing is required and needs to be replaced or if it can be removed. Fill the hole under the rubber tiles to create a flat surface for them to sit on. Until a permanent solution can be made, keep the children from using the swing and the rubber tiled areas. Consultation: File Monitoring- Technical assistance was provided for monitoring staff and children’s records. You shared with me your current system of monitoring and updating records. Designate a specific day(s) and time(s) that is specifically dedicated for reviewing files. You shared with me how you currently update files at least annually and are in them periodically to review them. We discussed several methods of monitoring, including looking in the files for specific documents at a time, reviewing the full contents of a select number of documents at a time, and selecting a files at random to review. Outdoor Monitoring-During your daily and monthly inspections of the outdoor learning environment, be sure to take your time to observe the smaller details. Address things as soon as you notice them to help create a safe environment for the children in care. Create a schedule for fluffing mulch, with extra attention following heavy rain, causing mulch to become more compact. We are located in a humid environment that can cause the buildup of mold and mildew on outdoor equipment. Address them by cleaning with a cleaning solution or power washing the equipment. Pathways to the Stars- Today, we discussed the three pathways. We visited the QRIS Modernization page on the division’s website to review the requirements for the pathways. Please join us for Pathways to the Stars Informational Training on September 29, 2025, at 10:00 am. Additional information has already been emailed to you. 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. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at 252-751-8634, LeShaunda.McCotter@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 .0302 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY Facility ID: 74000892 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 2/19/2025 Number Present: 19 Completed Date: 2/19/2025 Age: From 0 To 5 Total Minutes: 304 Time In: 08:06 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center 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. V. Colson, Director, assisted me with the visit. Your program currently operates with a five-star license, issued 11/13/21, earning 6 points in the education component, 6 points in the program standards component (meeting enhanced ratio and space) and 1 quality point for the programmatic option of staff benefits package and infrastructure of parent involvement. The last annual compliance visit was conducted 3/7/24. The sanitation inspection was completed 8/1/24 with a “Superior” classification. The last fire inspection was conducted 12/30/24 and your facility was approved for day time and night care. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty nine percent as of 2/17/25. The NC Secretary of State website was reviewed on 2/17/25 and Howard World Enterprises, LLC was listed as current- active. 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. Six groups were observed using the indoor learning environment. Children enrolled in space #1 explored the classroom, engaged with soft toys and books. Teachers sat with the children, helping children to identify the items they played with and things in the books. In space #2, children transitioned from mealtime to group and indoor free play. Proper hand washing techniques were observed. In spaces #3 and #4, children gathered around the teacher for whole group activities, including singing, group discussions, and story time. In spaces #4 and #5, children played with a variety of learning materials in learning centers. Staff were observed assisting children with personal care need and engaging in conversations using soft tones. New mulch has been recently added under the stationary equipment of the outdoor learning areas. Additional gross motor materials were stored in bins for easy access during outdoor play. Breakfast was observed and consisted of oatmeal, raisins, and milk. The following violations were documented. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. The medication authorization form for an Epinephrine Injection USP injector, in space #6, was missing information of the symptoms and circumstances needed for giving the medication, dosage, route, and instructions on how to give the medication. 10A NCAC 09 .0803(4)(6-9) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff employed on 11/11/24 and 11/4/24 did not have a medical report on file for review at the time of the visit. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff employed on 11/11/24 and 11/4/24 did not have a TB test or screener on file for review at the time of the visit. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Staff, Jasmine Baker, Carolyn Tyson, and Madison Joyner, did not complete a criminal background check prior to employment. G.S. 110-90.2(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Documentation of orientation for staff employed on 4/1/24 reflect orientation was completed on 6/20/24. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A First Aid certificate or card was on file for staff employed on 11/11/24. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A CPR certificate or card was on file for staff employed on 11/11/24. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two (2) of the seven (7) children's records reviewed contained a health assessment dated beyond 30 day of the date of enrollment. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Two (2) of the seven (7) children's records reviewed contained a immunization records dated beyond 30 day of the date of enrollment. 10A NCAC 09 .0302(d)(2) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A medical action plan was not on file for two Epinephrine Injection USP injectors located in space #6. .0801(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A training certificate for Recognizing and Responding to Suspicions of Child Maltreatment training was not on file for staff employed on 8/20/24. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Training certificates for all the health and safety trainings was not on file for staff employed on 1/8/24. .1102(a) 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 3/5/25, 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: Medication- Obtaining written authorization from a parent gives childcare providers the legal right to give medication and is critical to ensure the safe and appropriate administration of medications to children with medical needs, protecting their health by providing clear instructions to staff on how to manage specific medical conditions in case of an emergency. In space #6, there was one authorization form for an epinephrine injector that did not have all the required information. Also, in space #6 there were two epinephrine injectors that did not have an emergency medical care plan. You shared that staff had completed a medication check last week. We discussed your current methods of monitoring medications and ensuring the staff completing the inspection is trained in how to monitor medications. When staff received new medication authorizations, they need to immediately review the document to ensure it is completed properly and the instructions are clear. This is your opportunity to ask any clarifying questions. Review your current policies and procedures to ensure they include information concerning receiving medications and authorization forms, monitoring medications and training staff on administering and monitoring medication. Criminal Background Check- Obtaining a criminal background check prior to employment ensures the safety of children by preventing the hiring of individuals with convictions that my jeopardize the well-being of children. Staff employed on 11/4/24 had a qualification letter dated 12/4/24, staff employed 11/11/24 had a qualification letter dated 11/15/24 and staff employed 8/20/24 had a qualification letter dated 8/23/24. It was shared that potential staff may come in to volunteer and observe in classrooms to see if the center would be a good fit for them. No staff should begin working in any capacity without having a qualification letter. We discussed when a staff should obtain a criminal background check and the current process. Do not allow potential employees to begin working until they have completed the criminal background check process and you have a copy of their qualification letter on file. First Aid and CPR Training- For the health and safety of the children, all staff members are required to obtain CPR and First Aid certification and keep it current. Staff employed on 11/11/24 did not have a training certificate or card on file showing the successful completion of First Aid and CPR training. We discussed tracking the due dates of training and certifications. Have the staff complete the training and provide a copy of the card or certificate with your compliance letter. Children’s Records- Children are required to have a medical exam by a doctor and a copy of their immunization record no later than 30 days from their first day of attendance. A medical exam can be accepted if completed within the last 12 months prior to enrollment. Two of seven children’s files reviewed had medical records dated beyond 30 days of enrollment. Two of seven children's files reviewed had immunization dated beyond 30 days of enrollment. You shared the children were enrolled under a different administrator. You stated that your current practice requires the medical report and immunizations prior to enrolling a child and request an annual update of immunization records for parents. When reviewing files, be sure to note if the required information is on file and when it was received. If you choose to purge files, ensure the original medical report and immunizations remain in the file. Staff Medical Report and TB Results- Child care staff should have a medical report and TB test before starting work to ensure they are physically and emotionally fit to care for children. These requirements help promote healthy environments for children. Staff employed on 11/4/24 and 11/11/24 did not have a medical report and TB screener/test on file. A copy of each document was obtained during the visit. You shared these documents were obtained by HR and the employee to be filed. Review the staff and training worksheet and the staff file regularly to ensure all requirements are met. Staff Qualifications and Training Requirements- Child care staff should receive orientation, health and safety training, and child maltreatment training to ensure the well being and safety of children in their care and providing them with the knowledge and skills to properly fulfill their role as caregiver, respond to potential hazards and recognize and report signs of abuse and neglect. Staff employed on 4/1/24 completed orientation outside of the six week time frame, on 6/20/24. Staff employed on 1/8/24 did not have documentation of completion of all the required health and safety trainings. Staff employed on 8/20/24 did not have documentation of completion of Recognizing and Responding to Suspicions of Child Maltreatment training. You share these staff were onboarded under another administrator. Per our conversation the current practices are to complete all health and safety trainings during the orientation process. We discussed reviewing staff files regularly and using the staff and training worksheet as a tool to assist with tracking staff trainings and qualifications. When a staff is brought into the center, review the file immediately to ensure all required documents are on file and you can then set reminders for training requirement deadlines. Additional Information 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 and environmental health rules in North Carolina, the Items Number Listing 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. Raise NC Newsletters- Stay informed by subscribing to the weekly Raise NC Newsletters. The newsletters include updates on policies, programs and resources. It also highlights stories of local families, providers, and community leaders and showcases the impact of early care and learning across the state of North Carolina. Subscribe today by visiting 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 mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@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 .0701 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY Facility ID: 74000892 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 2/19/2025 Number Present: 19 Completed Date: 2/19/2025 Age: From 0 To 5 Total Minutes: 304 Time In: 08:06 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center 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. V. Colson, Director, assisted me with the visit. Your program currently operates with a five-star license, issued 11/13/21, earning 6 points in the education component, 6 points in the program standards component (meeting enhanced ratio and space) and 1 quality point for the programmatic option of staff benefits package and infrastructure of parent involvement. The last annual compliance visit was conducted 3/7/24. The sanitation inspection was completed 8/1/24 with a “Superior” classification. The last fire inspection was conducted 12/30/24 and your facility was approved for day time and night care. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty nine percent as of 2/17/25. The NC Secretary of State website was reviewed on 2/17/25 and Howard World Enterprises, LLC was listed as current- active. 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. Six groups were observed using the indoor learning environment. Children enrolled in space #1 explored the classroom, engaged with soft toys and books. Teachers sat with the children, helping children to identify the items they played with and things in the books. In space #2, children transitioned from mealtime to group and indoor free play. Proper hand washing techniques were observed. In spaces #3 and #4, children gathered around the teacher for whole group activities, including singing, group discussions, and story time. In spaces #4 and #5, children played with a variety of learning materials in learning centers. Staff were observed assisting children with personal care need and engaging in conversations using soft tones. New mulch has been recently added under the stationary equipment of the outdoor learning areas. Additional gross motor materials were stored in bins for easy access during outdoor play. Breakfast was observed and consisted of oatmeal, raisins, and milk. The following violations were documented. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. The medication authorization form for an Epinephrine Injection USP injector, in space #6, was missing information of the symptoms and circumstances needed for giving the medication, dosage, route, and instructions on how to give the medication. 10A NCAC 09 .0803(4)(6-9) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff employed on 11/11/24 and 11/4/24 did not have a medical report on file for review at the time of the visit. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff employed on 11/11/24 and 11/4/24 did not have a TB test or screener on file for review at the time of the visit. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Staff, Jasmine Baker, Carolyn Tyson, and Madison Joyner, did not complete a criminal background check prior to employment. G.S. 110-90.2(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Documentation of orientation for staff employed on 4/1/24 reflect orientation was completed on 6/20/24. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A First Aid certificate or card was on file for staff employed on 11/11/24. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A CPR certificate or card was on file for staff employed on 11/11/24. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two (2) of the seven (7) children's records reviewed contained a health assessment dated beyond 30 day of the date of enrollment. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Two (2) of the seven (7) children's records reviewed contained a immunization records dated beyond 30 day of the date of enrollment. 10A NCAC 09 .0302(d)(2) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A medical action plan was not on file for two Epinephrine Injection USP injectors located in space #6. .0801(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A training certificate for Recognizing and Responding to Suspicions of Child Maltreatment training was not on file for staff employed on 8/20/24. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Training certificates for all the health and safety trainings was not on file for staff employed on 1/8/24. .1102(a) 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 3/5/25, 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: Medication- Obtaining written authorization from a parent gives childcare providers the legal right to give medication and is critical to ensure the safe and appropriate administration of medications to children with medical needs, protecting their health by providing clear instructions to staff on how to manage specific medical conditions in case of an emergency. In space #6, there was one authorization form for an epinephrine injector that did not have all the required information. Also, in space #6 there were two epinephrine injectors that did not have an emergency medical care plan. You shared that staff had completed a medication check last week. We discussed your current methods of monitoring medications and ensuring the staff completing the inspection is trained in how to monitor medications. When staff received new medication authorizations, they need to immediately review the document to ensure it is completed properly and the instructions are clear. This is your opportunity to ask any clarifying questions. Review your current policies and procedures to ensure they include information concerning receiving medications and authorization forms, monitoring medications and training staff on administering and monitoring medication. Criminal Background Check- Obtaining a criminal background check prior to employment ensures the safety of children by preventing the hiring of individuals with convictions that my jeopardize the well-being of children. Staff employed on 11/4/24 had a qualification letter dated 12/4/24, staff employed 11/11/24 had a qualification letter dated 11/15/24 and staff employed 8/20/24 had a qualification letter dated 8/23/24. It was shared that potential staff may come in to volunteer and observe in classrooms to see if the center would be a good fit for them. No staff should begin working in any capacity without having a qualification letter. We discussed when a staff should obtain a criminal background check and the current process. Do not allow potential employees to begin working until they have completed the criminal background check process and you have a copy of their qualification letter on file. First Aid and CPR Training- For the health and safety of the children, all staff members are required to obtain CPR and First Aid certification and keep it current. Staff employed on 11/11/24 did not have a training certificate or card on file showing the successful completion of First Aid and CPR training. We discussed tracking the due dates of training and certifications. Have the staff complete the training and provide a copy of the card or certificate with your compliance letter. Children’s Records- Children are required to have a medical exam by a doctor and a copy of their immunization record no later than 30 days from their first day of attendance. A medical exam can be accepted if completed within the last 12 months prior to enrollment. Two of seven children’s files reviewed had medical records dated beyond 30 days of enrollment. Two of seven children's files reviewed had immunization dated beyond 30 days of enrollment. You shared the children were enrolled under a different administrator. You stated that your current practice requires the medical report and immunizations prior to enrolling a child and request an annual update of immunization records for parents. When reviewing files, be sure to note if the required information is on file and when it was received. If you choose to purge files, ensure the original medical report and immunizations remain in the file. Staff Medical Report and TB Results- Child care staff should have a medical report and TB test before starting work to ensure they are physically and emotionally fit to care for children. These requirements help promote healthy environments for children. Staff employed on 11/4/24 and 11/11/24 did not have a medical report and TB screener/test on file. A copy of each document was obtained during the visit. You shared these documents were obtained by HR and the employee to be filed. Review the staff and training worksheet and the staff file regularly to ensure all requirements are met. Staff Qualifications and Training Requirements- Child care staff should receive orientation, health and safety training, and child maltreatment training to ensure the well being and safety of children in their care and providing them with the knowledge and skills to properly fulfill their role as caregiver, respond to potential hazards and recognize and report signs of abuse and neglect. Staff employed on 4/1/24 completed orientation outside of the six week time frame, on 6/20/24. Staff employed on 1/8/24 did not have documentation of completion of all the required health and safety trainings. Staff employed on 8/20/24 did not have documentation of completion of Recognizing and Responding to Suspicions of Child Maltreatment training. You share these staff were onboarded under another administrator. Per our conversation the current practices are to complete all health and safety trainings during the orientation process. We discussed reviewing staff files regularly and using the staff and training worksheet as a tool to assist with tracking staff trainings and qualifications. When a staff is brought into the center, review the file immediately to ensure all required documents are on file and you can then set reminders for training requirement deadlines. Additional Information 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 and environmental health rules in North Carolina, the Items Number Listing 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. Raise NC Newsletters- Stay informed by subscribing to the weekly Raise NC Newsletters. The newsletters include updates on policies, programs and resources. It also highlights stories of local families, providers, and community leaders and showcases the impact of early care and learning across the state of North Carolina. Subscribe today by visiting 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 mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@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 .0803 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY Facility ID: 74000892 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 2/19/2025 Number Present: 19 Completed Date: 2/19/2025 Age: From 0 To 5 Total Minutes: 304 Time In: 08:06 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center 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. V. Colson, Director, assisted me with the visit. Your program currently operates with a five-star license, issued 11/13/21, earning 6 points in the education component, 6 points in the program standards component (meeting enhanced ratio and space) and 1 quality point for the programmatic option of staff benefits package and infrastructure of parent involvement. The last annual compliance visit was conducted 3/7/24. The sanitation inspection was completed 8/1/24 with a “Superior” classification. The last fire inspection was conducted 12/30/24 and your facility was approved for day time and night care. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty nine percent as of 2/17/25. The NC Secretary of State website was reviewed on 2/17/25 and Howard World Enterprises, LLC was listed as current- active. 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. Six groups were observed using the indoor learning environment. Children enrolled in space #1 explored the classroom, engaged with soft toys and books. Teachers sat with the children, helping children to identify the items they played with and things in the books. In space #2, children transitioned from mealtime to group and indoor free play. Proper hand washing techniques were observed. In spaces #3 and #4, children gathered around the teacher for whole group activities, including singing, group discussions, and story time. In spaces #4 and #5, children played with a variety of learning materials in learning centers. Staff were observed assisting children with personal care need and engaging in conversations using soft tones. New mulch has been recently added under the stationary equipment of the outdoor learning areas. Additional gross motor materials were stored in bins for easy access during outdoor play. Breakfast was observed and consisted of oatmeal, raisins, and milk. The following violations were documented. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. The medication authorization form for an Epinephrine Injection USP injector, in space #6, was missing information of the symptoms and circumstances needed for giving the medication, dosage, route, and instructions on how to give the medication. 10A NCAC 09 .0803(4)(6-9) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff employed on 11/11/24 and 11/4/24 did not have a medical report on file for review at the time of the visit. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff employed on 11/11/24 and 11/4/24 did not have a TB test or screener on file for review at the time of the visit. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Staff, Jasmine Baker, Carolyn Tyson, and Madison Joyner, did not complete a criminal background check prior to employment. G.S. 110-90.2(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Documentation of orientation for staff employed on 4/1/24 reflect orientation was completed on 6/20/24. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A First Aid certificate or card was on file for staff employed on 11/11/24. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A CPR certificate or card was on file for staff employed on 11/11/24. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two (2) of the seven (7) children's records reviewed contained a health assessment dated beyond 30 day of the date of enrollment. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Two (2) of the seven (7) children's records reviewed contained a immunization records dated beyond 30 day of the date of enrollment. 10A NCAC 09 .0302(d)(2) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A medical action plan was not on file for two Epinephrine Injection USP injectors located in space #6. .0801(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A training certificate for Recognizing and Responding to Suspicions of Child Maltreatment training was not on file for staff employed on 8/20/24. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Training certificates for all the health and safety trainings was not on file for staff employed on 1/8/24. .1102(a) 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 3/5/25, 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: Medication- Obtaining written authorization from a parent gives childcare providers the legal right to give medication and is critical to ensure the safe and appropriate administration of medications to children with medical needs, protecting their health by providing clear instructions to staff on how to manage specific medical conditions in case of an emergency. In space #6, there was one authorization form for an epinephrine injector that did not have all the required information. Also, in space #6 there were two epinephrine injectors that did not have an emergency medical care plan. You shared that staff had completed a medication check last week. We discussed your current methods of monitoring medications and ensuring the staff completing the inspection is trained in how to monitor medications. When staff received new medication authorizations, they need to immediately review the document to ensure it is completed properly and the instructions are clear. This is your opportunity to ask any clarifying questions. Review your current policies and procedures to ensure they include information concerning receiving medications and authorization forms, monitoring medications and training staff on administering and monitoring medication. Criminal Background Check- Obtaining a criminal background check prior to employment ensures the safety of children by preventing the hiring of individuals with convictions that my jeopardize the well-being of children. Staff employed on 11/4/24 had a qualification letter dated 12/4/24, staff employed 11/11/24 had a qualification letter dated 11/15/24 and staff employed 8/20/24 had a qualification letter dated 8/23/24. It was shared that potential staff may come in to volunteer and observe in classrooms to see if the center would be a good fit for them. No staff should begin working in any capacity without having a qualification letter. We discussed when a staff should obtain a criminal background check and the current process. Do not allow potential employees to begin working until they have completed the criminal background check process and you have a copy of their qualification letter on file. First Aid and CPR Training- For the health and safety of the children, all staff members are required to obtain CPR and First Aid certification and keep it current. Staff employed on 11/11/24 did not have a training certificate or card on file showing the successful completion of First Aid and CPR training. We discussed tracking the due dates of training and certifications. Have the staff complete the training and provide a copy of the card or certificate with your compliance letter. Children’s Records- Children are required to have a medical exam by a doctor and a copy of their immunization record no later than 30 days from their first day of attendance. A medical exam can be accepted if completed within the last 12 months prior to enrollment. Two of seven children’s files reviewed had medical records dated beyond 30 days of enrollment. Two of seven children's files reviewed had immunization dated beyond 30 days of enrollment. You shared the children were enrolled under a different administrator. You stated that your current practice requires the medical report and immunizations prior to enrolling a child and request an annual update of immunization records for parents. When reviewing files, be sure to note if the required information is on file and when it was received. If you choose to purge files, ensure the original medical report and immunizations remain in the file. Staff Medical Report and TB Results- Child care staff should have a medical report and TB test before starting work to ensure they are physically and emotionally fit to care for children. These requirements help promote healthy environments for children. Staff employed on 11/4/24 and 11/11/24 did not have a medical report and TB screener/test on file. A copy of each document was obtained during the visit. You shared these documents were obtained by HR and the employee to be filed. Review the staff and training worksheet and the staff file regularly to ensure all requirements are met. Staff Qualifications and Training Requirements- Child care staff should receive orientation, health and safety training, and child maltreatment training to ensure the well being and safety of children in their care and providing them with the knowledge and skills to properly fulfill their role as caregiver, respond to potential hazards and recognize and report signs of abuse and neglect. Staff employed on 4/1/24 completed orientation outside of the six week time frame, on 6/20/24. Staff employed on 1/8/24 did not have documentation of completion of all the required health and safety trainings. Staff employed on 8/20/24 did not have documentation of completion of Recognizing and Responding to Suspicions of Child Maltreatment training. You share these staff were onboarded under another administrator. Per our conversation the current practices are to complete all health and safety trainings during the orientation process. We discussed reviewing staff files regularly and using the staff and training worksheet as a tool to assist with tracking staff trainings and qualifications. When a staff is brought into the center, review the file immediately to ensure all required documents are on file and you can then set reminders for training requirement deadlines. Additional Information 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 and environmental health rules in North Carolina, the Items Number Listing 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. Raise NC Newsletters- Stay informed by subscribing to the weekly Raise NC Newsletters. The newsletters include updates on policies, programs and resources. It also highlights stories of local families, providers, and community leaders and showcases the impact of early care and learning across the state of North Carolina. Subscribe today by visiting 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 mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@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: LITTLE SUNSHINES ACADEMY Facility ID: 74000892 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 2/19/2025 Number Present: 19 Completed Date: 2/19/2025 Age: From 0 To 5 Total Minutes: 304 Time In: 08:06 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center 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. V. Colson, Director, assisted me with the visit. Your program currently operates with a five-star license, issued 11/13/21, earning 6 points in the education component, 6 points in the program standards component (meeting enhanced ratio and space) and 1 quality point for the programmatic option of staff benefits package and infrastructure of parent involvement. The last annual compliance visit was conducted 3/7/24. The sanitation inspection was completed 8/1/24 with a “Superior” classification. The last fire inspection was conducted 12/30/24 and your facility was approved for day time and night care. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty nine percent as of 2/17/25. The NC Secretary of State website was reviewed on 2/17/25 and Howard World Enterprises, LLC was listed as current- active. 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. Six groups were observed using the indoor learning environment. Children enrolled in space #1 explored the classroom, engaged with soft toys and books. Teachers sat with the children, helping children to identify the items they played with and things in the books. In space #2, children transitioned from mealtime to group and indoor free play. Proper hand washing techniques were observed. In spaces #3 and #4, children gathered around the teacher for whole group activities, including singing, group discussions, and story time. In spaces #4 and #5, children played with a variety of learning materials in learning centers. Staff were observed assisting children with personal care need and engaging in conversations using soft tones. New mulch has been recently added under the stationary equipment of the outdoor learning areas. Additional gross motor materials were stored in bins for easy access during outdoor play. Breakfast was observed and consisted of oatmeal, raisins, and milk. The following violations were documented. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. The medication authorization form for an Epinephrine Injection USP injector, in space #6, was missing information of the symptoms and circumstances needed for giving the medication, dosage, route, and instructions on how to give the medication. 10A NCAC 09 .0803(4)(6-9) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff employed on 11/11/24 and 11/4/24 did not have a medical report on file for review at the time of the visit. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff employed on 11/11/24 and 11/4/24 did not have a TB test or screener on file for review at the time of the visit. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Staff, Jasmine Baker, Carolyn Tyson, and Madison Joyner, did not complete a criminal background check prior to employment. G.S. 110-90.2(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Documentation of orientation for staff employed on 4/1/24 reflect orientation was completed on 6/20/24. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A First Aid certificate or card was on file for staff employed on 11/11/24. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A CPR certificate or card was on file for staff employed on 11/11/24. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two (2) of the seven (7) children's records reviewed contained a health assessment dated beyond 30 day of the date of enrollment. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Two (2) of the seven (7) children's records reviewed contained a immunization records dated beyond 30 day of the date of enrollment. 10A NCAC 09 .0302(d)(2) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A medical action plan was not on file for two Epinephrine Injection USP injectors located in space #6. .0801(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A training certificate for Recognizing and Responding to Suspicions of Child Maltreatment training was not on file for staff employed on 8/20/24. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Training certificates for all the health and safety trainings was not on file for staff employed on 1/8/24. .1102(a) 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 3/5/25, 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: Medication- Obtaining written authorization from a parent gives childcare providers the legal right to give medication and is critical to ensure the safe and appropriate administration of medications to children with medical needs, protecting their health by providing clear instructions to staff on how to manage specific medical conditions in case of an emergency. In space #6, there was one authorization form for an epinephrine injector that did not have all the required information. Also, in space #6 there were two epinephrine injectors that did not have an emergency medical care plan. You shared that staff had completed a medication check last week. We discussed your current methods of monitoring medications and ensuring the staff completing the inspection is trained in how to monitor medications. When staff received new medication authorizations, they need to immediately review the document to ensure it is completed properly and the instructions are clear. This is your opportunity to ask any clarifying questions. Review your current policies and procedures to ensure they include information concerning receiving medications and authorization forms, monitoring medications and training staff on administering and monitoring medication. Criminal Background Check- Obtaining a criminal background check prior to employment ensures the safety of children by preventing the hiring of individuals with convictions that my jeopardize the well-being of children. Staff employed on 11/4/24 had a qualification letter dated 12/4/24, staff employed 11/11/24 had a qualification letter dated 11/15/24 and staff employed 8/20/24 had a qualification letter dated 8/23/24. It was shared that potential staff may come in to volunteer and observe in classrooms to see if the center would be a good fit for them. No staff should begin working in any capacity without having a qualification letter. We discussed when a staff should obtain a criminal background check and the current process. Do not allow potential employees to begin working until they have completed the criminal background check process and you have a copy of their qualification letter on file. First Aid and CPR Training- For the health and safety of the children, all staff members are required to obtain CPR and First Aid certification and keep it current. Staff employed on 11/11/24 did not have a training certificate or card on file showing the successful completion of First Aid and CPR training. We discussed tracking the due dates of training and certifications. Have the staff complete the training and provide a copy of the card or certificate with your compliance letter. Children’s Records- Children are required to have a medical exam by a doctor and a copy of their immunization record no later than 30 days from their first day of attendance. A medical exam can be accepted if completed within the last 12 months prior to enrollment. Two of seven children’s files reviewed had medical records dated beyond 30 days of enrollment. Two of seven children's files reviewed had immunization dated beyond 30 days of enrollment. You shared the children were enrolled under a different administrator. You stated that your current practice requires the medical report and immunizations prior to enrolling a child and request an annual update of immunization records for parents. When reviewing files, be sure to note if the required information is on file and when it was received. If you choose to purge files, ensure the original medical report and immunizations remain in the file. Staff Medical Report and TB Results- Child care staff should have a medical report and TB test before starting work to ensure they are physically and emotionally fit to care for children. These requirements help promote healthy environments for children. Staff employed on 11/4/24 and 11/11/24 did not have a medical report and TB screener/test on file. A copy of each document was obtained during the visit. You shared these documents were obtained by HR and the employee to be filed. Review the staff and training worksheet and the staff file regularly to ensure all requirements are met. Staff Qualifications and Training Requirements- Child care staff should receive orientation, health and safety training, and child maltreatment training to ensure the well being and safety of children in their care and providing them with the knowledge and skills to properly fulfill their role as caregiver, respond to potential hazards and recognize and report signs of abuse and neglect. Staff employed on 4/1/24 completed orientation outside of the six week time frame, on 6/20/24. Staff employed on 1/8/24 did not have documentation of completion of all the required health and safety trainings. Staff employed on 8/20/24 did not have documentation of completion of Recognizing and Responding to Suspicions of Child Maltreatment training. You share these staff were onboarded under another administrator. Per our conversation the current practices are to complete all health and safety trainings during the orientation process. We discussed reviewing staff files regularly and using the staff and training worksheet as a tool to assist with tracking staff trainings and qualifications. When a staff is brought into the center, review the file immediately to ensure all required documents are on file and you can then set reminders for training requirement deadlines. Additional Information 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 and environmental health rules in North Carolina, the Items Number Listing 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. Raise NC Newsletters- Stay informed by subscribing to the weekly Raise NC Newsletters. The newsletters include updates on policies, programs and resources. It also highlights stories of local families, providers, and community leaders and showcases the impact of early care and learning across the state of North Carolina. Subscribe today by visiting 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 mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@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

GS110-91 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY Facility ID: 74000892 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 2/19/2025 Number Present: 19 Completed Date: 2/19/2025 Age: From 0 To 5 Total Minutes: 304 Time In: 08:06 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center 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. V. Colson, Director, assisted me with the visit. Your program currently operates with a five-star license, issued 11/13/21, earning 6 points in the education component, 6 points in the program standards component (meeting enhanced ratio and space) and 1 quality point for the programmatic option of staff benefits package and infrastructure of parent involvement. The last annual compliance visit was conducted 3/7/24. The sanitation inspection was completed 8/1/24 with a “Superior” classification. The last fire inspection was conducted 12/30/24 and your facility was approved for day time and night care. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty nine percent as of 2/17/25. The NC Secretary of State website was reviewed on 2/17/25 and Howard World Enterprises, LLC was listed as current- active. 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. Six groups were observed using the indoor learning environment. Children enrolled in space #1 explored the classroom, engaged with soft toys and books. Teachers sat with the children, helping children to identify the items they played with and things in the books. In space #2, children transitioned from mealtime to group and indoor free play. Proper hand washing techniques were observed. In spaces #3 and #4, children gathered around the teacher for whole group activities, including singing, group discussions, and story time. In spaces #4 and #5, children played with a variety of learning materials in learning centers. Staff were observed assisting children with personal care need and engaging in conversations using soft tones. New mulch has been recently added under the stationary equipment of the outdoor learning areas. Additional gross motor materials were stored in bins for easy access during outdoor play. Breakfast was observed and consisted of oatmeal, raisins, and milk. The following violations were documented. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. The medication authorization form for an Epinephrine Injection USP injector, in space #6, was missing information of the symptoms and circumstances needed for giving the medication, dosage, route, and instructions on how to give the medication. 10A NCAC 09 .0803(4)(6-9) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff employed on 11/11/24 and 11/4/24 did not have a medical report on file for review at the time of the visit. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff employed on 11/11/24 and 11/4/24 did not have a TB test or screener on file for review at the time of the visit. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Staff, Jasmine Baker, Carolyn Tyson, and Madison Joyner, did not complete a criminal background check prior to employment. G.S. 110-90.2(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Documentation of orientation for staff employed on 4/1/24 reflect orientation was completed on 6/20/24. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A First Aid certificate or card was on file for staff employed on 11/11/24. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A CPR certificate or card was on file for staff employed on 11/11/24. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two (2) of the seven (7) children's records reviewed contained a health assessment dated beyond 30 day of the date of enrollment. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Two (2) of the seven (7) children's records reviewed contained a immunization records dated beyond 30 day of the date of enrollment. 10A NCAC 09 .0302(d)(2) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A medical action plan was not on file for two Epinephrine Injection USP injectors located in space #6. .0801(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A training certificate for Recognizing and Responding to Suspicions of Child Maltreatment training was not on file for staff employed on 8/20/24. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Training certificates for all the health and safety trainings was not on file for staff employed on 1/8/24. .1102(a) 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 3/5/25, 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: Medication- Obtaining written authorization from a parent gives childcare providers the legal right to give medication and is critical to ensure the safe and appropriate administration of medications to children with medical needs, protecting their health by providing clear instructions to staff on how to manage specific medical conditions in case of an emergency. In space #6, there was one authorization form for an epinephrine injector that did not have all the required information. Also, in space #6 there were two epinephrine injectors that did not have an emergency medical care plan. You shared that staff had completed a medication check last week. We discussed your current methods of monitoring medications and ensuring the staff completing the inspection is trained in how to monitor medications. When staff received new medication authorizations, they need to immediately review the document to ensure it is completed properly and the instructions are clear. This is your opportunity to ask any clarifying questions. Review your current policies and procedures to ensure they include information concerning receiving medications and authorization forms, monitoring medications and training staff on administering and monitoring medication. Criminal Background Check- Obtaining a criminal background check prior to employment ensures the safety of children by preventing the hiring of individuals with convictions that my jeopardize the well-being of children. Staff employed on 11/4/24 had a qualification letter dated 12/4/24, staff employed 11/11/24 had a qualification letter dated 11/15/24 and staff employed 8/20/24 had a qualification letter dated 8/23/24. It was shared that potential staff may come in to volunteer and observe in classrooms to see if the center would be a good fit for them. No staff should begin working in any capacity without having a qualification letter. We discussed when a staff should obtain a criminal background check and the current process. Do not allow potential employees to begin working until they have completed the criminal background check process and you have a copy of their qualification letter on file. First Aid and CPR Training- For the health and safety of the children, all staff members are required to obtain CPR and First Aid certification and keep it current. Staff employed on 11/11/24 did not have a training certificate or card on file showing the successful completion of First Aid and CPR training. We discussed tracking the due dates of training and certifications. Have the staff complete the training and provide a copy of the card or certificate with your compliance letter. Children’s Records- Children are required to have a medical exam by a doctor and a copy of their immunization record no later than 30 days from their first day of attendance. A medical exam can be accepted if completed within the last 12 months prior to enrollment. Two of seven children’s files reviewed had medical records dated beyond 30 days of enrollment. Two of seven children's files reviewed had immunization dated beyond 30 days of enrollment. You shared the children were enrolled under a different administrator. You stated that your current practice requires the medical report and immunizations prior to enrolling a child and request an annual update of immunization records for parents. When reviewing files, be sure to note if the required information is on file and when it was received. If you choose to purge files, ensure the original medical report and immunizations remain in the file. Staff Medical Report and TB Results- Child care staff should have a medical report and TB test before starting work to ensure they are physically and emotionally fit to care for children. These requirements help promote healthy environments for children. Staff employed on 11/4/24 and 11/11/24 did not have a medical report and TB screener/test on file. A copy of each document was obtained during the visit. You shared these documents were obtained by HR and the employee to be filed. Review the staff and training worksheet and the staff file regularly to ensure all requirements are met. Staff Qualifications and Training Requirements- Child care staff should receive orientation, health and safety training, and child maltreatment training to ensure the well being and safety of children in their care and providing them with the knowledge and skills to properly fulfill their role as caregiver, respond to potential hazards and recognize and report signs of abuse and neglect. Staff employed on 4/1/24 completed orientation outside of the six week time frame, on 6/20/24. Staff employed on 1/8/24 did not have documentation of completion of all the required health and safety trainings. Staff employed on 8/20/24 did not have documentation of completion of Recognizing and Responding to Suspicions of Child Maltreatment training. You share these staff were onboarded under another administrator. Per our conversation the current practices are to complete all health and safety trainings during the orientation process. We discussed reviewing staff files regularly and using the staff and training worksheet as a tool to assist with tracking staff trainings and qualifications. When a staff is brought into the center, review the file immediately to ensure all required documents are on file and you can then set reminders for training requirement deadlines. Additional Information 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 and environmental health rules in North Carolina, the Items Number Listing 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. Raise NC Newsletters- Stay informed by subscribing to the weekly Raise NC Newsletters. The newsletters include updates on policies, programs and resources. It also highlights stories of local families, providers, and community leaders and showcases the impact of early care and learning across the state of North Carolina. Subscribe today by visiting 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 mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@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: LITTLE SUNSHINES ACADEMY Facility ID: 74000892 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 2/19/2025 Number Present: 19 Completed Date: 2/19/2025 Age: From 0 To 5 Total Minutes: 304 Time In: 08:06 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center 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. V. Colson, Director, assisted me with the visit. Your program currently operates with a five-star license, issued 11/13/21, earning 6 points in the education component, 6 points in the program standards component (meeting enhanced ratio and space) and 1 quality point for the programmatic option of staff benefits package and infrastructure of parent involvement. The last annual compliance visit was conducted 3/7/24. The sanitation inspection was completed 8/1/24 with a “Superior” classification. The last fire inspection was conducted 12/30/24 and your facility was approved for day time and night care. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty nine percent as of 2/17/25. The NC Secretary of State website was reviewed on 2/17/25 and Howard World Enterprises, LLC was listed as current- active. 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. Six groups were observed using the indoor learning environment. Children enrolled in space #1 explored the classroom, engaged with soft toys and books. Teachers sat with the children, helping children to identify the items they played with and things in the books. In space #2, children transitioned from mealtime to group and indoor free play. Proper hand washing techniques were observed. In spaces #3 and #4, children gathered around the teacher for whole group activities, including singing, group discussions, and story time. In spaces #4 and #5, children played with a variety of learning materials in learning centers. Staff were observed assisting children with personal care need and engaging in conversations using soft tones. New mulch has been recently added under the stationary equipment of the outdoor learning areas. Additional gross motor materials were stored in bins for easy access during outdoor play. Breakfast was observed and consisted of oatmeal, raisins, and milk. The following violations were documented. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. The medication authorization form for an Epinephrine Injection USP injector, in space #6, was missing information of the symptoms and circumstances needed for giving the medication, dosage, route, and instructions on how to give the medication. 10A NCAC 09 .0803(4)(6-9) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff employed on 11/11/24 and 11/4/24 did not have a medical report on file for review at the time of the visit. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff employed on 11/11/24 and 11/4/24 did not have a TB test or screener on file for review at the time of the visit. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Staff, Jasmine Baker, Carolyn Tyson, and Madison Joyner, did not complete a criminal background check prior to employment. G.S. 110-90.2(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Documentation of orientation for staff employed on 4/1/24 reflect orientation was completed on 6/20/24. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A First Aid certificate or card was on file for staff employed on 11/11/24. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A CPR certificate or card was on file for staff employed on 11/11/24. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two (2) of the seven (7) children's records reviewed contained a health assessment dated beyond 30 day of the date of enrollment. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Two (2) of the seven (7) children's records reviewed contained a immunization records dated beyond 30 day of the date of enrollment. 10A NCAC 09 .0302(d)(2) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A medical action plan was not on file for two Epinephrine Injection USP injectors located in space #6. .0801(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A training certificate for Recognizing and Responding to Suspicions of Child Maltreatment training was not on file for staff employed on 8/20/24. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Training certificates for all the health and safety trainings was not on file for staff employed on 1/8/24. .1102(a) 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 3/5/25, 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: Medication- Obtaining written authorization from a parent gives childcare providers the legal right to give medication and is critical to ensure the safe and appropriate administration of medications to children with medical needs, protecting their health by providing clear instructions to staff on how to manage specific medical conditions in case of an emergency. In space #6, there was one authorization form for an epinephrine injector that did not have all the required information. Also, in space #6 there were two epinephrine injectors that did not have an emergency medical care plan. You shared that staff had completed a medication check last week. We discussed your current methods of monitoring medications and ensuring the staff completing the inspection is trained in how to monitor medications. When staff received new medication authorizations, they need to immediately review the document to ensure it is completed properly and the instructions are clear. This is your opportunity to ask any clarifying questions. Review your current policies and procedures to ensure they include information concerning receiving medications and authorization forms, monitoring medications and training staff on administering and monitoring medication. Criminal Background Check- Obtaining a criminal background check prior to employment ensures the safety of children by preventing the hiring of individuals with convictions that my jeopardize the well-being of children. Staff employed on 11/4/24 had a qualification letter dated 12/4/24, staff employed 11/11/24 had a qualification letter dated 11/15/24 and staff employed 8/20/24 had a qualification letter dated 8/23/24. It was shared that potential staff may come in to volunteer and observe in classrooms to see if the center would be a good fit for them. No staff should begin working in any capacity without having a qualification letter. We discussed when a staff should obtain a criminal background check and the current process. Do not allow potential employees to begin working until they have completed the criminal background check process and you have a copy of their qualification letter on file. First Aid and CPR Training- For the health and safety of the children, all staff members are required to obtain CPR and First Aid certification and keep it current. Staff employed on 11/11/24 did not have a training certificate or card on file showing the successful completion of First Aid and CPR training. We discussed tracking the due dates of training and certifications. Have the staff complete the training and provide a copy of the card or certificate with your compliance letter. Children’s Records- Children are required to have a medical exam by a doctor and a copy of their immunization record no later than 30 days from their first day of attendance. A medical exam can be accepted if completed within the last 12 months prior to enrollment. Two of seven children’s files reviewed had medical records dated beyond 30 days of enrollment. Two of seven children's files reviewed had immunization dated beyond 30 days of enrollment. You shared the children were enrolled under a different administrator. You stated that your current practice requires the medical report and immunizations prior to enrolling a child and request an annual update of immunization records for parents. When reviewing files, be sure to note if the required information is on file and when it was received. If you choose to purge files, ensure the original medical report and immunizations remain in the file. Staff Medical Report and TB Results- Child care staff should have a medical report and TB test before starting work to ensure they are physically and emotionally fit to care for children. These requirements help promote healthy environments for children. Staff employed on 11/4/24 and 11/11/24 did not have a medical report and TB screener/test on file. A copy of each document was obtained during the visit. You shared these documents were obtained by HR and the employee to be filed. Review the staff and training worksheet and the staff file regularly to ensure all requirements are met. Staff Qualifications and Training Requirements- Child care staff should receive orientation, health and safety training, and child maltreatment training to ensure the well being and safety of children in their care and providing them with the knowledge and skills to properly fulfill their role as caregiver, respond to potential hazards and recognize and report signs of abuse and neglect. Staff employed on 4/1/24 completed orientation outside of the six week time frame, on 6/20/24. Staff employed on 1/8/24 did not have documentation of completion of all the required health and safety trainings. Staff employed on 8/20/24 did not have documentation of completion of Recognizing and Responding to Suspicions of Child Maltreatment training. You share these staff were onboarded under another administrator. Per our conversation the current practices are to complete all health and safety trainings during the orientation process. We discussed reviewing staff files regularly and using the staff and training worksheet as a tool to assist with tracking staff trainings and qualifications. When a staff is brought into the center, review the file immediately to ensure all required documents are on file and you can then set reminders for training requirement deadlines. Additional Information 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 and environmental health rules in North Carolina, the Items Number Listing 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. Raise NC Newsletters- Stay informed by subscribing to the weekly Raise NC Newsletters. The newsletters include updates on policies, programs and resources. It also highlights stories of local families, providers, and community leaders and showcases the impact of early care and learning across the state of North Carolina. Subscribe today by visiting 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 mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@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: LITTLE SUNSHINES ACADEMY Facility ID: 74000892 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: 1124-278L Visit Date: 12/9/2024 Number Present: 23 Completed Date: 12/9/2024 Age: From 1 To 3 Total Minutes: 228 Time In: 09:07 AM Time Out: 12:55 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. The allegations are as follows: There is a concern that documentation is not being provided when injuries occur in care. There is a concern that staff did not treat a child in a nurturing and caring manner. Enrollment: Space #3 Staff- M. Joyner, J. Backer Eight children, one year of age enrolled; eight children, one year of age present Four children, two years of age enrolled; four children, two years of age present Space #4 Staff-D. Corbitt, M. Maye Thirteen children, two years of age enrolled; eight children, two years of age present Three children, three year of age enrolled; three children, three years of age present Staff/child ratio, group size, supervision, and license restrictions were monitored. Today, I observed children in the indoor space, children were engaged in group time, and indoor free play activities. Teachers moved about the spaces, assisting children with materials and conflict resolution. In space #4, I observed the children seated near the teacher as she reviewed the position words above and below and American Sign Language words. In space #3, children participated in indoor free play, where they engaged with dramatic play materials, musical instruments, and blocks. Today’s menu consisted of macaroni and cheese, broccoli, grapes, and milk. Regarding the allegation that documentation is not being provided when injuries occur in care, I reviewed incident logs, incident reports, and interviewed staff. One incident report was on file that was not signed by the parent. The box the indicated the parent declined receiving a copy of the report was not initialed by the patent. No written documentation was provided to show the parent was aware of the incident. Based on the above information the allegation was confirmed. Regarding the allegation that staff did not treat a child in a nurturing and caring manner, classroom observations and staff interviews were completed. Staff were observed speaking to the children in soft tones. When redirecting unwanted behaviors, teachers got down on the child’s level and told the child the behavior was not nice and reinforced the classroom expectation; “throwing toys is not nice, you can hurt your friends." "Let’s play with them like this. Can you build with the blocks?” Additionally, staff were observed comforting children that were upset by patting their back, giving them a hug, asking if they are okay and reminding them that they are okay. It was reported that staff redirect children when there is unwanted behavior. Staff talk with the children about being a kind friend. Staff reported that when children’s behavior escalates, they call for assistance from the administration team. Video footage was requested from on-site and off-site administrators but was not provided by the conclusion of the visit. Based on staff interviews and classroom observation, the allegation was unconfirmed. The following violation was observed. Violation Number Comment Rule 1952 A copy of the incident report was not given to the parent. A parent signature was not present of an incident report filed on 11/20/24. .0802(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 12/23/24, 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 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: Incident reports should be provided to parents in child care because it provides a clear record of any accidents, injuries, or unusual occurrences, and allows them parents to be informed and fostering transparency and enabling parents to be actively involved in their child's safety and well-being within the childcare setting. Today I observed an incident report that did not have a parent signature nor parent initials for indicated they declined a copy of the report. Today we reviewed the incident report form. Be sure the form is completed fully and accurately when presenting it to parents. If a parent chooses not to have a copy, it must be indicated by initialing is the designated box at the bottom of the form. Please be remined that confirmed complaints may result in the issuance of administrative actions. Follow-up visits may be conducted in the near future. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. 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 .0803 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY Facility ID: 74000892 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 8/29/2024 Number Present: 54 Completed Date: 8/29/2024 Age: From 0 To 4 Total Minutes: 252 Time In: 09:33 AM Time Out: 01:45 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. T. Atilien, Compliance Director, assisted me with today’s visit. Your program currently operates with a five-star license, issued 11/13/21, earning 6 points in the education component, 6 points in the program standards component (meeting enhanced requirements) and 1 quality point for the programmatic option of staff benefits package and infrastructure for parent involvement. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety percent as of 8/29/24. The NC Secretary of State website was reviewed on 8/29/24 and Howard World Enterprises, LLC was listed as current-active. The license was posted, and the restrictions were in compliance. You greeted me at the front desk. I completed a walk through of all indoor and outdoor spaces and found supervision and staff/child ratios to be in compliance. Six groups of children were observed in the indoor learning environment, engaging in free play with age-appropriate materials including blocks, books, dramatic play materials and art materials. Teachers were observed interacting with the children through conversation and play. Fire inspection and sanitation inspections remain current. The violations are as follows: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #6, there was one canister Ventolin HFA, albuterol inhaler, expired 3/13/24. 10A NCAC 09 .0803(1)(a & b) 847 Parent's medication authorization did not include required information. In space #1, I observed one tube of Boudreaux’s Butt Paste and one tube of Aquaphor Healing Cream that had an authorization form that was not signed and dated by the parent/guardian. 10A NCAC 09 .0803(4)(6-9) 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 9/12/24, 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 may be completed. Mail or email the information to: LeShaunda McCotter, Child Care Consultant PO Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance: Medication Authorizations- Caregivers/teachers need to be aware of each of the medications a child received at child care is authorized by the child’s parent/guardian. They should know the names of the medication(s), when each is to be given, who prescribed them, and what the known reactions or side effects may be in the event that a child has a negative reaction to the medicine, along with clear and complete instructions for administration. In space #1, I observed one tube of Boudreaux’s Butt Paste and one tube of Aquaphor Healing Cream that had an authorization form that was not signed and dated by the parent/guardian. You stated the parent completed the form, but it looks like they forgot to sign it. In space #6, there was one canister Ventolin HFA, albuterol inhaler, with a 12-month authorization, documented on the public-school form. You were able to contact the parent, and they completed a new authorization form during the visit. Moving forward, have parents to complete the forms provided by DCDEE and note parents may give authorization for up to six months for prescription medications. Today I suggested that you review the proper way monitor medication requirements with staff. We reviewed your current company procedures and practices. Additional Comments: Staff Orientation-During the recent technical assistance visit, T. Becton, and I discussed staff orientation and streamlining the progress. Today, you and I discussed your current practices of having all orientation materials organized in a way that is easy to follow. You shared with me a New Staff Orientation booklet that had been created for staff use during orientation sessions. We discussed creating an outline and creating orientation sessions with bullet points on things that must be copied in each session. Create a binder or notebook to have materials readily available during orientation sessions. Monitoring Medications-Today we discussed your current practices and reviewed the plan that was submitted by 7/1/24. You shared with me the updated standard operating procedures for monthly medication expiration checks implemented by the center owner 7/2/24. Per our conversation, monthly checks are not being efficiently conducted and you are working with staff to train them on how to properly monitor medications when doing their checks. Reach out to your local Child Care Health Consultant to schedule a Medication in Child Care training for all staff. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at 252-751-8634, LeShaunda.McCotter@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: LITTLE SUNSHINES ACADEMY Facility ID: 74000892 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 8/29/2024 Number Present: 54 Completed Date: 8/29/2024 Age: From 0 To 4 Total Minutes: 252 Time In: 09:33 AM Time Out: 01:45 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. T. Atilien, Compliance Director, assisted me with today’s visit. Your program currently operates with a five-star license, issued 11/13/21, earning 6 points in the education component, 6 points in the program standards component (meeting enhanced requirements) and 1 quality point for the programmatic option of staff benefits package and infrastructure for parent involvement. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety percent as of 8/29/24. The NC Secretary of State website was reviewed on 8/29/24 and Howard World Enterprises, LLC was listed as current-active. The license was posted, and the restrictions were in compliance. You greeted me at the front desk. I completed a walk through of all indoor and outdoor spaces and found supervision and staff/child ratios to be in compliance. Six groups of children were observed in the indoor learning environment, engaging in free play with age-appropriate materials including blocks, books, dramatic play materials and art materials. Teachers were observed interacting with the children through conversation and play. Fire inspection and sanitation inspections remain current. The violations are as follows: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #6, there was one canister Ventolin HFA, albuterol inhaler, expired 3/13/24. 10A NCAC 09 .0803(1)(a & b) 847 Parent's medication authorization did not include required information. In space #1, I observed one tube of Boudreaux’s Butt Paste and one tube of Aquaphor Healing Cream that had an authorization form that was not signed and dated by the parent/guardian. 10A NCAC 09 .0803(4)(6-9) 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 9/12/24, 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 may be completed. Mail or email the information to: LeShaunda McCotter, Child Care Consultant PO Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance: Medication Authorizations- Caregivers/teachers need to be aware of each of the medications a child received at child care is authorized by the child’s parent/guardian. They should know the names of the medication(s), when each is to be given, who prescribed them, and what the known reactions or side effects may be in the event that a child has a negative reaction to the medicine, along with clear and complete instructions for administration. In space #1, I observed one tube of Boudreaux’s Butt Paste and one tube of Aquaphor Healing Cream that had an authorization form that was not signed and dated by the parent/guardian. You stated the parent completed the form, but it looks like they forgot to sign it. In space #6, there was one canister Ventolin HFA, albuterol inhaler, with a 12-month authorization, documented on the public-school form. You were able to contact the parent, and they completed a new authorization form during the visit. Moving forward, have parents to complete the forms provided by DCDEE and note parents may give authorization for up to six months for prescription medications. Today I suggested that you review the proper way monitor medication requirements with staff. We reviewed your current company procedures and practices. Additional Comments: Staff Orientation-During the recent technical assistance visit, T. Becton, and I discussed staff orientation and streamlining the progress. Today, you and I discussed your current practices of having all orientation materials organized in a way that is easy to follow. You shared with me a New Staff Orientation booklet that had been created for staff use during orientation sessions. We discussed creating an outline and creating orientation sessions with bullet points on things that must be copied in each session. Create a binder or notebook to have materials readily available during orientation sessions. Monitoring Medications-Today we discussed your current practices and reviewed the plan that was submitted by 7/1/24. You shared with me the updated standard operating procedures for monthly medication expiration checks implemented by the center owner 7/2/24. Per our conversation, monthly checks are not being efficiently conducted and you are working with staff to train them on how to properly monitor medications when doing their checks. Reach out to your local Child Care Health Consultant to schedule a Medication in Child Care training for all staff. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at 252-751-8634, LeShaunda.McCotter@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 .0803 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY Facility ID: 74000892 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 6/17/2024 Number Present: 53 Completed Date: 6/17/2024 Age: From 0 To 5 Total Minutes: 341 Time In: 09:14 AM Time Out: 02:55 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. T. Becton, Director, assisted me with today’s visit. Your program currently operates with a five-star license, issued 11/13/21, earning 6 points in the education component, 6 points in the program standards component (meeting enhanced requirements) and 1 quality point for the programmatic option of staff benefits package and infrastructure for parent involvement. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety percent as of 6/14/24. The NC Secretary of State website was reviewed on 6/14/24 and Howard World Enterprises, LLC was listed as current-active. The license was posted, and the restrictions were in compliance. Today, I completed a walk-through of the facility, all indoor and outdoor areas were monitored. 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, and small group activities. Teachers interacted with the children through play and conversation. Children’s art work and educational posters hang on the walls of the classrooms. Infants were engaged in tummy time and indoor free play, moving freely around the play space. Files for new staff were reviewed. Fire and sanitation inspections remain current. The violations are as follows: Violation Number Comment Rule 843 A drug or medicine was administered after its expiration date. There was one tube of Boudreaux's Butt Paste in space #2 with an expiration date of 2/2024. There was one tube of Aquaphor Healing Ointment located in space #3 with an expiration date of 4/2024. 10A NCAC 09 .0803(1)(d) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Documentation of orientation for staff L. Moore, employed on 1/8/24, and D. White, employed on 4/1/24, was not of file for review. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Documentation of First Aid certification was not on file for one staff, L. Moore, employed on 1/8/24. .1102(c) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch on under the climbing structure of space #3 measured three inches in depth, in the fall zone, and one inch under the standing swing. .0605(k)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff, L. Moore, employed 1/5/24, did not have documentation of completion of Recognizing and Responding to Suspicions of Child Maltreatment training. .1102(g) 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 7/1/24, 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 may be completed. Mail or email the information to: LeShaunda McCotter, Child Care Consultant PO Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance: Medication - Child care programs are not required to administer medication, but there are many situations in which providing that service to families might be the better choice. Today there were expired diaper creams in both space #2 and space #3. The permission forms were still in date; however, the diaper cream expiration date stamped on the diaper cream had passed. When diaper cream forms are filled out by parents, you should check that the correct expiration date is noted on the topical ointment permission form and that it matches the expiration date on the medication. If a parent brings in a diaper cream to replace another diaper cream, a new form must be filled out for that diaper cream. Complete audits at least every two weeks, checking the medication and its authorization form. Develop a written plan to ensure medications are within date, the authorizations are completed correctly, and a tracking system. Orientation - Orientation ensures that all staff members receive specific and basic training for the work they will be doing and are informed about their new responsibilities. Two staff did not have documentation of 16 hours of orientation within the first six weeks of employment. You stated the staff had transferred from a sister center and to your knowledge orientation was completed. When a staff transfers to your facility, it is very important that you verify all documents are on file and document the orientation you give at your facility. Orientation training ensures that staff members are challenged and stimulated, have access to current knowledge and have access to education that will qualify them for new roles. This is a repeat violation for the Annual Compliance visit on March 7, 2024. Develop a system to ensure staff records are complete and accurate. Recognizing and Responding to Suspicions of Child Maltreatment Training - Proper training and education is important to children’s safety and identifying manifestations of child maltreatment that can increase the likelihood of appropriate reports to child protection and law enforcement agencies. One staff did not have documentation of completion of the required training. You stated the staff transferred from another center. The Recognizing and Responding to Suspicions of Child Maltreatment training must be taken at www.preventchildabusenc.org within 90 days of hire. This is a repeat violation for the Annual Compliance visit on March 7, 2024. Have staff complete the training during the six week orientation period to ensure the training is completed within the required timeframe. Outdoor Inspections- The outdoor learning environment offers a sense of freedom for children. Children are able to 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. Since children are exploring it is very important to provide a safe environment. The mulch under the climbing structure measured less than six inches in the fall zone. We discussed the importance of checking the outdoor play areas every morning prior to the children arriving to the facility. Rack or fluff mulch and remeasure, if the mulch is still not at the required six inches, order more, and keep the children from that area until the surfacing is at its minimum required depth. Additional Comments: Transitions- Transitioning from one activity to the next may be a challenge for some children. Today I observed a teacher ask children to transition from the table activity to the door in preparation to outdoor free play. During this transition, children began to move about the classroom and began to play in centers. Staff can try to establish a routine to help children with the transitions. This may be a warning that the transition is coming. A transition song, finger play or chant may also assist children with knowing what is next and the expectations. Young children need predictability and routine. Work with your classroom teachers to develop a routine that will help have a smoother transition between activities. Vines- There are vines growing along the rear fence of the playgrounds. Because the young children tend to put things in their mouths, there is a risk of a child ingesting the leaves of the vines if they grow on to the fence. We spoke about having your lawn care provider cut or spray the vines that are approaching the outdoor learning area. Cohort 3 Rated License. Your program is assigned to Cohort #3. The Preparation Year is from 7/1/2025 – 6/30/2026. During your preparation year, if you are interested in having the Environment Rating Scales completed, review the ITERS-S and ECERS-R by obtaining the manuals for each classroom and looking for assessment related resources at ncrlap.org. Request technical assistance and training for your staff from Martin-Pitt Partnership for Children. This is also the time to work on staff education and ensure Works accounts are completed and up to date for staff members. Look at options to help staff earn the NC Early Childhood Credential (NCECC) – EDU 119, Early Educator Certification. Encourage staff to enroll in additional college coursework to meet or increase points in Education. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at 252-751-8634, LeShaunda.McCotter@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: LITTLE SUNSHINES ACADEMY Facility ID: 74000892 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 6/17/2024 Number Present: 53 Completed Date: 6/17/2024 Age: From 0 To 5 Total Minutes: 341 Time In: 09:14 AM Time Out: 02:55 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. T. Becton, Director, assisted me with today’s visit. Your program currently operates with a five-star license, issued 11/13/21, earning 6 points in the education component, 6 points in the program standards component (meeting enhanced requirements) and 1 quality point for the programmatic option of staff benefits package and infrastructure for parent involvement. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety percent as of 6/14/24. The NC Secretary of State website was reviewed on 6/14/24 and Howard World Enterprises, LLC was listed as current-active. The license was posted, and the restrictions were in compliance. Today, I completed a walk-through of the facility, all indoor and outdoor areas were monitored. 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, and small group activities. Teachers interacted with the children through play and conversation. Children’s art work and educational posters hang on the walls of the classrooms. Infants were engaged in tummy time and indoor free play, moving freely around the play space. Files for new staff were reviewed. Fire and sanitation inspections remain current. The violations are as follows: Violation Number Comment Rule 843 A drug or medicine was administered after its expiration date. There was one tube of Boudreaux's Butt Paste in space #2 with an expiration date of 2/2024. There was one tube of Aquaphor Healing Ointment located in space #3 with an expiration date of 4/2024. 10A NCAC 09 .0803(1)(d) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Documentation of orientation for staff L. Moore, employed on 1/8/24, and D. White, employed on 4/1/24, was not of file for review. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Documentation of First Aid certification was not on file for one staff, L. Moore, employed on 1/8/24. .1102(c) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch on under the climbing structure of space #3 measured three inches in depth, in the fall zone, and one inch under the standing swing. .0605(k)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff, L. Moore, employed 1/5/24, did not have documentation of completion of Recognizing and Responding to Suspicions of Child Maltreatment training. .1102(g) 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 7/1/24, 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 may be completed. Mail or email the information to: LeShaunda McCotter, Child Care Consultant PO Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance: Medication - Child care programs are not required to administer medication, but there are many situations in which providing that service to families might be the better choice. Today there were expired diaper creams in both space #2 and space #3. The permission forms were still in date; however, the diaper cream expiration date stamped on the diaper cream had passed. When diaper cream forms are filled out by parents, you should check that the correct expiration date is noted on the topical ointment permission form and that it matches the expiration date on the medication. If a parent brings in a diaper cream to replace another diaper cream, a new form must be filled out for that diaper cream. Complete audits at least every two weeks, checking the medication and its authorization form. Develop a written plan to ensure medications are within date, the authorizations are completed correctly, and a tracking system. Orientation - Orientation ensures that all staff members receive specific and basic training for the work they will be doing and are informed about their new responsibilities. Two staff did not have documentation of 16 hours of orientation within the first six weeks of employment. You stated the staff had transferred from a sister center and to your knowledge orientation was completed. When a staff transfers to your facility, it is very important that you verify all documents are on file and document the orientation you give at your facility. Orientation training ensures that staff members are challenged and stimulated, have access to current knowledge and have access to education that will qualify them for new roles. This is a repeat violation for the Annual Compliance visit on March 7, 2024. Develop a system to ensure staff records are complete and accurate. Recognizing and Responding to Suspicions of Child Maltreatment Training - Proper training and education is important to children’s safety and identifying manifestations of child maltreatment that can increase the likelihood of appropriate reports to child protection and law enforcement agencies. One staff did not have documentation of completion of the required training. You stated the staff transferred from another center. The Recognizing and Responding to Suspicions of Child Maltreatment training must be taken at www.preventchildabusenc.org within 90 days of hire. This is a repeat violation for the Annual Compliance visit on March 7, 2024. Have staff complete the training during the six week orientation period to ensure the training is completed within the required timeframe. Outdoor Inspections- The outdoor learning environment offers a sense of freedom for children. Children are able to 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. Since children are exploring it is very important to provide a safe environment. The mulch under the climbing structure measured less than six inches in the fall zone. We discussed the importance of checking the outdoor play areas every morning prior to the children arriving to the facility. Rack or fluff mulch and remeasure, if the mulch is still not at the required six inches, order more, and keep the children from that area until the surfacing is at its minimum required depth. Additional Comments: Transitions- Transitioning from one activity to the next may be a challenge for some children. Today I observed a teacher ask children to transition from the table activity to the door in preparation to outdoor free play. During this transition, children began to move about the classroom and began to play in centers. Staff can try to establish a routine to help children with the transitions. This may be a warning that the transition is coming. A transition song, finger play or chant may also assist children with knowing what is next and the expectations. Young children need predictability and routine. Work with your classroom teachers to develop a routine that will help have a smoother transition between activities. Vines- There are vines growing along the rear fence of the playgrounds. Because the young children tend to put things in their mouths, there is a risk of a child ingesting the leaves of the vines if they grow on to the fence. We spoke about having your lawn care provider cut or spray the vines that are approaching the outdoor learning area. Cohort 3 Rated License. Your program is assigned to Cohort #3. The Preparation Year is from 7/1/2025 – 6/30/2026. During your preparation year, if you are interested in having the Environment Rating Scales completed, review the ITERS-S and ECERS-R by obtaining the manuals for each classroom and looking for assessment related resources at ncrlap.org. Request technical assistance and training for your staff from Martin-Pitt Partnership for Children. This is also the time to work on staff education and ensure Works accounts are completed and up to date for staff members. Look at options to help staff earn the NC Early Childhood Credential (NCECC) – EDU 119, Early Educator Certification. Encourage staff to enroll in additional college coursework to meet or increase points in Education. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at 252-751-8634, LeShaunda.McCotter@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 .0803 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY Facility ID: 74000892 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 3/14/2024 Number Present: 60 Completed Date: 3/14/2024 Age: From 0 To 5 Total Minutes: 283 Time In: 11:37 AM Time Out: 04:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during my March 7, 2024, Unannounced Follow-up visit. Observations Staff/child ratio, group size, supervision, use of licensed space, space capacity, and license restrictions were monitored. Six groups were observed. Children were observed in indoor and outdoor free play. Children enrolled in space #1 were cared for based on their individual needs. In spaces #2, #3, #4, #5, and #5 were napping on individual cots. Teachers moved around the spaces cleaning and working on wall displays. The groups later transitioned to snack. The following violation documented during the Janu, visit on March 7, 2024 monitored for compliance during this visit: #805-Fire drills were not practiced monthly and/or the drill record was incomplete. The drill log reflects the last fire drill as 1/12/24. As of today’s visit, no fire drills have been conducted. You reported when trying to use the pull station on 3/7/24 it was not working correctly. The system was fixed on 3/12/24 and a drill is planned in the coming days. #840-All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #5, two canisters of disinfectant wipes, two bottles of Lysol multipurpose cleaner, and one bottle of Fabuloso multipurpose cleaner was stored in an unlocked upper cabinet, right of the sink. Two canisters of disinfectant wipes, one can of Lysol disinfectant spray, and one bottle of Lysol multipurpose cleaner was stored in an unlocked closet in space #6. Today, I observed all cleaning materials stored in locked storage throughout the facility. #842-A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #2, authorization for two tubes of Desitin expired 2/8/24 and the authorization for one tube of Boudreaux's Butt Paste expired on 2/17/24. In space #3, authorization for one tube of Desitin expired 2/29/24, authorization for one jar of Earth Mama Organic Diaper Balm expired 3/3/24, and authorization for one tube of Desitin expired 1/30/24. In space #4, authorization for one jar of Walgreens Petroleum Jelly expired 1/10/24, authorization for on bottle of Hello Hello Mosquito Repellant expired 12/12/23, authorization for one tube of Desitin expired 9/13/23, and authorization for one tube of Aquaphor Healing Ointment expired 6/1/23. There was no authorization on file for tube of Aquaphor Healing Ointment located in space #2. There was not authorization on file for two Ventolin HFA inhalers and one Epi Pen injector located in space #6. Today I observed all medication in spaces #1, #3, #4, and #5 with current medication authorization forms. In space #2, there was one tube of Aquaphor Healing Ointment. In space #6, there were two Ventolin HFA inhalers with no authorization form. You have made contact with parents but the forms have not been returned. The Aquaphor Healing Ointment and two Ventolin HFA inhalers were removed and are now stored in the office for pick up from the parents. #843-A drug or medicine was administered after its expiration date. One tube of Little Journey Diaper Rash Cream with an expiration date of 3/2023 was located in space #1. One tube of Desitin with and expiration date of 2/2024 was located in space #3. In space #4 there was a jar Walgreens Petroleum Jelly with an expiration date of 1/2024, and one tube of Aquaphor Healing Ointment with an expiration date of 6/2023.Today, all medications in classroom are current. You reported that those medications were returned to the parents on 3/7/24 and 3/8/24. #849-Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One twin pack of EpiPen Jr auto-injectors prescribed to a child is was disenrolled in January 2024 was stored in space #5. One Ventolin HFA inhaler belonging a child that was disenrolled in January 2024 was stored in space #5. During the visit, one twin pack of EpiPen Jr auto-injectors were stored in space #5. You reported you attempted to make contact with the parent on 3/8/24, the parent was unable to retrieve the medication. The Ventolin HFA was disposed of during the 3/7/24. #1032-Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff employed on 2/19/24 had a medical report on file dated 3/1/24. #1033-On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff employed on 2/19/24 had a TB Screener dated 3/1/24 #1045-New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Documentation of orientation was not on file for staff employed on 1/15/23, 9/26/23, 11/6/23, 12/4/23, 1/5/24, and 1/15/24.Today I observed orientation documentation for all staff. Orientation is still in progress at the time of the visit. #1067-Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Documentation of six clock hour of training was not available for staff employed on 2/5/24, 2/19/24, and 2/19/24. Documentation of six hours orientation on the required topics to be coved within the first two weeks of employment was available for review for all staff members. #1320-Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A medical report was not on file one of the seven children's files reviewed. You reported the parent has informed you that they have made a request for a medical report from the child’s physician and is waiting to pick it up. #1321-Medical exam or health assessment record was not on file before or within 30 days after admission. Two of the seven children's records reviewed contained medical reports dated beyond 30 days of enrollment. #1323-Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One of seven children's records reviewed contained an immunization record dated beyond 30 days of enrollment. #1824-The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR Plan on file was last updated on 1/6/23. You are currently in the process of updating the EPR Plan. You stated you are working in conjunction with the facility Compliance Manager to complete this task. #1825-All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Documentation of the review of the EPR plan was not available for review during the visit. At the time of the visit the EPR Plan is under review. You stated you have plans to review it with staff next week. #1897-The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Training certificates for the completion of Recognizing and Responding to Suspicions of Child Maltreatment training was not on file for B. Campbell and Y. Henriquez. A certificate of completion of training was on file for B. Campbell. You stated you spoke with Y. Hendriquez on 8/7/24 to ask if she had completed the training and supplied her with the website to complete the training. No certificate was available during today’s visit. #1898-Staff did not complete the health and safety training within one year of employment. certificates for all required health and safety training topics were not on file for review for A. Braxton and D. Brown. At the time of today’s visit, no additional health and safety training have been completed. You stated spoke with both staff members on 3/7/24 and on 3/14/24 about the remaining trainings they need to complete. One staff reported to you that when they completed the trainings but they were unable to print the certificates. You stated you have set sometime to work with her to getting them printed on 3/15/24. As stated in the 3/7/24 visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date. At the time of today’s visit, a compliance letter had not been received. Today, I verified correction of three of the sixteen violations. Continued noncompliance may result in an administrative action per Child Care Rule 10A NCAC 09 .2204(6). The following violations were observed. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One tube of Aquaphor Healing Ointment without written authorization was stored in space #2. Two Ventolin HFA inhalers without written authorization was stored in space #6. 10A NCAC 09 .0803(1)(a & b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One twin pack of EpiPen Jr auto-injector, prescribed to a child that is no longer enrolled as of January 2024, was stored in the emergency bag in space #5. .0803(12) 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 3/28/24, 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. Mail or email the information to: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: Medication Authorization- All medicines require clear, accurate instruction and medical confirmation of the need for the medication to be given while the child is in the facility. Medications should not be accepted if they are not accompanied by an authorization form that has clear instructions. Today I observed one tube of Aquaphor Healing Ointment in space #2. You stated the ointment was returned to the mother on 3/7/24 and you offered to provide her with a blank copy of the authorization form but it was left at the center. The ointment was brought back this morning and given to the classroom teacher who thought the form was turned in at the office. Today two Ventolin HFA inhalers were stored in the medication storage without authorization forms. You reported the classroom teacher was instructed to return the medication or get new authorization forms on 3/7/24. Today you contacted parents via ProCare app. Consider having medications go through an administrator before going into the classroom to ensure authorizations are completed and clear instructions are given. Returning Medication-When medication authorization expires, the course of treatment has ended or the child is no longer enrolled, medication must be returned to the parent or disposed of within 72 hours. Today a twin pack of EpiPen Jr. auto-injectors were stored in classroom #5. You stated you had tried to make contact with the parent on 3/7/24. The parent later informed you that they could not come pick up the medication due to a family emergency. . The medication must be removed from the classroom to avoid children and teacher access to the medication. Complete regular audits of medication in each classroom. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@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 .2204 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY Facility ID: 74000892 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 3/14/2024 Number Present: 60 Completed Date: 3/14/2024 Age: From 0 To 5 Total Minutes: 283 Time In: 11:37 AM Time Out: 04:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during my March 7, 2024, Unannounced Follow-up visit. Observations Staff/child ratio, group size, supervision, use of licensed space, space capacity, and license restrictions were monitored. Six groups were observed. Children were observed in indoor and outdoor free play. Children enrolled in space #1 were cared for based on their individual needs. In spaces #2, #3, #4, #5, and #5 were napping on individual cots. Teachers moved around the spaces cleaning and working on wall displays. The groups later transitioned to snack. The following violation documented during the Janu, visit on March 7, 2024 monitored for compliance during this visit: #805-Fire drills were not practiced monthly and/or the drill record was incomplete. The drill log reflects the last fire drill as 1/12/24. As of today’s visit, no fire drills have been conducted. You reported when trying to use the pull station on 3/7/24 it was not working correctly. The system was fixed on 3/12/24 and a drill is planned in the coming days. #840-All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #5, two canisters of disinfectant wipes, two bottles of Lysol multipurpose cleaner, and one bottle of Fabuloso multipurpose cleaner was stored in an unlocked upper cabinet, right of the sink. Two canisters of disinfectant wipes, one can of Lysol disinfectant spray, and one bottle of Lysol multipurpose cleaner was stored in an unlocked closet in space #6. Today, I observed all cleaning materials stored in locked storage throughout the facility. #842-A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #2, authorization for two tubes of Desitin expired 2/8/24 and the authorization for one tube of Boudreaux's Butt Paste expired on 2/17/24. In space #3, authorization for one tube of Desitin expired 2/29/24, authorization for one jar of Earth Mama Organic Diaper Balm expired 3/3/24, and authorization for one tube of Desitin expired 1/30/24. In space #4, authorization for one jar of Walgreens Petroleum Jelly expired 1/10/24, authorization for on bottle of Hello Hello Mosquito Repellant expired 12/12/23, authorization for one tube of Desitin expired 9/13/23, and authorization for one tube of Aquaphor Healing Ointment expired 6/1/23. There was no authorization on file for tube of Aquaphor Healing Ointment located in space #2. There was not authorization on file for two Ventolin HFA inhalers and one Epi Pen injector located in space #6. Today I observed all medication in spaces #1, #3, #4, and #5 with current medication authorization forms. In space #2, there was one tube of Aquaphor Healing Ointment. In space #6, there were two Ventolin HFA inhalers with no authorization form. You have made contact with parents but the forms have not been returned. The Aquaphor Healing Ointment and two Ventolin HFA inhalers were removed and are now stored in the office for pick up from the parents. #843-A drug or medicine was administered after its expiration date. One tube of Little Journey Diaper Rash Cream with an expiration date of 3/2023 was located in space #1. One tube of Desitin with and expiration date of 2/2024 was located in space #3. In space #4 there was a jar Walgreens Petroleum Jelly with an expiration date of 1/2024, and one tube of Aquaphor Healing Ointment with an expiration date of 6/2023.Today, all medications in classroom are current. You reported that those medications were returned to the parents on 3/7/24 and 3/8/24. #849-Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One twin pack of EpiPen Jr auto-injectors prescribed to a child is was disenrolled in January 2024 was stored in space #5. One Ventolin HFA inhaler belonging a child that was disenrolled in January 2024 was stored in space #5. During the visit, one twin pack of EpiPen Jr auto-injectors were stored in space #5. You reported you attempted to make contact with the parent on 3/8/24, the parent was unable to retrieve the medication. The Ventolin HFA was disposed of during the 3/7/24. #1032-Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff employed on 2/19/24 had a medical report on file dated 3/1/24. #1033-On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff employed on 2/19/24 had a TB Screener dated 3/1/24 #1045-New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Documentation of orientation was not on file for staff employed on 1/15/23, 9/26/23, 11/6/23, 12/4/23, 1/5/24, and 1/15/24.Today I observed orientation documentation for all staff. Orientation is still in progress at the time of the visit. #1067-Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Documentation of six clock hour of training was not available for staff employed on 2/5/24, 2/19/24, and 2/19/24. Documentation of six hours orientation on the required topics to be coved within the first two weeks of employment was available for review for all staff members. #1320-Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A medical report was not on file one of the seven children's files reviewed. You reported the parent has informed you that they have made a request for a medical report from the child’s physician and is waiting to pick it up. #1321-Medical exam or health assessment record was not on file before or within 30 days after admission. Two of the seven children's records reviewed contained medical reports dated beyond 30 days of enrollment. #1323-Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One of seven children's records reviewed contained an immunization record dated beyond 30 days of enrollment. #1824-The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR Plan on file was last updated on 1/6/23. You are currently in the process of updating the EPR Plan. You stated you are working in conjunction with the facility Compliance Manager to complete this task. #1825-All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Documentation of the review of the EPR plan was not available for review during the visit. At the time of the visit the EPR Plan is under review. You stated you have plans to review it with staff next week. #1897-The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Training certificates for the completion of Recognizing and Responding to Suspicions of Child Maltreatment training was not on file for B. Campbell and Y. Henriquez. A certificate of completion of training was on file for B. Campbell. You stated you spoke with Y. Hendriquez on 8/7/24 to ask if she had completed the training and supplied her with the website to complete the training. No certificate was available during today’s visit. #1898-Staff did not complete the health and safety training within one year of employment. certificates for all required health and safety training topics were not on file for review for A. Braxton and D. Brown. At the time of today’s visit, no additional health and safety training have been completed. You stated spoke with both staff members on 3/7/24 and on 3/14/24 about the remaining trainings they need to complete. One staff reported to you that when they completed the trainings but they were unable to print the certificates. You stated you have set sometime to work with her to getting them printed on 3/15/24. As stated in the 3/7/24 visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date. At the time of today’s visit, a compliance letter had not been received. Today, I verified correction of three of the sixteen violations. Continued noncompliance may result in an administrative action per Child Care Rule 10A NCAC 09 .2204(6). The following violations were observed. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One tube of Aquaphor Healing Ointment without written authorization was stored in space #2. Two Ventolin HFA inhalers without written authorization was stored in space #6. 10A NCAC 09 .0803(1)(a & b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One twin pack of EpiPen Jr auto-injector, prescribed to a child that is no longer enrolled as of January 2024, was stored in the emergency bag in space #5. .0803(12) 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 3/28/24, 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. Mail or email the information to: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: Medication Authorization- All medicines require clear, accurate instruction and medical confirmation of the need for the medication to be given while the child is in the facility. Medications should not be accepted if they are not accompanied by an authorization form that has clear instructions. Today I observed one tube of Aquaphor Healing Ointment in space #2. You stated the ointment was returned to the mother on 3/7/24 and you offered to provide her with a blank copy of the authorization form but it was left at the center. The ointment was brought back this morning and given to the classroom teacher who thought the form was turned in at the office. Today two Ventolin HFA inhalers were stored in the medication storage without authorization forms. You reported the classroom teacher was instructed to return the medication or get new authorization forms on 3/7/24. Today you contacted parents via ProCare app. Consider having medications go through an administrator before going into the classroom to ensure authorizations are completed and clear instructions are given. Returning Medication-When medication authorization expires, the course of treatment has ended or the child is no longer enrolled, medication must be returned to the parent or disposed of within 72 hours. Today a twin pack of EpiPen Jr. auto-injectors were stored in classroom #5. You stated you had tried to make contact with the parent on 3/7/24. The parent later informed you that they could not come pick up the medication due to a family emergency. . The medication must be removed from the classroom to avoid children and teacher access to the medication. Complete regular audits of medication in each classroom. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@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: LITTLE SUNSHINES ACADEMY Facility ID: 74000892 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 3/14/2024 Number Present: 60 Completed Date: 3/14/2024 Age: From 0 To 5 Total Minutes: 283 Time In: 11:37 AM Time Out: 04:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during my March 7, 2024, Unannounced Follow-up visit. Observations Staff/child ratio, group size, supervision, use of licensed space, space capacity, and license restrictions were monitored. Six groups were observed. Children were observed in indoor and outdoor free play. Children enrolled in space #1 were cared for based on their individual needs. In spaces #2, #3, #4, #5, and #5 were napping on individual cots. Teachers moved around the spaces cleaning and working on wall displays. The groups later transitioned to snack. The following violation documented during the Janu, visit on March 7, 2024 monitored for compliance during this visit: #805-Fire drills were not practiced monthly and/or the drill record was incomplete. The drill log reflects the last fire drill as 1/12/24. As of today’s visit, no fire drills have been conducted. You reported when trying to use the pull station on 3/7/24 it was not working correctly. The system was fixed on 3/12/24 and a drill is planned in the coming days. #840-All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #5, two canisters of disinfectant wipes, two bottles of Lysol multipurpose cleaner, and one bottle of Fabuloso multipurpose cleaner was stored in an unlocked upper cabinet, right of the sink. Two canisters of disinfectant wipes, one can of Lysol disinfectant spray, and one bottle of Lysol multipurpose cleaner was stored in an unlocked closet in space #6. Today, I observed all cleaning materials stored in locked storage throughout the facility. #842-A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #2, authorization for two tubes of Desitin expired 2/8/24 and the authorization for one tube of Boudreaux's Butt Paste expired on 2/17/24. In space #3, authorization for one tube of Desitin expired 2/29/24, authorization for one jar of Earth Mama Organic Diaper Balm expired 3/3/24, and authorization for one tube of Desitin expired 1/30/24. In space #4, authorization for one jar of Walgreens Petroleum Jelly expired 1/10/24, authorization for on bottle of Hello Hello Mosquito Repellant expired 12/12/23, authorization for one tube of Desitin expired 9/13/23, and authorization for one tube of Aquaphor Healing Ointment expired 6/1/23. There was no authorization on file for tube of Aquaphor Healing Ointment located in space #2. There was not authorization on file for two Ventolin HFA inhalers and one Epi Pen injector located in space #6. Today I observed all medication in spaces #1, #3, #4, and #5 with current medication authorization forms. In space #2, there was one tube of Aquaphor Healing Ointment. In space #6, there were two Ventolin HFA inhalers with no authorization form. You have made contact with parents but the forms have not been returned. The Aquaphor Healing Ointment and two Ventolin HFA inhalers were removed and are now stored in the office for pick up from the parents. #843-A drug or medicine was administered after its expiration date. One tube of Little Journey Diaper Rash Cream with an expiration date of 3/2023 was located in space #1. One tube of Desitin with and expiration date of 2/2024 was located in space #3. In space #4 there was a jar Walgreens Petroleum Jelly with an expiration date of 1/2024, and one tube of Aquaphor Healing Ointment with an expiration date of 6/2023.Today, all medications in classroom are current. You reported that those medications were returned to the parents on 3/7/24 and 3/8/24. #849-Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One twin pack of EpiPen Jr auto-injectors prescribed to a child is was disenrolled in January 2024 was stored in space #5. One Ventolin HFA inhaler belonging a child that was disenrolled in January 2024 was stored in space #5. During the visit, one twin pack of EpiPen Jr auto-injectors were stored in space #5. You reported you attempted to make contact with the parent on 3/8/24, the parent was unable to retrieve the medication. The Ventolin HFA was disposed of during the 3/7/24. #1032-Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff employed on 2/19/24 had a medical report on file dated 3/1/24. #1033-On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff employed on 2/19/24 had a TB Screener dated 3/1/24 #1045-New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Documentation of orientation was not on file for staff employed on 1/15/23, 9/26/23, 11/6/23, 12/4/23, 1/5/24, and 1/15/24.Today I observed orientation documentation for all staff. Orientation is still in progress at the time of the visit. #1067-Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Documentation of six clock hour of training was not available for staff employed on 2/5/24, 2/19/24, and 2/19/24. Documentation of six hours orientation on the required topics to be coved within the first two weeks of employment was available for review for all staff members. #1320-Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A medical report was not on file one of the seven children's files reviewed. You reported the parent has informed you that they have made a request for a medical report from the child’s physician and is waiting to pick it up. #1321-Medical exam or health assessment record was not on file before or within 30 days after admission. Two of the seven children's records reviewed contained medical reports dated beyond 30 days of enrollment. #1323-Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One of seven children's records reviewed contained an immunization record dated beyond 30 days of enrollment. #1824-The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR Plan on file was last updated on 1/6/23. You are currently in the process of updating the EPR Plan. You stated you are working in conjunction with the facility Compliance Manager to complete this task. #1825-All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Documentation of the review of the EPR plan was not available for review during the visit. At the time of the visit the EPR Plan is under review. You stated you have plans to review it with staff next week. #1897-The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Training certificates for the completion of Recognizing and Responding to Suspicions of Child Maltreatment training was not on file for B. Campbell and Y. Henriquez. A certificate of completion of training was on file for B. Campbell. You stated you spoke with Y. Hendriquez on 8/7/24 to ask if she had completed the training and supplied her with the website to complete the training. No certificate was available during today’s visit. #1898-Staff did not complete the health and safety training within one year of employment. certificates for all required health and safety training topics were not on file for review for A. Braxton and D. Brown. At the time of today’s visit, no additional health and safety training have been completed. You stated spoke with both staff members on 3/7/24 and on 3/14/24 about the remaining trainings they need to complete. One staff reported to you that when they completed the trainings but they were unable to print the certificates. You stated you have set sometime to work with her to getting them printed on 3/15/24. As stated in the 3/7/24 visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date. At the time of today’s visit, a compliance letter had not been received. Today, I verified correction of three of the sixteen violations. Continued noncompliance may result in an administrative action per Child Care Rule 10A NCAC 09 .2204(6). The following violations were observed. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One tube of Aquaphor Healing Ointment without written authorization was stored in space #2. Two Ventolin HFA inhalers without written authorization was stored in space #6. 10A NCAC 09 .0803(1)(a & b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One twin pack of EpiPen Jr auto-injector, prescribed to a child that is no longer enrolled as of January 2024, was stored in the emergency bag in space #5. .0803(12) 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 3/28/24, 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. Mail or email the information to: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: Medication Authorization- All medicines require clear, accurate instruction and medical confirmation of the need for the medication to be given while the child is in the facility. Medications should not be accepted if they are not accompanied by an authorization form that has clear instructions. Today I observed one tube of Aquaphor Healing Ointment in space #2. You stated the ointment was returned to the mother on 3/7/24 and you offered to provide her with a blank copy of the authorization form but it was left at the center. The ointment was brought back this morning and given to the classroom teacher who thought the form was turned in at the office. Today two Ventolin HFA inhalers were stored in the medication storage without authorization forms. You reported the classroom teacher was instructed to return the medication or get new authorization forms on 3/7/24. Today you contacted parents via ProCare app. Consider having medications go through an administrator before going into the classroom to ensure authorizations are completed and clear instructions are given. Returning Medication-When medication authorization expires, the course of treatment has ended or the child is no longer enrolled, medication must be returned to the parent or disposed of within 72 hours. Today a twin pack of EpiPen Jr. auto-injectors were stored in classroom #5. You stated you had tried to make contact with the parent on 3/7/24. The parent later informed you that they could not come pick up the medication due to a family emergency. . The medication must be removed from the classroom to avoid children and teacher access to the medication. Complete regular audits of medication in each classroom. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@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 .0803 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY Facility ID: 74000892 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 3/7/2024 Number Present: 64 Completed Date: 3/7/2024 Age: From 0 To 5 Total Minutes: 450 Time In: 08:45 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center 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. T. Becton, Director, assisted me with the visit. Your program currently operates with a five-star license, issued 11/13/21, earning 6 points in the education component, 6 points in the program standards component (meeting enhanced ratio and space) and 1 quality point for the programmatic option of staff benefits package and infrastructure of parent involvement. The last annual compliance visit was conducted 4/10/23. The sanitation inspection was completed 1/8/24 with a “Superior” classification. The last fire inspection was conducted 11/30/23 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety four percent as of 3/5/24. The NC Secretary of State website was reviewed on 3/5/24 and Howard World Enterprises, LLC was listed as current- active. 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. You visited each indoor and outdoor space with me. Six groups were observed using the indoor and outdoor spaces. Staff child ratio and group size were found to be in compliance. Children enrolled in space #1 received care according to individual needs including diapering and bottle feeding. Children were engaged in tummy time, children that were mobile moved freely around the space playing with soft toys and books. Proper hand washing techniques were observed. Children throughout the facility engaged in indoor free play with age-appropriate materials. Children enrolled in space #5 sing song as they practice for preschool graduation. The outdoor learning environment provided stationary play structures, push and ride on toys, balls and hula hoops to encourage vigorous gross motor play. Lunch was observed and consisted of chicken eggrolls, mixed vegetables, pineapples, and milk. The following violations were documented. Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The drill log reflects the last fire drill as 1/12/24. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #5, two canisters of disinfectant wipes, two bottles of Lysol multipurpose cleaner, and one bottle of Fabuloso multipurpose cleaner was stored in an unlocked upper cabinet, right of the sink. Two canisters of disinfectant wipes, one can of Lysol disinfectant spray, and one bottle of Lysol multipurpose cleaner was stored in an unlocked closet in space #6. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #2, authorization for two tubes of Desitin expired 2/8/24 and the authorization for one tube of Boudreaux's Butt Paste expired on 2/17/24. In space #3, authorization for one tube of Desitin expired 2/29/24, authorization for one jar of Earth Mama Organic Diaper Balm expired 3/3/24, and authorization for one tube of Desitin expired 1/30/24. In space #4, authorization for one jare of Walgreens Petrolum Jelly expired 1/10/24, authorization for on bottle of Hello Hello Mosquito Repellant expired 12/12/23, authorization for one tube of Desitin expired 9/13/23, and authorization for one tube of Aquaphor Healing Ointment expired 6/1/23. There was no authorization on file for tube of Aquaphor Healing Ointment located in space #2. There was not authorization on file for two Ventolin HFA inhalers and one Epi Pen injector located in space #6. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. One tube of Little Journey Diaper Rash Cream with an expiration date of 3/2023 was located in space #1. One tube of Desitin with and expiration date of 2/2024 was located in space #3. In space #4 there was a jar Walgreens Petroleum Jelly with an expiration date of 1/2024, and one tube of Aquaphor Healing Ointment with an expiration date of 6/2023. 10A NCAC 09 .0803(1)(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One twin pack of EpiPen Jr auto-injectors prescribed to a child is was disenrolled in January 2024 was stored in space #5. One Ventolin HFA inhaler belonging a child that was disenrolled in January 2024 was stored in space #5. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff employed on 2/19/24 had a medical report on file dated 3/1/24. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff employed on 2/19/24 had a TB Screener dated 3/1/24 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Documentation of orientation was not on file for staff employed on 1/15/23, 9/26/23, 11/6/23, 12/4/23, 1/5/24, and 1/15/24. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Documentation of six clock hour of training was not available for staff employed on 2/5/24, 2/19/24, and 2/19/24. .1101(a)(b) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A medical report was not on file one of the seven children's files reviewed. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two of the seven children's records reviewed contained medical reports dated beyond 30 days of enrollment. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One of seven children's records reviewed contained an immunization record dated beyond 30 days of enrollment. 10A NCAC 09 .0302(d)(2) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR Plan on file was last updated on 1/6/23. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Documentation of the review of the EPR plan was not available for review during the visit. .0607(f) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Training certificates for the completion of Recognizing and Responding to Suspicions of Child Maltreatment training was not on file for B. Campbell and Y. Henriquez. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. certificates for all required health and safety training topics were not on file for review for A. Braxton and D. Brown. .1102(a) 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 3/21/24, 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. Mail or email the information to: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: Medication- Administering medication requires skill, knowledge and careful attention to detail. Parents must give a caregiver/teacher written authorization to administer medication to the child. When no longer needed by the child, or when the child withdraws from the program, all medications should be returned to the child’s parent/guardian or disposed of after an attempt to reach parent/guardian within 72 hours of completion of treatment. Today, there were expired diaper creams in Spaces #1, #3, and #4. Also, there were expired medication permission forms in Spaces #2, #3, and #4, and no permission forms for a tube of Aquaphor Healing Ointment in space #2 and two Ventolin HFA inhalers and one EpiPen Jr in space #6. One Ventolin HFA inhaler and a EpiPens Jr. 2pak located in space #5 were prescribed to children that are no longer enrolled. You shared with me that teacher are responsible for checking the medications and authorization forms. I strongly encourage you to review the child care rules regarding medication and share them with staff. I also encourage you to check the classroom medicine boxes on a regular basis. Regarding medication authorizations and expirations, I encouraged you today to make a tracking tool, listing medications brought in by parents which include children’s names, types of medications, expiration dates of medications, and expiration dates of authorization forms. This will allow staff members to easily see when medications or authorization forms are about to expire so they can return them to parents or get new authorization forms within 72 hours as required. Provide a written plan stating how administrators and staff will meet requirements regarding permission, storage, and administration of medication with your compliance letter. Storage of Hazardous Items- Canisters of disinfectant wipes, Lysol Disinfectant spray and spray bottles of multipurpose cleaner were stored in unlocked storage, above five feet in space #5 and #6. It was reported that the cleaning supplies were not put in their designated locked storage after being used by closing staff the day before. You stated the closet in space #6 is usually locked and the door decoration was preventing it from latching properly. You were able to put the items in locked storage during the visit. Please review child care rules regarding storage and accessibility of potentially hazardous items. Items labeled “Keep out of reach of children” with no other warnings must be stored at a minimum of five feet off the floor. Hazardous cleaning supplies, including those kept under pressure in an aerosol can, as well as medications must be kept in locked storage. The definition of locked storage requires that the lock be unlocked with some type of device such as a key or combination. Regular childproofing locks do not meet this requirement. Ensure that all cleaning supplies and other items labeled “Keep out of reach of children” are kept inaccessible while children are in care. Fire Drills- Fire drills must be practiced monthly, and records shall be maintained as required. Records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill shall be available for review. The drill log reviewed today shows the last fire drill was conducted on 1/6/23. You stated you missed the drill in February due to having to cover in classrooms. Today, I suggested marking a date on your calendar so that you can ensure that a fire drill is performed monthly. It may also help to plan these drills for different times of the day so children and staff can be prepared to evacuate no the matter activity or routine is taking place. EPR Plan- The trained staff shall review the Emergency Preparedness and Response Plan (EPR) annually, or when information in the plan changes, to ensure all information is current. All staff must review the center's EPR Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for EPR documents. The date of review should be noted on the Staff and Training Worksheet. The EPR plan reviewed during the visit was last updated on 1/6/23. Documentation of the annual review of the EPR plan was not available for review during the visit. Today I suggested you review and revise the plan and plan to conduct the review at a staff meeting held at the same time every year to help you remember. Children’s Records- Children are required to have a medical exam by a doctor and a copy of their immunization record no later than 30 days from their first day of attendance. A medical exam can be accepted if completed within the last 12 months prior to enrollment. Today one of seven children’s files reviewed did not contain a medical report. Two of seven children’s files reviewed had medical records dated beyond 30 days of enrollment. One of seven children's files reviewed had immunization dated beyond 30 days of enrollment. Today we reviewed your enrollment process. Consider requesting that parents/guardians provide you with medical reports and immunizations within 14 days of enrollment. Create a system or tracking tools to help you ensure all required documents are on file within the required timeframe. Staff Medical Report and TB Results- A medical statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children must be on file on or before the first day of employment. When submitted, the medical statement shall not be older than 12 months. All staff, including the director and individuals who volunteer more than once per week shall obtain a TB screener or TB test results on or before the first day of employment. The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Staff employed on 2/19/24 had a medical report and TB screener dated 3/1/24. You stated the staff started orientation on 2/19/24 and then took some time off and returned to the facility after obtaining a medical report and TB screener. I reminded you that staff should not start work, including orientation, until a medical report and TB screener or test results are on file. Staff Orientation: Staff qualifications and training requirements are essential for adults who interact with and teach children. These requirements protect children in child care facilities by ensuring these facilities provide a physically safe and healthy environment where the developmental needs of children are being met and where children are cared for by qualified staff. Each staff person shall receive 16 hours of orientation within the first 6 weeks of employment. Six of the hours are required to be completed within the first two weeks of employment. Documentation of six hours of orientation was not on file for D. Harris, R. Brooks, and B. Lee. Documentation of 16 hours of orientation was not on file for T. Becton, B. Campbell, A. Braxton, M. Maye, Y. Henriquez, and T. Little. You stated the staff start orientation with M. Booth, HR Manager, and documentation was not sent with the staff when they reported to the center. You were able to contact Ms. Booth, who stated orientation was completed and she will provide you with the documentation. Documentation of orientation was not received by the conclusion of the visit. I shared with you a copy of the Staff Orientation Documentation page located on the Divisions website. Recognizing and Responding to Suspicions of Child Maltreatment – Recognizing and Responding to Suspicions of Child Maltreatment training must be completed within 90 days of hire. Training certificates for the completion of training were not on file for B. Campbell and Y. Henriquez. Per our conversation, the staff had completed the training but the certificates were not on file for review during the visit. Have staff to provide you with the training certificate. If training need to be completed, staff may do so at no charge on the Prevent Child Abuse NC website www.preventchildabusenc.org. Health and Safety Trainings- Child care administrators and staff members must complete health and safety training within one year of employment unless the staff member has completed the training within the year prior to beginning employment. Additionally, health and safety training must be completed as part of on-going training so that every five years, all required topic areas will have been covered. Two staff, A. Braxton and D. Brown, did not have training certificates for all the health and safety trainings within one year of employment. We reviewed the Health and Safety Training Record sheet together to note the missing training. Training and be taken free of charge on DCDEE Moodle. Have staff to complete the required trainings, record it on log, and file the certification. Additional Information: Recordkeeping- I strongly urge you to review Child Care Rule 10A NCAC 09 .2318 regarding requirements for records. Please pay close attention to the charts which indicate how long records must be kept on file. I also suggest you utilize the checklists for staff files, children’s files, and program records to ensure you have all the required documents. These checklists are available on the DCDEE website under the Provider Documents tab. Dedicate time to complete self-audits of files to ensure they are complete, and all requirements are met. Create and use tracking tools for required paperwork and deadlines. You may wish to delegate some recordkeeping responsibilities to another staff member who has good organizational skills and is able to assist you. 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 (updated 1/1/24) 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. 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 LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@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 .0302 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY Facility ID: 74000892 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 3/7/2024 Number Present: 64 Completed Date: 3/7/2024 Age: From 0 To 5 Total Minutes: 450 Time In: 08:45 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center 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. T. Becton, Director, assisted me with the visit. Your program currently operates with a five-star license, issued 11/13/21, earning 6 points in the education component, 6 points in the program standards component (meeting enhanced ratio and space) and 1 quality point for the programmatic option of staff benefits package and infrastructure of parent involvement. The last annual compliance visit was conducted 4/10/23. The sanitation inspection was completed 1/8/24 with a “Superior” classification. The last fire inspection was conducted 11/30/23 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety four percent as of 3/5/24. The NC Secretary of State website was reviewed on 3/5/24 and Howard World Enterprises, LLC was listed as current- active. 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. You visited each indoor and outdoor space with me. Six groups were observed using the indoor and outdoor spaces. Staff child ratio and group size were found to be in compliance. Children enrolled in space #1 received care according to individual needs including diapering and bottle feeding. Children were engaged in tummy time, children that were mobile moved freely around the space playing with soft toys and books. Proper hand washing techniques were observed. Children throughout the facility engaged in indoor free play with age-appropriate materials. Children enrolled in space #5 sing song as they practice for preschool graduation. The outdoor learning environment provided stationary play structures, push and ride on toys, balls and hula hoops to encourage vigorous gross motor play. Lunch was observed and consisted of chicken eggrolls, mixed vegetables, pineapples, and milk. The following violations were documented. Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The drill log reflects the last fire drill as 1/12/24. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #5, two canisters of disinfectant wipes, two bottles of Lysol multipurpose cleaner, and one bottle of Fabuloso multipurpose cleaner was stored in an unlocked upper cabinet, right of the sink. Two canisters of disinfectant wipes, one can of Lysol disinfectant spray, and one bottle of Lysol multipurpose cleaner was stored in an unlocked closet in space #6. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #2, authorization for two tubes of Desitin expired 2/8/24 and the authorization for one tube of Boudreaux's Butt Paste expired on 2/17/24. In space #3, authorization for one tube of Desitin expired 2/29/24, authorization for one jar of Earth Mama Organic Diaper Balm expired 3/3/24, and authorization for one tube of Desitin expired 1/30/24. In space #4, authorization for one jare of Walgreens Petrolum Jelly expired 1/10/24, authorization for on bottle of Hello Hello Mosquito Repellant expired 12/12/23, authorization for one tube of Desitin expired 9/13/23, and authorization for one tube of Aquaphor Healing Ointment expired 6/1/23. There was no authorization on file for tube of Aquaphor Healing Ointment located in space #2. There was not authorization on file for two Ventolin HFA inhalers and one Epi Pen injector located in space #6. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. One tube of Little Journey Diaper Rash Cream with an expiration date of 3/2023 was located in space #1. One tube of Desitin with and expiration date of 2/2024 was located in space #3. In space #4 there was a jar Walgreens Petroleum Jelly with an expiration date of 1/2024, and one tube of Aquaphor Healing Ointment with an expiration date of 6/2023. 10A NCAC 09 .0803(1)(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One twin pack of EpiPen Jr auto-injectors prescribed to a child is was disenrolled in January 2024 was stored in space #5. One Ventolin HFA inhaler belonging a child that was disenrolled in January 2024 was stored in space #5. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff employed on 2/19/24 had a medical report on file dated 3/1/24. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff employed on 2/19/24 had a TB Screener dated 3/1/24 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Documentation of orientation was not on file for staff employed on 1/15/23, 9/26/23, 11/6/23, 12/4/23, 1/5/24, and 1/15/24. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Documentation of six clock hour of training was not available for staff employed on 2/5/24, 2/19/24, and 2/19/24. .1101(a)(b) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A medical report was not on file one of the seven children's files reviewed. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two of the seven children's records reviewed contained medical reports dated beyond 30 days of enrollment. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One of seven children's records reviewed contained an immunization record dated beyond 30 days of enrollment. 10A NCAC 09 .0302(d)(2) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR Plan on file was last updated on 1/6/23. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Documentation of the review of the EPR plan was not available for review during the visit. .0607(f) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Training certificates for the completion of Recognizing and Responding to Suspicions of Child Maltreatment training was not on file for B. Campbell and Y. Henriquez. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. certificates for all required health and safety training topics were not on file for review for A. Braxton and D. Brown. .1102(a) 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 3/21/24, 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. Mail or email the information to: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: Medication- Administering medication requires skill, knowledge and careful attention to detail. Parents must give a caregiver/teacher written authorization to administer medication to the child. When no longer needed by the child, or when the child withdraws from the program, all medications should be returned to the child’s parent/guardian or disposed of after an attempt to reach parent/guardian within 72 hours of completion of treatment. Today, there were expired diaper creams in Spaces #1, #3, and #4. Also, there were expired medication permission forms in Spaces #2, #3, and #4, and no permission forms for a tube of Aquaphor Healing Ointment in space #2 and two Ventolin HFA inhalers and one EpiPen Jr in space #6. One Ventolin HFA inhaler and a EpiPens Jr. 2pak located in space #5 were prescribed to children that are no longer enrolled. You shared with me that teacher are responsible for checking the medications and authorization forms. I strongly encourage you to review the child care rules regarding medication and share them with staff. I also encourage you to check the classroom medicine boxes on a regular basis. Regarding medication authorizations and expirations, I encouraged you today to make a tracking tool, listing medications brought in by parents which include children’s names, types of medications, expiration dates of medications, and expiration dates of authorization forms. This will allow staff members to easily see when medications or authorization forms are about to expire so they can return them to parents or get new authorization forms within 72 hours as required. Provide a written plan stating how administrators and staff will meet requirements regarding permission, storage, and administration of medication with your compliance letter. Storage of Hazardous Items- Canisters of disinfectant wipes, Lysol Disinfectant spray and spray bottles of multipurpose cleaner were stored in unlocked storage, above five feet in space #5 and #6. It was reported that the cleaning supplies were not put in their designated locked storage after being used by closing staff the day before. You stated the closet in space #6 is usually locked and the door decoration was preventing it from latching properly. You were able to put the items in locked storage during the visit. Please review child care rules regarding storage and accessibility of potentially hazardous items. Items labeled “Keep out of reach of children” with no other warnings must be stored at a minimum of five feet off the floor. Hazardous cleaning supplies, including those kept under pressure in an aerosol can, as well as medications must be kept in locked storage. The definition of locked storage requires that the lock be unlocked with some type of device such as a key or combination. Regular childproofing locks do not meet this requirement. Ensure that all cleaning supplies and other items labeled “Keep out of reach of children” are kept inaccessible while children are in care. Fire Drills- Fire drills must be practiced monthly, and records shall be maintained as required. Records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill shall be available for review. The drill log reviewed today shows the last fire drill was conducted on 1/6/23. You stated you missed the drill in February due to having to cover in classrooms. Today, I suggested marking a date on your calendar so that you can ensure that a fire drill is performed monthly. It may also help to plan these drills for different times of the day so children and staff can be prepared to evacuate no the matter activity or routine is taking place. EPR Plan- The trained staff shall review the Emergency Preparedness and Response Plan (EPR) annually, or when information in the plan changes, to ensure all information is current. All staff must review the center's EPR Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for EPR documents. The date of review should be noted on the Staff and Training Worksheet. The EPR plan reviewed during the visit was last updated on 1/6/23. Documentation of the annual review of the EPR plan was not available for review during the visit. Today I suggested you review and revise the plan and plan to conduct the review at a staff meeting held at the same time every year to help you remember. Children’s Records- Children are required to have a medical exam by a doctor and a copy of their immunization record no later than 30 days from their first day of attendance. A medical exam can be accepted if completed within the last 12 months prior to enrollment. Today one of seven children’s files reviewed did not contain a medical report. Two of seven children’s files reviewed had medical records dated beyond 30 days of enrollment. One of seven children's files reviewed had immunization dated beyond 30 days of enrollment. Today we reviewed your enrollment process. Consider requesting that parents/guardians provide you with medical reports and immunizations within 14 days of enrollment. Create a system or tracking tools to help you ensure all required documents are on file within the required timeframe. Staff Medical Report and TB Results- A medical statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children must be on file on or before the first day of employment. When submitted, the medical statement shall not be older than 12 months. All staff, including the director and individuals who volunteer more than once per week shall obtain a TB screener or TB test results on or before the first day of employment. The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Staff employed on 2/19/24 had a medical report and TB screener dated 3/1/24. You stated the staff started orientation on 2/19/24 and then took some time off and returned to the facility after obtaining a medical report and TB screener. I reminded you that staff should not start work, including orientation, until a medical report and TB screener or test results are on file. Staff Orientation: Staff qualifications and training requirements are essential for adults who interact with and teach children. These requirements protect children in child care facilities by ensuring these facilities provide a physically safe and healthy environment where the developmental needs of children are being met and where children are cared for by qualified staff. Each staff person shall receive 16 hours of orientation within the first 6 weeks of employment. Six of the hours are required to be completed within the first two weeks of employment. Documentation of six hours of orientation was not on file for D. Harris, R. Brooks, and B. Lee. Documentation of 16 hours of orientation was not on file for T. Becton, B. Campbell, A. Braxton, M. Maye, Y. Henriquez, and T. Little. You stated the staff start orientation with M. Booth, HR Manager, and documentation was not sent with the staff when they reported to the center. You were able to contact Ms. Booth, who stated orientation was completed and she will provide you with the documentation. Documentation of orientation was not received by the conclusion of the visit. I shared with you a copy of the Staff Orientation Documentation page located on the Divisions website. Recognizing and Responding to Suspicions of Child Maltreatment – Recognizing and Responding to Suspicions of Child Maltreatment training must be completed within 90 days of hire. Training certificates for the completion of training were not on file for B. Campbell and Y. Henriquez. Per our conversation, the staff had completed the training but the certificates were not on file for review during the visit. Have staff to provide you with the training certificate. If training need to be completed, staff may do so at no charge on the Prevent Child Abuse NC website www.preventchildabusenc.org. Health and Safety Trainings- Child care administrators and staff members must complete health and safety training within one year of employment unless the staff member has completed the training within the year prior to beginning employment. Additionally, health and safety training must be completed as part of on-going training so that every five years, all required topic areas will have been covered. Two staff, A. Braxton and D. Brown, did not have training certificates for all the health and safety trainings within one year of employment. We reviewed the Health and Safety Training Record sheet together to note the missing training. Training and be taken free of charge on DCDEE Moodle. Have staff to complete the required trainings, record it on log, and file the certification. Additional Information: Recordkeeping- I strongly urge you to review Child Care Rule 10A NCAC 09 .2318 regarding requirements for records. Please pay close attention to the charts which indicate how long records must be kept on file. I also suggest you utilize the checklists for staff files, children’s files, and program records to ensure you have all the required documents. These checklists are available on the DCDEE website under the Provider Documents tab. Dedicate time to complete self-audits of files to ensure they are complete, and all requirements are met. Create and use tracking tools for required paperwork and deadlines. You may wish to delegate some recordkeeping responsibilities to another staff member who has good organizational skills and is able to assist you. 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 (updated 1/1/24) 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. 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 LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@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 .0701 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY Facility ID: 74000892 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 3/7/2024 Number Present: 64 Completed Date: 3/7/2024 Age: From 0 To 5 Total Minutes: 450 Time In: 08:45 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center 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. T. Becton, Director, assisted me with the visit. Your program currently operates with a five-star license, issued 11/13/21, earning 6 points in the education component, 6 points in the program standards component (meeting enhanced ratio and space) and 1 quality point for the programmatic option of staff benefits package and infrastructure of parent involvement. The last annual compliance visit was conducted 4/10/23. The sanitation inspection was completed 1/8/24 with a “Superior” classification. The last fire inspection was conducted 11/30/23 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety four percent as of 3/5/24. The NC Secretary of State website was reviewed on 3/5/24 and Howard World Enterprises, LLC was listed as current- active. 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. You visited each indoor and outdoor space with me. Six groups were observed using the indoor and outdoor spaces. Staff child ratio and group size were found to be in compliance. Children enrolled in space #1 received care according to individual needs including diapering and bottle feeding. Children were engaged in tummy time, children that were mobile moved freely around the space playing with soft toys and books. Proper hand washing techniques were observed. Children throughout the facility engaged in indoor free play with age-appropriate materials. Children enrolled in space #5 sing song as they practice for preschool graduation. The outdoor learning environment provided stationary play structures, push and ride on toys, balls and hula hoops to encourage vigorous gross motor play. Lunch was observed and consisted of chicken eggrolls, mixed vegetables, pineapples, and milk. The following violations were documented. Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The drill log reflects the last fire drill as 1/12/24. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #5, two canisters of disinfectant wipes, two bottles of Lysol multipurpose cleaner, and one bottle of Fabuloso multipurpose cleaner was stored in an unlocked upper cabinet, right of the sink. Two canisters of disinfectant wipes, one can of Lysol disinfectant spray, and one bottle of Lysol multipurpose cleaner was stored in an unlocked closet in space #6. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #2, authorization for two tubes of Desitin expired 2/8/24 and the authorization for one tube of Boudreaux's Butt Paste expired on 2/17/24. In space #3, authorization for one tube of Desitin expired 2/29/24, authorization for one jar of Earth Mama Organic Diaper Balm expired 3/3/24, and authorization for one tube of Desitin expired 1/30/24. In space #4, authorization for one jare of Walgreens Petrolum Jelly expired 1/10/24, authorization for on bottle of Hello Hello Mosquito Repellant expired 12/12/23, authorization for one tube of Desitin expired 9/13/23, and authorization for one tube of Aquaphor Healing Ointment expired 6/1/23. There was no authorization on file for tube of Aquaphor Healing Ointment located in space #2. There was not authorization on file for two Ventolin HFA inhalers and one Epi Pen injector located in space #6. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. One tube of Little Journey Diaper Rash Cream with an expiration date of 3/2023 was located in space #1. One tube of Desitin with and expiration date of 2/2024 was located in space #3. In space #4 there was a jar Walgreens Petroleum Jelly with an expiration date of 1/2024, and one tube of Aquaphor Healing Ointment with an expiration date of 6/2023. 10A NCAC 09 .0803(1)(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One twin pack of EpiPen Jr auto-injectors prescribed to a child is was disenrolled in January 2024 was stored in space #5. One Ventolin HFA inhaler belonging a child that was disenrolled in January 2024 was stored in space #5. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff employed on 2/19/24 had a medical report on file dated 3/1/24. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff employed on 2/19/24 had a TB Screener dated 3/1/24 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Documentation of orientation was not on file for staff employed on 1/15/23, 9/26/23, 11/6/23, 12/4/23, 1/5/24, and 1/15/24. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Documentation of six clock hour of training was not available for staff employed on 2/5/24, 2/19/24, and 2/19/24. .1101(a)(b) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A medical report was not on file one of the seven children's files reviewed. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two of the seven children's records reviewed contained medical reports dated beyond 30 days of enrollment. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One of seven children's records reviewed contained an immunization record dated beyond 30 days of enrollment. 10A NCAC 09 .0302(d)(2) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR Plan on file was last updated on 1/6/23. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Documentation of the review of the EPR plan was not available for review during the visit. .0607(f) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Training certificates for the completion of Recognizing and Responding to Suspicions of Child Maltreatment training was not on file for B. Campbell and Y. Henriquez. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. certificates for all required health and safety training topics were not on file for review for A. Braxton and D. Brown. .1102(a) 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 3/21/24, 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. Mail or email the information to: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: Medication- Administering medication requires skill, knowledge and careful attention to detail. Parents must give a caregiver/teacher written authorization to administer medication to the child. When no longer needed by the child, or when the child withdraws from the program, all medications should be returned to the child’s parent/guardian or disposed of after an attempt to reach parent/guardian within 72 hours of completion of treatment. Today, there were expired diaper creams in Spaces #1, #3, and #4. Also, there were expired medication permission forms in Spaces #2, #3, and #4, and no permission forms for a tube of Aquaphor Healing Ointment in space #2 and two Ventolin HFA inhalers and one EpiPen Jr in space #6. One Ventolin HFA inhaler and a EpiPens Jr. 2pak located in space #5 were prescribed to children that are no longer enrolled. You shared with me that teacher are responsible for checking the medications and authorization forms. I strongly encourage you to review the child care rules regarding medication and share them with staff. I also encourage you to check the classroom medicine boxes on a regular basis. Regarding medication authorizations and expirations, I encouraged you today to make a tracking tool, listing medications brought in by parents which include children’s names, types of medications, expiration dates of medications, and expiration dates of authorization forms. This will allow staff members to easily see when medications or authorization forms are about to expire so they can return them to parents or get new authorization forms within 72 hours as required. Provide a written plan stating how administrators and staff will meet requirements regarding permission, storage, and administration of medication with your compliance letter. Storage of Hazardous Items- Canisters of disinfectant wipes, Lysol Disinfectant spray and spray bottles of multipurpose cleaner were stored in unlocked storage, above five feet in space #5 and #6. It was reported that the cleaning supplies were not put in their designated locked storage after being used by closing staff the day before. You stated the closet in space #6 is usually locked and the door decoration was preventing it from latching properly. You were able to put the items in locked storage during the visit. Please review child care rules regarding storage and accessibility of potentially hazardous items. Items labeled “Keep out of reach of children” with no other warnings must be stored at a minimum of five feet off the floor. Hazardous cleaning supplies, including those kept under pressure in an aerosol can, as well as medications must be kept in locked storage. The definition of locked storage requires that the lock be unlocked with some type of device such as a key or combination. Regular childproofing locks do not meet this requirement. Ensure that all cleaning supplies and other items labeled “Keep out of reach of children” are kept inaccessible while children are in care. Fire Drills- Fire drills must be practiced monthly, and records shall be maintained as required. Records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill shall be available for review. The drill log reviewed today shows the last fire drill was conducted on 1/6/23. You stated you missed the drill in February due to having to cover in classrooms. Today, I suggested marking a date on your calendar so that you can ensure that a fire drill is performed monthly. It may also help to plan these drills for different times of the day so children and staff can be prepared to evacuate no the matter activity or routine is taking place. EPR Plan- The trained staff shall review the Emergency Preparedness and Response Plan (EPR) annually, or when information in the plan changes, to ensure all information is current. All staff must review the center's EPR Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for EPR documents. The date of review should be noted on the Staff and Training Worksheet. The EPR plan reviewed during the visit was last updated on 1/6/23. Documentation of the annual review of the EPR plan was not available for review during the visit. Today I suggested you review and revise the plan and plan to conduct the review at a staff meeting held at the same time every year to help you remember. Children’s Records- Children are required to have a medical exam by a doctor and a copy of their immunization record no later than 30 days from their first day of attendance. A medical exam can be accepted if completed within the last 12 months prior to enrollment. Today one of seven children’s files reviewed did not contain a medical report. Two of seven children’s files reviewed had medical records dated beyond 30 days of enrollment. One of seven children's files reviewed had immunization dated beyond 30 days of enrollment. Today we reviewed your enrollment process. Consider requesting that parents/guardians provide you with medical reports and immunizations within 14 days of enrollment. Create a system or tracking tools to help you ensure all required documents are on file within the required timeframe. Staff Medical Report and TB Results- A medical statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children must be on file on or before the first day of employment. When submitted, the medical statement shall not be older than 12 months. All staff, including the director and individuals who volunteer more than once per week shall obtain a TB screener or TB test results on or before the first day of employment. The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Staff employed on 2/19/24 had a medical report and TB screener dated 3/1/24. You stated the staff started orientation on 2/19/24 and then took some time off and returned to the facility after obtaining a medical report and TB screener. I reminded you that staff should not start work, including orientation, until a medical report and TB screener or test results are on file. Staff Orientation: Staff qualifications and training requirements are essential for adults who interact with and teach children. These requirements protect children in child care facilities by ensuring these facilities provide a physically safe and healthy environment where the developmental needs of children are being met and where children are cared for by qualified staff. Each staff person shall receive 16 hours of orientation within the first 6 weeks of employment. Six of the hours are required to be completed within the first two weeks of employment. Documentation of six hours of orientation was not on file for D. Harris, R. Brooks, and B. Lee. Documentation of 16 hours of orientation was not on file for T. Becton, B. Campbell, A. Braxton, M. Maye, Y. Henriquez, and T. Little. You stated the staff start orientation with M. Booth, HR Manager, and documentation was not sent with the staff when they reported to the center. You were able to contact Ms. Booth, who stated orientation was completed and she will provide you with the documentation. Documentation of orientation was not received by the conclusion of the visit. I shared with you a copy of the Staff Orientation Documentation page located on the Divisions website. Recognizing and Responding to Suspicions of Child Maltreatment – Recognizing and Responding to Suspicions of Child Maltreatment training must be completed within 90 days of hire. Training certificates for the completion of training were not on file for B. Campbell and Y. Henriquez. Per our conversation, the staff had completed the training but the certificates were not on file for review during the visit. Have staff to provide you with the training certificate. If training need to be completed, staff may do so at no charge on the Prevent Child Abuse NC website www.preventchildabusenc.org. Health and Safety Trainings- Child care administrators and staff members must complete health and safety training within one year of employment unless the staff member has completed the training within the year prior to beginning employment. Additionally, health and safety training must be completed as part of on-going training so that every five years, all required topic areas will have been covered. Two staff, A. Braxton and D. Brown, did not have training certificates for all the health and safety trainings within one year of employment. We reviewed the Health and Safety Training Record sheet together to note the missing training. Training and be taken free of charge on DCDEE Moodle. Have staff to complete the required trainings, record it on log, and file the certification. Additional Information: Recordkeeping- I strongly urge you to review Child Care Rule 10A NCAC 09 .2318 regarding requirements for records. Please pay close attention to the charts which indicate how long records must be kept on file. I also suggest you utilize the checklists for staff files, children’s files, and program records to ensure you have all the required documents. These checklists are available on the DCDEE website under the Provider Documents tab. Dedicate time to complete self-audits of files to ensure they are complete, and all requirements are met. Create and use tracking tools for required paperwork and deadlines. You may wish to delegate some recordkeeping responsibilities to another staff member who has good organizational skills and is able to assist you. 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 (updated 1/1/24) 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. 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 LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@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 .0803 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY Facility ID: 74000892 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 3/7/2024 Number Present: 64 Completed Date: 3/7/2024 Age: From 0 To 5 Total Minutes: 450 Time In: 08:45 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center 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. T. Becton, Director, assisted me with the visit. Your program currently operates with a five-star license, issued 11/13/21, earning 6 points in the education component, 6 points in the program standards component (meeting enhanced ratio and space) and 1 quality point for the programmatic option of staff benefits package and infrastructure of parent involvement. The last annual compliance visit was conducted 4/10/23. The sanitation inspection was completed 1/8/24 with a “Superior” classification. The last fire inspection was conducted 11/30/23 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety four percent as of 3/5/24. The NC Secretary of State website was reviewed on 3/5/24 and Howard World Enterprises, LLC was listed as current- active. 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. You visited each indoor and outdoor space with me. Six groups were observed using the indoor and outdoor spaces. Staff child ratio and group size were found to be in compliance. Children enrolled in space #1 received care according to individual needs including diapering and bottle feeding. Children were engaged in tummy time, children that were mobile moved freely around the space playing with soft toys and books. Proper hand washing techniques were observed. Children throughout the facility engaged in indoor free play with age-appropriate materials. Children enrolled in space #5 sing song as they practice for preschool graduation. The outdoor learning environment provided stationary play structures, push and ride on toys, balls and hula hoops to encourage vigorous gross motor play. Lunch was observed and consisted of chicken eggrolls, mixed vegetables, pineapples, and milk. The following violations were documented. Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The drill log reflects the last fire drill as 1/12/24. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #5, two canisters of disinfectant wipes, two bottles of Lysol multipurpose cleaner, and one bottle of Fabuloso multipurpose cleaner was stored in an unlocked upper cabinet, right of the sink. Two canisters of disinfectant wipes, one can of Lysol disinfectant spray, and one bottle of Lysol multipurpose cleaner was stored in an unlocked closet in space #6. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #2, authorization for two tubes of Desitin expired 2/8/24 and the authorization for one tube of Boudreaux's Butt Paste expired on 2/17/24. In space #3, authorization for one tube of Desitin expired 2/29/24, authorization for one jar of Earth Mama Organic Diaper Balm expired 3/3/24, and authorization for one tube of Desitin expired 1/30/24. In space #4, authorization for one jare of Walgreens Petrolum Jelly expired 1/10/24, authorization for on bottle of Hello Hello Mosquito Repellant expired 12/12/23, authorization for one tube of Desitin expired 9/13/23, and authorization for one tube of Aquaphor Healing Ointment expired 6/1/23. There was no authorization on file for tube of Aquaphor Healing Ointment located in space #2. There was not authorization on file for two Ventolin HFA inhalers and one Epi Pen injector located in space #6. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. One tube of Little Journey Diaper Rash Cream with an expiration date of 3/2023 was located in space #1. One tube of Desitin with and expiration date of 2/2024 was located in space #3. In space #4 there was a jar Walgreens Petroleum Jelly with an expiration date of 1/2024, and one tube of Aquaphor Healing Ointment with an expiration date of 6/2023. 10A NCAC 09 .0803(1)(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One twin pack of EpiPen Jr auto-injectors prescribed to a child is was disenrolled in January 2024 was stored in space #5. One Ventolin HFA inhaler belonging a child that was disenrolled in January 2024 was stored in space #5. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff employed on 2/19/24 had a medical report on file dated 3/1/24. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff employed on 2/19/24 had a TB Screener dated 3/1/24 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Documentation of orientation was not on file for staff employed on 1/15/23, 9/26/23, 11/6/23, 12/4/23, 1/5/24, and 1/15/24. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Documentation of six clock hour of training was not available for staff employed on 2/5/24, 2/19/24, and 2/19/24. .1101(a)(b) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A medical report was not on file one of the seven children's files reviewed. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two of the seven children's records reviewed contained medical reports dated beyond 30 days of enrollment. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One of seven children's records reviewed contained an immunization record dated beyond 30 days of enrollment. 10A NCAC 09 .0302(d)(2) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR Plan on file was last updated on 1/6/23. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Documentation of the review of the EPR plan was not available for review during the visit. .0607(f) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Training certificates for the completion of Recognizing and Responding to Suspicions of Child Maltreatment training was not on file for B. Campbell and Y. Henriquez. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. certificates for all required health and safety training topics were not on file for review for A. Braxton and D. Brown. .1102(a) 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 3/21/24, 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. Mail or email the information to: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: Medication- Administering medication requires skill, knowledge and careful attention to detail. Parents must give a caregiver/teacher written authorization to administer medication to the child. When no longer needed by the child, or when the child withdraws from the program, all medications should be returned to the child’s parent/guardian or disposed of after an attempt to reach parent/guardian within 72 hours of completion of treatment. Today, there were expired diaper creams in Spaces #1, #3, and #4. Also, there were expired medication permission forms in Spaces #2, #3, and #4, and no permission forms for a tube of Aquaphor Healing Ointment in space #2 and two Ventolin HFA inhalers and one EpiPen Jr in space #6. One Ventolin HFA inhaler and a EpiPens Jr. 2pak located in space #5 were prescribed to children that are no longer enrolled. You shared with me that teacher are responsible for checking the medications and authorization forms. I strongly encourage you to review the child care rules regarding medication and share them with staff. I also encourage you to check the classroom medicine boxes on a regular basis. Regarding medication authorizations and expirations, I encouraged you today to make a tracking tool, listing medications brought in by parents which include children’s names, types of medications, expiration dates of medications, and expiration dates of authorization forms. This will allow staff members to easily see when medications or authorization forms are about to expire so they can return them to parents or get new authorization forms within 72 hours as required. Provide a written plan stating how administrators and staff will meet requirements regarding permission, storage, and administration of medication with your compliance letter. Storage of Hazardous Items- Canisters of disinfectant wipes, Lysol Disinfectant spray and spray bottles of multipurpose cleaner were stored in unlocked storage, above five feet in space #5 and #6. It was reported that the cleaning supplies were not put in their designated locked storage after being used by closing staff the day before. You stated the closet in space #6 is usually locked and the door decoration was preventing it from latching properly. You were able to put the items in locked storage during the visit. Please review child care rules regarding storage and accessibility of potentially hazardous items. Items labeled “Keep out of reach of children” with no other warnings must be stored at a minimum of five feet off the floor. Hazardous cleaning supplies, including those kept under pressure in an aerosol can, as well as medications must be kept in locked storage. The definition of locked storage requires that the lock be unlocked with some type of device such as a key or combination. Regular childproofing locks do not meet this requirement. Ensure that all cleaning supplies and other items labeled “Keep out of reach of children” are kept inaccessible while children are in care. Fire Drills- Fire drills must be practiced monthly, and records shall be maintained as required. Records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill shall be available for review. The drill log reviewed today shows the last fire drill was conducted on 1/6/23. You stated you missed the drill in February due to having to cover in classrooms. Today, I suggested marking a date on your calendar so that you can ensure that a fire drill is performed monthly. It may also help to plan these drills for different times of the day so children and staff can be prepared to evacuate no the matter activity or routine is taking place. EPR Plan- The trained staff shall review the Emergency Preparedness and Response Plan (EPR) annually, or when information in the plan changes, to ensure all information is current. All staff must review the center's EPR Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for EPR documents. The date of review should be noted on the Staff and Training Worksheet. The EPR plan reviewed during the visit was last updated on 1/6/23. Documentation of the annual review of the EPR plan was not available for review during the visit. Today I suggested you review and revise the plan and plan to conduct the review at a staff meeting held at the same time every year to help you remember. Children’s Records- Children are required to have a medical exam by a doctor and a copy of their immunization record no later than 30 days from their first day of attendance. A medical exam can be accepted if completed within the last 12 months prior to enrollment. Today one of seven children’s files reviewed did not contain a medical report. Two of seven children’s files reviewed had medical records dated beyond 30 days of enrollment. One of seven children's files reviewed had immunization dated beyond 30 days of enrollment. Today we reviewed your enrollment process. Consider requesting that parents/guardians provide you with medical reports and immunizations within 14 days of enrollment. Create a system or tracking tools to help you ensure all required documents are on file within the required timeframe. Staff Medical Report and TB Results- A medical statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children must be on file on or before the first day of employment. When submitted, the medical statement shall not be older than 12 months. All staff, including the director and individuals who volunteer more than once per week shall obtain a TB screener or TB test results on or before the first day of employment. The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Staff employed on 2/19/24 had a medical report and TB screener dated 3/1/24. You stated the staff started orientation on 2/19/24 and then took some time off and returned to the facility after obtaining a medical report and TB screener. I reminded you that staff should not start work, including orientation, until a medical report and TB screener or test results are on file. Staff Orientation: Staff qualifications and training requirements are essential for adults who interact with and teach children. These requirements protect children in child care facilities by ensuring these facilities provide a physically safe and healthy environment where the developmental needs of children are being met and where children are cared for by qualified staff. Each staff person shall receive 16 hours of orientation within the first 6 weeks of employment. Six of the hours are required to be completed within the first two weeks of employment. Documentation of six hours of orientation was not on file for D. Harris, R. Brooks, and B. Lee. Documentation of 16 hours of orientation was not on file for T. Becton, B. Campbell, A. Braxton, M. Maye, Y. Henriquez, and T. Little. You stated the staff start orientation with M. Booth, HR Manager, and documentation was not sent with the staff when they reported to the center. You were able to contact Ms. Booth, who stated orientation was completed and she will provide you with the documentation. Documentation of orientation was not received by the conclusion of the visit. I shared with you a copy of the Staff Orientation Documentation page located on the Divisions website. Recognizing and Responding to Suspicions of Child Maltreatment – Recognizing and Responding to Suspicions of Child Maltreatment training must be completed within 90 days of hire. Training certificates for the completion of training were not on file for B. Campbell and Y. Henriquez. Per our conversation, the staff had completed the training but the certificates were not on file for review during the visit. Have staff to provide you with the training certificate. If training need to be completed, staff may do so at no charge on the Prevent Child Abuse NC website www.preventchildabusenc.org. Health and Safety Trainings- Child care administrators and staff members must complete health and safety training within one year of employment unless the staff member has completed the training within the year prior to beginning employment. Additionally, health and safety training must be completed as part of on-going training so that every five years, all required topic areas will have been covered. Two staff, A. Braxton and D. Brown, did not have training certificates for all the health and safety trainings within one year of employment. We reviewed the Health and Safety Training Record sheet together to note the missing training. Training and be taken free of charge on DCDEE Moodle. Have staff to complete the required trainings, record it on log, and file the certification. Additional Information: Recordkeeping- I strongly urge you to review Child Care Rule 10A NCAC 09 .2318 regarding requirements for records. Please pay close attention to the charts which indicate how long records must be kept on file. I also suggest you utilize the checklists for staff files, children’s files, and program records to ensure you have all the required documents. These checklists are available on the DCDEE website under the Provider Documents tab. Dedicate time to complete self-audits of files to ensure they are complete, and all requirements are met. Create and use tracking tools for required paperwork and deadlines. You may wish to delegate some recordkeeping responsibilities to another staff member who has good organizational skills and is able to assist you. 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 (updated 1/1/24) 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. 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 LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@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 .2318 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY Facility ID: 74000892 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 3/7/2024 Number Present: 64 Completed Date: 3/7/2024 Age: From 0 To 5 Total Minutes: 450 Time In: 08:45 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center 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. T. Becton, Director, assisted me with the visit. Your program currently operates with a five-star license, issued 11/13/21, earning 6 points in the education component, 6 points in the program standards component (meeting enhanced ratio and space) and 1 quality point for the programmatic option of staff benefits package and infrastructure of parent involvement. The last annual compliance visit was conducted 4/10/23. The sanitation inspection was completed 1/8/24 with a “Superior” classification. The last fire inspection was conducted 11/30/23 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety four percent as of 3/5/24. The NC Secretary of State website was reviewed on 3/5/24 and Howard World Enterprises, LLC was listed as current- active. 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. You visited each indoor and outdoor space with me. Six groups were observed using the indoor and outdoor spaces. Staff child ratio and group size were found to be in compliance. Children enrolled in space #1 received care according to individual needs including diapering and bottle feeding. Children were engaged in tummy time, children that were mobile moved freely around the space playing with soft toys and books. Proper hand washing techniques were observed. Children throughout the facility engaged in indoor free play with age-appropriate materials. Children enrolled in space #5 sing song as they practice for preschool graduation. The outdoor learning environment provided stationary play structures, push and ride on toys, balls and hula hoops to encourage vigorous gross motor play. Lunch was observed and consisted of chicken eggrolls, mixed vegetables, pineapples, and milk. The following violations were documented. Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The drill log reflects the last fire drill as 1/12/24. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #5, two canisters of disinfectant wipes, two bottles of Lysol multipurpose cleaner, and one bottle of Fabuloso multipurpose cleaner was stored in an unlocked upper cabinet, right of the sink. Two canisters of disinfectant wipes, one can of Lysol disinfectant spray, and one bottle of Lysol multipurpose cleaner was stored in an unlocked closet in space #6. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #2, authorization for two tubes of Desitin expired 2/8/24 and the authorization for one tube of Boudreaux's Butt Paste expired on 2/17/24. In space #3, authorization for one tube of Desitin expired 2/29/24, authorization for one jar of Earth Mama Organic Diaper Balm expired 3/3/24, and authorization for one tube of Desitin expired 1/30/24. In space #4, authorization for one jare of Walgreens Petrolum Jelly expired 1/10/24, authorization for on bottle of Hello Hello Mosquito Repellant expired 12/12/23, authorization for one tube of Desitin expired 9/13/23, and authorization for one tube of Aquaphor Healing Ointment expired 6/1/23. There was no authorization on file for tube of Aquaphor Healing Ointment located in space #2. There was not authorization on file for two Ventolin HFA inhalers and one Epi Pen injector located in space #6. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. One tube of Little Journey Diaper Rash Cream with an expiration date of 3/2023 was located in space #1. One tube of Desitin with and expiration date of 2/2024 was located in space #3. In space #4 there was a jar Walgreens Petroleum Jelly with an expiration date of 1/2024, and one tube of Aquaphor Healing Ointment with an expiration date of 6/2023. 10A NCAC 09 .0803(1)(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One twin pack of EpiPen Jr auto-injectors prescribed to a child is was disenrolled in January 2024 was stored in space #5. One Ventolin HFA inhaler belonging a child that was disenrolled in January 2024 was stored in space #5. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff employed on 2/19/24 had a medical report on file dated 3/1/24. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff employed on 2/19/24 had a TB Screener dated 3/1/24 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Documentation of orientation was not on file for staff employed on 1/15/23, 9/26/23, 11/6/23, 12/4/23, 1/5/24, and 1/15/24. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Documentation of six clock hour of training was not available for staff employed on 2/5/24, 2/19/24, and 2/19/24. .1101(a)(b) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A medical report was not on file one of the seven children's files reviewed. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two of the seven children's records reviewed contained medical reports dated beyond 30 days of enrollment. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One of seven children's records reviewed contained an immunization record dated beyond 30 days of enrollment. 10A NCAC 09 .0302(d)(2) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR Plan on file was last updated on 1/6/23. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Documentation of the review of the EPR plan was not available for review during the visit. .0607(f) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Training certificates for the completion of Recognizing and Responding to Suspicions of Child Maltreatment training was not on file for B. Campbell and Y. Henriquez. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. certificates for all required health and safety training topics were not on file for review for A. Braxton and D. Brown. .1102(a) 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 3/21/24, 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. Mail or email the information to: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: Medication- Administering medication requires skill, knowledge and careful attention to detail. Parents must give a caregiver/teacher written authorization to administer medication to the child. When no longer needed by the child, or when the child withdraws from the program, all medications should be returned to the child’s parent/guardian or disposed of after an attempt to reach parent/guardian within 72 hours of completion of treatment. Today, there were expired diaper creams in Spaces #1, #3, and #4. Also, there were expired medication permission forms in Spaces #2, #3, and #4, and no permission forms for a tube of Aquaphor Healing Ointment in space #2 and two Ventolin HFA inhalers and one EpiPen Jr in space #6. One Ventolin HFA inhaler and a EpiPens Jr. 2pak located in space #5 were prescribed to children that are no longer enrolled. You shared with me that teacher are responsible for checking the medications and authorization forms. I strongly encourage you to review the child care rules regarding medication and share them with staff. I also encourage you to check the classroom medicine boxes on a regular basis. Regarding medication authorizations and expirations, I encouraged you today to make a tracking tool, listing medications brought in by parents which include children’s names, types of medications, expiration dates of medications, and expiration dates of authorization forms. This will allow staff members to easily see when medications or authorization forms are about to expire so they can return them to parents or get new authorization forms within 72 hours as required. Provide a written plan stating how administrators and staff will meet requirements regarding permission, storage, and administration of medication with your compliance letter. Storage of Hazardous Items- Canisters of disinfectant wipes, Lysol Disinfectant spray and spray bottles of multipurpose cleaner were stored in unlocked storage, above five feet in space #5 and #6. It was reported that the cleaning supplies were not put in their designated locked storage after being used by closing staff the day before. You stated the closet in space #6 is usually locked and the door decoration was preventing it from latching properly. You were able to put the items in locked storage during the visit. Please review child care rules regarding storage and accessibility of potentially hazardous items. Items labeled “Keep out of reach of children” with no other warnings must be stored at a minimum of five feet off the floor. Hazardous cleaning supplies, including those kept under pressure in an aerosol can, as well as medications must be kept in locked storage. The definition of locked storage requires that the lock be unlocked with some type of device such as a key or combination. Regular childproofing locks do not meet this requirement. Ensure that all cleaning supplies and other items labeled “Keep out of reach of children” are kept inaccessible while children are in care. Fire Drills- Fire drills must be practiced monthly, and records shall be maintained as required. Records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill shall be available for review. The drill log reviewed today shows the last fire drill was conducted on 1/6/23. You stated you missed the drill in February due to having to cover in classrooms. Today, I suggested marking a date on your calendar so that you can ensure that a fire drill is performed monthly. It may also help to plan these drills for different times of the day so children and staff can be prepared to evacuate no the matter activity or routine is taking place. EPR Plan- The trained staff shall review the Emergency Preparedness and Response Plan (EPR) annually, or when information in the plan changes, to ensure all information is current. All staff must review the center's EPR Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for EPR documents. The date of review should be noted on the Staff and Training Worksheet. The EPR plan reviewed during the visit was last updated on 1/6/23. Documentation of the annual review of the EPR plan was not available for review during the visit. Today I suggested you review and revise the plan and plan to conduct the review at a staff meeting held at the same time every year to help you remember. Children’s Records- Children are required to have a medical exam by a doctor and a copy of their immunization record no later than 30 days from their first day of attendance. A medical exam can be accepted if completed within the last 12 months prior to enrollment. Today one of seven children’s files reviewed did not contain a medical report. Two of seven children’s files reviewed had medical records dated beyond 30 days of enrollment. One of seven children's files reviewed had immunization dated beyond 30 days of enrollment. Today we reviewed your enrollment process. Consider requesting that parents/guardians provide you with medical reports and immunizations within 14 days of enrollment. Create a system or tracking tools to help you ensure all required documents are on file within the required timeframe. Staff Medical Report and TB Results- A medical statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children must be on file on or before the first day of employment. When submitted, the medical statement shall not be older than 12 months. All staff, including the director and individuals who volunteer more than once per week shall obtain a TB screener or TB test results on or before the first day of employment. The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Staff employed on 2/19/24 had a medical report and TB screener dated 3/1/24. You stated the staff started orientation on 2/19/24 and then took some time off and returned to the facility after obtaining a medical report and TB screener. I reminded you that staff should not start work, including orientation, until a medical report and TB screener or test results are on file. Staff Orientation: Staff qualifications and training requirements are essential for adults who interact with and teach children. These requirements protect children in child care facilities by ensuring these facilities provide a physically safe and healthy environment where the developmental needs of children are being met and where children are cared for by qualified staff. Each staff person shall receive 16 hours of orientation within the first 6 weeks of employment. Six of the hours are required to be completed within the first two weeks of employment. Documentation of six hours of orientation was not on file for D. Harris, R. Brooks, and B. Lee. Documentation of 16 hours of orientation was not on file for T. Becton, B. Campbell, A. Braxton, M. Maye, Y. Henriquez, and T. Little. You stated the staff start orientation with M. Booth, HR Manager, and documentation was not sent with the staff when they reported to the center. You were able to contact Ms. Booth, who stated orientation was completed and she will provide you with the documentation. Documentation of orientation was not received by the conclusion of the visit. I shared with you a copy of the Staff Orientation Documentation page located on the Divisions website. Recognizing and Responding to Suspicions of Child Maltreatment – Recognizing and Responding to Suspicions of Child Maltreatment training must be completed within 90 days of hire. Training certificates for the completion of training were not on file for B. Campbell and Y. Henriquez. Per our conversation, the staff had completed the training but the certificates were not on file for review during the visit. Have staff to provide you with the training certificate. If training need to be completed, staff may do so at no charge on the Prevent Child Abuse NC website www.preventchildabusenc.org. Health and Safety Trainings- Child care administrators and staff members must complete health and safety training within one year of employment unless the staff member has completed the training within the year prior to beginning employment. Additionally, health and safety training must be completed as part of on-going training so that every five years, all required topic areas will have been covered. Two staff, A. Braxton and D. Brown, did not have training certificates for all the health and safety trainings within one year of employment. We reviewed the Health and Safety Training Record sheet together to note the missing training. Training and be taken free of charge on DCDEE Moodle. Have staff to complete the required trainings, record it on log, and file the certification. Additional Information: Recordkeeping- I strongly urge you to review Child Care Rule 10A NCAC 09 .2318 regarding requirements for records. Please pay close attention to the charts which indicate how long records must be kept on file. I also suggest you utilize the checklists for staff files, children’s files, and program records to ensure you have all the required documents. These checklists are available on the DCDEE website under the Provider Documents tab. Dedicate time to complete self-audits of files to ensure they are complete, and all requirements are met. Create and use tracking tools for required paperwork and deadlines. You may wish to delegate some recordkeeping responsibilities to another staff member who has good organizational skills and is able to assist you. 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 (updated 1/1/24) 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. 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 LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@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: LITTLE SUNSHINES ACADEMY Facility ID: 74000892 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 3/7/2024 Number Present: 64 Completed Date: 3/7/2024 Age: From 0 To 5 Total Minutes: 450 Time In: 08:45 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center 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. T. Becton, Director, assisted me with the visit. Your program currently operates with a five-star license, issued 11/13/21, earning 6 points in the education component, 6 points in the program standards component (meeting enhanced ratio and space) and 1 quality point for the programmatic option of staff benefits package and infrastructure of parent involvement. The last annual compliance visit was conducted 4/10/23. The sanitation inspection was completed 1/8/24 with a “Superior” classification. The last fire inspection was conducted 11/30/23 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety four percent as of 3/5/24. The NC Secretary of State website was reviewed on 3/5/24 and Howard World Enterprises, LLC was listed as current- active. 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. You visited each indoor and outdoor space with me. Six groups were observed using the indoor and outdoor spaces. Staff child ratio and group size were found to be in compliance. Children enrolled in space #1 received care according to individual needs including diapering and bottle feeding. Children were engaged in tummy time, children that were mobile moved freely around the space playing with soft toys and books. Proper hand washing techniques were observed. Children throughout the facility engaged in indoor free play with age-appropriate materials. Children enrolled in space #5 sing song as they practice for preschool graduation. The outdoor learning environment provided stationary play structures, push and ride on toys, balls and hula hoops to encourage vigorous gross motor play. Lunch was observed and consisted of chicken eggrolls, mixed vegetables, pineapples, and milk. The following violations were documented. Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The drill log reflects the last fire drill as 1/12/24. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #5, two canisters of disinfectant wipes, two bottles of Lysol multipurpose cleaner, and one bottle of Fabuloso multipurpose cleaner was stored in an unlocked upper cabinet, right of the sink. Two canisters of disinfectant wipes, one can of Lysol disinfectant spray, and one bottle of Lysol multipurpose cleaner was stored in an unlocked closet in space #6. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #2, authorization for two tubes of Desitin expired 2/8/24 and the authorization for one tube of Boudreaux's Butt Paste expired on 2/17/24. In space #3, authorization for one tube of Desitin expired 2/29/24, authorization for one jar of Earth Mama Organic Diaper Balm expired 3/3/24, and authorization for one tube of Desitin expired 1/30/24. In space #4, authorization for one jare of Walgreens Petrolum Jelly expired 1/10/24, authorization for on bottle of Hello Hello Mosquito Repellant expired 12/12/23, authorization for one tube of Desitin expired 9/13/23, and authorization for one tube of Aquaphor Healing Ointment expired 6/1/23. There was no authorization on file for tube of Aquaphor Healing Ointment located in space #2. There was not authorization on file for two Ventolin HFA inhalers and one Epi Pen injector located in space #6. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. One tube of Little Journey Diaper Rash Cream with an expiration date of 3/2023 was located in space #1. One tube of Desitin with and expiration date of 2/2024 was located in space #3. In space #4 there was a jar Walgreens Petroleum Jelly with an expiration date of 1/2024, and one tube of Aquaphor Healing Ointment with an expiration date of 6/2023. 10A NCAC 09 .0803(1)(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One twin pack of EpiPen Jr auto-injectors prescribed to a child is was disenrolled in January 2024 was stored in space #5. One Ventolin HFA inhaler belonging a child that was disenrolled in January 2024 was stored in space #5. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff employed on 2/19/24 had a medical report on file dated 3/1/24. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff employed on 2/19/24 had a TB Screener dated 3/1/24 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Documentation of orientation was not on file for staff employed on 1/15/23, 9/26/23, 11/6/23, 12/4/23, 1/5/24, and 1/15/24. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Documentation of six clock hour of training was not available for staff employed on 2/5/24, 2/19/24, and 2/19/24. .1101(a)(b) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A medical report was not on file one of the seven children's files reviewed. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two of the seven children's records reviewed contained medical reports dated beyond 30 days of enrollment. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One of seven children's records reviewed contained an immunization record dated beyond 30 days of enrollment. 10A NCAC 09 .0302(d)(2) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR Plan on file was last updated on 1/6/23. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Documentation of the review of the EPR plan was not available for review during the visit. .0607(f) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Training certificates for the completion of Recognizing and Responding to Suspicions of Child Maltreatment training was not on file for B. Campbell and Y. Henriquez. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. certificates for all required health and safety training topics were not on file for review for A. Braxton and D. Brown. .1102(a) 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 3/21/24, 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. Mail or email the information to: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: Medication- Administering medication requires skill, knowledge and careful attention to detail. Parents must give a caregiver/teacher written authorization to administer medication to the child. When no longer needed by the child, or when the child withdraws from the program, all medications should be returned to the child’s parent/guardian or disposed of after an attempt to reach parent/guardian within 72 hours of completion of treatment. Today, there were expired diaper creams in Spaces #1, #3, and #4. Also, there were expired medication permission forms in Spaces #2, #3, and #4, and no permission forms for a tube of Aquaphor Healing Ointment in space #2 and two Ventolin HFA inhalers and one EpiPen Jr in space #6. One Ventolin HFA inhaler and a EpiPens Jr. 2pak located in space #5 were prescribed to children that are no longer enrolled. You shared with me that teacher are responsible for checking the medications and authorization forms. I strongly encourage you to review the child care rules regarding medication and share them with staff. I also encourage you to check the classroom medicine boxes on a regular basis. Regarding medication authorizations and expirations, I encouraged you today to make a tracking tool, listing medications brought in by parents which include children’s names, types of medications, expiration dates of medications, and expiration dates of authorization forms. This will allow staff members to easily see when medications or authorization forms are about to expire so they can return them to parents or get new authorization forms within 72 hours as required. Provide a written plan stating how administrators and staff will meet requirements regarding permission, storage, and administration of medication with your compliance letter. Storage of Hazardous Items- Canisters of disinfectant wipes, Lysol Disinfectant spray and spray bottles of multipurpose cleaner were stored in unlocked storage, above five feet in space #5 and #6. It was reported that the cleaning supplies were not put in their designated locked storage after being used by closing staff the day before. You stated the closet in space #6 is usually locked and the door decoration was preventing it from latching properly. You were able to put the items in locked storage during the visit. Please review child care rules regarding storage and accessibility of potentially hazardous items. Items labeled “Keep out of reach of children” with no other warnings must be stored at a minimum of five feet off the floor. Hazardous cleaning supplies, including those kept under pressure in an aerosol can, as well as medications must be kept in locked storage. The definition of locked storage requires that the lock be unlocked with some type of device such as a key or combination. Regular childproofing locks do not meet this requirement. Ensure that all cleaning supplies and other items labeled “Keep out of reach of children” are kept inaccessible while children are in care. Fire Drills- Fire drills must be practiced monthly, and records shall be maintained as required. Records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill shall be available for review. The drill log reviewed today shows the last fire drill was conducted on 1/6/23. You stated you missed the drill in February due to having to cover in classrooms. Today, I suggested marking a date on your calendar so that you can ensure that a fire drill is performed monthly. It may also help to plan these drills for different times of the day so children and staff can be prepared to evacuate no the matter activity or routine is taking place. EPR Plan- The trained staff shall review the Emergency Preparedness and Response Plan (EPR) annually, or when information in the plan changes, to ensure all information is current. All staff must review the center's EPR Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for EPR documents. The date of review should be noted on the Staff and Training Worksheet. The EPR plan reviewed during the visit was last updated on 1/6/23. Documentation of the annual review of the EPR plan was not available for review during the visit. Today I suggested you review and revise the plan and plan to conduct the review at a staff meeting held at the same time every year to help you remember. Children’s Records- Children are required to have a medical exam by a doctor and a copy of their immunization record no later than 30 days from their first day of attendance. A medical exam can be accepted if completed within the last 12 months prior to enrollment. Today one of seven children’s files reviewed did not contain a medical report. Two of seven children’s files reviewed had medical records dated beyond 30 days of enrollment. One of seven children's files reviewed had immunization dated beyond 30 days of enrollment. Today we reviewed your enrollment process. Consider requesting that parents/guardians provide you with medical reports and immunizations within 14 days of enrollment. Create a system or tracking tools to help you ensure all required documents are on file within the required timeframe. Staff Medical Report and TB Results- A medical statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children must be on file on or before the first day of employment. When submitted, the medical statement shall not be older than 12 months. All staff, including the director and individuals who volunteer more than once per week shall obtain a TB screener or TB test results on or before the first day of employment. The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Staff employed on 2/19/24 had a medical report and TB screener dated 3/1/24. You stated the staff started orientation on 2/19/24 and then took some time off and returned to the facility after obtaining a medical report and TB screener. I reminded you that staff should not start work, including orientation, until a medical report and TB screener or test results are on file. Staff Orientation: Staff qualifications and training requirements are essential for adults who interact with and teach children. These requirements protect children in child care facilities by ensuring these facilities provide a physically safe and healthy environment where the developmental needs of children are being met and where children are cared for by qualified staff. Each staff person shall receive 16 hours of orientation within the first 6 weeks of employment. Six of the hours are required to be completed within the first two weeks of employment. Documentation of six hours of orientation was not on file for D. Harris, R. Brooks, and B. Lee. Documentation of 16 hours of orientation was not on file for T. Becton, B. Campbell, A. Braxton, M. Maye, Y. Henriquez, and T. Little. You stated the staff start orientation with M. Booth, HR Manager, and documentation was not sent with the staff when they reported to the center. You were able to contact Ms. Booth, who stated orientation was completed and she will provide you with the documentation. Documentation of orientation was not received by the conclusion of the visit. I shared with you a copy of the Staff Orientation Documentation page located on the Divisions website. Recognizing and Responding to Suspicions of Child Maltreatment – Recognizing and Responding to Suspicions of Child Maltreatment training must be completed within 90 days of hire. Training certificates for the completion of training were not on file for B. Campbell and Y. Henriquez. Per our conversation, the staff had completed the training but the certificates were not on file for review during the visit. Have staff to provide you with the training certificate. If training need to be completed, staff may do so at no charge on the Prevent Child Abuse NC website www.preventchildabusenc.org. Health and Safety Trainings- Child care administrators and staff members must complete health and safety training within one year of employment unless the staff member has completed the training within the year prior to beginning employment. Additionally, health and safety training must be completed as part of on-going training so that every five years, all required topic areas will have been covered. Two staff, A. Braxton and D. Brown, did not have training certificates for all the health and safety trainings within one year of employment. We reviewed the Health and Safety Training Record sheet together to note the missing training. Training and be taken free of charge on DCDEE Moodle. Have staff to complete the required trainings, record it on log, and file the certification. Additional Information: Recordkeeping- I strongly urge you to review Child Care Rule 10A NCAC 09 .2318 regarding requirements for records. Please pay close attention to the charts which indicate how long records must be kept on file. I also suggest you utilize the checklists for staff files, children’s files, and program records to ensure you have all the required documents. These checklists are available on the DCDEE website under the Provider Documents tab. Dedicate time to complete self-audits of files to ensure they are complete, and all requirements are met. Create and use tracking tools for required paperwork and deadlines. You may wish to delegate some recordkeeping responsibilities to another staff member who has good organizational skills and is able to assist you. 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 (updated 1/1/24) 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. 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 LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@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

GS110-91 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY Facility ID: 74000892 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 3/7/2024 Number Present: 64 Completed Date: 3/7/2024 Age: From 0 To 5 Total Minutes: 450 Time In: 08:45 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center 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. T. Becton, Director, assisted me with the visit. Your program currently operates with a five-star license, issued 11/13/21, earning 6 points in the education component, 6 points in the program standards component (meeting enhanced ratio and space) and 1 quality point for the programmatic option of staff benefits package and infrastructure of parent involvement. The last annual compliance visit was conducted 4/10/23. The sanitation inspection was completed 1/8/24 with a “Superior” classification. The last fire inspection was conducted 11/30/23 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety four percent as of 3/5/24. The NC Secretary of State website was reviewed on 3/5/24 and Howard World Enterprises, LLC was listed as current- active. 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. You visited each indoor and outdoor space with me. Six groups were observed using the indoor and outdoor spaces. Staff child ratio and group size were found to be in compliance. Children enrolled in space #1 received care according to individual needs including diapering and bottle feeding. Children were engaged in tummy time, children that were mobile moved freely around the space playing with soft toys and books. Proper hand washing techniques were observed. Children throughout the facility engaged in indoor free play with age-appropriate materials. Children enrolled in space #5 sing song as they practice for preschool graduation. The outdoor learning environment provided stationary play structures, push and ride on toys, balls and hula hoops to encourage vigorous gross motor play. Lunch was observed and consisted of chicken eggrolls, mixed vegetables, pineapples, and milk. The following violations were documented. Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The drill log reflects the last fire drill as 1/12/24. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #5, two canisters of disinfectant wipes, two bottles of Lysol multipurpose cleaner, and one bottle of Fabuloso multipurpose cleaner was stored in an unlocked upper cabinet, right of the sink. Two canisters of disinfectant wipes, one can of Lysol disinfectant spray, and one bottle of Lysol multipurpose cleaner was stored in an unlocked closet in space #6. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #2, authorization for two tubes of Desitin expired 2/8/24 and the authorization for one tube of Boudreaux's Butt Paste expired on 2/17/24. In space #3, authorization for one tube of Desitin expired 2/29/24, authorization for one jar of Earth Mama Organic Diaper Balm expired 3/3/24, and authorization for one tube of Desitin expired 1/30/24. In space #4, authorization for one jare of Walgreens Petrolum Jelly expired 1/10/24, authorization for on bottle of Hello Hello Mosquito Repellant expired 12/12/23, authorization for one tube of Desitin expired 9/13/23, and authorization for one tube of Aquaphor Healing Ointment expired 6/1/23. There was no authorization on file for tube of Aquaphor Healing Ointment located in space #2. There was not authorization on file for two Ventolin HFA inhalers and one Epi Pen injector located in space #6. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. One tube of Little Journey Diaper Rash Cream with an expiration date of 3/2023 was located in space #1. One tube of Desitin with and expiration date of 2/2024 was located in space #3. In space #4 there was a jar Walgreens Petroleum Jelly with an expiration date of 1/2024, and one tube of Aquaphor Healing Ointment with an expiration date of 6/2023. 10A NCAC 09 .0803(1)(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One twin pack of EpiPen Jr auto-injectors prescribed to a child is was disenrolled in January 2024 was stored in space #5. One Ventolin HFA inhaler belonging a child that was disenrolled in January 2024 was stored in space #5. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff employed on 2/19/24 had a medical report on file dated 3/1/24. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff employed on 2/19/24 had a TB Screener dated 3/1/24 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Documentation of orientation was not on file for staff employed on 1/15/23, 9/26/23, 11/6/23, 12/4/23, 1/5/24, and 1/15/24. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Documentation of six clock hour of training was not available for staff employed on 2/5/24, 2/19/24, and 2/19/24. .1101(a)(b) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A medical report was not on file one of the seven children's files reviewed. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two of the seven children's records reviewed contained medical reports dated beyond 30 days of enrollment. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One of seven children's records reviewed contained an immunization record dated beyond 30 days of enrollment. 10A NCAC 09 .0302(d)(2) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR Plan on file was last updated on 1/6/23. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Documentation of the review of the EPR plan was not available for review during the visit. .0607(f) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Training certificates for the completion of Recognizing and Responding to Suspicions of Child Maltreatment training was not on file for B. Campbell and Y. Henriquez. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. certificates for all required health and safety training topics were not on file for review for A. Braxton and D. Brown. .1102(a) 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 3/21/24, 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. Mail or email the information to: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: Medication- Administering medication requires skill, knowledge and careful attention to detail. Parents must give a caregiver/teacher written authorization to administer medication to the child. When no longer needed by the child, or when the child withdraws from the program, all medications should be returned to the child’s parent/guardian or disposed of after an attempt to reach parent/guardian within 72 hours of completion of treatment. Today, there were expired diaper creams in Spaces #1, #3, and #4. Also, there were expired medication permission forms in Spaces #2, #3, and #4, and no permission forms for a tube of Aquaphor Healing Ointment in space #2 and two Ventolin HFA inhalers and one EpiPen Jr in space #6. One Ventolin HFA inhaler and a EpiPens Jr. 2pak located in space #5 were prescribed to children that are no longer enrolled. You shared with me that teacher are responsible for checking the medications and authorization forms. I strongly encourage you to review the child care rules regarding medication and share them with staff. I also encourage you to check the classroom medicine boxes on a regular basis. Regarding medication authorizations and expirations, I encouraged you today to make a tracking tool, listing medications brought in by parents which include children’s names, types of medications, expiration dates of medications, and expiration dates of authorization forms. This will allow staff members to easily see when medications or authorization forms are about to expire so they can return them to parents or get new authorization forms within 72 hours as required. Provide a written plan stating how administrators and staff will meet requirements regarding permission, storage, and administration of medication with your compliance letter. Storage of Hazardous Items- Canisters of disinfectant wipes, Lysol Disinfectant spray and spray bottles of multipurpose cleaner were stored in unlocked storage, above five feet in space #5 and #6. It was reported that the cleaning supplies were not put in their designated locked storage after being used by closing staff the day before. You stated the closet in space #6 is usually locked and the door decoration was preventing it from latching properly. You were able to put the items in locked storage during the visit. Please review child care rules regarding storage and accessibility of potentially hazardous items. Items labeled “Keep out of reach of children” with no other warnings must be stored at a minimum of five feet off the floor. Hazardous cleaning supplies, including those kept under pressure in an aerosol can, as well as medications must be kept in locked storage. The definition of locked storage requires that the lock be unlocked with some type of device such as a key or combination. Regular childproofing locks do not meet this requirement. Ensure that all cleaning supplies and other items labeled “Keep out of reach of children” are kept inaccessible while children are in care. Fire Drills- Fire drills must be practiced monthly, and records shall be maintained as required. Records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill shall be available for review. The drill log reviewed today shows the last fire drill was conducted on 1/6/23. You stated you missed the drill in February due to having to cover in classrooms. Today, I suggested marking a date on your calendar so that you can ensure that a fire drill is performed monthly. It may also help to plan these drills for different times of the day so children and staff can be prepared to evacuate no the matter activity or routine is taking place. EPR Plan- The trained staff shall review the Emergency Preparedness and Response Plan (EPR) annually, or when information in the plan changes, to ensure all information is current. All staff must review the center's EPR Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for EPR documents. The date of review should be noted on the Staff and Training Worksheet. The EPR plan reviewed during the visit was last updated on 1/6/23. Documentation of the annual review of the EPR plan was not available for review during the visit. Today I suggested you review and revise the plan and plan to conduct the review at a staff meeting held at the same time every year to help you remember. Children’s Records- Children are required to have a medical exam by a doctor and a copy of their immunization record no later than 30 days from their first day of attendance. A medical exam can be accepted if completed within the last 12 months prior to enrollment. Today one of seven children’s files reviewed did not contain a medical report. Two of seven children’s files reviewed had medical records dated beyond 30 days of enrollment. One of seven children's files reviewed had immunization dated beyond 30 days of enrollment. Today we reviewed your enrollment process. Consider requesting that parents/guardians provide you with medical reports and immunizations within 14 days of enrollment. Create a system or tracking tools to help you ensure all required documents are on file within the required timeframe. Staff Medical Report and TB Results- A medical statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children must be on file on or before the first day of employment. When submitted, the medical statement shall not be older than 12 months. All staff, including the director and individuals who volunteer more than once per week shall obtain a TB screener or TB test results on or before the first day of employment. The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Staff employed on 2/19/24 had a medical report and TB screener dated 3/1/24. You stated the staff started orientation on 2/19/24 and then took some time off and returned to the facility after obtaining a medical report and TB screener. I reminded you that staff should not start work, including orientation, until a medical report and TB screener or test results are on file. Staff Orientation: Staff qualifications and training requirements are essential for adults who interact with and teach children. These requirements protect children in child care facilities by ensuring these facilities provide a physically safe and healthy environment where the developmental needs of children are being met and where children are cared for by qualified staff. Each staff person shall receive 16 hours of orientation within the first 6 weeks of employment. Six of the hours are required to be completed within the first two weeks of employment. Documentation of six hours of orientation was not on file for D. Harris, R. Brooks, and B. Lee. Documentation of 16 hours of orientation was not on file for T. Becton, B. Campbell, A. Braxton, M. Maye, Y. Henriquez, and T. Little. You stated the staff start orientation with M. Booth, HR Manager, and documentation was not sent with the staff when they reported to the center. You were able to contact Ms. Booth, who stated orientation was completed and she will provide you with the documentation. Documentation of orientation was not received by the conclusion of the visit. I shared with you a copy of the Staff Orientation Documentation page located on the Divisions website. Recognizing and Responding to Suspicions of Child Maltreatment – Recognizing and Responding to Suspicions of Child Maltreatment training must be completed within 90 days of hire. Training certificates for the completion of training were not on file for B. Campbell and Y. Henriquez. Per our conversation, the staff had completed the training but the certificates were not on file for review during the visit. Have staff to provide you with the training certificate. If training need to be completed, staff may do so at no charge on the Prevent Child Abuse NC website www.preventchildabusenc.org. Health and Safety Trainings- Child care administrators and staff members must complete health and safety training within one year of employment unless the staff member has completed the training within the year prior to beginning employment. Additionally, health and safety training must be completed as part of on-going training so that every five years, all required topic areas will have been covered. Two staff, A. Braxton and D. Brown, did not have training certificates for all the health and safety trainings within one year of employment. We reviewed the Health and Safety Training Record sheet together to note the missing training. Training and be taken free of charge on DCDEE Moodle. Have staff to complete the required trainings, record it on log, and file the certification. Additional Information: Recordkeeping- I strongly urge you to review Child Care Rule 10A NCAC 09 .2318 regarding requirements for records. Please pay close attention to the charts which indicate how long records must be kept on file. I also suggest you utilize the checklists for staff files, children’s files, and program records to ensure you have all the required documents. These checklists are available on the DCDEE website under the Provider Documents tab. Dedicate time to complete self-audits of files to ensure they are complete, and all requirements are met. Create and use tracking tools for required paperwork and deadlines. You may wish to delegate some recordkeeping responsibilities to another staff member who has good organizational skills and is able to assist you. 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 (updated 1/1/24) 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. 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 LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@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: LITTLE SUNSHINES ACADEMY Facility ID: 74000892 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 3/7/2024 Number Present: 64 Completed Date: 3/7/2024 Age: From 0 To 5 Total Minutes: 450 Time In: 08:45 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center 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. T. Becton, Director, assisted me with the visit. Your program currently operates with a five-star license, issued 11/13/21, earning 6 points in the education component, 6 points in the program standards component (meeting enhanced ratio and space) and 1 quality point for the programmatic option of staff benefits package and infrastructure of parent involvement. The last annual compliance visit was conducted 4/10/23. The sanitation inspection was completed 1/8/24 with a “Superior” classification. The last fire inspection was conducted 11/30/23 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety four percent as of 3/5/24. The NC Secretary of State website was reviewed on 3/5/24 and Howard World Enterprises, LLC was listed as current- active. 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. You visited each indoor and outdoor space with me. Six groups were observed using the indoor and outdoor spaces. Staff child ratio and group size were found to be in compliance. Children enrolled in space #1 received care according to individual needs including diapering and bottle feeding. Children were engaged in tummy time, children that were mobile moved freely around the space playing with soft toys and books. Proper hand washing techniques were observed. Children throughout the facility engaged in indoor free play with age-appropriate materials. Children enrolled in space #5 sing song as they practice for preschool graduation. The outdoor learning environment provided stationary play structures, push and ride on toys, balls and hula hoops to encourage vigorous gross motor play. Lunch was observed and consisted of chicken eggrolls, mixed vegetables, pineapples, and milk. The following violations were documented. Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The drill log reflects the last fire drill as 1/12/24. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #5, two canisters of disinfectant wipes, two bottles of Lysol multipurpose cleaner, and one bottle of Fabuloso multipurpose cleaner was stored in an unlocked upper cabinet, right of the sink. Two canisters of disinfectant wipes, one can of Lysol disinfectant spray, and one bottle of Lysol multipurpose cleaner was stored in an unlocked closet in space #6. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #2, authorization for two tubes of Desitin expired 2/8/24 and the authorization for one tube of Boudreaux's Butt Paste expired on 2/17/24. In space #3, authorization for one tube of Desitin expired 2/29/24, authorization for one jar of Earth Mama Organic Diaper Balm expired 3/3/24, and authorization for one tube of Desitin expired 1/30/24. In space #4, authorization for one jare of Walgreens Petrolum Jelly expired 1/10/24, authorization for on bottle of Hello Hello Mosquito Repellant expired 12/12/23, authorization for one tube of Desitin expired 9/13/23, and authorization for one tube of Aquaphor Healing Ointment expired 6/1/23. There was no authorization on file for tube of Aquaphor Healing Ointment located in space #2. There was not authorization on file for two Ventolin HFA inhalers and one Epi Pen injector located in space #6. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. One tube of Little Journey Diaper Rash Cream with an expiration date of 3/2023 was located in space #1. One tube of Desitin with and expiration date of 2/2024 was located in space #3. In space #4 there was a jar Walgreens Petroleum Jelly with an expiration date of 1/2024, and one tube of Aquaphor Healing Ointment with an expiration date of 6/2023. 10A NCAC 09 .0803(1)(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One twin pack of EpiPen Jr auto-injectors prescribed to a child is was disenrolled in January 2024 was stored in space #5. One Ventolin HFA inhaler belonging a child that was disenrolled in January 2024 was stored in space #5. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff employed on 2/19/24 had a medical report on file dated 3/1/24. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff employed on 2/19/24 had a TB Screener dated 3/1/24 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Documentation of orientation was not on file for staff employed on 1/15/23, 9/26/23, 11/6/23, 12/4/23, 1/5/24, and 1/15/24. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Documentation of six clock hour of training was not available for staff employed on 2/5/24, 2/19/24, and 2/19/24. .1101(a)(b) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A medical report was not on file one of the seven children's files reviewed. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two of the seven children's records reviewed contained medical reports dated beyond 30 days of enrollment. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One of seven children's records reviewed contained an immunization record dated beyond 30 days of enrollment. 10A NCAC 09 .0302(d)(2) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR Plan on file was last updated on 1/6/23. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Documentation of the review of the EPR plan was not available for review during the visit. .0607(f) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Training certificates for the completion of Recognizing and Responding to Suspicions of Child Maltreatment training was not on file for B. Campbell and Y. Henriquez. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. certificates for all required health and safety training topics were not on file for review for A. Braxton and D. Brown. .1102(a) 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 3/21/24, 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. Mail or email the information to: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: Medication- Administering medication requires skill, knowledge and careful attention to detail. Parents must give a caregiver/teacher written authorization to administer medication to the child. When no longer needed by the child, or when the child withdraws from the program, all medications should be returned to the child’s parent/guardian or disposed of after an attempt to reach parent/guardian within 72 hours of completion of treatment. Today, there were expired diaper creams in Spaces #1, #3, and #4. Also, there were expired medication permission forms in Spaces #2, #3, and #4, and no permission forms for a tube of Aquaphor Healing Ointment in space #2 and two Ventolin HFA inhalers and one EpiPen Jr in space #6. One Ventolin HFA inhaler and a EpiPens Jr. 2pak located in space #5 were prescribed to children that are no longer enrolled. You shared with me that teacher are responsible for checking the medications and authorization forms. I strongly encourage you to review the child care rules regarding medication and share them with staff. I also encourage you to check the classroom medicine boxes on a regular basis. Regarding medication authorizations and expirations, I encouraged you today to make a tracking tool, listing medications brought in by parents which include children’s names, types of medications, expiration dates of medications, and expiration dates of authorization forms. This will allow staff members to easily see when medications or authorization forms are about to expire so they can return them to parents or get new authorization forms within 72 hours as required. Provide a written plan stating how administrators and staff will meet requirements regarding permission, storage, and administration of medication with your compliance letter. Storage of Hazardous Items- Canisters of disinfectant wipes, Lysol Disinfectant spray and spray bottles of multipurpose cleaner were stored in unlocked storage, above five feet in space #5 and #6. It was reported that the cleaning supplies were not put in their designated locked storage after being used by closing staff the day before. You stated the closet in space #6 is usually locked and the door decoration was preventing it from latching properly. You were able to put the items in locked storage during the visit. Please review child care rules regarding storage and accessibility of potentially hazardous items. Items labeled “Keep out of reach of children” with no other warnings must be stored at a minimum of five feet off the floor. Hazardous cleaning supplies, including those kept under pressure in an aerosol can, as well as medications must be kept in locked storage. The definition of locked storage requires that the lock be unlocked with some type of device such as a key or combination. Regular childproofing locks do not meet this requirement. Ensure that all cleaning supplies and other items labeled “Keep out of reach of children” are kept inaccessible while children are in care. Fire Drills- Fire drills must be practiced monthly, and records shall be maintained as required. Records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill shall be available for review. The drill log reviewed today shows the last fire drill was conducted on 1/6/23. You stated you missed the drill in February due to having to cover in classrooms. Today, I suggested marking a date on your calendar so that you can ensure that a fire drill is performed monthly. It may also help to plan these drills for different times of the day so children and staff can be prepared to evacuate no the matter activity or routine is taking place. EPR Plan- The trained staff shall review the Emergency Preparedness and Response Plan (EPR) annually, or when information in the plan changes, to ensure all information is current. All staff must review the center's EPR Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for EPR documents. The date of review should be noted on the Staff and Training Worksheet. The EPR plan reviewed during the visit was last updated on 1/6/23. Documentation of the annual review of the EPR plan was not available for review during the visit. Today I suggested you review and revise the plan and plan to conduct the review at a staff meeting held at the same time every year to help you remember. Children’s Records- Children are required to have a medical exam by a doctor and a copy of their immunization record no later than 30 days from their first day of attendance. A medical exam can be accepted if completed within the last 12 months prior to enrollment. Today one of seven children’s files reviewed did not contain a medical report. Two of seven children’s files reviewed had medical records dated beyond 30 days of enrollment. One of seven children's files reviewed had immunization dated beyond 30 days of enrollment. Today we reviewed your enrollment process. Consider requesting that parents/guardians provide you with medical reports and immunizations within 14 days of enrollment. Create a system or tracking tools to help you ensure all required documents are on file within the required timeframe. Staff Medical Report and TB Results- A medical statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children must be on file on or before the first day of employment. When submitted, the medical statement shall not be older than 12 months. All staff, including the director and individuals who volunteer more than once per week shall obtain a TB screener or TB test results on or before the first day of employment. The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Staff employed on 2/19/24 had a medical report and TB screener dated 3/1/24. You stated the staff started orientation on 2/19/24 and then took some time off and returned to the facility after obtaining a medical report and TB screener. I reminded you that staff should not start work, including orientation, until a medical report and TB screener or test results are on file. Staff Orientation: Staff qualifications and training requirements are essential for adults who interact with and teach children. These requirements protect children in child care facilities by ensuring these facilities provide a physically safe and healthy environment where the developmental needs of children are being met and where children are cared for by qualified staff. Each staff person shall receive 16 hours of orientation within the first 6 weeks of employment. Six of the hours are required to be completed within the first two weeks of employment. Documentation of six hours of orientation was not on file for D. Harris, R. Brooks, and B. Lee. Documentation of 16 hours of orientation was not on file for T. Becton, B. Campbell, A. Braxton, M. Maye, Y. Henriquez, and T. Little. You stated the staff start orientation with M. Booth, HR Manager, and documentation was not sent with the staff when they reported to the center. You were able to contact Ms. Booth, who stated orientation was completed and she will provide you with the documentation. Documentation of orientation was not received by the conclusion of the visit. I shared with you a copy of the Staff Orientation Documentation page located on the Divisions website. Recognizing and Responding to Suspicions of Child Maltreatment – Recognizing and Responding to Suspicions of Child Maltreatment training must be completed within 90 days of hire. Training certificates for the completion of training were not on file for B. Campbell and Y. Henriquez. Per our conversation, the staff had completed the training but the certificates were not on file for review during the visit. Have staff to provide you with the training certificate. If training need to be completed, staff may do so at no charge on the Prevent Child Abuse NC website www.preventchildabusenc.org. Health and Safety Trainings- Child care administrators and staff members must complete health and safety training within one year of employment unless the staff member has completed the training within the year prior to beginning employment. Additionally, health and safety training must be completed as part of on-going training so that every five years, all required topic areas will have been covered. Two staff, A. Braxton and D. Brown, did not have training certificates for all the health and safety trainings within one year of employment. We reviewed the Health and Safety Training Record sheet together to note the missing training. Training and be taken free of charge on DCDEE Moodle. Have staff to complete the required trainings, record it on log, and file the certification. Additional Information: Recordkeeping- I strongly urge you to review Child Care Rule 10A NCAC 09 .2318 regarding requirements for records. Please pay close attention to the charts which indicate how long records must be kept on file. I also suggest you utilize the checklists for staff files, children’s files, and program records to ensure you have all the required documents. These checklists are available on the DCDEE website under the Provider Documents tab. Dedicate time to complete self-audits of files to ensure they are complete, and all requirements are met. Create and use tracking tools for required paperwork and deadlines. You may wish to delegate some recordkeeping responsibilities to another staff member who has good organizational skills and is able to assist you. 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 (updated 1/1/24) 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. 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 LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@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 .2818 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY Facility ID: 74000892 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 1/29/2024 Number Present: 55 Completed Date: 1/29/2024 Age: From 0 To 5 Total Minutes: 158 Time In: 10:37 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit is an unannounced follow up visit. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions, and the outdoor environment were monitored. The license and emergency care plan were posted. Children enrolled in space #1 engaged in free play with soft toys, sat bouncers, and were resting in approved cribs. Teachers moved about the space talking with the children and taking care of child's personal care needs. Children in space #2, #3, and #4 were preparing for lunch. Proper handwashing techniques were observed. Children in spaces #5 and #6 engaged in indoor free play with Legos, linking toys, wooden and foam blocks, and seashells. The following violation was observed: Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. In space #5, twelve children, three to five years of age, were present with one staff member. In space #6, eleven children, three years of age were present with one staff. 10A NCAC 09 .2818 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 2/12/24, 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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 Staff-Child Ratio: A staff-to-child ratio is a measure of the number of children for whom each child care provider is responsible. Today I observed twelve children, three to five years of age, in classroom #5 with one staff member. In space #6, there were eleven children, 3 years of age, with one staff member. It was reported that the staff miscounted the number of children in the space and were not aware that the staff-child ratio changed when younger children were present. Children were relocated to different classrooms to meet the staff-child ratio. Technical assistances was provided to analyze your current staff schedule to see if adjustments need to be made to support the number of children present. Staff need to use the walkie talkies provided to communicate with the center administrator if support is needed in their classroom. Repeat violations demonstrate a pattern of noncompliance and an administrative action may be issued. You will be notified in writing of any action taken. In addition, follow-up visits will continue to be conducted. At the completion of the visit, this Visit Summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@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: LITTLE SUNSHINES ACADEMY Facility ID: 74000892 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 1/29/2024 Number Present: 55 Completed Date: 1/29/2024 Age: From 0 To 5 Total Minutes: 158 Time In: 10:37 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit is an unannounced follow up visit. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions, and the outdoor environment were monitored. The license and emergency care plan were posted. Children enrolled in space #1 engaged in free play with soft toys, sat bouncers, and were resting in approved cribs. Teachers moved about the space talking with the children and taking care of child's personal care needs. Children in space #2, #3, and #4 were preparing for lunch. Proper handwashing techniques were observed. Children in spaces #5 and #6 engaged in indoor free play with Legos, linking toys, wooden and foam blocks, and seashells. The following violation was observed: Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. In space #5, twelve children, three to five years of age, were present with one staff member. In space #6, eleven children, three years of age were present with one staff. 10A NCAC 09 .2818 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 2/12/24, 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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 Staff-Child Ratio: A staff-to-child ratio is a measure of the number of children for whom each child care provider is responsible. Today I observed twelve children, three to five years of age, in classroom #5 with one staff member. In space #6, there were eleven children, 3 years of age, with one staff member. It was reported that the staff miscounted the number of children in the space and were not aware that the staff-child ratio changed when younger children were present. Children were relocated to different classrooms to meet the staff-child ratio. Technical assistances was provided to analyze your current staff schedule to see if adjustments need to be made to support the number of children present. Staff need to use the walkie talkies provided to communicate with the center administrator if support is needed in their classroom. Repeat violations demonstrate a pattern of noncompliance and an administrative action may be issued. You will be notified in writing of any action taken. In addition, follow-up visits will continue to be conducted. At the completion of the visit, this Visit Summary was printed, reviewed, and a copy was left with you. Contact me at LeShaunda McCotter, Child Care Consultant, 252-751-8634, LeShaunda.McCotter@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 .1801 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY Facility ID: 74000892 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: 1223-154L Visit Date: 12/15/2023 Number Present: 51 Completed Date: 12/15/2023 Age: From 0 To 5 Total Minutes: 259 Time In: 10:21 AM Time Out: 02:40 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. The allegations are as follows: There are concerns that: Children are not adequately supervised. Toys and equipment, etc. are not cleaned and sanitized as required. A child’s personal needs were not attended to. Staff/child ratio, group size, supervision, use of licensed space, space capacity, and license restrictions were monitored. I observed six groups of children in the indoor and outdoor areas. I observed the teachers moving about the spaces, engaged in story time, small group activities, conversation, and play with the children. I observed the children engaged in indoor free play including table top manipulatives, Legos, magnet tiles, and coloring with crayons. Today’s menu consisted of cheeseburgers, pears, potatoes, and milk. Based on information provided regarding the concern of children are not adequately supervised, I completed classroom observations and interviewed the administrator and select staff. Video footage was requested from onsite and offsite staff, but access was not provided by the conclusion of the visit. It was reported that during pick-up time a two year old child exited the classroom alone as two staff were present with the children. It was also reported that staff were not positioned to have visual supervision of all the children in care and the door was not closed. It was also reported that a staff went into a closet and could not see all children in care leaving the other teacher alone with the children. As a result, a child was scratched by another child. It was reported the staff whom entered the closet is no longer employed at the program. Based on my observations, interviews, and collateral reports, this allegation is confirmed. Based on the information provided regarding concerns of toys and equipment are not cleaned and sanitized as required, I interviewed the administrator and caregivers regarding the alleged of sanitation guidelines, reviewed cleaning checklist, and completed classroom observations. I observed “dirty toy” bin in each of the classrooms, 4 of 6 bins had toys in them. It was reported that staff remove toys from the classroom space as they are mouthed, coughed or sneezed on, stepped on, or visibly dirty. Toys in the dirty bin are cleaned at rest time and at the end of the day. Soft toys such as cloth books, cushions, and plush animals are laundered weekly or as needed. A deep cleaning is conducted at least weekly. Today, during rest time I observed the kitchen staff provided “Cleaning Buckets” to each of the classroom. Teachers then took toys off the shelves and cleaned and sanitized them while the children rest on their cots. Based on the above information, this allegation was unconfirmed. Regarding the allegation concerning a child’s personal needs were not attended to, I completed classroom observations and interviewed the administrator and staff. I observed teachers assisting children with cleaning runny noses and handwashing. Children under the age of one year were care for based on individual needs including feeding and diapering. Teachers were observed assisting children with putting on hats and coats before going outside. It was reported that staff give children “extra love” when they are upset a reassure them that it will be okay. It was also reported that staff assist children with blowing their nose, washing their hands, putting on their clothes/shoes. Based on the above information the allegation was unconfirmed. The following violation was observed. Violation Number Comment Rule 303 Children were not adequately supervised at all times. One child, two years of age, was unattended outside the classroom. .1801(a)(1-5) 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 12/29/23, 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: LeShaunda McCotter, Child Care Consultant PO Box 397 Grifton, NC 28530 LeShaunda.McCotter@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 : Supervising children is a critical component of ensuring the safety and well-being of all children. Active supervision requires focused attention and intentional observation of children at all times. Staff must be actively engaged at all times for this to occur. I encourage you to review Child Care Rule 10A NCAC 09 .1801 regarding supervision with all your staff. Teachers must position themselves so that they can observe all of the children: watching and listening at all times. Regular counting (or use of active supervision) will reduce opportunities for a child to become separated from the group. Verification of a violation during a complaint visit may result in an administrative action per Child Care Rule 10A NCAC 09 .2203(1). You will be notified in writing of any action is taken. In addition, follow-up visits will be conducted. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at LeShaunda.McCotter@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 .2203 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY Facility ID: 74000892 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: 1223-154L Visit Date: 12/15/2023 Number Present: 51 Completed Date: 12/15/2023 Age: From 0 To 5 Total Minutes: 259 Time In: 10:21 AM Time Out: 02:40 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. The allegations are as follows: There are concerns that: Children are not adequately supervised. Toys and equipment, etc. are not cleaned and sanitized as required. A child’s personal needs were not attended to. Staff/child ratio, group size, supervision, use of licensed space, space capacity, and license restrictions were monitored. I observed six groups of children in the indoor and outdoor areas. I observed the teachers moving about the spaces, engaged in story time, small group activities, conversation, and play with the children. I observed the children engaged in indoor free play including table top manipulatives, Legos, magnet tiles, and coloring with crayons. Today’s menu consisted of cheeseburgers, pears, potatoes, and milk. Based on information provided regarding the concern of children are not adequately supervised, I completed classroom observations and interviewed the administrator and select staff. Video footage was requested from onsite and offsite staff, but access was not provided by the conclusion of the visit. It was reported that during pick-up time a two year old child exited the classroom alone as two staff were present with the children. It was also reported that staff were not positioned to have visual supervision of all the children in care and the door was not closed. It was also reported that a staff went into a closet and could not see all children in care leaving the other teacher alone with the children. As a result, a child was scratched by another child. It was reported the staff whom entered the closet is no longer employed at the program. Based on my observations, interviews, and collateral reports, this allegation is confirmed. Based on the information provided regarding concerns of toys and equipment are not cleaned and sanitized as required, I interviewed the administrator and caregivers regarding the alleged of sanitation guidelines, reviewed cleaning checklist, and completed classroom observations. I observed “dirty toy” bin in each of the classrooms, 4 of 6 bins had toys in them. It was reported that staff remove toys from the classroom space as they are mouthed, coughed or sneezed on, stepped on, or visibly dirty. Toys in the dirty bin are cleaned at rest time and at the end of the day. Soft toys such as cloth books, cushions, and plush animals are laundered weekly or as needed. A deep cleaning is conducted at least weekly. Today, during rest time I observed the kitchen staff provided “Cleaning Buckets” to each of the classroom. Teachers then took toys off the shelves and cleaned and sanitized them while the children rest on their cots. Based on the above information, this allegation was unconfirmed. Regarding the allegation concerning a child’s personal needs were not attended to, I completed classroom observations and interviewed the administrator and staff. I observed teachers assisting children with cleaning runny noses and handwashing. Children under the age of one year were care for based on individual needs including feeding and diapering. Teachers were observed assisting children with putting on hats and coats before going outside. It was reported that staff give children “extra love” when they are upset a reassure them that it will be okay. It was also reported that staff assist children with blowing their nose, washing their hands, putting on their clothes/shoes. Based on the above information the allegation was unconfirmed. The following violation was observed. Violation Number Comment Rule 303 Children were not adequately supervised at all times. One child, two years of age, was unattended outside the classroom. .1801(a)(1-5) 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 12/29/23, 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: LeShaunda McCotter, Child Care Consultant PO Box 397 Grifton, NC 28530 LeShaunda.McCotter@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 : Supervising children is a critical component of ensuring the safety and well-being of all children. Active supervision requires focused attention and intentional observation of children at all times. Staff must be actively engaged at all times for this to occur. I encourage you to review Child Care Rule 10A NCAC 09 .1801 regarding supervision with all your staff. Teachers must position themselves so that they can observe all of the children: watching and listening at all times. Regular counting (or use of active supervision) will reduce opportunities for a child to become separated from the group. Verification of a violation during a complaint visit may result in an administrative action per Child Care Rule 10A NCAC 09 .2203(1). You will be notified in writing of any action is taken. In addition, follow-up visits will be conducted. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at LeShaunda.McCotter@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: LITTLE SUNSHINES ACADEMY Facility ID: 74000892 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: 1223-154L Visit Date: 12/15/2023 Number Present: 51 Completed Date: 12/15/2023 Age: From 0 To 5 Total Minutes: 259 Time In: 10:21 AM Time Out: 02:40 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. The allegations are as follows: There are concerns that: Children are not adequately supervised. Toys and equipment, etc. are not cleaned and sanitized as required. A child’s personal needs were not attended to. Staff/child ratio, group size, supervision, use of licensed space, space capacity, and license restrictions were monitored. I observed six groups of children in the indoor and outdoor areas. I observed the teachers moving about the spaces, engaged in story time, small group activities, conversation, and play with the children. I observed the children engaged in indoor free play including table top manipulatives, Legos, magnet tiles, and coloring with crayons. Today’s menu consisted of cheeseburgers, pears, potatoes, and milk. Based on information provided regarding the concern of children are not adequately supervised, I completed classroom observations and interviewed the administrator and select staff. Video footage was requested from onsite and offsite staff, but access was not provided by the conclusion of the visit. It was reported that during pick-up time a two year old child exited the classroom alone as two staff were present with the children. It was also reported that staff were not positioned to have visual supervision of all the children in care and the door was not closed. It was also reported that a staff went into a closet and could not see all children in care leaving the other teacher alone with the children. As a result, a child was scratched by another child. It was reported the staff whom entered the closet is no longer employed at the program. Based on my observations, interviews, and collateral reports, this allegation is confirmed. Based on the information provided regarding concerns of toys and equipment are not cleaned and sanitized as required, I interviewed the administrator and caregivers regarding the alleged of sanitation guidelines, reviewed cleaning checklist, and completed classroom observations. I observed “dirty toy” bin in each of the classrooms, 4 of 6 bins had toys in them. It was reported that staff remove toys from the classroom space as they are mouthed, coughed or sneezed on, stepped on, or visibly dirty. Toys in the dirty bin are cleaned at rest time and at the end of the day. Soft toys such as cloth books, cushions, and plush animals are laundered weekly or as needed. A deep cleaning is conducted at least weekly. Today, during rest time I observed the kitchen staff provided “Cleaning Buckets” to each of the classroom. Teachers then took toys off the shelves and cleaned and sanitized them while the children rest on their cots. Based on the above information, this allegation was unconfirmed. Regarding the allegation concerning a child’s personal needs were not attended to, I completed classroom observations and interviewed the administrator and staff. I observed teachers assisting children with cleaning runny noses and handwashing. Children under the age of one year were care for based on individual needs including feeding and diapering. Teachers were observed assisting children with putting on hats and coats before going outside. It was reported that staff give children “extra love” when they are upset a reassure them that it will be okay. It was also reported that staff assist children with blowing their nose, washing their hands, putting on their clothes/shoes. Based on the above information the allegation was unconfirmed. The following violation was observed. Violation Number Comment Rule 303 Children were not adequately supervised at all times. One child, two years of age, was unattended outside the classroom. .1801(a)(1-5) 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 12/29/23, 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: LeShaunda McCotter, Child Care Consultant PO Box 397 Grifton, NC 28530 LeShaunda.McCotter@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 : Supervising children is a critical component of ensuring the safety and well-being of all children. Active supervision requires focused attention and intentional observation of children at all times. Staff must be actively engaged at all times for this to occur. I encourage you to review Child Care Rule 10A NCAC 09 .1801 regarding supervision with all your staff. Teachers must position themselves so that they can observe all of the children: watching and listening at all times. Regular counting (or use of active supervision) will reduce opportunities for a child to become separated from the group. Verification of a violation during a complaint visit may result in an administrative action per Child Care Rule 10A NCAC 09 .2203(1). You will be notified in writing of any action is taken. In addition, follow-up visits will be conducted. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at LeShaunda.McCotter@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. 110-91 · Violation

Name of Operation: LITTLE SUNSHINES ACADEMY Facility ID: 74000892 Consultant: KATISHA FARMER Operation Type: Center Case Number: 1123-224A Visit Date: 11/22/2023 Number Present: 40 Completed Date: 11/22/2023 Age: From 0 To 5 Total Minutes: 60 Time In: 10:00 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Laquanda Gorham, Director accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Gorham and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. No violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A staff member failed to care for children in a nurturing and appropriate manner while placing a child on a cot and another child in a chair. G.S. 110-91(10) You may contact me Katisha Farmer, Investigations Consultant, 252 373-8547, email Katisha.farmer@dhhs.nc.gov or Supervisor, Corrie Davenport at corrie.davenport@dhhs.nc.gov Thank you for your time. 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