Over THE Rainbow Childcare Center

10A NCAC 09 .0601 · Violation

Name of Operation: OVER THE RAINBOW CHILDCARE CENTER Facility ID: 74000730 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 5/13/2026 Number Present: 7 Completed Date: 5/13/2026 Age: From 1 To 4 Total Minutes: 120 Time In: 12:15 PM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. D. Dixon, administrator assisted me with today’s visit. Your program currently operates with a four-star license, issued 7/10/2019 earning 5 points in the education component, 4 points in the program standards component (meeting enhanced ratio and space) and 1 quality point for having a staff benefits package and an infrastructure of parent involvement. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent as of 5/13/26. The NC Secretary of State website was reviewed on 5/13/26 and your facility is not owned by a corporation. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. The license was posted, and the restrictions were in compliance. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. Children throughout the classroom spaces rested on linen covered mats. Staff positioned themselves to hear and see the children. There were no new staff. Rated license requirements were reviewed to ensure compliance was maintained with current program and education components as well as the quality point. A sanitation inspection was conducted at the facility on March 5, 2026, a superior classification was achieved. Fire inspection remains current. One violation was observed today and was corrected during the visit. The violations are as follows: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In classroom space #4 there were children's clothes, diapers, and art materials stored on a shelf below five feet in an unlocked closet in classroom space #4. On the playground there were bowls with standing water and plastic debris near the gate. 10A NCAC 09 .0601(a) No further action is required at this time. Additional Comments: Today we discussed Abestos Hazard, I observed the restricted area. We discussed that this was a direct exit for children enrolled in classroom space #1. They must now use the exit door in their classroom space. We reviewed the Three- Star and Four-Star requirements for the Classroom and Instructional Quality Pathway. Submit your Rated License application by September 30, 2026. I shared with you how to locate the approved curriculum and formative assessments. We also discussed the Program Assessment Pathway. I shared with you that participation in the Star-Rated License process is optional. Visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization NCID: Did you know that if you do not login on any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. When you change your current password after Feb. 23, however, you will be required to create a new one that must: • Be a minimum of 14 characters. • Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. • Passwords shall not contain number or character substitutes to create dictionary words (e.g., d33psl33p for deepsleep). Reminders: The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: OVER THE RAINBOW CHILDCARE CENTER Facility ID: 74000730 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 12/10/2025 Number Present: 9 Completed Date: 12/10/2025 Age: From 0 To 4 Total Minutes: 173 Time In: 09:07 AM Time Out: 12:00 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. D. Dixon, administrator assisted me with the visit. Your program currently operates with a four star license, issued 7/10/2019, earning 5 points in the education component, 4 points in the program standards component(meeting enhanced ratios and space ) and 1 quality point for having an infrastructure of parent involvement and staff benefits package. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted 1/7/2025. The sanitation inspection was completed 10/21/25 with a “Superior” classification. A fire inspection was conducted 12/27/24 and your facility was approved for day and night care. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent as of 12/10/25. The NC Secretary of State website was reviewed on 12/10/25 and your facility is not owned by a corporation. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. I visited indoor and outdoor spaces. Children enrolled in classroom space #1 sat with the teacher on the carpet as the teacher read a story. In classroom space #4 children sat at a child sized table using crayons to color pictures of transportation vehicles. In classroom space #2 children were observed building with Legos. Lunch was observed and consisted of lasagna, lima beans, applesauce and milk. The following violations were documented. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted was dated 9/22/2025-9/26/2025. 10A NCAC 09 .0901(b) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Two bottles stored in the refrigerator were dated 12/8/25. 15A NCAC 18A .2804(d) 538 Baby bottles were not stored to protect from contamination. Stored in the refrigerator were two bottles without a lids. 15A NCAC 18A .2804(d) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. Two active water bugs were observed on the counter in the bathroom located in classroom space #1. 15A NCAC 18A .2832(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. The cabinet outside of classroom space #3 and 4 was unlocked. Stored in the cabinet with a jug of Bleach, a can on Resolve, a bottle of Mean Green Cleaning and hand soap. .2820(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff hired on 7/15/24 health questionnaire expired on 7/15/25. .0701(a) 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. Staff hired on 7/15/24 had an emergency information form on file dated 7/15/14, the form was not updated annually. .0701(a) 1128 For routine transport of children to and from the center, staff did not use the list to document attendance as children boarded and departed the vehicle. Attendance records of three children boarding and departing the vehicle was not available. 10A NCAC 09 .1003(l) 1898 Staff did not complete the health and safety training within one year of employment. Staff hired on 7/15/24 did not complete the health and safety trainings within one year of hire. .1102(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 24, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Megan Brown, Child Care Consultant PO Box 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 was provided on the following: Nutrition: Parents/guardians need to be informed about food served in the facility to know how to complement it with the food they serve at home. The menu posted in the kitchen as dated 9/22/25-9/26/25. We discussed that the posted menu should be current. The menu should be planned at least a week in advance. Infant Bottles: Breast milk, formula, and other bottled beverages sent from home shall be fully prepared, dated, and labeled with individual child names. Properly dated bottles provide you with dates to ensure the contents of a bottle are safe for feedings. Today two cups were dated 12/8/25 and two bottles did not have lids to prevent exposure. Have parent label bottles as part of their preparation or have labels prepared for parents when the child arrives. Also, ensure parents use bottles with lids. Safe Environment: Effective pest control is crucial to maintaining a healthy environment where children can learn and play without risks from pests. Pests like rodents, termites, and insects not only pose health threats but can also cause significant structural damage, disrupt activities, and create an unhealthy atmosphere. Active water bugs were observed in the bathroom located in classroom space #1. You informed me that you currently have pest control services every three months. We discussed increasing the frequency of services and ensuring staff maintain cleaning routines. 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 such as employment application, medical report, TB test results, Annual Health Questionnaire, Emergency Information form, and CPR and First Aid. Staff hired on 7/15/24 did not have an annual health questionnaire and emergency information form on file. Staff hired on 7/15/24 did not complete the Health and Safety trainings within one year of hire. We discussed creating a tracking system to ensure staff complete all required trainings and documents within the designated timeframe. Transportation: Motor vehicle crashes are the leading cause of death in children two to fourteen years of age in the United States. It is necessary for the safety of children to require that the caregiver/teacher comply with requirements governing the transportation of children in care, in the absence of the parent/guardian. Each child transported must have permission to be transported on file prior to transportation being provided. Three children being transported by the facility permission to transport expired in April 2025. You stated that you would contact the parents to update the forms. In addition to having permission to the transport time records of children boarding and departing, transportation should be maintained. You had the document on file but was unable to provide complete documents. Provide completed documents as part of your compliance letter. Additional Comments: During the visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. You informed me that you will pursue the Classroom and Instructional Quality Pathway. Enhanced ratio and multiage ratio options were reviewed. We reviewed education requirements for your staff including CEU requirements and additional training requirements. Submit your rated license application in June 2026. Reminders: The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1003 · Violation

Name of Operation: OVER THE RAINBOW CHILDCARE CENTER Facility ID: 74000730 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 12/10/2025 Number Present: 9 Completed Date: 12/10/2025 Age: From 0 To 4 Total Minutes: 173 Time In: 09:07 AM Time Out: 12:00 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. D. Dixon, administrator assisted me with the visit. Your program currently operates with a four star license, issued 7/10/2019, earning 5 points in the education component, 4 points in the program standards component(meeting enhanced ratios and space ) and 1 quality point for having an infrastructure of parent involvement and staff benefits package. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted 1/7/2025. The sanitation inspection was completed 10/21/25 with a “Superior” classification. A fire inspection was conducted 12/27/24 and your facility was approved for day and night care. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent as of 12/10/25. The NC Secretary of State website was reviewed on 12/10/25 and your facility is not owned by a corporation. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. I visited indoor and outdoor spaces. Children enrolled in classroom space #1 sat with the teacher on the carpet as the teacher read a story. In classroom space #4 children sat at a child sized table using crayons to color pictures of transportation vehicles. In classroom space #2 children were observed building with Legos. Lunch was observed and consisted of lasagna, lima beans, applesauce and milk. The following violations were documented. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted was dated 9/22/2025-9/26/2025. 10A NCAC 09 .0901(b) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Two bottles stored in the refrigerator were dated 12/8/25. 15A NCAC 18A .2804(d) 538 Baby bottles were not stored to protect from contamination. Stored in the refrigerator were two bottles without a lids. 15A NCAC 18A .2804(d) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. Two active water bugs were observed on the counter in the bathroom located in classroom space #1. 15A NCAC 18A .2832(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. The cabinet outside of classroom space #3 and 4 was unlocked. Stored in the cabinet with a jug of Bleach, a can on Resolve, a bottle of Mean Green Cleaning and hand soap. .2820(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff hired on 7/15/24 health questionnaire expired on 7/15/25. .0701(a) 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. Staff hired on 7/15/24 had an emergency information form on file dated 7/15/14, the form was not updated annually. .0701(a) 1128 For routine transport of children to and from the center, staff did not use the list to document attendance as children boarded and departed the vehicle. Attendance records of three children boarding and departing the vehicle was not available. 10A NCAC 09 .1003(l) 1898 Staff did not complete the health and safety training within one year of employment. Staff hired on 7/15/24 did not complete the health and safety trainings within one year of hire. .1102(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 24, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Megan Brown, Child Care Consultant PO Box 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 was provided on the following: Nutrition: Parents/guardians need to be informed about food served in the facility to know how to complement it with the food they serve at home. The menu posted in the kitchen as dated 9/22/25-9/26/25. We discussed that the posted menu should be current. The menu should be planned at least a week in advance. Infant Bottles: Breast milk, formula, and other bottled beverages sent from home shall be fully prepared, dated, and labeled with individual child names. Properly dated bottles provide you with dates to ensure the contents of a bottle are safe for feedings. Today two cups were dated 12/8/25 and two bottles did not have lids to prevent exposure. Have parent label bottles as part of their preparation or have labels prepared for parents when the child arrives. Also, ensure parents use bottles with lids. Safe Environment: Effective pest control is crucial to maintaining a healthy environment where children can learn and play without risks from pests. Pests like rodents, termites, and insects not only pose health threats but can also cause significant structural damage, disrupt activities, and create an unhealthy atmosphere. Active water bugs were observed in the bathroom located in classroom space #1. You informed me that you currently have pest control services every three months. We discussed increasing the frequency of services and ensuring staff maintain cleaning routines. 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 such as employment application, medical report, TB test results, Annual Health Questionnaire, Emergency Information form, and CPR and First Aid. Staff hired on 7/15/24 did not have an annual health questionnaire and emergency information form on file. Staff hired on 7/15/24 did not complete the Health and Safety trainings within one year of hire. We discussed creating a tracking system to ensure staff complete all required trainings and documents within the designated timeframe. Transportation: Motor vehicle crashes are the leading cause of death in children two to fourteen years of age in the United States. It is necessary for the safety of children to require that the caregiver/teacher comply with requirements governing the transportation of children in care, in the absence of the parent/guardian. Each child transported must have permission to be transported on file prior to transportation being provided. Three children being transported by the facility permission to transport expired in April 2025. You stated that you would contact the parents to update the forms. In addition to having permission to the transport time records of children boarding and departing, transportation should be maintained. You had the document on file but was unable to provide complete documents. Provide completed documents as part of your compliance letter. Additional Comments: During the visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. You informed me that you will pursue the Classroom and Instructional Quality Pathway. Enhanced ratio and multiage ratio options were reviewed. We reviewed education requirements for your staff including CEU requirements and additional training requirements. Submit your rated license application in June 2026. Reminders: The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: OVER THE RAINBOW CHILDCARE CENTER Facility ID: 74000730 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 12/10/2025 Number Present: 9 Completed Date: 12/10/2025 Age: From 0 To 4 Total Minutes: 173 Time In: 09:07 AM Time Out: 12:00 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. D. Dixon, administrator assisted me with the visit. Your program currently operates with a four star license, issued 7/10/2019, earning 5 points in the education component, 4 points in the program standards component(meeting enhanced ratios and space ) and 1 quality point for having an infrastructure of parent involvement and staff benefits package. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted 1/7/2025. The sanitation inspection was completed 10/21/25 with a “Superior” classification. A fire inspection was conducted 12/27/24 and your facility was approved for day and night care. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent as of 12/10/25. The NC Secretary of State website was reviewed on 12/10/25 and your facility is not owned by a corporation. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. I visited indoor and outdoor spaces. Children enrolled in classroom space #1 sat with the teacher on the carpet as the teacher read a story. In classroom space #4 children sat at a child sized table using crayons to color pictures of transportation vehicles. In classroom space #2 children were observed building with Legos. Lunch was observed and consisted of lasagna, lima beans, applesauce and milk. The following violations were documented. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted was dated 9/22/2025-9/26/2025. 10A NCAC 09 .0901(b) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Two bottles stored in the refrigerator were dated 12/8/25. 15A NCAC 18A .2804(d) 538 Baby bottles were not stored to protect from contamination. Stored in the refrigerator were two bottles without a lids. 15A NCAC 18A .2804(d) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. Two active water bugs were observed on the counter in the bathroom located in classroom space #1. 15A NCAC 18A .2832(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. The cabinet outside of classroom space #3 and 4 was unlocked. Stored in the cabinet with a jug of Bleach, a can on Resolve, a bottle of Mean Green Cleaning and hand soap. .2820(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff hired on 7/15/24 health questionnaire expired on 7/15/25. .0701(a) 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. Staff hired on 7/15/24 had an emergency information form on file dated 7/15/14, the form was not updated annually. .0701(a) 1128 For routine transport of children to and from the center, staff did not use the list to document attendance as children boarded and departed the vehicle. Attendance records of three children boarding and departing the vehicle was not available. 10A NCAC 09 .1003(l) 1898 Staff did not complete the health and safety training within one year of employment. Staff hired on 7/15/24 did not complete the health and safety trainings within one year of hire. .1102(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 24, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Megan Brown, Child Care Consultant PO Box 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 was provided on the following: Nutrition: Parents/guardians need to be informed about food served in the facility to know how to complement it with the food they serve at home. The menu posted in the kitchen as dated 9/22/25-9/26/25. We discussed that the posted menu should be current. The menu should be planned at least a week in advance. Infant Bottles: Breast milk, formula, and other bottled beverages sent from home shall be fully prepared, dated, and labeled with individual child names. Properly dated bottles provide you with dates to ensure the contents of a bottle are safe for feedings. Today two cups were dated 12/8/25 and two bottles did not have lids to prevent exposure. Have parent label bottles as part of their preparation or have labels prepared for parents when the child arrives. Also, ensure parents use bottles with lids. Safe Environment: Effective pest control is crucial to maintaining a healthy environment where children can learn and play without risks from pests. Pests like rodents, termites, and insects not only pose health threats but can also cause significant structural damage, disrupt activities, and create an unhealthy atmosphere. Active water bugs were observed in the bathroom located in classroom space #1. You informed me that you currently have pest control services every three months. We discussed increasing the frequency of services and ensuring staff maintain cleaning routines. 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 such as employment application, medical report, TB test results, Annual Health Questionnaire, Emergency Information form, and CPR and First Aid. Staff hired on 7/15/24 did not have an annual health questionnaire and emergency information form on file. Staff hired on 7/15/24 did not complete the Health and Safety trainings within one year of hire. We discussed creating a tracking system to ensure staff complete all required trainings and documents within the designated timeframe. Transportation: Motor vehicle crashes are the leading cause of death in children two to fourteen years of age in the United States. It is necessary for the safety of children to require that the caregiver/teacher comply with requirements governing the transportation of children in care, in the absence of the parent/guardian. Each child transported must have permission to be transported on file prior to transportation being provided. Three children being transported by the facility permission to transport expired in April 2025. You stated that you would contact the parents to update the forms. In addition to having permission to the transport time records of children boarding and departing, transportation should be maintained. You had the document on file but was unable to provide complete documents. Provide completed documents as part of your compliance letter. Additional Comments: During the visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. You informed me that you will pursue the Classroom and Instructional Quality Pathway. Enhanced ratio and multiage ratio options were reviewed. We reviewed education requirements for your staff including CEU requirements and additional training requirements. Submit your rated license application in June 2026. Reminders: The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: OVER THE RAINBOW CHILDCARE CENTER Facility ID: 74000730 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 5/6/2025 Number Present: 7 Completed Date: 5/6/2025 Age: From 0 To 5 Total Minutes: 120 Time In: 08:45 AM Time Out: 10:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. D. Dixon, administrator assisted me with today’s visit. Your program currently operates with a four-star license, issued 7/10/2019 earning 5 points in the education component, 4 points in the program standards component (meeting enhanced ratio and space) and 1 quality point for having a staff benefits package and an infrastructure of parent involvement. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-three percent as of 5/2/25. The NC Secretary of State website was reviewed on 5/2/25 and your facility is not owned by a corporation. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. The license was posted, and the restrictions were in compliance. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. Children enrolled in classroom space # 2 were observed during morning group, the teacher asked open ended questions about countries and flags while showing the children pictures. In classroom space #4 a child was observed naming shapes and colors during morning group. The following violation was observed: Violation Number Comment Rule 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. There was a large active spider web on the steps leading to the outdoor space. There were vines with thorns growing through the fence and in the play area. 15A NCAC 18A .2832(a) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before May 20, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Megan Brown, Child Care Consultant PO Box 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance was provided on the following: 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. The trees and bushes next door are overgrown through the facility fence, there are bushes with thorns and plants with thorns are now growing in the play area. There was also a large active spider webs on the steps leading to the outdoor space. You stated that the bushes were trimmed, but you are scheduled for lawn service this weekend and will have the bushes cut back. Additional Comments: ABCMS: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. You have completed the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. We discussed that you need to create your facility roster in the ABCMS portal. I emailed you aids to assist you with connecting applications and using provider codes. Should you need additional assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. During today’s visit we reviewed single age staff/child ratios and multiage staff/child ratios. You will remain using single age staff/child ratios. We also discussed room capacities and staffing based on your current enrollment and your future enrollment. We also discussed activity plans, today I observed staff implementing morning group times as outlined in the activity plan, ensure you have a process for reviewing activity plans and how staff are prepared for their current week. NCID: Did you know that if you do not login on any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. When you change your current password after Feb. 23, however, you will be required to create a new one that must: • Be a minimum of 14 characters. • Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. • Passwords shall not contain number or character substitutes to create dictionary words (e.g., d33psl33p for deepsleep). Reminders: The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: OVER THE RAINBOW CHILDCARE CENTER Facility ID: 74000730 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 5/6/2025 Number Present: 7 Completed Date: 5/6/2025 Age: From 0 To 5 Total Minutes: 120 Time In: 08:45 AM Time Out: 10:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. D. Dixon, administrator assisted me with today’s visit. Your program currently operates with a four-star license, issued 7/10/2019 earning 5 points in the education component, 4 points in the program standards component (meeting enhanced ratio and space) and 1 quality point for having a staff benefits package and an infrastructure of parent involvement. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-three percent as of 5/2/25. The NC Secretary of State website was reviewed on 5/2/25 and your facility is not owned by a corporation. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. The license was posted, and the restrictions were in compliance. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. Children enrolled in classroom space # 2 were observed during morning group, the teacher asked open ended questions about countries and flags while showing the children pictures. In classroom space #4 a child was observed naming shapes and colors during morning group. The following violation was observed: Violation Number Comment Rule 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. There was a large active spider web on the steps leading to the outdoor space. There were vines with thorns growing through the fence and in the play area. 15A NCAC 18A .2832(a) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before May 20, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Megan Brown, Child Care Consultant PO Box 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance was provided on the following: 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. The trees and bushes next door are overgrown through the facility fence, there are bushes with thorns and plants with thorns are now growing in the play area. There was also a large active spider webs on the steps leading to the outdoor space. You stated that the bushes were trimmed, but you are scheduled for lawn service this weekend and will have the bushes cut back. Additional Comments: ABCMS: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. You have completed the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. We discussed that you need to create your facility roster in the ABCMS portal. I emailed you aids to assist you with connecting applications and using provider codes. Should you need additional assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. During today’s visit we reviewed single age staff/child ratios and multiage staff/child ratios. You will remain using single age staff/child ratios. We also discussed room capacities and staffing based on your current enrollment and your future enrollment. We also discussed activity plans, today I observed staff implementing morning group times as outlined in the activity plan, ensure you have a process for reviewing activity plans and how staff are prepared for their current week. NCID: Did you know that if you do not login on any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. When you change your current password after Feb. 23, however, you will be required to create a new one that must: • Be a minimum of 14 characters. • Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. • Passwords shall not contain number or character substitutes to create dictionary words (e.g., d33psl33p for deepsleep). Reminders: The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: OVER THE RAINBOW CHILDCARE CENTER Facility ID: 74000730 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 1/7/2025 Number Present: 14 Completed Date: 1/7/2025 Age: From 0 To 4 Total Minutes: 175 Time In: 09:25 AM Time Out: 12:20 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. D. Dixon, administrator assisted me with the visit. Your program currently operates with a four star license, issued 7/10/2019, earning 5 points in the education component, 4 points in the program standards component(meeting enhanced ratios and space ) and 1 quality point for having an infrastructure of parent involvement and staff benefits package. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted 1/10/2024. The sanitation inspection was completed 7/11/24 with a “Approved” classification. A fire inspection was conducted 12/27/24 and your facility was approved for day and night care. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-four percent as of 1/2/25. The NC Secretary of State website was reviewed on 1/2/25 and your facility is not owned by a corporation. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. I visited indoor and outdoor spaces. Children enrolled in classroom space #4 were sitting at a table preparing for an activity. The teacher gave each child construction paper and paper shaped like triangles, as the teacher gave each child the items she asked the children about the shape. Children enrolled in classroom space #1 received care according to their individual needs including feeding. Lunch was observed and consisted of chicken nuggets, peas, mixed fruit and milk. The following violations were documented. Violation Number Comment Rule 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Sleep charts for the current week were not available for two children under age one being cared for in classroom space #1. .0606(g) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff R. Kenlaw hired on 5/28/24 had a medical report dated for 2/7/23 on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff R. Kenlaw hired on 5/28/24 had a TB test on file dated for 2/7/23. .0701(a) 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. Staff R. Kenlaw hired on 5/28/24 had a emergency information form dated 6/12/24 on file. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff D. Harrell hired on 7/15/24 and staff C. Harris hired on 5/28/24 had a first aid certification on file dated 1/6/2025. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Staff D. Harrell hired on 7/15/24 and staff C. Harris hired on 5/28/24 had CPR certification on file dated 1/6/2025. .1102(d) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Two children being transported did not have a photograph attached to their emergency information. 10A NCAC 09 .1003(d) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The operator has not completed the provider portal training or created the center roster in ABCMS. G.S. 110-90.2 & .2703(r) 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 January 21, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Megan Brown, Child Care Consultant PO BOX 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance was provided on the following: ABCMS: ABCMS: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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 such as employment application, medical report, TB test results, Annual Health Questionnaire, Emergency Information form, and CPR and First Aid. Staff R. Kenlaw hired on 5/28/24 had a medical and TB Test older than 12 months on file, and the staff’s health questionnaire and emergency information form were not completed on or before the date of hire. Staff D. Harrell and C. Harris did not complete CPR and First Aid within 90 days of hire. You were aware that staff did not complete the CPR and First Aid training within 90 days of hire. We discussed creating a tracking system to ensure staff complete all required trainings within the designated timeframe. Transportation: Motor vehicle crashes are the leading cause of death in children two to fourteen years of age in the United States. It is necessary for the safety of children to require that the caregiver/teacher comply with requirements governing the transportation of children in care, in the absence of the parent/guardian. Each child transported must be have on file emergency contact information along with a photograph of each child. This is helpful in identifying children in the event of an emergency/accident. Two of five children being transported did not have a photograph attached to their emergency information. We discussed having parents supply a picture at enrollment or take a picture of the child their first day at the facility prior to transporting. Reminders: Clean Classrooms for Carolina Kids – Due to the devastation caused by Hurricane Helene, the deadline for enrolling in the Clean Classrooms for Carolina Kids testing for lead in water, lead paint, and asbestos has been extended to May 31, 2025. If you have not completed the online enrollment, online training, and initial survey, complete this for your facility as soon as possible. Funding is available for licensed facilities that need lead paint or asbestos mitigation. Enroll today at https://www.cleanwaterforcarolinakids.org/enroll. If you have enrolled for only one or two of the program sections, log back in to complete surveys for the remaining section(s) to comply with the rule requirements. The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1003 · Violation

Name of Operation: OVER THE RAINBOW CHILDCARE CENTER Facility ID: 74000730 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 1/7/2025 Number Present: 14 Completed Date: 1/7/2025 Age: From 0 To 4 Total Minutes: 175 Time In: 09:25 AM Time Out: 12:20 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. D. Dixon, administrator assisted me with the visit. Your program currently operates with a four star license, issued 7/10/2019, earning 5 points in the education component, 4 points in the program standards component(meeting enhanced ratios and space ) and 1 quality point for having an infrastructure of parent involvement and staff benefits package. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted 1/10/2024. The sanitation inspection was completed 7/11/24 with a “Approved” classification. A fire inspection was conducted 12/27/24 and your facility was approved for day and night care. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-four percent as of 1/2/25. The NC Secretary of State website was reviewed on 1/2/25 and your facility is not owned by a corporation. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. I visited indoor and outdoor spaces. Children enrolled in classroom space #4 were sitting at a table preparing for an activity. The teacher gave each child construction paper and paper shaped like triangles, as the teacher gave each child the items she asked the children about the shape. Children enrolled in classroom space #1 received care according to their individual needs including feeding. Lunch was observed and consisted of chicken nuggets, peas, mixed fruit and milk. The following violations were documented. Violation Number Comment Rule 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Sleep charts for the current week were not available for two children under age one being cared for in classroom space #1. .0606(g) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff R. Kenlaw hired on 5/28/24 had a medical report dated for 2/7/23 on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff R. Kenlaw hired on 5/28/24 had a TB test on file dated for 2/7/23. .0701(a) 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. Staff R. Kenlaw hired on 5/28/24 had a emergency information form dated 6/12/24 on file. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff D. Harrell hired on 7/15/24 and staff C. Harris hired on 5/28/24 had a first aid certification on file dated 1/6/2025. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Staff D. Harrell hired on 7/15/24 and staff C. Harris hired on 5/28/24 had CPR certification on file dated 1/6/2025. .1102(d) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Two children being transported did not have a photograph attached to their emergency information. 10A NCAC 09 .1003(d) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The operator has not completed the provider portal training or created the center roster in ABCMS. G.S. 110-90.2 & .2703(r) 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 January 21, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Megan Brown, Child Care Consultant PO BOX 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance was provided on the following: ABCMS: ABCMS: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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 such as employment application, medical report, TB test results, Annual Health Questionnaire, Emergency Information form, and CPR and First Aid. Staff R. Kenlaw hired on 5/28/24 had a medical and TB Test older than 12 months on file, and the staff’s health questionnaire and emergency information form were not completed on or before the date of hire. Staff D. Harrell and C. Harris did not complete CPR and First Aid within 90 days of hire. You were aware that staff did not complete the CPR and First Aid training within 90 days of hire. We discussed creating a tracking system to ensure staff complete all required trainings within the designated timeframe. Transportation: Motor vehicle crashes are the leading cause of death in children two to fourteen years of age in the United States. It is necessary for the safety of children to require that the caregiver/teacher comply with requirements governing the transportation of children in care, in the absence of the parent/guardian. Each child transported must be have on file emergency contact information along with a photograph of each child. This is helpful in identifying children in the event of an emergency/accident. Two of five children being transported did not have a photograph attached to their emergency information. We discussed having parents supply a picture at enrollment or take a picture of the child their first day at the facility prior to transporting. Reminders: Clean Classrooms for Carolina Kids – Due to the devastation caused by Hurricane Helene, the deadline for enrolling in the Clean Classrooms for Carolina Kids testing for lead in water, lead paint, and asbestos has been extended to May 31, 2025. If you have not completed the online enrollment, online training, and initial survey, complete this for your facility as soon as possible. Funding is available for licensed facilities that need lead paint or asbestos mitigation. Enroll today at https://www.cleanwaterforcarolinakids.org/enroll. If you have enrolled for only one or two of the program sections, log back in to complete surveys for the remaining section(s) to comply with the rule requirements. The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: OVER THE RAINBOW CHILDCARE CENTER Facility ID: 74000730 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 1/7/2025 Number Present: 14 Completed Date: 1/7/2025 Age: From 0 To 4 Total Minutes: 175 Time In: 09:25 AM Time Out: 12:20 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. D. Dixon, administrator assisted me with the visit. Your program currently operates with a four star license, issued 7/10/2019, earning 5 points in the education component, 4 points in the program standards component(meeting enhanced ratios and space ) and 1 quality point for having an infrastructure of parent involvement and staff benefits package. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted 1/10/2024. The sanitation inspection was completed 7/11/24 with a “Approved” classification. A fire inspection was conducted 12/27/24 and your facility was approved for day and night care. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-four percent as of 1/2/25. The NC Secretary of State website was reviewed on 1/2/25 and your facility is not owned by a corporation. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. I visited indoor and outdoor spaces. Children enrolled in classroom space #4 were sitting at a table preparing for an activity. The teacher gave each child construction paper and paper shaped like triangles, as the teacher gave each child the items she asked the children about the shape. Children enrolled in classroom space #1 received care according to their individual needs including feeding. Lunch was observed and consisted of chicken nuggets, peas, mixed fruit and milk. The following violations were documented. Violation Number Comment Rule 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Sleep charts for the current week were not available for two children under age one being cared for in classroom space #1. .0606(g) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff R. Kenlaw hired on 5/28/24 had a medical report dated for 2/7/23 on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff R. Kenlaw hired on 5/28/24 had a TB test on file dated for 2/7/23. .0701(a) 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. Staff R. Kenlaw hired on 5/28/24 had a emergency information form dated 6/12/24 on file. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff D. Harrell hired on 7/15/24 and staff C. Harris hired on 5/28/24 had a first aid certification on file dated 1/6/2025. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Staff D. Harrell hired on 7/15/24 and staff C. Harris hired on 5/28/24 had CPR certification on file dated 1/6/2025. .1102(d) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Two children being transported did not have a photograph attached to their emergency information. 10A NCAC 09 .1003(d) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The operator has not completed the provider portal training or created the center roster in ABCMS. G.S. 110-90.2 & .2703(r) 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 January 21, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Megan Brown, Child Care Consultant PO BOX 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance was provided on the following: ABCMS: ABCMS: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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 such as employment application, medical report, TB test results, Annual Health Questionnaire, Emergency Information form, and CPR and First Aid. Staff R. Kenlaw hired on 5/28/24 had a medical and TB Test older than 12 months on file, and the staff’s health questionnaire and emergency information form were not completed on or before the date of hire. Staff D. Harrell and C. Harris did not complete CPR and First Aid within 90 days of hire. You were aware that staff did not complete the CPR and First Aid training within 90 days of hire. We discussed creating a tracking system to ensure staff complete all required trainings within the designated timeframe. Transportation: Motor vehicle crashes are the leading cause of death in children two to fourteen years of age in the United States. It is necessary for the safety of children to require that the caregiver/teacher comply with requirements governing the transportation of children in care, in the absence of the parent/guardian. Each child transported must be have on file emergency contact information along with a photograph of each child. This is helpful in identifying children in the event of an emergency/accident. Two of five children being transported did not have a photograph attached to their emergency information. We discussed having parents supply a picture at enrollment or take a picture of the child their first day at the facility prior to transporting. Reminders: Clean Classrooms for Carolina Kids – Due to the devastation caused by Hurricane Helene, the deadline for enrolling in the Clean Classrooms for Carolina Kids testing for lead in water, lead paint, and asbestos has been extended to May 31, 2025. If you have not completed the online enrollment, online training, and initial survey, complete this for your facility as soon as possible. Funding is available for licensed facilities that need lead paint or asbestos mitigation. Enroll today at https://www.cleanwaterforcarolinakids.org/enroll. If you have enrolled for only one or two of the program sections, log back in to complete surveys for the remaining section(s) to comply with the rule requirements. The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: OVER THE RAINBOW CHILDCARE CENTER Facility ID: 74000730 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 1/7/2025 Number Present: 14 Completed Date: 1/7/2025 Age: From 0 To 4 Total Minutes: 175 Time In: 09:25 AM Time Out: 12:20 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. D. Dixon, administrator assisted me with the visit. Your program currently operates with a four star license, issued 7/10/2019, earning 5 points in the education component, 4 points in the program standards component(meeting enhanced ratios and space ) and 1 quality point for having an infrastructure of parent involvement and staff benefits package. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted 1/10/2024. The sanitation inspection was completed 7/11/24 with a “Approved” classification. A fire inspection was conducted 12/27/24 and your facility was approved for day and night care. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-four percent as of 1/2/25. The NC Secretary of State website was reviewed on 1/2/25 and your facility is not owned by a corporation. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. I visited indoor and outdoor spaces. Children enrolled in classroom space #4 were sitting at a table preparing for an activity. The teacher gave each child construction paper and paper shaped like triangles, as the teacher gave each child the items she asked the children about the shape. Children enrolled in classroom space #1 received care according to their individual needs including feeding. Lunch was observed and consisted of chicken nuggets, peas, mixed fruit and milk. The following violations were documented. Violation Number Comment Rule 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Sleep charts for the current week were not available for two children under age one being cared for in classroom space #1. .0606(g) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff R. Kenlaw hired on 5/28/24 had a medical report dated for 2/7/23 on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff R. Kenlaw hired on 5/28/24 had a TB test on file dated for 2/7/23. .0701(a) 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. Staff R. Kenlaw hired on 5/28/24 had a emergency information form dated 6/12/24 on file. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff D. Harrell hired on 7/15/24 and staff C. Harris hired on 5/28/24 had a first aid certification on file dated 1/6/2025. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Staff D. Harrell hired on 7/15/24 and staff C. Harris hired on 5/28/24 had CPR certification on file dated 1/6/2025. .1102(d) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Two children being transported did not have a photograph attached to their emergency information. 10A NCAC 09 .1003(d) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The operator has not completed the provider portal training or created the center roster in ABCMS. G.S. 110-90.2 & .2703(r) 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 January 21, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Megan Brown, Child Care Consultant PO BOX 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance was provided on the following: ABCMS: ABCMS: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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 such as employment application, medical report, TB test results, Annual Health Questionnaire, Emergency Information form, and CPR and First Aid. Staff R. Kenlaw hired on 5/28/24 had a medical and TB Test older than 12 months on file, and the staff’s health questionnaire and emergency information form were not completed on or before the date of hire. Staff D. Harrell and C. Harris did not complete CPR and First Aid within 90 days of hire. You were aware that staff did not complete the CPR and First Aid training within 90 days of hire. We discussed creating a tracking system to ensure staff complete all required trainings within the designated timeframe. Transportation: Motor vehicle crashes are the leading cause of death in children two to fourteen years of age in the United States. It is necessary for the safety of children to require that the caregiver/teacher comply with requirements governing the transportation of children in care, in the absence of the parent/guardian. Each child transported must be have on file emergency contact information along with a photograph of each child. This is helpful in identifying children in the event of an emergency/accident. Two of five children being transported did not have a photograph attached to their emergency information. We discussed having parents supply a picture at enrollment or take a picture of the child their first day at the facility prior to transporting. Reminders: Clean Classrooms for Carolina Kids – Due to the devastation caused by Hurricane Helene, the deadline for enrolling in the Clean Classrooms for Carolina Kids testing for lead in water, lead paint, and asbestos has been extended to May 31, 2025. If you have not completed the online enrollment, online training, and initial survey, complete this for your facility as soon as possible. Funding is available for licensed facilities that need lead paint or asbestos mitigation. Enroll today at https://www.cleanwaterforcarolinakids.org/enroll. If you have enrolled for only one or two of the program sections, log back in to complete surveys for the remaining section(s) to comply with the rule requirements. The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: OVER THE RAINBOW CHILDCARE CENTER Facility ID: 74000730 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 6/5/2024 Number Present: 11 Completed Date: 6/5/2024 Age: From 0 To 5 Total Minutes: 150 Time In: 10:50 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Michelle O’Kelley, Child Care Consultant accompanied me during today’s visit. D. Dixon, administrator assisted me with today’s visit. Your program currently operates with a four-star license, issued 7/10/2019 earning 5 points in the education component, 4 points in the program standards component (meeting enhanced ratio) and 1 quality point for having a staff benefits package and an infrastructure of parent involvement. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent as of 6/5/24. The NC Secretary of State website was reviewed on 6/5/2024 and your facility is not owned by a corporation. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. The license was posted, and the restrictions were in compliance. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. Children enrolled in classroom space # 2 were observed during lunch time. Lunch consisted of black-eyed peas, spaghetti, strawberry applesauce, and milk. Children enrolled in classroom space #1 were observed transitioning from lunch to rest time. Later children rested on linen covered cots and in approved cribs. Your vehicle used for transportation was not available during todays visit, you stated that the vehicle was getting inspected. The violations are as follows: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Sign In/Out record was not completed for children enrolled in classroom space #2. 10A NCAC 09 .0302(d)(4) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Staff did not wash children's hands after lunch in classroom space #2. 15A NCAC 18A .2803(c) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. Mold and mildew was present on outdoor equipment including portable equipment and roof of covered seating area. Branches with thorns were protruding through the fence line, and there was two piles of leaves along the fence line. 15A NCAC 18A .2832(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. Stored in the cabinet in the bathroom above five feet but not locked was a container of ZEP Disinfectant wipes. In the hallway closet there was a jug of Eco-lab Gel Hand Sanitizer and Hand Soap on the floor. .2820(b) 1301 Center did not maintain a record of daily attendance. Attendance was not available for children enrolled in classroom space #2. GS 110-91(9) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The last documented EPR plan review was 2/10/23. .0607(e) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff C. Harris hired on 5/28/24 was caring for children zero to one years of age in classroom space #2. A signed acknowledgment of review of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not on file. .0608(d)(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 19, 2024 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Megan Brown, Child Care Consultant PO Box 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance was provided on the following: EPR Plan & Ready To Go File: Your programs Emergency Preparedness and Response plan was created to assist you with following a plan in the event of an emergency. We discussed you must update your plan yearly or update the plan whenever changes occur in your program. The EPR Plan must identify the location of the Ready to Go File. The Ready to Go File must contain at least contact information to pick up children, each child’s completed application for child care, medication authorization and instructions, action plans for children with special health care needs, e.g., asthma, allergies, diabetes or seizures, list of allergies for children and staff, staff contact information, incident report form, area map, and emergency telephone numbers. Attendance: The health and safety of individual children requires that information regarding each child in care be kept and available when needed. Attendance records should accurately reflect the number of children in care at all times. Attendance records in each classroom should include each child that is enrolled in the space and documented as present or absent. Attendance records should also include time records of children’s arrival and departure times. There should be an attendance record for each group of children. We discussed staff should complete attendance and sign in/out records as children arrive and depart. Additional Comments: Sleep supports many body functions such as the immune system, brain development, and physical and emotional wellness. Ease transitions in the infant and toddler classroom space by dimming the classroom lights and playing soft music during the transition. Teachers can prepare children for naptime routines by using language to prepare children for the transition from meal time to nap time. Staff can also reading a calming story prior to nap to assist with the transition. Reminders: The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: OVER THE RAINBOW CHILDCARE CENTER Facility ID: 74000730 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 6/5/2024 Number Present: 11 Completed Date: 6/5/2024 Age: From 0 To 5 Total Minutes: 150 Time In: 10:50 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Michelle O’Kelley, Child Care Consultant accompanied me during today’s visit. D. Dixon, administrator assisted me with today’s visit. Your program currently operates with a four-star license, issued 7/10/2019 earning 5 points in the education component, 4 points in the program standards component (meeting enhanced ratio) and 1 quality point for having a staff benefits package and an infrastructure of parent involvement. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent as of 6/5/24. The NC Secretary of State website was reviewed on 6/5/2024 and your facility is not owned by a corporation. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. The license was posted, and the restrictions were in compliance. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. Children enrolled in classroom space # 2 were observed during lunch time. Lunch consisted of black-eyed peas, spaghetti, strawberry applesauce, and milk. Children enrolled in classroom space #1 were observed transitioning from lunch to rest time. Later children rested on linen covered cots and in approved cribs. Your vehicle used for transportation was not available during todays visit, you stated that the vehicle was getting inspected. The violations are as follows: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Sign In/Out record was not completed for children enrolled in classroom space #2. 10A NCAC 09 .0302(d)(4) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Staff did not wash children's hands after lunch in classroom space #2. 15A NCAC 18A .2803(c) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. Mold and mildew was present on outdoor equipment including portable equipment and roof of covered seating area. Branches with thorns were protruding through the fence line, and there was two piles of leaves along the fence line. 15A NCAC 18A .2832(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. Stored in the cabinet in the bathroom above five feet but not locked was a container of ZEP Disinfectant wipes. In the hallway closet there was a jug of Eco-lab Gel Hand Sanitizer and Hand Soap on the floor. .2820(b) 1301 Center did not maintain a record of daily attendance. Attendance was not available for children enrolled in classroom space #2. GS 110-91(9) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The last documented EPR plan review was 2/10/23. .0607(e) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff C. Harris hired on 5/28/24 was caring for children zero to one years of age in classroom space #2. A signed acknowledgment of review of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not on file. .0608(d)(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 19, 2024 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Megan Brown, Child Care Consultant PO Box 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance was provided on the following: EPR Plan & Ready To Go File: Your programs Emergency Preparedness and Response plan was created to assist you with following a plan in the event of an emergency. We discussed you must update your plan yearly or update the plan whenever changes occur in your program. The EPR Plan must identify the location of the Ready to Go File. The Ready to Go File must contain at least contact information to pick up children, each child’s completed application for child care, medication authorization and instructions, action plans for children with special health care needs, e.g., asthma, allergies, diabetes or seizures, list of allergies for children and staff, staff contact information, incident report form, area map, and emergency telephone numbers. Attendance: The health and safety of individual children requires that information regarding each child in care be kept and available when needed. Attendance records should accurately reflect the number of children in care at all times. Attendance records in each classroom should include each child that is enrolled in the space and documented as present or absent. Attendance records should also include time records of children’s arrival and departure times. There should be an attendance record for each group of children. We discussed staff should complete attendance and sign in/out records as children arrive and depart. Additional Comments: Sleep supports many body functions such as the immune system, brain development, and physical and emotional wellness. Ease transitions in the infant and toddler classroom space by dimming the classroom lights and playing soft music during the transition. Teachers can prepare children for naptime routines by using language to prepare children for the transition from meal time to nap time. Staff can also reading a calming story prior to nap to assist with the transition. Reminders: The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: OVER THE RAINBOW CHILDCARE CENTER Facility ID: 74000730 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 6/5/2024 Number Present: 11 Completed Date: 6/5/2024 Age: From 0 To 5 Total Minutes: 150 Time In: 10:50 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Michelle O’Kelley, Child Care Consultant accompanied me during today’s visit. D. Dixon, administrator assisted me with today’s visit. Your program currently operates with a four-star license, issued 7/10/2019 earning 5 points in the education component, 4 points in the program standards component (meeting enhanced ratio) and 1 quality point for having a staff benefits package and an infrastructure of parent involvement. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent as of 6/5/24. The NC Secretary of State website was reviewed on 6/5/2024 and your facility is not owned by a corporation. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. The license was posted, and the restrictions were in compliance. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. Children enrolled in classroom space # 2 were observed during lunch time. Lunch consisted of black-eyed peas, spaghetti, strawberry applesauce, and milk. Children enrolled in classroom space #1 were observed transitioning from lunch to rest time. Later children rested on linen covered cots and in approved cribs. Your vehicle used for transportation was not available during todays visit, you stated that the vehicle was getting inspected. The violations are as follows: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Sign In/Out record was not completed for children enrolled in classroom space #2. 10A NCAC 09 .0302(d)(4) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Staff did not wash children's hands after lunch in classroom space #2. 15A NCAC 18A .2803(c) 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. Mold and mildew was present on outdoor equipment including portable equipment and roof of covered seating area. Branches with thorns were protruding through the fence line, and there was two piles of leaves along the fence line. 15A NCAC 18A .2832(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. Stored in the cabinet in the bathroom above five feet but not locked was a container of ZEP Disinfectant wipes. In the hallway closet there was a jug of Eco-lab Gel Hand Sanitizer and Hand Soap on the floor. .2820(b) 1301 Center did not maintain a record of daily attendance. Attendance was not available for children enrolled in classroom space #2. GS 110-91(9) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The last documented EPR plan review was 2/10/23. .0607(e) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff C. Harris hired on 5/28/24 was caring for children zero to one years of age in classroom space #2. A signed acknowledgment of review of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not on file. .0608(d)(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 19, 2024 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Megan Brown, Child Care Consultant PO Box 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance was provided on the following: EPR Plan & Ready To Go File: Your programs Emergency Preparedness and Response plan was created to assist you with following a plan in the event of an emergency. We discussed you must update your plan yearly or update the plan whenever changes occur in your program. The EPR Plan must identify the location of the Ready to Go File. The Ready to Go File must contain at least contact information to pick up children, each child’s completed application for child care, medication authorization and instructions, action plans for children with special health care needs, e.g., asthma, allergies, diabetes or seizures, list of allergies for children and staff, staff contact information, incident report form, area map, and emergency telephone numbers. Attendance: The health and safety of individual children requires that information regarding each child in care be kept and available when needed. Attendance records should accurately reflect the number of children in care at all times. Attendance records in each classroom should include each child that is enrolled in the space and documented as present or absent. Attendance records should also include time records of children’s arrival and departure times. There should be an attendance record for each group of children. We discussed staff should complete attendance and sign in/out records as children arrive and depart. Additional Comments: Sleep supports many body functions such as the immune system, brain development, and physical and emotional wellness. Ease transitions in the infant and toddler classroom space by dimming the classroom lights and playing soft music during the transition. Teachers can prepare children for naptime routines by using language to prepare children for the transition from meal time to nap time. Staff can also reading a calming story prior to nap to assist with the transition. Reminders: The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0902 · Violation

Name of Operation: OVER THE RAINBOW CHILDCARE CENTER Facility ID: 74000730 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 1/10/2024 Number Present: 10 Completed Date: 1/10/2024 Age: From 0 To 3 Total Minutes: 173 Time In: 09:12 AM Time Out: 11:45 AM Time In: 03:10 PM Time Out: 03:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. D. Dixon, administrator assisted me with the visit. Your program currently operates with a four star license, issued 7/10/2019, earning 5 points in the education component, 4 points in the program standards component(meeting enhanced ratios and space ) and 1 quality point for having an infrastructure of parent involvement and staff benefits package. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted 1/27/2023. The sanitation inspection was completed 2/17/23 with a “Superior” classification. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-six percent as of 1/8/24. The NC Secretary of State website was reviewed on 1/8/24 and your facility is not owned by a corporation. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. I visited indoor and outdoor spaces. Children enrolled in space #2 were sitting at a child sized table with an activity. The teacher sat at the table with the children engaging in conversation with the children. Children one years of age engaged in free play in classroom space #1. Children under age one received care to meet their individual needs. Lunch was observed and consisted chicken nuggets, peas, peaches and milk. The following violations were documented. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. On child enrolled on 1/10/24 did not have documentation of receipt of the NC Child Care Laws on file. GS 110-102 504 Perishable foods were not stored to protect against spoilage. A bag of Southern Biscuit flour was open in food storage closet, and in the kitchen a bag of rice was open in the cabinet. 15A NCAC 18A .2806 530 Each infant was not held for bottle feeding until he/she can hold his own bottle. In classroom space #1 an infant child was in a bouncy seat with a bottle propped with a blanket. Staff then held the bottle to fed the child while the child remained in the bouncy seat. 10A NCAC 09 .0902(b) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Stored in the refrigerator was one bottle without a name or date and three bottles labeled with the child's name and no date. In classroom space #1 in a child's bag was a prepared bottle and sippy cup without a name or date. 15A NCAC 18A .2804(d) 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. A can of Lysol Disinfectant spray was stored on a shelf above five feet but not locked in classroom space #1. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Stored inside a child's bag was a jar of Aquaphor. Staff stated an authorization form was not on file. 10A NCAC 09 .0803(1)(a & b) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. One child enrolled on 1/10/24 did not have a safe sleep policy on file. 10A NCAC 09 .0606(c) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff S. Barnhill and D. Perez did not have a staff development plan on file. 10A NCAC 09 .0514(f) 1329 Application for enrollment did not include all required information. On of two children's records reviewed, the child's application did not include the health care needs. .0801(a)(1-7) 1756 Enhanced staff/child ratios and group sizes were not met. In classroom space #1 one staff member cared for six children: four children under one year of age and two children one years of age. 10A NCAC 09 .2818 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child enrolled on 1/10/24 did not have a signed acknowledgement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy on file. .0608(b)(1-6) 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 January 24, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Megan Brown, Child Care Consultant PO BOX 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance was provided on the following: Staff/Child Ratio: Research has verified that staff-child ratios and group sizes are important quality indicators. Staff-child ratio refers to the maximum number of children who may be supervised by one staff member. In classroom space #1 staff member S. Barnhill cared for six children zero to one years of age. You entered the classroom space and stated that the second teacher for the classroom space was running late. You stayed in the classroom space until staff B. Taft arrived. We discussed that when staff do not arrive on time and additional staff that are available, staff should be assigned to the classroom space to maintain staff/child ratio requirements. Children’s Files: Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Organization and completeness of records is important to ensure easy access to information in emergency situations. One child enrolled on 1/10/24 did not have documentation of receipt of the NC Child Care Laws, a signed acknowledgement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy, or a signed safe sleep policy on file. Another child’s application did not include the child’s health care needs. Review children’s files often and use the Center children’s checklist to ensure you have all required documents within the specified timeframe. Storage of Food: In child care centers, food shall be stored in approved, clean, tightly covered, storage containers once the original package is opened. Approved containers include resealable bags and other containers made of plastic or glass. Reusable containers that come in direct contact with food must be easy to clean, in good repair and intended for food storage. A bag of Southern Biscuit flour was open in food storage closet, and in the kitchen a bag of rice was open in the cabinet. When I brought this to your staff attention the cook, placed the items in proper storage. Review sanitation requirements with kitchen staff. Infant Bottles: Breast milk, formula, and other bottled beverages sent from home shall be fully prepared, dated, and labeled with individual child names. Properly dated bottles provides you, the operator with dates to ensure the contents of a bottle are safe for feedings. Stored in the refrigerator was one bottle without a name or date and three bottles labeled with the child's name and no date. Have parents label bottles as part of their preparation or have labels prepared for parent when the child arrives. Infant Feeding: The manner in which food is given to infants is conducive to the development of sound eating habits for life. Caregivers should hold infants who are bottle feeding whenever possible, even if the children are old enough to hold their own bottle. An approved highchair can be used for children who are able to hold their own bottle. Bottle propping can cause choking and aspiration and may contribute to long-term health issues. In classroom space #1 an infant child was in a bouncy seat with a bottle propped with a blanket. Staff then held the bottle to fed the child while the child remained in the bouncy seat. We discussed proper feeding for infant children. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. A can of Lysol disinfectant spray was stored on a shelf in classroom space #1. It is important to perform safety checks to ensure all hazardous items are properly stored. Locked storage rooms and cabinets include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. Professional Development Plan: Child care providers should always be encouraged to continue to grow as a professional. You are required to complete a Professional Development Plan with each staff member to set goals for on-going professional development training including annual on-going training and formal college classes. Staff S. Barnhill and D. Perez did not have a current development plan on file. We discussed annual completion of staff development plans. This is a repeated violation from the annual compliance visit conducted on 1/27/2023. Establish a tracking plan to maintain future compliance and include with your compliance verification letter. Medication: No drug or medication may be administered to any child without specific written instructions from the child's parent/guardian, a physician, or other authorized health professional. In classroom space #1 a jar of Aquaphor was stored in a child’s bag. Staff stated that there was not an authorization form on file. We discussed checking children’s personal belongings upon arrival. Additional Comments: Today you inquired about training for behavior management. We discussed contacting the behavior specialist at Martin Pitt Partnership for children and the Healthy Social Behavior hotline. Behavior and classroom management trainings are offered by South Western Child Development Commission. To register for training visit at https://www.swcdcinc.org/ . The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor contact 1-888-600-1685 option 1 or to submit a question visit https://docs.google.com/forms/d/e/1FAIpQLSc-4ADUCpoHc9MrxFvD15H12AwsNWbUtWEJRXW38q_41Y3hzA/viewform Reminders: NCDHHS Children’s Environmental Health adopted new Child Care Sanitation Rules, effective July 1, 2023. The rules have been approved but have not yet been updated in the Administrative Code. Once updated, notification will be sent out via listserv. See the training presentation, new rules and other resources at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/children.htm. The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0514 · Violation

Name of Operation: OVER THE RAINBOW CHILDCARE CENTER Facility ID: 74000730 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 1/10/2024 Number Present: 10 Completed Date: 1/10/2024 Age: From 0 To 3 Total Minutes: 173 Time In: 09:12 AM Time Out: 11:45 AM Time In: 03:10 PM Time Out: 03:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. D. Dixon, administrator assisted me with the visit. Your program currently operates with a four star license, issued 7/10/2019, earning 5 points in the education component, 4 points in the program standards component(meeting enhanced ratios and space ) and 1 quality point for having an infrastructure of parent involvement and staff benefits package. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted 1/27/2023. The sanitation inspection was completed 2/17/23 with a “Superior” classification. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-six percent as of 1/8/24. The NC Secretary of State website was reviewed on 1/8/24 and your facility is not owned by a corporation. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. I visited indoor and outdoor spaces. Children enrolled in space #2 were sitting at a child sized table with an activity. The teacher sat at the table with the children engaging in conversation with the children. Children one years of age engaged in free play in classroom space #1. Children under age one received care to meet their individual needs. Lunch was observed and consisted chicken nuggets, peas, peaches and milk. The following violations were documented. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. On child enrolled on 1/10/24 did not have documentation of receipt of the NC Child Care Laws on file. GS 110-102 504 Perishable foods were not stored to protect against spoilage. A bag of Southern Biscuit flour was open in food storage closet, and in the kitchen a bag of rice was open in the cabinet. 15A NCAC 18A .2806 530 Each infant was not held for bottle feeding until he/she can hold his own bottle. In classroom space #1 an infant child was in a bouncy seat with a bottle propped with a blanket. Staff then held the bottle to fed the child while the child remained in the bouncy seat. 10A NCAC 09 .0902(b) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Stored in the refrigerator was one bottle without a name or date and three bottles labeled with the child's name and no date. In classroom space #1 in a child's bag was a prepared bottle and sippy cup without a name or date. 15A NCAC 18A .2804(d) 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. A can of Lysol Disinfectant spray was stored on a shelf above five feet but not locked in classroom space #1. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Stored inside a child's bag was a jar of Aquaphor. Staff stated an authorization form was not on file. 10A NCAC 09 .0803(1)(a & b) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. One child enrolled on 1/10/24 did not have a safe sleep policy on file. 10A NCAC 09 .0606(c) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff S. Barnhill and D. Perez did not have a staff development plan on file. 10A NCAC 09 .0514(f) 1329 Application for enrollment did not include all required information. On of two children's records reviewed, the child's application did not include the health care needs. .0801(a)(1-7) 1756 Enhanced staff/child ratios and group sizes were not met. In classroom space #1 one staff member cared for six children: four children under one year of age and two children one years of age. 10A NCAC 09 .2818 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child enrolled on 1/10/24 did not have a signed acknowledgement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy on file. .0608(b)(1-6) 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 January 24, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Megan Brown, Child Care Consultant PO BOX 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance was provided on the following: Staff/Child Ratio: Research has verified that staff-child ratios and group sizes are important quality indicators. Staff-child ratio refers to the maximum number of children who may be supervised by one staff member. In classroom space #1 staff member S. Barnhill cared for six children zero to one years of age. You entered the classroom space and stated that the second teacher for the classroom space was running late. You stayed in the classroom space until staff B. Taft arrived. We discussed that when staff do not arrive on time and additional staff that are available, staff should be assigned to the classroom space to maintain staff/child ratio requirements. Children’s Files: Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Organization and completeness of records is important to ensure easy access to information in emergency situations. One child enrolled on 1/10/24 did not have documentation of receipt of the NC Child Care Laws, a signed acknowledgement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy, or a signed safe sleep policy on file. Another child’s application did not include the child’s health care needs. Review children’s files often and use the Center children’s checklist to ensure you have all required documents within the specified timeframe. Storage of Food: In child care centers, food shall be stored in approved, clean, tightly covered, storage containers once the original package is opened. Approved containers include resealable bags and other containers made of plastic or glass. Reusable containers that come in direct contact with food must be easy to clean, in good repair and intended for food storage. A bag of Southern Biscuit flour was open in food storage closet, and in the kitchen a bag of rice was open in the cabinet. When I brought this to your staff attention the cook, placed the items in proper storage. Review sanitation requirements with kitchen staff. Infant Bottles: Breast milk, formula, and other bottled beverages sent from home shall be fully prepared, dated, and labeled with individual child names. Properly dated bottles provides you, the operator with dates to ensure the contents of a bottle are safe for feedings. Stored in the refrigerator was one bottle without a name or date and three bottles labeled with the child's name and no date. Have parents label bottles as part of their preparation or have labels prepared for parent when the child arrives. Infant Feeding: The manner in which food is given to infants is conducive to the development of sound eating habits for life. Caregivers should hold infants who are bottle feeding whenever possible, even if the children are old enough to hold their own bottle. An approved highchair can be used for children who are able to hold their own bottle. Bottle propping can cause choking and aspiration and may contribute to long-term health issues. In classroom space #1 an infant child was in a bouncy seat with a bottle propped with a blanket. Staff then held the bottle to fed the child while the child remained in the bouncy seat. We discussed proper feeding for infant children. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. A can of Lysol disinfectant spray was stored on a shelf in classroom space #1. It is important to perform safety checks to ensure all hazardous items are properly stored. Locked storage rooms and cabinets include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. Professional Development Plan: Child care providers should always be encouraged to continue to grow as a professional. You are required to complete a Professional Development Plan with each staff member to set goals for on-going professional development training including annual on-going training and formal college classes. Staff S. Barnhill and D. Perez did not have a current development plan on file. We discussed annual completion of staff development plans. This is a repeated violation from the annual compliance visit conducted on 1/27/2023. Establish a tracking plan to maintain future compliance and include with your compliance verification letter. Medication: No drug or medication may be administered to any child without specific written instructions from the child's parent/guardian, a physician, or other authorized health professional. In classroom space #1 a jar of Aquaphor was stored in a child’s bag. Staff stated that there was not an authorization form on file. We discussed checking children’s personal belongings upon arrival. Additional Comments: Today you inquired about training for behavior management. We discussed contacting the behavior specialist at Martin Pitt Partnership for children and the Healthy Social Behavior hotline. Behavior and classroom management trainings are offered by South Western Child Development Commission. To register for training visit at https://www.swcdcinc.org/ . The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor contact 1-888-600-1685 option 1 or to submit a question visit https://docs.google.com/forms/d/e/1FAIpQLSc-4ADUCpoHc9MrxFvD15H12AwsNWbUtWEJRXW38q_41Y3hzA/viewform Reminders: NCDHHS Children’s Environmental Health adopted new Child Care Sanitation Rules, effective July 1, 2023. The rules have been approved but have not yet been updated in the Administrative Code. Once updated, notification will be sent out via listserv. See the training presentation, new rules and other resources at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/children.htm. The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0606 · Violation

Name of Operation: OVER THE RAINBOW CHILDCARE CENTER Facility ID: 74000730 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 1/10/2024 Number Present: 10 Completed Date: 1/10/2024 Age: From 0 To 3 Total Minutes: 173 Time In: 09:12 AM Time Out: 11:45 AM Time In: 03:10 PM Time Out: 03:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. D. Dixon, administrator assisted me with the visit. Your program currently operates with a four star license, issued 7/10/2019, earning 5 points in the education component, 4 points in the program standards component(meeting enhanced ratios and space ) and 1 quality point for having an infrastructure of parent involvement and staff benefits package. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted 1/27/2023. The sanitation inspection was completed 2/17/23 with a “Superior” classification. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-six percent as of 1/8/24. The NC Secretary of State website was reviewed on 1/8/24 and your facility is not owned by a corporation. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. I visited indoor and outdoor spaces. Children enrolled in space #2 were sitting at a child sized table with an activity. The teacher sat at the table with the children engaging in conversation with the children. Children one years of age engaged in free play in classroom space #1. Children under age one received care to meet their individual needs. Lunch was observed and consisted chicken nuggets, peas, peaches and milk. The following violations were documented. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. On child enrolled on 1/10/24 did not have documentation of receipt of the NC Child Care Laws on file. GS 110-102 504 Perishable foods were not stored to protect against spoilage. A bag of Southern Biscuit flour was open in food storage closet, and in the kitchen a bag of rice was open in the cabinet. 15A NCAC 18A .2806 530 Each infant was not held for bottle feeding until he/she can hold his own bottle. In classroom space #1 an infant child was in a bouncy seat with a bottle propped with a blanket. Staff then held the bottle to fed the child while the child remained in the bouncy seat. 10A NCAC 09 .0902(b) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Stored in the refrigerator was one bottle without a name or date and three bottles labeled with the child's name and no date. In classroom space #1 in a child's bag was a prepared bottle and sippy cup without a name or date. 15A NCAC 18A .2804(d) 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. A can of Lysol Disinfectant spray was stored on a shelf above five feet but not locked in classroom space #1. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Stored inside a child's bag was a jar of Aquaphor. Staff stated an authorization form was not on file. 10A NCAC 09 .0803(1)(a & b) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. One child enrolled on 1/10/24 did not have a safe sleep policy on file. 10A NCAC 09 .0606(c) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff S. Barnhill and D. Perez did not have a staff development plan on file. 10A NCAC 09 .0514(f) 1329 Application for enrollment did not include all required information. On of two children's records reviewed, the child's application did not include the health care needs. .0801(a)(1-7) 1756 Enhanced staff/child ratios and group sizes were not met. In classroom space #1 one staff member cared for six children: four children under one year of age and two children one years of age. 10A NCAC 09 .2818 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child enrolled on 1/10/24 did not have a signed acknowledgement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy on file. .0608(b)(1-6) 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 January 24, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Megan Brown, Child Care Consultant PO BOX 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance was provided on the following: Staff/Child Ratio: Research has verified that staff-child ratios and group sizes are important quality indicators. Staff-child ratio refers to the maximum number of children who may be supervised by one staff member. In classroom space #1 staff member S. Barnhill cared for six children zero to one years of age. You entered the classroom space and stated that the second teacher for the classroom space was running late. You stayed in the classroom space until staff B. Taft arrived. We discussed that when staff do not arrive on time and additional staff that are available, staff should be assigned to the classroom space to maintain staff/child ratio requirements. Children’s Files: Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Organization and completeness of records is important to ensure easy access to information in emergency situations. One child enrolled on 1/10/24 did not have documentation of receipt of the NC Child Care Laws, a signed acknowledgement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy, or a signed safe sleep policy on file. Another child’s application did not include the child’s health care needs. Review children’s files often and use the Center children’s checklist to ensure you have all required documents within the specified timeframe. Storage of Food: In child care centers, food shall be stored in approved, clean, tightly covered, storage containers once the original package is opened. Approved containers include resealable bags and other containers made of plastic or glass. Reusable containers that come in direct contact with food must be easy to clean, in good repair and intended for food storage. A bag of Southern Biscuit flour was open in food storage closet, and in the kitchen a bag of rice was open in the cabinet. When I brought this to your staff attention the cook, placed the items in proper storage. Review sanitation requirements with kitchen staff. Infant Bottles: Breast milk, formula, and other bottled beverages sent from home shall be fully prepared, dated, and labeled with individual child names. Properly dated bottles provides you, the operator with dates to ensure the contents of a bottle are safe for feedings. Stored in the refrigerator was one bottle without a name or date and three bottles labeled with the child's name and no date. Have parents label bottles as part of their preparation or have labels prepared for parent when the child arrives. Infant Feeding: The manner in which food is given to infants is conducive to the development of sound eating habits for life. Caregivers should hold infants who are bottle feeding whenever possible, even if the children are old enough to hold their own bottle. An approved highchair can be used for children who are able to hold their own bottle. Bottle propping can cause choking and aspiration and may contribute to long-term health issues. In classroom space #1 an infant child was in a bouncy seat with a bottle propped with a blanket. Staff then held the bottle to fed the child while the child remained in the bouncy seat. We discussed proper feeding for infant children. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. A can of Lysol disinfectant spray was stored on a shelf in classroom space #1. It is important to perform safety checks to ensure all hazardous items are properly stored. Locked storage rooms and cabinets include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. Professional Development Plan: Child care providers should always be encouraged to continue to grow as a professional. You are required to complete a Professional Development Plan with each staff member to set goals for on-going professional development training including annual on-going training and formal college classes. Staff S. Barnhill and D. Perez did not have a current development plan on file. We discussed annual completion of staff development plans. This is a repeated violation from the annual compliance visit conducted on 1/27/2023. Establish a tracking plan to maintain future compliance and include with your compliance verification letter. Medication: No drug or medication may be administered to any child without specific written instructions from the child's parent/guardian, a physician, or other authorized health professional. In classroom space #1 a jar of Aquaphor was stored in a child’s bag. Staff stated that there was not an authorization form on file. We discussed checking children’s personal belongings upon arrival. Additional Comments: Today you inquired about training for behavior management. We discussed contacting the behavior specialist at Martin Pitt Partnership for children and the Healthy Social Behavior hotline. Behavior and classroom management trainings are offered by South Western Child Development Commission. To register for training visit at https://www.swcdcinc.org/ . The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor contact 1-888-600-1685 option 1 or to submit a question visit https://docs.google.com/forms/d/e/1FAIpQLSc-4ADUCpoHc9MrxFvD15H12AwsNWbUtWEJRXW38q_41Y3hzA/viewform Reminders: NCDHHS Children’s Environmental Health adopted new Child Care Sanitation Rules, effective July 1, 2023. The rules have been approved but have not yet been updated in the Administrative Code. Once updated, notification will be sent out via listserv. See the training presentation, new rules and other resources at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/children.htm. The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: OVER THE RAINBOW CHILDCARE CENTER Facility ID: 74000730 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 1/10/2024 Number Present: 10 Completed Date: 1/10/2024 Age: From 0 To 3 Total Minutes: 173 Time In: 09:12 AM Time Out: 11:45 AM Time In: 03:10 PM Time Out: 03:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. D. Dixon, administrator assisted me with the visit. Your program currently operates with a four star license, issued 7/10/2019, earning 5 points in the education component, 4 points in the program standards component(meeting enhanced ratios and space ) and 1 quality point for having an infrastructure of parent involvement and staff benefits package. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted 1/27/2023. The sanitation inspection was completed 2/17/23 with a “Superior” classification. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-six percent as of 1/8/24. The NC Secretary of State website was reviewed on 1/8/24 and your facility is not owned by a corporation. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. I visited indoor and outdoor spaces. Children enrolled in space #2 were sitting at a child sized table with an activity. The teacher sat at the table with the children engaging in conversation with the children. Children one years of age engaged in free play in classroom space #1. Children under age one received care to meet their individual needs. Lunch was observed and consisted chicken nuggets, peas, peaches and milk. The following violations were documented. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. On child enrolled on 1/10/24 did not have documentation of receipt of the NC Child Care Laws on file. GS 110-102 504 Perishable foods were not stored to protect against spoilage. A bag of Southern Biscuit flour was open in food storage closet, and in the kitchen a bag of rice was open in the cabinet. 15A NCAC 18A .2806 530 Each infant was not held for bottle feeding until he/she can hold his own bottle. In classroom space #1 an infant child was in a bouncy seat with a bottle propped with a blanket. Staff then held the bottle to fed the child while the child remained in the bouncy seat. 10A NCAC 09 .0902(b) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Stored in the refrigerator was one bottle without a name or date and three bottles labeled with the child's name and no date. In classroom space #1 in a child's bag was a prepared bottle and sippy cup without a name or date. 15A NCAC 18A .2804(d) 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. A can of Lysol Disinfectant spray was stored on a shelf above five feet but not locked in classroom space #1. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Stored inside a child's bag was a jar of Aquaphor. Staff stated an authorization form was not on file. 10A NCAC 09 .0803(1)(a & b) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. One child enrolled on 1/10/24 did not have a safe sleep policy on file. 10A NCAC 09 .0606(c) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff S. Barnhill and D. Perez did not have a staff development plan on file. 10A NCAC 09 .0514(f) 1329 Application for enrollment did not include all required information. On of two children's records reviewed, the child's application did not include the health care needs. .0801(a)(1-7) 1756 Enhanced staff/child ratios and group sizes were not met. In classroom space #1 one staff member cared for six children: four children under one year of age and two children one years of age. 10A NCAC 09 .2818 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child enrolled on 1/10/24 did not have a signed acknowledgement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy on file. .0608(b)(1-6) 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 January 24, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Megan Brown, Child Care Consultant PO BOX 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance was provided on the following: Staff/Child Ratio: Research has verified that staff-child ratios and group sizes are important quality indicators. Staff-child ratio refers to the maximum number of children who may be supervised by one staff member. In classroom space #1 staff member S. Barnhill cared for six children zero to one years of age. You entered the classroom space and stated that the second teacher for the classroom space was running late. You stayed in the classroom space until staff B. Taft arrived. We discussed that when staff do not arrive on time and additional staff that are available, staff should be assigned to the classroom space to maintain staff/child ratio requirements. Children’s Files: Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Organization and completeness of records is important to ensure easy access to information in emergency situations. One child enrolled on 1/10/24 did not have documentation of receipt of the NC Child Care Laws, a signed acknowledgement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy, or a signed safe sleep policy on file. Another child’s application did not include the child’s health care needs. Review children’s files often and use the Center children’s checklist to ensure you have all required documents within the specified timeframe. Storage of Food: In child care centers, food shall be stored in approved, clean, tightly covered, storage containers once the original package is opened. Approved containers include resealable bags and other containers made of plastic or glass. Reusable containers that come in direct contact with food must be easy to clean, in good repair and intended for food storage. A bag of Southern Biscuit flour was open in food storage closet, and in the kitchen a bag of rice was open in the cabinet. When I brought this to your staff attention the cook, placed the items in proper storage. Review sanitation requirements with kitchen staff. Infant Bottles: Breast milk, formula, and other bottled beverages sent from home shall be fully prepared, dated, and labeled with individual child names. Properly dated bottles provides you, the operator with dates to ensure the contents of a bottle are safe for feedings. Stored in the refrigerator was one bottle without a name or date and three bottles labeled with the child's name and no date. Have parents label bottles as part of their preparation or have labels prepared for parent when the child arrives. Infant Feeding: The manner in which food is given to infants is conducive to the development of sound eating habits for life. Caregivers should hold infants who are bottle feeding whenever possible, even if the children are old enough to hold their own bottle. An approved highchair can be used for children who are able to hold their own bottle. Bottle propping can cause choking and aspiration and may contribute to long-term health issues. In classroom space #1 an infant child was in a bouncy seat with a bottle propped with a blanket. Staff then held the bottle to fed the child while the child remained in the bouncy seat. We discussed proper feeding for infant children. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. A can of Lysol disinfectant spray was stored on a shelf in classroom space #1. It is important to perform safety checks to ensure all hazardous items are properly stored. Locked storage rooms and cabinets include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. Professional Development Plan: Child care providers should always be encouraged to continue to grow as a professional. You are required to complete a Professional Development Plan with each staff member to set goals for on-going professional development training including annual on-going training and formal college classes. Staff S. Barnhill and D. Perez did not have a current development plan on file. We discussed annual completion of staff development plans. This is a repeated violation from the annual compliance visit conducted on 1/27/2023. Establish a tracking plan to maintain future compliance and include with your compliance verification letter. Medication: No drug or medication may be administered to any child without specific written instructions from the child's parent/guardian, a physician, or other authorized health professional. In classroom space #1 a jar of Aquaphor was stored in a child’s bag. Staff stated that there was not an authorization form on file. We discussed checking children’s personal belongings upon arrival. Additional Comments: Today you inquired about training for behavior management. We discussed contacting the behavior specialist at Martin Pitt Partnership for children and the Healthy Social Behavior hotline. Behavior and classroom management trainings are offered by South Western Child Development Commission. To register for training visit at https://www.swcdcinc.org/ . The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor contact 1-888-600-1685 option 1 or to submit a question visit https://docs.google.com/forms/d/e/1FAIpQLSc-4ADUCpoHc9MrxFvD15H12AwsNWbUtWEJRXW38q_41Y3hzA/viewform Reminders: NCDHHS Children’s Environmental Health adopted new Child Care Sanitation Rules, effective July 1, 2023. The rules have been approved but have not yet been updated in the Administrative Code. Once updated, notification will be sent out via listserv. See the training presentation, new rules and other resources at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/children.htm. The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2818 · Violation

Name of Operation: OVER THE RAINBOW CHILDCARE CENTER Facility ID: 74000730 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 1/10/2024 Number Present: 10 Completed Date: 1/10/2024 Age: From 0 To 3 Total Minutes: 173 Time In: 09:12 AM Time Out: 11:45 AM Time In: 03:10 PM Time Out: 03:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. D. Dixon, administrator assisted me with the visit. Your program currently operates with a four star license, issued 7/10/2019, earning 5 points in the education component, 4 points in the program standards component(meeting enhanced ratios and space ) and 1 quality point for having an infrastructure of parent involvement and staff benefits package. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted 1/27/2023. The sanitation inspection was completed 2/17/23 with a “Superior” classification. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-six percent as of 1/8/24. The NC Secretary of State website was reviewed on 1/8/24 and your facility is not owned by a corporation. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. I visited indoor and outdoor spaces. Children enrolled in space #2 were sitting at a child sized table with an activity. The teacher sat at the table with the children engaging in conversation with the children. Children one years of age engaged in free play in classroom space #1. Children under age one received care to meet their individual needs. Lunch was observed and consisted chicken nuggets, peas, peaches and milk. The following violations were documented. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. On child enrolled on 1/10/24 did not have documentation of receipt of the NC Child Care Laws on file. GS 110-102 504 Perishable foods were not stored to protect against spoilage. A bag of Southern Biscuit flour was open in food storage closet, and in the kitchen a bag of rice was open in the cabinet. 15A NCAC 18A .2806 530 Each infant was not held for bottle feeding until he/she can hold his own bottle. In classroom space #1 an infant child was in a bouncy seat with a bottle propped with a blanket. Staff then held the bottle to fed the child while the child remained in the bouncy seat. 10A NCAC 09 .0902(b) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Stored in the refrigerator was one bottle without a name or date and three bottles labeled with the child's name and no date. In classroom space #1 in a child's bag was a prepared bottle and sippy cup without a name or date. 15A NCAC 18A .2804(d) 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. A can of Lysol Disinfectant spray was stored on a shelf above five feet but not locked in classroom space #1. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Stored inside a child's bag was a jar of Aquaphor. Staff stated an authorization form was not on file. 10A NCAC 09 .0803(1)(a & b) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. One child enrolled on 1/10/24 did not have a safe sleep policy on file. 10A NCAC 09 .0606(c) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff S. Barnhill and D. Perez did not have a staff development plan on file. 10A NCAC 09 .0514(f) 1329 Application for enrollment did not include all required information. On of two children's records reviewed, the child's application did not include the health care needs. .0801(a)(1-7) 1756 Enhanced staff/child ratios and group sizes were not met. In classroom space #1 one staff member cared for six children: four children under one year of age and two children one years of age. 10A NCAC 09 .2818 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child enrolled on 1/10/24 did not have a signed acknowledgement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy on file. .0608(b)(1-6) 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 January 24, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Megan Brown, Child Care Consultant PO BOX 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance was provided on the following: Staff/Child Ratio: Research has verified that staff-child ratios and group sizes are important quality indicators. Staff-child ratio refers to the maximum number of children who may be supervised by one staff member. In classroom space #1 staff member S. Barnhill cared for six children zero to one years of age. You entered the classroom space and stated that the second teacher for the classroom space was running late. You stayed in the classroom space until staff B. Taft arrived. We discussed that when staff do not arrive on time and additional staff that are available, staff should be assigned to the classroom space to maintain staff/child ratio requirements. Children’s Files: Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Organization and completeness of records is important to ensure easy access to information in emergency situations. One child enrolled on 1/10/24 did not have documentation of receipt of the NC Child Care Laws, a signed acknowledgement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy, or a signed safe sleep policy on file. Another child’s application did not include the child’s health care needs. Review children’s files often and use the Center children’s checklist to ensure you have all required documents within the specified timeframe. Storage of Food: In child care centers, food shall be stored in approved, clean, tightly covered, storage containers once the original package is opened. Approved containers include resealable bags and other containers made of plastic or glass. Reusable containers that come in direct contact with food must be easy to clean, in good repair and intended for food storage. A bag of Southern Biscuit flour was open in food storage closet, and in the kitchen a bag of rice was open in the cabinet. When I brought this to your staff attention the cook, placed the items in proper storage. Review sanitation requirements with kitchen staff. Infant Bottles: Breast milk, formula, and other bottled beverages sent from home shall be fully prepared, dated, and labeled with individual child names. Properly dated bottles provides you, the operator with dates to ensure the contents of a bottle are safe for feedings. Stored in the refrigerator was one bottle without a name or date and three bottles labeled with the child's name and no date. Have parents label bottles as part of their preparation or have labels prepared for parent when the child arrives. Infant Feeding: The manner in which food is given to infants is conducive to the development of sound eating habits for life. Caregivers should hold infants who are bottle feeding whenever possible, even if the children are old enough to hold their own bottle. An approved highchair can be used for children who are able to hold their own bottle. Bottle propping can cause choking and aspiration and may contribute to long-term health issues. In classroom space #1 an infant child was in a bouncy seat with a bottle propped with a blanket. Staff then held the bottle to fed the child while the child remained in the bouncy seat. We discussed proper feeding for infant children. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. A can of Lysol disinfectant spray was stored on a shelf in classroom space #1. It is important to perform safety checks to ensure all hazardous items are properly stored. Locked storage rooms and cabinets include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. Professional Development Plan: Child care providers should always be encouraged to continue to grow as a professional. You are required to complete a Professional Development Plan with each staff member to set goals for on-going professional development training including annual on-going training and formal college classes. Staff S. Barnhill and D. Perez did not have a current development plan on file. We discussed annual completion of staff development plans. This is a repeated violation from the annual compliance visit conducted on 1/27/2023. Establish a tracking plan to maintain future compliance and include with your compliance verification letter. Medication: No drug or medication may be administered to any child without specific written instructions from the child's parent/guardian, a physician, or other authorized health professional. In classroom space #1 a jar of Aquaphor was stored in a child’s bag. Staff stated that there was not an authorization form on file. We discussed checking children’s personal belongings upon arrival. Additional Comments: Today you inquired about training for behavior management. We discussed contacting the behavior specialist at Martin Pitt Partnership for children and the Healthy Social Behavior hotline. Behavior and classroom management trainings are offered by South Western Child Development Commission. To register for training visit at https://www.swcdcinc.org/ . The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor contact 1-888-600-1685 option 1 or to submit a question visit https://docs.google.com/forms/d/e/1FAIpQLSc-4ADUCpoHc9MrxFvD15H12AwsNWbUtWEJRXW38q_41Y3hzA/viewform Reminders: NCDHHS Children’s Environmental Health adopted new Child Care Sanitation Rules, effective July 1, 2023. The rules have been approved but have not yet been updated in the Administrative Code. Once updated, notification will be sent out via listserv. See the training presentation, new rules and other resources at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/children.htm. The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-102 · Violation

Name of Operation: OVER THE RAINBOW CHILDCARE CENTER Facility ID: 74000730 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 1/10/2024 Number Present: 10 Completed Date: 1/10/2024 Age: From 0 To 3 Total Minutes: 173 Time In: 09:12 AM Time Out: 11:45 AM Time In: 03:10 PM Time Out: 03:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. D. Dixon, administrator assisted me with the visit. Your program currently operates with a four star license, issued 7/10/2019, earning 5 points in the education component, 4 points in the program standards component(meeting enhanced ratios and space ) and 1 quality point for having an infrastructure of parent involvement and staff benefits package. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted 1/27/2023. The sanitation inspection was completed 2/17/23 with a “Superior” classification. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-six percent as of 1/8/24. The NC Secretary of State website was reviewed on 1/8/24 and your facility is not owned by a corporation. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. I visited indoor and outdoor spaces. Children enrolled in space #2 were sitting at a child sized table with an activity. The teacher sat at the table with the children engaging in conversation with the children. Children one years of age engaged in free play in classroom space #1. Children under age one received care to meet their individual needs. Lunch was observed and consisted chicken nuggets, peas, peaches and milk. The following violations were documented. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. On child enrolled on 1/10/24 did not have documentation of receipt of the NC Child Care Laws on file. GS 110-102 504 Perishable foods were not stored to protect against spoilage. A bag of Southern Biscuit flour was open in food storage closet, and in the kitchen a bag of rice was open in the cabinet. 15A NCAC 18A .2806 530 Each infant was not held for bottle feeding until he/she can hold his own bottle. In classroom space #1 an infant child was in a bouncy seat with a bottle propped with a blanket. Staff then held the bottle to fed the child while the child remained in the bouncy seat. 10A NCAC 09 .0902(b) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Stored in the refrigerator was one bottle without a name or date and three bottles labeled with the child's name and no date. In classroom space #1 in a child's bag was a prepared bottle and sippy cup without a name or date. 15A NCAC 18A .2804(d) 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. A can of Lysol Disinfectant spray was stored on a shelf above five feet but not locked in classroom space #1. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Stored inside a child's bag was a jar of Aquaphor. Staff stated an authorization form was not on file. 10A NCAC 09 .0803(1)(a & b) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. One child enrolled on 1/10/24 did not have a safe sleep policy on file. 10A NCAC 09 .0606(c) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff S. Barnhill and D. Perez did not have a staff development plan on file. 10A NCAC 09 .0514(f) 1329 Application for enrollment did not include all required information. On of two children's records reviewed, the child's application did not include the health care needs. .0801(a)(1-7) 1756 Enhanced staff/child ratios and group sizes were not met. In classroom space #1 one staff member cared for six children: four children under one year of age and two children one years of age. 10A NCAC 09 .2818 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child enrolled on 1/10/24 did not have a signed acknowledgement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy on file. .0608(b)(1-6) 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 January 24, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Megan Brown, Child Care Consultant PO BOX 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance was provided on the following: Staff/Child Ratio: Research has verified that staff-child ratios and group sizes are important quality indicators. Staff-child ratio refers to the maximum number of children who may be supervised by one staff member. In classroom space #1 staff member S. Barnhill cared for six children zero to one years of age. You entered the classroom space and stated that the second teacher for the classroom space was running late. You stayed in the classroom space until staff B. Taft arrived. We discussed that when staff do not arrive on time and additional staff that are available, staff should be assigned to the classroom space to maintain staff/child ratio requirements. Children’s Files: Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Organization and completeness of records is important to ensure easy access to information in emergency situations. One child enrolled on 1/10/24 did not have documentation of receipt of the NC Child Care Laws, a signed acknowledgement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy, or a signed safe sleep policy on file. Another child’s application did not include the child’s health care needs. Review children’s files often and use the Center children’s checklist to ensure you have all required documents within the specified timeframe. Storage of Food: In child care centers, food shall be stored in approved, clean, tightly covered, storage containers once the original package is opened. Approved containers include resealable bags and other containers made of plastic or glass. Reusable containers that come in direct contact with food must be easy to clean, in good repair and intended for food storage. A bag of Southern Biscuit flour was open in food storage closet, and in the kitchen a bag of rice was open in the cabinet. When I brought this to your staff attention the cook, placed the items in proper storage. Review sanitation requirements with kitchen staff. Infant Bottles: Breast milk, formula, and other bottled beverages sent from home shall be fully prepared, dated, and labeled with individual child names. Properly dated bottles provides you, the operator with dates to ensure the contents of a bottle are safe for feedings. Stored in the refrigerator was one bottle without a name or date and three bottles labeled with the child's name and no date. Have parents label bottles as part of their preparation or have labels prepared for parent when the child arrives. Infant Feeding: The manner in which food is given to infants is conducive to the development of sound eating habits for life. Caregivers should hold infants who are bottle feeding whenever possible, even if the children are old enough to hold their own bottle. An approved highchair can be used for children who are able to hold their own bottle. Bottle propping can cause choking and aspiration and may contribute to long-term health issues. In classroom space #1 an infant child was in a bouncy seat with a bottle propped with a blanket. Staff then held the bottle to fed the child while the child remained in the bouncy seat. We discussed proper feeding for infant children. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. A can of Lysol disinfectant spray was stored on a shelf in classroom space #1. It is important to perform safety checks to ensure all hazardous items are properly stored. Locked storage rooms and cabinets include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. Professional Development Plan: Child care providers should always be encouraged to continue to grow as a professional. You are required to complete a Professional Development Plan with each staff member to set goals for on-going professional development training including annual on-going training and formal college classes. Staff S. Barnhill and D. Perez did not have a current development plan on file. We discussed annual completion of staff development plans. This is a repeated violation from the annual compliance visit conducted on 1/27/2023. Establish a tracking plan to maintain future compliance and include with your compliance verification letter. Medication: No drug or medication may be administered to any child without specific written instructions from the child's parent/guardian, a physician, or other authorized health professional. In classroom space #1 a jar of Aquaphor was stored in a child’s bag. Staff stated that there was not an authorization form on file. We discussed checking children’s personal belongings upon arrival. Additional Comments: Today you inquired about training for behavior management. We discussed contacting the behavior specialist at Martin Pitt Partnership for children and the Healthy Social Behavior hotline. Behavior and classroom management trainings are offered by South Western Child Development Commission. To register for training visit at https://www.swcdcinc.org/ . The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor contact 1-888-600-1685 option 1 or to submit a question visit https://docs.google.com/forms/d/e/1FAIpQLSc-4ADUCpoHc9MrxFvD15H12AwsNWbUtWEJRXW38q_41Y3hzA/viewform Reminders: NCDHHS Children’s Environmental Health adopted new Child Care Sanitation Rules, effective July 1, 2023. The rules have been approved but have not yet been updated in the Administrative Code. Once updated, notification will be sent out via listserv. See the training presentation, new rules and other resources at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/children.htm. The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: OVER THE RAINBOW CHILDCARE CENTER Facility ID: 74000730 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 1/10/2024 Number Present: 10 Completed Date: 1/10/2024 Age: From 0 To 3 Total Minutes: 173 Time In: 09:12 AM Time Out: 11:45 AM Time In: 03:10 PM Time Out: 03:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. D. Dixon, administrator assisted me with the visit. Your program currently operates with a four star license, issued 7/10/2019, earning 5 points in the education component, 4 points in the program standards component(meeting enhanced ratios and space ) and 1 quality point for having an infrastructure of parent involvement and staff benefits package. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted 1/27/2023. The sanitation inspection was completed 2/17/23 with a “Superior” classification. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-six percent as of 1/8/24. The NC Secretary of State website was reviewed on 1/8/24 and your facility is not owned by a corporation. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. I visited indoor and outdoor spaces. Children enrolled in space #2 were sitting at a child sized table with an activity. The teacher sat at the table with the children engaging in conversation with the children. Children one years of age engaged in free play in classroom space #1. Children under age one received care to meet their individual needs. Lunch was observed and consisted chicken nuggets, peas, peaches and milk. The following violations were documented. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. On child enrolled on 1/10/24 did not have documentation of receipt of the NC Child Care Laws on file. GS 110-102 504 Perishable foods were not stored to protect against spoilage. A bag of Southern Biscuit flour was open in food storage closet, and in the kitchen a bag of rice was open in the cabinet. 15A NCAC 18A .2806 530 Each infant was not held for bottle feeding until he/she can hold his own bottle. In classroom space #1 an infant child was in a bouncy seat with a bottle propped with a blanket. Staff then held the bottle to fed the child while the child remained in the bouncy seat. 10A NCAC 09 .0902(b) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Stored in the refrigerator was one bottle without a name or date and three bottles labeled with the child's name and no date. In classroom space #1 in a child's bag was a prepared bottle and sippy cup without a name or date. 15A NCAC 18A .2804(d) 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. A can of Lysol Disinfectant spray was stored on a shelf above five feet but not locked in classroom space #1. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Stored inside a child's bag was a jar of Aquaphor. Staff stated an authorization form was not on file. 10A NCAC 09 .0803(1)(a & b) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. One child enrolled on 1/10/24 did not have a safe sleep policy on file. 10A NCAC 09 .0606(c) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff S. Barnhill and D. Perez did not have a staff development plan on file. 10A NCAC 09 .0514(f) 1329 Application for enrollment did not include all required information. On of two children's records reviewed, the child's application did not include the health care needs. .0801(a)(1-7) 1756 Enhanced staff/child ratios and group sizes were not met. In classroom space #1 one staff member cared for six children: four children under one year of age and two children one years of age. 10A NCAC 09 .2818 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child enrolled on 1/10/24 did not have a signed acknowledgement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy on file. .0608(b)(1-6) 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 January 24, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Megan Brown, Child Care Consultant PO BOX 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance was provided on the following: Staff/Child Ratio: Research has verified that staff-child ratios and group sizes are important quality indicators. Staff-child ratio refers to the maximum number of children who may be supervised by one staff member. In classroom space #1 staff member S. Barnhill cared for six children zero to one years of age. You entered the classroom space and stated that the second teacher for the classroom space was running late. You stayed in the classroom space until staff B. Taft arrived. We discussed that when staff do not arrive on time and additional staff that are available, staff should be assigned to the classroom space to maintain staff/child ratio requirements. Children’s Files: Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Organization and completeness of records is important to ensure easy access to information in emergency situations. One child enrolled on 1/10/24 did not have documentation of receipt of the NC Child Care Laws, a signed acknowledgement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy, or a signed safe sleep policy on file. Another child’s application did not include the child’s health care needs. Review children’s files often and use the Center children’s checklist to ensure you have all required documents within the specified timeframe. Storage of Food: In child care centers, food shall be stored in approved, clean, tightly covered, storage containers once the original package is opened. Approved containers include resealable bags and other containers made of plastic or glass. Reusable containers that come in direct contact with food must be easy to clean, in good repair and intended for food storage. A bag of Southern Biscuit flour was open in food storage closet, and in the kitchen a bag of rice was open in the cabinet. When I brought this to your staff attention the cook, placed the items in proper storage. Review sanitation requirements with kitchen staff. Infant Bottles: Breast milk, formula, and other bottled beverages sent from home shall be fully prepared, dated, and labeled with individual child names. Properly dated bottles provides you, the operator with dates to ensure the contents of a bottle are safe for feedings. Stored in the refrigerator was one bottle without a name or date and three bottles labeled with the child's name and no date. Have parents label bottles as part of their preparation or have labels prepared for parent when the child arrives. Infant Feeding: The manner in which food is given to infants is conducive to the development of sound eating habits for life. Caregivers should hold infants who are bottle feeding whenever possible, even if the children are old enough to hold their own bottle. An approved highchair can be used for children who are able to hold their own bottle. Bottle propping can cause choking and aspiration and may contribute to long-term health issues. In classroom space #1 an infant child was in a bouncy seat with a bottle propped with a blanket. Staff then held the bottle to fed the child while the child remained in the bouncy seat. We discussed proper feeding for infant children. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. A can of Lysol disinfectant spray was stored on a shelf in classroom space #1. It is important to perform safety checks to ensure all hazardous items are properly stored. Locked storage rooms and cabinets include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. Professional Development Plan: Child care providers should always be encouraged to continue to grow as a professional. You are required to complete a Professional Development Plan with each staff member to set goals for on-going professional development training including annual on-going training and formal college classes. Staff S. Barnhill and D. Perez did not have a current development plan on file. We discussed annual completion of staff development plans. This is a repeated violation from the annual compliance visit conducted on 1/27/2023. Establish a tracking plan to maintain future compliance and include with your compliance verification letter. Medication: No drug or medication may be administered to any child without specific written instructions from the child's parent/guardian, a physician, or other authorized health professional. In classroom space #1 a jar of Aquaphor was stored in a child’s bag. Staff stated that there was not an authorization form on file. We discussed checking children’s personal belongings upon arrival. Additional Comments: Today you inquired about training for behavior management. We discussed contacting the behavior specialist at Martin Pitt Partnership for children and the Healthy Social Behavior hotline. Behavior and classroom management trainings are offered by South Western Child Development Commission. To register for training visit at https://www.swcdcinc.org/ . The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor contact 1-888-600-1685 option 1 or to submit a question visit https://docs.google.com/forms/d/e/1FAIpQLSc-4ADUCpoHc9MrxFvD15H12AwsNWbUtWEJRXW38q_41Y3hzA/viewform Reminders: NCDHHS Children’s Environmental Health adopted new Child Care Sanitation Rules, effective July 1, 2023. The rules have been approved but have not yet been updated in the Administrative Code. Once updated, notification will be sent out via listserv. See the training presentation, new rules and other resources at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/children.htm. The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times