Mom'S Tiny Treasures ELC

10A NCAC 09 .0601 · Violation

Name of Operation: Mom's Tiny Treasures ELC Facility ID: 74000964 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 6/10/2026 Number Present: 9 Completed Date: 6/10/2026 Age: From 1 To 11 Total Minutes: 375 Time In: 09:25 AM Time Out: 03:40 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. C. Rouse, director, and A. Chalmers, administrative assistant, assisted me with the visit. Your program currently operates with a three-star license, issued on January 10, 2026, using the Creative Curriculum, meeting two additional Family and Community Engagement Standards and having a CQI Plan. The last temporary time period visit was conducted on December 17, 2025. The sanitation inspection was completed on February 11, 2026 with a “Superior” classification. The last fire inspection was conducted on May 27, 2026 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 June 10, 2026. The NC Secretary of State website was reviewed on June 10, 2026, and Moms Tiny Treasures (MTT) Academy, LLC was listed as current- active. You were emailed a facility application and appendices to update the Owner information. The contact information for the facility was reviewed with Ms. Rouse and all information was verified. No changes are required. Contact me immediately if you need to request any changes to your address, telephone number, or email address or to request changes to the license. I visited both indoor and outdoor spaces. Children enrolled in classroom space #3 were observed transitioning to an activity with paper and crayons. In classroom space #4 children were observed during free play, as the teacher sat with one child completing a math activity. Lunch was observed and consisted of corndogs, baked beans, and applesauce. Children with nutrition opt out form on file, ate meals from home. The following violations were documented. Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Milk was not served with lunch. 10A NCAC 09 .0901(a) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The menu reflected meatballs, beans and apples for lunch. Lunch served included corndog, baked beans, and applesauce. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. The roots of a tree were exposed creating tripping hazard near the large climbing structure. There were active ant hills in the grass area on the playground. 10A NCAC 09 .0601(a) 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 classroom space #3 there were two containers of CaviWipes stored in a unlocked cabinet below the sink in the bathroom. .2820(b) 853 Incident logs were not completed and maintained as required. Eighteen incidents reports on file were not documented on the Incident log. .0802(g)(1-6) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In classroom space #3 there were diapers and children's clothes stored in plastic bags below five feet in children's cubbies. .0604(q) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. An emergency information form was not on file for a therapist providing services to a two year old child in classroom space #1. .0701(a) 1790 A statement acknowledging the parental decision to opt out of the supplemental food provided by the center was not signed by the parent and/or maintained on file at the center. A Nutrition Opt out form was not available for a child enrolled in classroom space #3 that had a meal from home. .0901(d) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch was was than an inch and mixed with sand around the large stationary climber. .0605(k)(1-4) 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 June 24, 2026 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Megan Brown, Child Care Consultant PO Box 191 Ayden, NC 28513 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance Menu Substitutions: Planning the menu in advance and posting the current menu, to include any substitutions, is essential in providing a variety of foods for proper nutrition. During observations of lunch served to the children, we noted food substitutions were of comparable food value; however, the substitutions were not recorded on the menu. According to the posted menu, the lunch served consisted of meatballs, beans, and apples. Today, children were served corndogs, baked beans and applesauce. Prior to any meal or snack being served, the posted menu must be reviewed for accuracy of items served and if comparable changes occur, then make sure those changes are noted on the posted menu(s). Nutrition Opt-Out: When a child's parent opts out of the supplemental food provided by the center, the parent shall sign a statement acknowledging the parental decision shall be kept in the child's file at the center and a copy provided to the parent. A child enrolled on 10/20/25 during lunch was eating food provided by the parent. We discussed that the child’s infant feeding plan did not serve as the child’s opt out form. You stated that you would contact the parent to complete the form today. Nutrition: Nourishing and attractive food is the cornerstone for children’s health, growth, and development as well as developmentally appropriate learning experiences. Nutrition and feeding are essential and required in every facility. Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. Lunch should include all five of the five meal components. Today children were served corndogs, baked beans and applesauce. Milk was not served. Staff stated the children would have water with the meal. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. Outdoor Environment: 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. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. There are active ant hills in the grass area, and the mulch was a light covering and mixed with sand in the fall zones. We discussed that one type of surfacing should be used and must be at least 6 inches depending on height of the stationary equipment. There was a large root from a tree between the stationary structure and fence that created a tripping hazard. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. Cavi Wipes were stored in the cabinet below the sink not locked. These wipes contain additional warnings and must be stored in locked storage. Diapers in plastic bags and children’s clothes in a plastic bag were stored inside children’s cubbies below five feet in the unlocked closet in classroom space #3. Plastic bags are a suffocation hazard for young children and should be made inaccessible to children less than three years of age. To make plastic bags inaccessible, they will need to be stored out of reach of children, which is above five feet from the finished floor. Incident Reports and Log : You must now document every injury incurred while a child is in your care, including cuts, scrapes, bumps, and bitemarks. These incidents must be recorded on the incident report form supplied by the Division. The report must include all required information and be signed by the parent. The incident must then be logged on the facility incident report log and the completed report placed in the child’s file. The facilities incident logs were reviewed and eighteen incident forms on file were not included on the log. Designate a staff to maintain incident reports and the incident log. Staff Records: The health and safety of children requires that information regarding each staff working with the children be kept and available when needed. Staff records consist of various documentation to include emergency contact information. During today’s visit a therapist was on site working with a child in classroom space #1, an emergency information form was not on file. Have the therapist complete the form and store with your staff files. Additional Comments Transportation was monitored, the facility van was not onsite, staff stated the van was receiving maintenance. A rental SUV was being used to transport children. Your facility was approved for transportation during an other visit conducted at the facility 9/2/25. Transportation was added to the facilities information during today’s visit. Reminders Sex Offender Registry: North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. NCID Credentials: Please remember to use your NCID credential periodically to prevent your user ID and password from becoming inactive. If your NCID credentials are not used within a twelve (12) to fifteen (15) month period, access to your account may be restricted. due to inactivity. To avoid disruption, it is strongly recommended that you schedule regular logins to ensure your credentials remain active and valid. RESOURCES: Martin-Pitt Partnership for Children is available to provide you with resources, training, technical assistance, and information on child care issues and trends. Their phone number is (252) 792-0005. You can also check their website at https://mppfc.org. A Legal Designee was not onsite during today’s visit. You were contacted via telephone and a computer-generated visit summary was shared with you via video conference. The full visit summary will be emailed to your registered email. Upon receipt of the visit summary please respond confirming receipt. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: Mom's Tiny Treasures ELC Facility ID: 74000964 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 6/10/2026 Number Present: 9 Completed Date: 6/10/2026 Age: From 1 To 11 Total Minutes: 375 Time In: 09:25 AM Time Out: 03:40 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. C. Rouse, director, and A. Chalmers, administrative assistant, assisted me with the visit. Your program currently operates with a three-star license, issued on January 10, 2026, using the Creative Curriculum, meeting two additional Family and Community Engagement Standards and having a CQI Plan. The last temporary time period visit was conducted on December 17, 2025. The sanitation inspection was completed on February 11, 2026 with a “Superior” classification. The last fire inspection was conducted on May 27, 2026 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 June 10, 2026. The NC Secretary of State website was reviewed on June 10, 2026, and Moms Tiny Treasures (MTT) Academy, LLC was listed as current- active. You were emailed a facility application and appendices to update the Owner information. The contact information for the facility was reviewed with Ms. Rouse and all information was verified. No changes are required. Contact me immediately if you need to request any changes to your address, telephone number, or email address or to request changes to the license. I visited both indoor and outdoor spaces. Children enrolled in classroom space #3 were observed transitioning to an activity with paper and crayons. In classroom space #4 children were observed during free play, as the teacher sat with one child completing a math activity. Lunch was observed and consisted of corndogs, baked beans, and applesauce. Children with nutrition opt out form on file, ate meals from home. The following violations were documented. Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Milk was not served with lunch. 10A NCAC 09 .0901(a) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The menu reflected meatballs, beans and apples for lunch. Lunch served included corndog, baked beans, and applesauce. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. The roots of a tree were exposed creating tripping hazard near the large climbing structure. There were active ant hills in the grass area on the playground. 10A NCAC 09 .0601(a) 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 classroom space #3 there were two containers of CaviWipes stored in a unlocked cabinet below the sink in the bathroom. .2820(b) 853 Incident logs were not completed and maintained as required. Eighteen incidents reports on file were not documented on the Incident log. .0802(g)(1-6) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In classroom space #3 there were diapers and children's clothes stored in plastic bags below five feet in children's cubbies. .0604(q) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. An emergency information form was not on file for a therapist providing services to a two year old child in classroom space #1. .0701(a) 1790 A statement acknowledging the parental decision to opt out of the supplemental food provided by the center was not signed by the parent and/or maintained on file at the center. A Nutrition Opt out form was not available for a child enrolled in classroom space #3 that had a meal from home. .0901(d) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch was was than an inch and mixed with sand around the large stationary climber. .0605(k)(1-4) 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 June 24, 2026 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Megan Brown, Child Care Consultant PO Box 191 Ayden, NC 28513 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance Menu Substitutions: Planning the menu in advance and posting the current menu, to include any substitutions, is essential in providing a variety of foods for proper nutrition. During observations of lunch served to the children, we noted food substitutions were of comparable food value; however, the substitutions were not recorded on the menu. According to the posted menu, the lunch served consisted of meatballs, beans, and apples. Today, children were served corndogs, baked beans and applesauce. Prior to any meal or snack being served, the posted menu must be reviewed for accuracy of items served and if comparable changes occur, then make sure those changes are noted on the posted menu(s). Nutrition Opt-Out: When a child's parent opts out of the supplemental food provided by the center, the parent shall sign a statement acknowledging the parental decision shall be kept in the child's file at the center and a copy provided to the parent. A child enrolled on 10/20/25 during lunch was eating food provided by the parent. We discussed that the child’s infant feeding plan did not serve as the child’s opt out form. You stated that you would contact the parent to complete the form today. Nutrition: Nourishing and attractive food is the cornerstone for children’s health, growth, and development as well as developmentally appropriate learning experiences. Nutrition and feeding are essential and required in every facility. Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. Lunch should include all five of the five meal components. Today children were served corndogs, baked beans and applesauce. Milk was not served. Staff stated the children would have water with the meal. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. Outdoor Environment: 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. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. There are active ant hills in the grass area, and the mulch was a light covering and mixed with sand in the fall zones. We discussed that one type of surfacing should be used and must be at least 6 inches depending on height of the stationary equipment. There was a large root from a tree between the stationary structure and fence that created a tripping hazard. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. Cavi Wipes were stored in the cabinet below the sink not locked. These wipes contain additional warnings and must be stored in locked storage. Diapers in plastic bags and children’s clothes in a plastic bag were stored inside children’s cubbies below five feet in the unlocked closet in classroom space #3. Plastic bags are a suffocation hazard for young children and should be made inaccessible to children less than three years of age. To make plastic bags inaccessible, they will need to be stored out of reach of children, which is above five feet from the finished floor. Incident Reports and Log : You must now document every injury incurred while a child is in your care, including cuts, scrapes, bumps, and bitemarks. These incidents must be recorded on the incident report form supplied by the Division. The report must include all required information and be signed by the parent. The incident must then be logged on the facility incident report log and the completed report placed in the child’s file. The facilities incident logs were reviewed and eighteen incident forms on file were not included on the log. Designate a staff to maintain incident reports and the incident log. Staff Records: The health and safety of children requires that information regarding each staff working with the children be kept and available when needed. Staff records consist of various documentation to include emergency contact information. During today’s visit a therapist was on site working with a child in classroom space #1, an emergency information form was not on file. Have the therapist complete the form and store with your staff files. Additional Comments Transportation was monitored, the facility van was not onsite, staff stated the van was receiving maintenance. A rental SUV was being used to transport children. Your facility was approved for transportation during an other visit conducted at the facility 9/2/25. Transportation was added to the facilities information during today’s visit. Reminders Sex Offender Registry: North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. NCID Credentials: Please remember to use your NCID credential periodically to prevent your user ID and password from becoming inactive. If your NCID credentials are not used within a twelve (12) to fifteen (15) month period, access to your account may be restricted. due to inactivity. To avoid disruption, it is strongly recommended that you schedule regular logins to ensure your credentials remain active and valid. RESOURCES: Martin-Pitt Partnership for Children is available to provide you with resources, training, technical assistance, and information on child care issues and trends. Their phone number is (252) 792-0005. You can also check their website at https://mppfc.org. A Legal Designee was not onsite during today’s visit. You were contacted via telephone and a computer-generated visit summary was shared with you via video conference. The full visit summary will be emailed to your registered email. Upon receipt of the visit summary please respond confirming receipt. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: Mom's Tiny Treasures ELC Facility ID: 74000964 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 6/10/2026 Number Present: 9 Completed Date: 6/10/2026 Age: From 1 To 11 Total Minutes: 375 Time In: 09:25 AM Time Out: 03:40 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. C. Rouse, director, and A. Chalmers, administrative assistant, assisted me with the visit. Your program currently operates with a three-star license, issued on January 10, 2026, using the Creative Curriculum, meeting two additional Family and Community Engagement Standards and having a CQI Plan. The last temporary time period visit was conducted on December 17, 2025. The sanitation inspection was completed on February 11, 2026 with a “Superior” classification. The last fire inspection was conducted on May 27, 2026 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 June 10, 2026. The NC Secretary of State website was reviewed on June 10, 2026, and Moms Tiny Treasures (MTT) Academy, LLC was listed as current- active. You were emailed a facility application and appendices to update the Owner information. The contact information for the facility was reviewed with Ms. Rouse and all information was verified. No changes are required. Contact me immediately if you need to request any changes to your address, telephone number, or email address or to request changes to the license. I visited both indoor and outdoor spaces. Children enrolled in classroom space #3 were observed transitioning to an activity with paper and crayons. In classroom space #4 children were observed during free play, as the teacher sat with one child completing a math activity. Lunch was observed and consisted of corndogs, baked beans, and applesauce. Children with nutrition opt out form on file, ate meals from home. The following violations were documented. Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Milk was not served with lunch. 10A NCAC 09 .0901(a) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The menu reflected meatballs, beans and apples for lunch. Lunch served included corndog, baked beans, and applesauce. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. The roots of a tree were exposed creating tripping hazard near the large climbing structure. There were active ant hills in the grass area on the playground. 10A NCAC 09 .0601(a) 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 classroom space #3 there were two containers of CaviWipes stored in a unlocked cabinet below the sink in the bathroom. .2820(b) 853 Incident logs were not completed and maintained as required. Eighteen incidents reports on file were not documented on the Incident log. .0802(g)(1-6) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In classroom space #3 there were diapers and children's clothes stored in plastic bags below five feet in children's cubbies. .0604(q) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. An emergency information form was not on file for a therapist providing services to a two year old child in classroom space #1. .0701(a) 1790 A statement acknowledging the parental decision to opt out of the supplemental food provided by the center was not signed by the parent and/or maintained on file at the center. A Nutrition Opt out form was not available for a child enrolled in classroom space #3 that had a meal from home. .0901(d) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch was was than an inch and mixed with sand around the large stationary climber. .0605(k)(1-4) 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 June 24, 2026 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Megan Brown, Child Care Consultant PO Box 191 Ayden, NC 28513 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance Menu Substitutions: Planning the menu in advance and posting the current menu, to include any substitutions, is essential in providing a variety of foods for proper nutrition. During observations of lunch served to the children, we noted food substitutions were of comparable food value; however, the substitutions were not recorded on the menu. According to the posted menu, the lunch served consisted of meatballs, beans, and apples. Today, children were served corndogs, baked beans and applesauce. Prior to any meal or snack being served, the posted menu must be reviewed for accuracy of items served and if comparable changes occur, then make sure those changes are noted on the posted menu(s). Nutrition Opt-Out: When a child's parent opts out of the supplemental food provided by the center, the parent shall sign a statement acknowledging the parental decision shall be kept in the child's file at the center and a copy provided to the parent. A child enrolled on 10/20/25 during lunch was eating food provided by the parent. We discussed that the child’s infant feeding plan did not serve as the child’s opt out form. You stated that you would contact the parent to complete the form today. Nutrition: Nourishing and attractive food is the cornerstone for children’s health, growth, and development as well as developmentally appropriate learning experiences. Nutrition and feeding are essential and required in every facility. Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. Lunch should include all five of the five meal components. Today children were served corndogs, baked beans and applesauce. Milk was not served. Staff stated the children would have water with the meal. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. Outdoor Environment: 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. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. There are active ant hills in the grass area, and the mulch was a light covering and mixed with sand in the fall zones. We discussed that one type of surfacing should be used and must be at least 6 inches depending on height of the stationary equipment. There was a large root from a tree between the stationary structure and fence that created a tripping hazard. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. Cavi Wipes were stored in the cabinet below the sink not locked. These wipes contain additional warnings and must be stored in locked storage. Diapers in plastic bags and children’s clothes in a plastic bag were stored inside children’s cubbies below five feet in the unlocked closet in classroom space #3. Plastic bags are a suffocation hazard for young children and should be made inaccessible to children less than three years of age. To make plastic bags inaccessible, they will need to be stored out of reach of children, which is above five feet from the finished floor. Incident Reports and Log : You must now document every injury incurred while a child is in your care, including cuts, scrapes, bumps, and bitemarks. These incidents must be recorded on the incident report form supplied by the Division. The report must include all required information and be signed by the parent. The incident must then be logged on the facility incident report log and the completed report placed in the child’s file. The facilities incident logs were reviewed and eighteen incident forms on file were not included on the log. Designate a staff to maintain incident reports and the incident log. Staff Records: The health and safety of children requires that information regarding each staff working with the children be kept and available when needed. Staff records consist of various documentation to include emergency contact information. During today’s visit a therapist was on site working with a child in classroom space #1, an emergency information form was not on file. Have the therapist complete the form and store with your staff files. Additional Comments Transportation was monitored, the facility van was not onsite, staff stated the van was receiving maintenance. A rental SUV was being used to transport children. Your facility was approved for transportation during an other visit conducted at the facility 9/2/25. Transportation was added to the facilities information during today’s visit. Reminders Sex Offender Registry: North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. NCID Credentials: Please remember to use your NCID credential periodically to prevent your user ID and password from becoming inactive. If your NCID credentials are not used within a twelve (12) to fifteen (15) month period, access to your account may be restricted. due to inactivity. To avoid disruption, it is strongly recommended that you schedule regular logins to ensure your credentials remain active and valid. RESOURCES: Martin-Pitt Partnership for Children is available to provide you with resources, training, technical assistance, and information on child care issues and trends. Their phone number is (252) 792-0005. You can also check their website at https://mppfc.org. A Legal Designee was not onsite during today’s visit. You were contacted via telephone and a computer-generated visit summary was shared with you via video conference. The full visit summary will be emailed to your registered email. Upon receipt of the visit summary please respond confirming receipt. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: Mom's Tiny Treasures ELC Facility ID: 74000964 Consultant: LAKISHA SKINNER Operation Type: Center Case Number: Visit Date: 12/4/2025 Number Present: 5 Completed Date: 12/4/2025 Age: From 0 To 3 Total Minutes: 190 Time In: 08:50 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced * The purpose of today's visit was to monitor your program for compliance with applicable child care requirements during the second temporary time period visit. G. Roberts, Administrator, assisted me with the visit. This facility was issued a temporary license on July 9, 2025 and will expire on January 9, 2026. The NC Secretary of State website was reviewed on December 3, 2025 and Mom’s Tiny Treasures LLC was listed as current- active. Your contact information on the Division of Child Development & Early Education (DCDEE) website was reviewed and the information is current. It is important to frequently check your email to remain informed about any new changes that have or may occur. K. Moses, owner, requested removal as an administrator during today's visit. During this visit, we walked through the entire facility observing the indoor environment. The facility was assessed for supervision, staff/child ratio, and health and safety requirements. Children were observed engaged in indoor and outdoor play, personal care routines, and group time. Staff and children's records were monitored. Program records, including fire drills and monthly outdoor area inspections were complete and current. Lunch was observed. Meals are provided by the families. Compliance History - The compliance history for this facility prior to today’s visit is 97%. The violation(s) documented may impact the compliance history score and must be corrected immediately. 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. The following violation was documented and corrected during the visit. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Open outlets were observed on a power stock in the unlocked office of the administrative assistant and on the power stick by the chair at the front desk. 10A NCAC 09 .0604(c) * Technical Assistance with Documented Violation(s): Electrical Outlets- Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. For this reason, all electrical outlets, including those on power strips, not in use that are in areas accessible to children must be protected with a safety plug or a tamper-resistant electrical outlet. Open outlets were observed in the unlocked office of the administrative assistant and by the chair at the front desk. You indicated the outlets were uncovered because you overlooked the power stick by the door. You added outlet covers to each of the power sticks. Taping a reminder on the wall over each socket and power stick can serve as a reminder to add the safety cover when not in use or have the wall plate on the socket replaced with a tamper resistant electrical outlet. Rated License – You indicated you are applying for the 3-Star level of Pathway 2- Classroom and Instruction Quality. The application and supporting documents will be submitted by Monday December 8, 2025. Education: You have three staff who uploaded BSAC certificates into WORKS on December 3, 2025 and applied for group leader and program coordinator position. Reminders: The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at www.mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at (252) 820-5976, Lakisha.Skinner@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: Mom's Tiny Treasures ELC Facility ID: 74000964 Consultant: LAKISHA SKINNER Operation Type: Center Case Number: Visit Date: 12/4/2025 Number Present: 5 Completed Date: 12/4/2025 Age: From 0 To 3 Total Minutes: 190 Time In: 08:50 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced * The purpose of today's visit was to monitor your program for compliance with applicable child care requirements during the second temporary time period visit. G. Roberts, Administrator, assisted me with the visit. This facility was issued a temporary license on July 9, 2025 and will expire on January 9, 2026. The NC Secretary of State website was reviewed on December 3, 2025 and Mom’s Tiny Treasures LLC was listed as current- active. Your contact information on the Division of Child Development & Early Education (DCDEE) website was reviewed and the information is current. It is important to frequently check your email to remain informed about any new changes that have or may occur. K. Moses, owner, requested removal as an administrator during today's visit. During this visit, we walked through the entire facility observing the indoor environment. The facility was assessed for supervision, staff/child ratio, and health and safety requirements. Children were observed engaged in indoor and outdoor play, personal care routines, and group time. Staff and children's records were monitored. Program records, including fire drills and monthly outdoor area inspections were complete and current. Lunch was observed. Meals are provided by the families. Compliance History - The compliance history for this facility prior to today’s visit is 97%. The violation(s) documented may impact the compliance history score and must be corrected immediately. 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. The following violation was documented and corrected during the visit. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Open outlets were observed on a power stock in the unlocked office of the administrative assistant and on the power stick by the chair at the front desk. 10A NCAC 09 .0604(c) * Technical Assistance with Documented Violation(s): Electrical Outlets- Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. For this reason, all electrical outlets, including those on power strips, not in use that are in areas accessible to children must be protected with a safety plug or a tamper-resistant electrical outlet. Open outlets were observed in the unlocked office of the administrative assistant and by the chair at the front desk. You indicated the outlets were uncovered because you overlooked the power stick by the door. You added outlet covers to each of the power sticks. Taping a reminder on the wall over each socket and power stick can serve as a reminder to add the safety cover when not in use or have the wall plate on the socket replaced with a tamper resistant electrical outlet. Rated License – You indicated you are applying for the 3-Star level of Pathway 2- Classroom and Instruction Quality. The application and supporting documents will be submitted by Monday December 8, 2025. Education: You have three staff who uploaded BSAC certificates into WORKS on December 3, 2025 and applied for group leader and program coordinator position. Reminders: The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at www.mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at (252) 820-5976, Lakisha.Skinner@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0713 · Violation

Name of Operation: Mom's Tiny Treasures ELC Facility ID: 74000964 Consultant: LAKISHA SKINNER Operation Type: Center Case Number: 0925-262L Visit Date: 10/1/2025 Number Present: 4 Completed Date: 10/1/2025 Age: From 0 To 3 Total Minutes: 140 Time In: 01:00 PM Time Out: 03:20 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 were shared with K. Moses, Administrator. You and select staff were given an opportunity to respond. The allegations are as follows: There is a concern regarding outdoor safety and nutrition. Regarding the allegation of outdoor safety, I reviewed outdoor inspections, and I interviewed staff members and administrators. You and the staff indicated a sweep of the outdoor occurs each morning prior to the arrival of the children. You implement a daily inspection checklist and inspect the outdoor space three times per day because the children go outside twice a day. I reviewed the inspection checklist which lists items found that you feel pose a threat like mushrooms, cobwebs and limbs. I also monitored your playground inspection checklist and you have identified hazards and removed them. Based on the review of documents, outdoor monitoring and interviews the allegation of unsafe outdoor is "unconfirmed." Regarding the allegation of nutrition, the facility does not prepare meals. All children’s files were monitored and nutrition-opt out forms are completed. Based on the review of children's records and interviews the allegation is "unconfirmed." I completed limited monitoring of child care requirements during the visit. Space 1; Ratio 1:5; (4 present; with 1 teacher) COMPLIANCE HISTORY - A violation was documented. The compliance history for this facility prior to today’s visit is 83%. The violation documented today may impact the compliance history score. Violation Number Comment Rule 316 Children under one year of age were not kept separate from children two years and older. Two (2) infants, a two-year-old child and a three-year-old child were grouped together in Space 1. 10A NCAC 09 .0713(a)(5) * The violation was immediately corrected; however, on or before October 15, 2025, you must provide written documentation indicating 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: Lakisha Skinner, Child Care Consultant PO BOX 431 Grimesland, NC 27837 Lakisha.Skinner@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance w/ Documented Violation: To ensure a healthy, safe, and developmentally appropriate environment, children ages 0 – 12 months of age may not be grouped with children ages 2 and older. During the visit two (2) infants, a two-year-old and a three-year-old child were grouped together in Space 1. You indicated staff shortage. This placed you, and both administrative staff working in the classroom. You placed the children in one room so that one staff person could cover the front desk, one staff person could have lunch, and one staff person could care for the children. The only exception to groupings is that children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained. You moved the two-year-old and three-year-old child back to Space 4 during the visit. A follow-up visit will be conducted. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at (252) 820-5976, Lakisha.Skinner@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: Mom's Tiny Treasures ELC Facility ID: 74000964 Consultant: LAKISHA SKINNER Operation Type: Center Case Number: Visit Date: 8/21/2025 Number Present: 2 Completed Date: 8/21/2025 Age: From 0 To 3 Total Minutes: 370 Time In: 08:40 AM Time Out: 02:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced * The purpose of today's visit was to monitor your program for compliance with applicable child care requirements during the first temporary time period visit. You, G. Roberts, Administrator, assisted me with the visit. This facility was issued a temporary license on July 9, 2025. The NC Secretary of State website was reviewed on August 20, 2025, and Mom’s Tiny Treasures, LLC was listed as current- active. Your contact information on the Division of Child Development & Early Education (DCDEE) website was reviewed and the information is current. It is important to frequently check your email to remain informed about any new changes that have or may occur. At arrival you indicated opening hours are from 8:00am-5:00pm as that is the current need of the families enrolled. During this visit, we walked through the entire facility, observed the indoor and outdoor environment, and completed a full assessment of the licensed space. A child was observed engaged in free play activities. Meals are not provided by the facility at this time. Compliance History - Any violation(s) documented may impact the compliance history score. 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. The following violations were documented. Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. A current and posted activity plan was not available in Space 4. GS 110-91(12);.0508(a) 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. One employee hired on July 21, 2025 does not have a medical report on file. 10A NCAC 09 .0701(a) 1043 All staff records, except financial records, were not made available for review. An employee file for both administrators were not available for review. G.S. 110-91( 9) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. An employee hired on July 21, 2025 did not have six clock hours of documented orientation on file. .1101(a)(b) 1790 A statement acknowledging the parental decision to opt out of the supplemental food provided by the center was not signed by the parent and/or maintained on file at the center. A nutrition opt out form was unavailable for one child present with lunch, a beverage and snack brought from home. .0901(d) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. The only teacher present in space 1 designated for the care of infants did not have a current ITS-SIDS training certificate. .01102 (f) 1832 Application did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns. Two out of two children's files did not have the health care needs section of the application for enrollment completed. .0801 (a)(5) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Twelve month standing authorization was not obtained for the application of A & D Ointment observed in space 1. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) * The violation(s) documented must be corrected immediately. On or before September 3, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Lakisha Skinner, Child Care Consultant PO BOX 431 Grimesland, NC 27837 Lakisha.Skinner@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Record Keeping - Operational control to accommodate the health and safety of individual children and staff requires that information be kept and made available on a need-to-know basis. These records and reports are necessary to protect the health and safety of all in individuals in the facility. Staff files for both administrators were not available in the facility. You contacted the owner, who is also an administrator for the facility, who indicated the files were with her. Additionally, one individual hired on 7/21/25 did not have a medical report on file. Medical reports must be on file prior to employment for all staff. All staff, children and program files must be kept in the facility and made available for review. Nutrition Opt-Out – “Opting-out" of the meals served in facilities is a parent choice. Your facility does not provide meals currently and therefore; opting-out, is not an option. Each child enrolled must have an opt-out form signed by parents agreeing to bring in all meals, beverages and snacks for their children. One child enrolled requiring food other than formula, did not have an opt-out form available. You indicated the form was in the enrollment packet but was not returned by the parent. You requested the completed packet. It is important to complete the enrollment process with each family. You will then be available to answer all questions they may have and ensure a complete enrollment packet is received. Orientation- Employee orientation is the process of introducing newly hired employees to their new workplace. It provides the basic organizational information employees need to feel prepared for their new role within the facility. Documentation of 6 hours of orientation within the first 2 weeks of employment was not on file for the individual hired on July 21, 2025. You indicated the orientation process is completed by the other administrator. Because there are two administrators, it is important for both of you to review all files as they are received. Medications - Administering medication requires skill, knowledge and careful attention to detail. A jar of A & D Ointment was present for the enrolled infant in space 1; however, permission to apply the ointment was not on file. You indicated the enrollment process has been in the hands of multiple individuals, and you are unsure of the whereabouts of the form. It is important as the administrator to review files during the enrollment process to ensure the child has everything needed. ITS-SIDS – Early childhood teachers touch the lives of young children and their families in many important ways. One of the most important ways to reduce infant deaths in child care settings is for teachers to implement (and model for parents/guardians and families) safe sleep practices in their programs. Safe sleep practices include placing infants on their backs to sleep, using safe cribs and equipment for sleeping, prohibiting smoking, and training teachers on appropriate safe sleep practices. Assigned staff who work alone in the infant space must have a current ITS-SIDS training certificate. The individual in space 1 caring for the infant today does not have a current ITS-SIDS certificate on file. You indicated that the file checklist allows for the completion of the training within 2 months. You are correct; however, someone must have the training in the space while other staff work towards completion. You reassigned the space to a staff person on site today that does have a current ITS-SIDS certification. Health Care Needs - Emergency information is the key to obtaining needed care in emergency situations. In the event of an emergency, child care providers must know about a child’s special health care needs, so they can offer protection for that child. This requires you to obtain the health and safety needs of individual children prior to enrollment. The health care needs section of the enrollment application for 2 out of the 2 children enrolled was blank. We reviewed the applications together and you took notes of the requirements for the completion of each section. Activity Plans – Preschool lesson plans lay the groundwork for a child's initial entry into the world of learning. They act as roadmaps, guiding young learners through the various stages of early academic growth. An activity plan for Space 4 was not available. You indicated the teacher was hired on Monday August 18th and started in the classroom on Wednesday August 20th. You indicated that because the individual is still in training, the activity plan has not yet been completed. Children are enrolled; therefore, you must complete weekly activity plans that are current and include developmentally appropriate activities for enrolled children. Activity plans for all children must include daily activities to stimulate the 4 of the 4 developmental domains, as listed in your NC Foundations for Early Learning and Development book: (social & emotional development, health & physical development, approaches to play and learning, language development/communication, and cognitive development). It must also include a daily gross motor activity which may occur indoors or outdoors. The activity plan must include both free choice and adult-directed activities, which allow children to choose to participate with the whole group, in a small group or independently. Rated License Discussion: Pathways to the Stars –You can find information at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. You indicated you are going to visit the QRIS Modernization page to decide which pathway you want to discuss. 3-Month Self-Study - Every group of children and learning environment is unique. Self-study enables providers to adapt their planning and teaching to the specific needs of the children they serve. With busy schedules, self-study provides the flexibility needed for learning, allowing providers to focus on areas that matter most for their programs. You can find the documents about the requirements, how to prepare, and the importance of developing an intentional plan for self-study on the NCRLAP website at https://ncrlap.org/Resources/SelfStudy/Center/. Additional Information: Your temporary license expires January 9, 2026. Prior to the expiration date of your license, one additional unannounced monitoring visit will be completed. NCID - Did you know that if you do not login on to 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. Pro Tip: Set your calendar to remind you every 6 months to login and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at www.mppfc.org. T. Quinn, Child Care Health Consultant, can provide training and technical assistance on topics related to health and safety such as sanitation, handwashing, diapering, illness policies, etc. Ms. Quinn can be reached at (252) 902-2360 or terry.quinn@pittcountync.gov. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Lakisha Skinner, Child Care Consultant, 252-820-5976, Lakisha.Skinner@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: Mom's Tiny Treasures ELC Facility ID: 74000964 Consultant: LAKISHA SKINNER Operation Type: Center Case Number: Visit Date: 8/21/2025 Number Present: 2 Completed Date: 8/21/2025 Age: From 0 To 3 Total Minutes: 370 Time In: 08:40 AM Time Out: 02:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced * The purpose of today's visit was to monitor your program for compliance with applicable child care requirements during the first temporary time period visit. You, G. Roberts, Administrator, assisted me with the visit. This facility was issued a temporary license on July 9, 2025. The NC Secretary of State website was reviewed on August 20, 2025, and Mom’s Tiny Treasures, LLC was listed as current- active. Your contact information on the Division of Child Development & Early Education (DCDEE) website was reviewed and the information is current. It is important to frequently check your email to remain informed about any new changes that have or may occur. At arrival you indicated opening hours are from 8:00am-5:00pm as that is the current need of the families enrolled. During this visit, we walked through the entire facility, observed the indoor and outdoor environment, and completed a full assessment of the licensed space. A child was observed engaged in free play activities. Meals are not provided by the facility at this time. Compliance History - Any violation(s) documented may impact the compliance history score. 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. The following violations were documented. Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. A current and posted activity plan was not available in Space 4. GS 110-91(12);.0508(a) 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. One employee hired on July 21, 2025 does not have a medical report on file. 10A NCAC 09 .0701(a) 1043 All staff records, except financial records, were not made available for review. An employee file for both administrators were not available for review. G.S. 110-91( 9) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. An employee hired on July 21, 2025 did not have six clock hours of documented orientation on file. .1101(a)(b) 1790 A statement acknowledging the parental decision to opt out of the supplemental food provided by the center was not signed by the parent and/or maintained on file at the center. A nutrition opt out form was unavailable for one child present with lunch, a beverage and snack brought from home. .0901(d) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. The only teacher present in space 1 designated for the care of infants did not have a current ITS-SIDS training certificate. .01102 (f) 1832 Application did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns. Two out of two children's files did not have the health care needs section of the application for enrollment completed. .0801 (a)(5) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Twelve month standing authorization was not obtained for the application of A & D Ointment observed in space 1. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) * The violation(s) documented must be corrected immediately. On or before September 3, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Lakisha Skinner, Child Care Consultant PO BOX 431 Grimesland, NC 27837 Lakisha.Skinner@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Record Keeping - Operational control to accommodate the health and safety of individual children and staff requires that information be kept and made available on a need-to-know basis. These records and reports are necessary to protect the health and safety of all in individuals in the facility. Staff files for both administrators were not available in the facility. You contacted the owner, who is also an administrator for the facility, who indicated the files were with her. Additionally, one individual hired on 7/21/25 did not have a medical report on file. Medical reports must be on file prior to employment for all staff. All staff, children and program files must be kept in the facility and made available for review. Nutrition Opt-Out – “Opting-out" of the meals served in facilities is a parent choice. Your facility does not provide meals currently and therefore; opting-out, is not an option. Each child enrolled must have an opt-out form signed by parents agreeing to bring in all meals, beverages and snacks for their children. One child enrolled requiring food other than formula, did not have an opt-out form available. You indicated the form was in the enrollment packet but was not returned by the parent. You requested the completed packet. It is important to complete the enrollment process with each family. You will then be available to answer all questions they may have and ensure a complete enrollment packet is received. Orientation- Employee orientation is the process of introducing newly hired employees to their new workplace. It provides the basic organizational information employees need to feel prepared for their new role within the facility. Documentation of 6 hours of orientation within the first 2 weeks of employment was not on file for the individual hired on July 21, 2025. You indicated the orientation process is completed by the other administrator. Because there are two administrators, it is important for both of you to review all files as they are received. Medications - Administering medication requires skill, knowledge and careful attention to detail. A jar of A & D Ointment was present for the enrolled infant in space 1; however, permission to apply the ointment was not on file. You indicated the enrollment process has been in the hands of multiple individuals, and you are unsure of the whereabouts of the form. It is important as the administrator to review files during the enrollment process to ensure the child has everything needed. ITS-SIDS – Early childhood teachers touch the lives of young children and their families in many important ways. One of the most important ways to reduce infant deaths in child care settings is for teachers to implement (and model for parents/guardians and families) safe sleep practices in their programs. Safe sleep practices include placing infants on their backs to sleep, using safe cribs and equipment for sleeping, prohibiting smoking, and training teachers on appropriate safe sleep practices. Assigned staff who work alone in the infant space must have a current ITS-SIDS training certificate. The individual in space 1 caring for the infant today does not have a current ITS-SIDS certificate on file. You indicated that the file checklist allows for the completion of the training within 2 months. You are correct; however, someone must have the training in the space while other staff work towards completion. You reassigned the space to a staff person on site today that does have a current ITS-SIDS certification. Health Care Needs - Emergency information is the key to obtaining needed care in emergency situations. In the event of an emergency, child care providers must know about a child’s special health care needs, so they can offer protection for that child. This requires you to obtain the health and safety needs of individual children prior to enrollment. The health care needs section of the enrollment application for 2 out of the 2 children enrolled was blank. We reviewed the applications together and you took notes of the requirements for the completion of each section. Activity Plans – Preschool lesson plans lay the groundwork for a child's initial entry into the world of learning. They act as roadmaps, guiding young learners through the various stages of early academic growth. An activity plan for Space 4 was not available. You indicated the teacher was hired on Monday August 18th and started in the classroom on Wednesday August 20th. You indicated that because the individual is still in training, the activity plan has not yet been completed. Children are enrolled; therefore, you must complete weekly activity plans that are current and include developmentally appropriate activities for enrolled children. Activity plans for all children must include daily activities to stimulate the 4 of the 4 developmental domains, as listed in your NC Foundations for Early Learning and Development book: (social & emotional development, health & physical development, approaches to play and learning, language development/communication, and cognitive development). It must also include a daily gross motor activity which may occur indoors or outdoors. The activity plan must include both free choice and adult-directed activities, which allow children to choose to participate with the whole group, in a small group or independently. Rated License Discussion: Pathways to the Stars –You can find information at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. You indicated you are going to visit the QRIS Modernization page to decide which pathway you want to discuss. 3-Month Self-Study - Every group of children and learning environment is unique. Self-study enables providers to adapt their planning and teaching to the specific needs of the children they serve. With busy schedules, self-study provides the flexibility needed for learning, allowing providers to focus on areas that matter most for their programs. You can find the documents about the requirements, how to prepare, and the importance of developing an intentional plan for self-study on the NCRLAP website at https://ncrlap.org/Resources/SelfStudy/Center/. Additional Information: Your temporary license expires January 9, 2026. Prior to the expiration date of your license, one additional unannounced monitoring visit will be completed. NCID - Did you know that if you do not login on to 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. Pro Tip: Set your calendar to remind you every 6 months to login and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at www.mppfc.org. T. Quinn, Child Care Health Consultant, can provide training and technical assistance on topics related to health and safety such as sanitation, handwashing, diapering, illness policies, etc. Ms. Quinn can be reached at (252) 902-2360 or terry.quinn@pittcountync.gov. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Lakisha Skinner, Child Care Consultant, 252-820-5976, Lakisha.Skinner@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: Mom's Tiny Treasures ELC Facility ID: 74000964 Consultant: LAKISHA SKINNER Operation Type: Center Case Number: Visit Date: 8/21/2025 Number Present: 2 Completed Date: 8/21/2025 Age: From 0 To 3 Total Minutes: 370 Time In: 08:40 AM Time Out: 02:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced * The purpose of today's visit was to monitor your program for compliance with applicable child care requirements during the first temporary time period visit. You, G. Roberts, Administrator, assisted me with the visit. This facility was issued a temporary license on July 9, 2025. The NC Secretary of State website was reviewed on August 20, 2025, and Mom’s Tiny Treasures, LLC was listed as current- active. Your contact information on the Division of Child Development & Early Education (DCDEE) website was reviewed and the information is current. It is important to frequently check your email to remain informed about any new changes that have or may occur. At arrival you indicated opening hours are from 8:00am-5:00pm as that is the current need of the families enrolled. During this visit, we walked through the entire facility, observed the indoor and outdoor environment, and completed a full assessment of the licensed space. A child was observed engaged in free play activities. Meals are not provided by the facility at this time. Compliance History - Any violation(s) documented may impact the compliance history score. 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. The following violations were documented. Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. A current and posted activity plan was not available in Space 4. GS 110-91(12);.0508(a) 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. One employee hired on July 21, 2025 does not have a medical report on file. 10A NCAC 09 .0701(a) 1043 All staff records, except financial records, were not made available for review. An employee file for both administrators were not available for review. G.S. 110-91( 9) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. An employee hired on July 21, 2025 did not have six clock hours of documented orientation on file. .1101(a)(b) 1790 A statement acknowledging the parental decision to opt out of the supplemental food provided by the center was not signed by the parent and/or maintained on file at the center. A nutrition opt out form was unavailable for one child present with lunch, a beverage and snack brought from home. .0901(d) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. The only teacher present in space 1 designated for the care of infants did not have a current ITS-SIDS training certificate. .01102 (f) 1832 Application did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns. Two out of two children's files did not have the health care needs section of the application for enrollment completed. .0801 (a)(5) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Twelve month standing authorization was not obtained for the application of A & D Ointment observed in space 1. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) * The violation(s) documented must be corrected immediately. On or before September 3, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Lakisha Skinner, Child Care Consultant PO BOX 431 Grimesland, NC 27837 Lakisha.Skinner@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Record Keeping - Operational control to accommodate the health and safety of individual children and staff requires that information be kept and made available on a need-to-know basis. These records and reports are necessary to protect the health and safety of all in individuals in the facility. Staff files for both administrators were not available in the facility. You contacted the owner, who is also an administrator for the facility, who indicated the files were with her. Additionally, one individual hired on 7/21/25 did not have a medical report on file. Medical reports must be on file prior to employment for all staff. All staff, children and program files must be kept in the facility and made available for review. Nutrition Opt-Out – “Opting-out" of the meals served in facilities is a parent choice. Your facility does not provide meals currently and therefore; opting-out, is not an option. Each child enrolled must have an opt-out form signed by parents agreeing to bring in all meals, beverages and snacks for their children. One child enrolled requiring food other than formula, did not have an opt-out form available. You indicated the form was in the enrollment packet but was not returned by the parent. You requested the completed packet. It is important to complete the enrollment process with each family. You will then be available to answer all questions they may have and ensure a complete enrollment packet is received. Orientation- Employee orientation is the process of introducing newly hired employees to their new workplace. It provides the basic organizational information employees need to feel prepared for their new role within the facility. Documentation of 6 hours of orientation within the first 2 weeks of employment was not on file for the individual hired on July 21, 2025. You indicated the orientation process is completed by the other administrator. Because there are two administrators, it is important for both of you to review all files as they are received. Medications - Administering medication requires skill, knowledge and careful attention to detail. A jar of A & D Ointment was present for the enrolled infant in space 1; however, permission to apply the ointment was not on file. You indicated the enrollment process has been in the hands of multiple individuals, and you are unsure of the whereabouts of the form. It is important as the administrator to review files during the enrollment process to ensure the child has everything needed. ITS-SIDS – Early childhood teachers touch the lives of young children and their families in many important ways. One of the most important ways to reduce infant deaths in child care settings is for teachers to implement (and model for parents/guardians and families) safe sleep practices in their programs. Safe sleep practices include placing infants on their backs to sleep, using safe cribs and equipment for sleeping, prohibiting smoking, and training teachers on appropriate safe sleep practices. Assigned staff who work alone in the infant space must have a current ITS-SIDS training certificate. The individual in space 1 caring for the infant today does not have a current ITS-SIDS certificate on file. You indicated that the file checklist allows for the completion of the training within 2 months. You are correct; however, someone must have the training in the space while other staff work towards completion. You reassigned the space to a staff person on site today that does have a current ITS-SIDS certification. Health Care Needs - Emergency information is the key to obtaining needed care in emergency situations. In the event of an emergency, child care providers must know about a child’s special health care needs, so they can offer protection for that child. This requires you to obtain the health and safety needs of individual children prior to enrollment. The health care needs section of the enrollment application for 2 out of the 2 children enrolled was blank. We reviewed the applications together and you took notes of the requirements for the completion of each section. Activity Plans – Preschool lesson plans lay the groundwork for a child's initial entry into the world of learning. They act as roadmaps, guiding young learners through the various stages of early academic growth. An activity plan for Space 4 was not available. You indicated the teacher was hired on Monday August 18th and started in the classroom on Wednesday August 20th. You indicated that because the individual is still in training, the activity plan has not yet been completed. Children are enrolled; therefore, you must complete weekly activity plans that are current and include developmentally appropriate activities for enrolled children. Activity plans for all children must include daily activities to stimulate the 4 of the 4 developmental domains, as listed in your NC Foundations for Early Learning and Development book: (social & emotional development, health & physical development, approaches to play and learning, language development/communication, and cognitive development). It must also include a daily gross motor activity which may occur indoors or outdoors. The activity plan must include both free choice and adult-directed activities, which allow children to choose to participate with the whole group, in a small group or independently. Rated License Discussion: Pathways to the Stars –You can find information at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. You indicated you are going to visit the QRIS Modernization page to decide which pathway you want to discuss. 3-Month Self-Study - Every group of children and learning environment is unique. Self-study enables providers to adapt their planning and teaching to the specific needs of the children they serve. With busy schedules, self-study provides the flexibility needed for learning, allowing providers to focus on areas that matter most for their programs. You can find the documents about the requirements, how to prepare, and the importance of developing an intentional plan for self-study on the NCRLAP website at https://ncrlap.org/Resources/SelfStudy/Center/. Additional Information: Your temporary license expires January 9, 2026. Prior to the expiration date of your license, one additional unannounced monitoring visit will be completed. NCID - Did you know that if you do not login on to 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. Pro Tip: Set your calendar to remind you every 6 months to login and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at www.mppfc.org. T. Quinn, Child Care Health Consultant, can provide training and technical assistance on topics related to health and safety such as sanitation, handwashing, diapering, illness policies, etc. Ms. Quinn can be reached at (252) 902-2360 or terry.quinn@pittcountync.gov. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Lakisha Skinner, Child Care Consultant, 252-820-5976, Lakisha.Skinner@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: Mom's Tiny Treasures ELC Facility ID: 74000964 Consultant: LAKISHA SKINNER Operation Type: Center Case Number: Visit Date: 8/21/2025 Number Present: 2 Completed Date: 8/21/2025 Age: From 0 To 3 Total Minutes: 370 Time In: 08:40 AM Time Out: 02:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced * The purpose of today's visit was to monitor your program for compliance with applicable child care requirements during the first temporary time period visit. You, G. Roberts, Administrator, assisted me with the visit. This facility was issued a temporary license on July 9, 2025. The NC Secretary of State website was reviewed on August 20, 2025, and Mom’s Tiny Treasures, LLC was listed as current- active. Your contact information on the Division of Child Development & Early Education (DCDEE) website was reviewed and the information is current. It is important to frequently check your email to remain informed about any new changes that have or may occur. At arrival you indicated opening hours are from 8:00am-5:00pm as that is the current need of the families enrolled. During this visit, we walked through the entire facility, observed the indoor and outdoor environment, and completed a full assessment of the licensed space. A child was observed engaged in free play activities. Meals are not provided by the facility at this time. Compliance History - Any violation(s) documented may impact the compliance history score. 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. The following violations were documented. Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. A current and posted activity plan was not available in Space 4. GS 110-91(12);.0508(a) 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. One employee hired on July 21, 2025 does not have a medical report on file. 10A NCAC 09 .0701(a) 1043 All staff records, except financial records, were not made available for review. An employee file for both administrators were not available for review. G.S. 110-91( 9) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. An employee hired on July 21, 2025 did not have six clock hours of documented orientation on file. .1101(a)(b) 1790 A statement acknowledging the parental decision to opt out of the supplemental food provided by the center was not signed by the parent and/or maintained on file at the center. A nutrition opt out form was unavailable for one child present with lunch, a beverage and snack brought from home. .0901(d) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. The only teacher present in space 1 designated for the care of infants did not have a current ITS-SIDS training certificate. .01102 (f) 1832 Application did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns. Two out of two children's files did not have the health care needs section of the application for enrollment completed. .0801 (a)(5) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Twelve month standing authorization was not obtained for the application of A & D Ointment observed in space 1. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) * The violation(s) documented must be corrected immediately. On or before September 3, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Lakisha Skinner, Child Care Consultant PO BOX 431 Grimesland, NC 27837 Lakisha.Skinner@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Record Keeping - Operational control to accommodate the health and safety of individual children and staff requires that information be kept and made available on a need-to-know basis. These records and reports are necessary to protect the health and safety of all in individuals in the facility. Staff files for both administrators were not available in the facility. You contacted the owner, who is also an administrator for the facility, who indicated the files were with her. Additionally, one individual hired on 7/21/25 did not have a medical report on file. Medical reports must be on file prior to employment for all staff. All staff, children and program files must be kept in the facility and made available for review. Nutrition Opt-Out – “Opting-out" of the meals served in facilities is a parent choice. Your facility does not provide meals currently and therefore; opting-out, is not an option. Each child enrolled must have an opt-out form signed by parents agreeing to bring in all meals, beverages and snacks for their children. One child enrolled requiring food other than formula, did not have an opt-out form available. You indicated the form was in the enrollment packet but was not returned by the parent. You requested the completed packet. It is important to complete the enrollment process with each family. You will then be available to answer all questions they may have and ensure a complete enrollment packet is received. Orientation- Employee orientation is the process of introducing newly hired employees to their new workplace. It provides the basic organizational information employees need to feel prepared for their new role within the facility. Documentation of 6 hours of orientation within the first 2 weeks of employment was not on file for the individual hired on July 21, 2025. You indicated the orientation process is completed by the other administrator. Because there are two administrators, it is important for both of you to review all files as they are received. Medications - Administering medication requires skill, knowledge and careful attention to detail. A jar of A & D Ointment was present for the enrolled infant in space 1; however, permission to apply the ointment was not on file. You indicated the enrollment process has been in the hands of multiple individuals, and you are unsure of the whereabouts of the form. It is important as the administrator to review files during the enrollment process to ensure the child has everything needed. ITS-SIDS – Early childhood teachers touch the lives of young children and their families in many important ways. One of the most important ways to reduce infant deaths in child care settings is for teachers to implement (and model for parents/guardians and families) safe sleep practices in their programs. Safe sleep practices include placing infants on their backs to sleep, using safe cribs and equipment for sleeping, prohibiting smoking, and training teachers on appropriate safe sleep practices. Assigned staff who work alone in the infant space must have a current ITS-SIDS training certificate. The individual in space 1 caring for the infant today does not have a current ITS-SIDS certificate on file. You indicated that the file checklist allows for the completion of the training within 2 months. You are correct; however, someone must have the training in the space while other staff work towards completion. You reassigned the space to a staff person on site today that does have a current ITS-SIDS certification. Health Care Needs - Emergency information is the key to obtaining needed care in emergency situations. In the event of an emergency, child care providers must know about a child’s special health care needs, so they can offer protection for that child. This requires you to obtain the health and safety needs of individual children prior to enrollment. The health care needs section of the enrollment application for 2 out of the 2 children enrolled was blank. We reviewed the applications together and you took notes of the requirements for the completion of each section. Activity Plans – Preschool lesson plans lay the groundwork for a child's initial entry into the world of learning. They act as roadmaps, guiding young learners through the various stages of early academic growth. An activity plan for Space 4 was not available. You indicated the teacher was hired on Monday August 18th and started in the classroom on Wednesday August 20th. You indicated that because the individual is still in training, the activity plan has not yet been completed. Children are enrolled; therefore, you must complete weekly activity plans that are current and include developmentally appropriate activities for enrolled children. Activity plans for all children must include daily activities to stimulate the 4 of the 4 developmental domains, as listed in your NC Foundations for Early Learning and Development book: (social & emotional development, health & physical development, approaches to play and learning, language development/communication, and cognitive development). It must also include a daily gross motor activity which may occur indoors or outdoors. The activity plan must include both free choice and adult-directed activities, which allow children to choose to participate with the whole group, in a small group or independently. Rated License Discussion: Pathways to the Stars –You can find information at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. You indicated you are going to visit the QRIS Modernization page to decide which pathway you want to discuss. 3-Month Self-Study - Every group of children and learning environment is unique. Self-study enables providers to adapt their planning and teaching to the specific needs of the children they serve. With busy schedules, self-study provides the flexibility needed for learning, allowing providers to focus on areas that matter most for their programs. You can find the documents about the requirements, how to prepare, and the importance of developing an intentional plan for self-study on the NCRLAP website at https://ncrlap.org/Resources/SelfStudy/Center/. Additional Information: Your temporary license expires January 9, 2026. Prior to the expiration date of your license, one additional unannounced monitoring visit will be completed. NCID - Did you know that if you do not login on to 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. Pro Tip: Set your calendar to remind you every 6 months to login and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at www.mppfc.org. T. Quinn, Child Care Health Consultant, can provide training and technical assistance on topics related to health and safety such as sanitation, handwashing, diapering, illness policies, etc. Ms. Quinn can be reached at (252) 902-2360 or terry.quinn@pittcountync.gov. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Lakisha Skinner, Child Care Consultant, 252-820-5976, Lakisha.Skinner@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times