Small Impressions Child Care Center

NC GS 110-90 · Violation

Name of Operation: SMALL IMPRESSIONS CHILD CARE CENTER Facility ID: 74000899 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 8/7/2025 Number Present: 21 Completed Date: 8/7/2025 Age: From 1 To 10 Total Minutes: 254 Time In: 08:46 AM Time Out: 01:00 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. W. Everette and M. Everette assisted me with the visit. Your program currently operates with a five-star license, issued 10/16/24, earning 6 points in the education component, 6 points in the program standards component (meeting enhanced space and ratio) and 1 quality point for all lead teachers and teachers have at least 5 years early childhood work experience in no more than 2 different centers. 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 8/30/24. The sanitation inspection was completed 5/55/25 with a “Superior” classification. The last fire inspection was conducted 8/30/24 and your facility was approved for day time and night care. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-four percent as of 8/5/25. The NC Secretary of State website was reviewed on 8/5/25 and Small Impressions Child Care Center LLC was listed as current- active. I visited indoor and outdoor spaces. Children enrolled in classroom space #2 were observed sharing their answers to a writing activity and later were observed during free play. In classroom space #1 children sat on the carpet with the teacher during free play. The teacher engaged in conversation with the children. Lunch was observed and included ham and cheese sandwich on wheat bread, lettuce and tomato salad, mandarin oranges, and milk. The following violations were documented. Violation Number Comment Rule 303 Children were not adequately supervised at all times. One staff member cared for seventeen children one to ten years of age on the playground while one staff member entered the building. .1801(a)(1-5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A tube if Aquaphor was located on the seat and a nasal spray was in the center console of the van not in locked storage. 15A NCAC 18A .2820(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Two of thirteen children permission to transport form was expired. .1003(i)(j) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Four of four staff did not have a current health questionnaire on file. .0701(d) 1898 Staff did not complete the health and safety training within one year of employment. Staff hired on 7/17/24 did not complete the health and safety training within one year of employment. .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 August 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: Supervision: Adequate supervision of children is essential to keep children safe from accidents and injuries. Staff must remain with the children assigned to them at all times. Leaving a child or a group of children alone is unacceptable. One staff was observed inside the building, when I inquired the teacher assigned to classroom space #3 was caring for both groups of children, seventeen children three to ten years of age on the playground. The staff returned to the playground. We discussed that staff must maintain ratio of the youngest child when combining groups. It is important to have adequate staff at your facility to ensure supervision is not comprised. Use float staff when restroom breaks are needed. 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. Prior to being transported, permission must be granted by each child’s parent stating when and where the child will be transported to and from. One child’s permission form expired on 9/18/24 and another child’s form expired on 3/15/24. Have parents complete updated forms once a year to ensure they are up to date. Health & Safety Trainings: Child care operators, additional caregivers, and substitute providers were required to complete health and safety training offered by the Division no later than June 30, 2018. During a review of staff training hours, one staff hired 7/17/24 did not complete health and safety trainings within one year of hire. We discussed with director that all staff can complete the trainings during orientation to ensure the deadline is met. Additional Comments: As DCDEE transitions to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition will begin soon with the following informational opportunities: August 18th 1:00pm August 20th at 6:30pm Please make time to attend one of the information sessions. We reviewed Pathways 1, 2, and 3 today. Visit the QRIS Modernization page on the DCDEE website under the “What’s New” tab to learn more on the Pathways. Reminders: The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor contact 1-888-600-1685 option 1 or to submit a question visit https://docs.google.com/forms/d/e/1FAIpQLSc-4ADUCpoHc9MrxFvD15H12AwsNWbUtWEJRXW38q_41Y3hzA/viewform The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1003 · Violation

Name of Operation: SMALL IMPRESSIONS CHILD CARE CENTER Facility ID: 74000899 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 3/19/2025 Number Present: 22 Completed Date: 3/19/2025 Age: From 0 To 9 Total Minutes: 134 Time In: 09:36 AM Time Out: 11:50 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. W. Everett, director, assisted me with today’s visit. Your program currently operates with a five-star license, issued 1/16/24, earning 6 points in the education component, 6 points in the program standards component (meeting enhanced ratios) and 1 quality point for the education option: All lead teachers and teachers have at least 5 years EC work experience in no more than 2 different centers. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent as of 3/18/25. The NC Secretary of State website was reviewed on 3/18/25 and Small Impressions Child Care Center LLC was listed as active-not current. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and the facility email address was updated. The license was posted, and the restrictions were in compliance. Today I completed a walk through of the facility, monitoring all indoor and outdoor environments. Three groups of children were observed in the indoor and outdoor environments. Children enrolled in space were engaged in free play with shape blocks. The teacher sat with the children assisting them with buildings structures and singing with the children. Proper handwashing and diapering procedures were observed. Children enrolled in spaces #2 and #3, were engaged in indoor free play, engaging with learning materials including floor puzzles, markers, blocks and toy food. Staff were observed moving about the spaces and talking with the children as they play. In the outdoor space, children rode tricycles and moved freely about the space. Mulch has been recently added in the enclosed areas. Lunch was observed and consisted of spaghetti, corn, pineapples, bread, and milk. The following violation was observed. Violation Number Comment Rule 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. Transportation rosters documenting the attendance was not available for the month of March 2025 on van #2. 10A NCAC 09 .1003(l) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 4/2/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Transportation Rosters- The list of children being transported from school to the facility must be used to check the children as they are both boarding and exiting the vehicle. The transportation rosters for van #2 were not available. It was reported that there was a spill on the rosters and they were put in the trash. We discussed immediately transferring the information to a new form to ensure you maintain current and accurate records. Today, you printed more copies of the roster to be added to the van. Review the transportation requirements with all staff that transport children. Complete periodic audits of your records to ensure the records are maintained as required. Additional Comments: ABCMS Provider Portal - 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 stated you were unaware of the training. The process of notifying the Division has changed and is now captured in ABCMS. At this time, you will need to continue to work on your facility roster by linking your staff to the facility. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. For Technical Website Difficulties please email DCDEE_ABCMS_Provider@dhhs.nc.gov. All emails will be returned within two business days. Raise NC Newsletters- Stay informed by subscribing to the weekly Raise NC Newsletters. The newsletters include updates on policies, programs and resources. It also highlights stories of local families, providers, and community leaders and showcases the impact of early care and learning across the state of North Carolina. Subscribe today by visiting https://ncchildcare.ncdhhs.gov/. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ Natural Learning Initiative has created resources, often in collaboration with the Natural Learning Initiative’s interdisciplinary partners, to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience and growth of all children. You can explore and use these resources on their website https://naturalearning.org/resources. Required Water, Lead Paint, and Asbestos Testing - Child care rules require child care facilities to test for lead in drinking water, lead paint, and asbestos. Check out the FAQ in the updated Clean Classrooms for Carolina Kids. Currently there is funding to pay for the testing and to mitigate lead paint or asbestos hazards. Depending on the age of your home or building and the information you provide in the enrollment process, testing for lead paint and asbestos may not be required. For more information go to https://www.cleanwaterforuskids.org/en/carolina/ or contact your Environmental Health Specialist. Per the Clean Classrooms for Carolina Kids website you have completed all required tests and are waiting for your Asbestos results. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: SMALL IMPRESSIONS CHILD CARE CENTER Facility ID: 74000899 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 3/19/2025 Number Present: 22 Completed Date: 3/19/2025 Age: From 0 To 9 Total Minutes: 134 Time In: 09:36 AM Time Out: 11:50 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. W. Everett, director, assisted me with today’s visit. Your program currently operates with a five-star license, issued 1/16/24, earning 6 points in the education component, 6 points in the program standards component (meeting enhanced ratios) and 1 quality point for the education option: All lead teachers and teachers have at least 5 years EC work experience in no more than 2 different centers. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent as of 3/18/25. The NC Secretary of State website was reviewed on 3/18/25 and Small Impressions Child Care Center LLC was listed as active-not current. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and the facility email address was updated. The license was posted, and the restrictions were in compliance. Today I completed a walk through of the facility, monitoring all indoor and outdoor environments. Three groups of children were observed in the indoor and outdoor environments. Children enrolled in space were engaged in free play with shape blocks. The teacher sat with the children assisting them with buildings structures and singing with the children. Proper handwashing and diapering procedures were observed. Children enrolled in spaces #2 and #3, were engaged in indoor free play, engaging with learning materials including floor puzzles, markers, blocks and toy food. Staff were observed moving about the spaces and talking with the children as they play. In the outdoor space, children rode tricycles and moved freely about the space. Mulch has been recently added in the enclosed areas. Lunch was observed and consisted of spaghetti, corn, pineapples, bread, and milk. The following violation was observed. Violation Number Comment Rule 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. Transportation rosters documenting the attendance was not available for the month of March 2025 on van #2. 10A NCAC 09 .1003(l) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 4/2/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Transportation Rosters- The list of children being transported from school to the facility must be used to check the children as they are both boarding and exiting the vehicle. The transportation rosters for van #2 were not available. It was reported that there was a spill on the rosters and they were put in the trash. We discussed immediately transferring the information to a new form to ensure you maintain current and accurate records. Today, you printed more copies of the roster to be added to the van. Review the transportation requirements with all staff that transport children. Complete periodic audits of your records to ensure the records are maintained as required. Additional Comments: ABCMS Provider Portal - 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 stated you were unaware of the training. The process of notifying the Division has changed and is now captured in ABCMS. At this time, you will need to continue to work on your facility roster by linking your staff to the facility. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. For Technical Website Difficulties please email DCDEE_ABCMS_Provider@dhhs.nc.gov. All emails will be returned within two business days. Raise NC Newsletters- Stay informed by subscribing to the weekly Raise NC Newsletters. The newsletters include updates on policies, programs and resources. It also highlights stories of local families, providers, and community leaders and showcases the impact of early care and learning across the state of North Carolina. Subscribe today by visiting https://ncchildcare.ncdhhs.gov/. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ Natural Learning Initiative has created resources, often in collaboration with the Natural Learning Initiative’s interdisciplinary partners, to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience and growth of all children. You can explore and use these resources on their website https://naturalearning.org/resources. Required Water, Lead Paint, and Asbestos Testing - Child care rules require child care facilities to test for lead in drinking water, lead paint, and asbestos. Check out the FAQ in the updated Clean Classrooms for Carolina Kids. Currently there is funding to pay for the testing and to mitigate lead paint or asbestos hazards. Depending on the age of your home or building and the information you provide in the enrollment process, testing for lead paint and asbestos may not be required. For more information go to https://www.cleanwaterforuskids.org/en/carolina/ or contact your Environmental Health Specialist. Per the Clean Classrooms for Carolina Kids website you have completed all required tests and are waiting for your Asbestos results. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: SMALL IMPRESSIONS CHILD CARE CENTER Facility ID: 74000899 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 3/19/2025 Number Present: 22 Completed Date: 3/19/2025 Age: From 0 To 9 Total Minutes: 134 Time In: 09:36 AM Time Out: 11:50 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. W. Everett, director, assisted me with today’s visit. Your program currently operates with a five-star license, issued 1/16/24, earning 6 points in the education component, 6 points in the program standards component (meeting enhanced ratios) and 1 quality point for the education option: All lead teachers and teachers have at least 5 years EC work experience in no more than 2 different centers. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent as of 3/18/25. The NC Secretary of State website was reviewed on 3/18/25 and Small Impressions Child Care Center LLC was listed as active-not current. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and the facility email address was updated. The license was posted, and the restrictions were in compliance. Today I completed a walk through of the facility, monitoring all indoor and outdoor environments. Three groups of children were observed in the indoor and outdoor environments. Children enrolled in space were engaged in free play with shape blocks. The teacher sat with the children assisting them with buildings structures and singing with the children. Proper handwashing and diapering procedures were observed. Children enrolled in spaces #2 and #3, were engaged in indoor free play, engaging with learning materials including floor puzzles, markers, blocks and toy food. Staff were observed moving about the spaces and talking with the children as they play. In the outdoor space, children rode tricycles and moved freely about the space. Mulch has been recently added in the enclosed areas. Lunch was observed and consisted of spaghetti, corn, pineapples, bread, and milk. The following violation was observed. Violation Number Comment Rule 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. Transportation rosters documenting the attendance was not available for the month of March 2025 on van #2. 10A NCAC 09 .1003(l) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 4/2/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Transportation Rosters- The list of children being transported from school to the facility must be used to check the children as they are both boarding and exiting the vehicle. The transportation rosters for van #2 were not available. It was reported that there was a spill on the rosters and they were put in the trash. We discussed immediately transferring the information to a new form to ensure you maintain current and accurate records. Today, you printed more copies of the roster to be added to the van. Review the transportation requirements with all staff that transport children. Complete periodic audits of your records to ensure the records are maintained as required. Additional Comments: ABCMS Provider Portal - 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 stated you were unaware of the training. The process of notifying the Division has changed and is now captured in ABCMS. At this time, you will need to continue to work on your facility roster by linking your staff to the facility. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. For Technical Website Difficulties please email DCDEE_ABCMS_Provider@dhhs.nc.gov. All emails will be returned within two business days. Raise NC Newsletters- Stay informed by subscribing to the weekly Raise NC Newsletters. The newsletters include updates on policies, programs and resources. It also highlights stories of local families, providers, and community leaders and showcases the impact of early care and learning across the state of North Carolina. Subscribe today by visiting https://ncchildcare.ncdhhs.gov/. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ Natural Learning Initiative has created resources, often in collaboration with the Natural Learning Initiative’s interdisciplinary partners, to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience and growth of all children. You can explore and use these resources on their website https://naturalearning.org/resources. Required Water, Lead Paint, and Asbestos Testing - Child care rules require child care facilities to test for lead in drinking water, lead paint, and asbestos. Check out the FAQ in the updated Clean Classrooms for Carolina Kids. Currently there is funding to pay for the testing and to mitigate lead paint or asbestos hazards. Depending on the age of your home or building and the information you provide in the enrollment process, testing for lead paint and asbestos may not be required. For more information go to https://www.cleanwaterforuskids.org/en/carolina/ or contact your Environmental Health Specialist. Per the Clean Classrooms for Carolina Kids website you have completed all required tests and are waiting for your Asbestos results. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at 252-751-8634, LeShaunda.McCotter@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: SMALL IMPRESSIONS CHILD CARE CENTER Facility ID: 74000899 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 8/30/2024 Number Present: 8 Completed Date: 8/30/2024 Age: From 1 To 4 Total Minutes: 230 Time In: 08:40 AM Time Out: 12:30 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. Michelle O’Kelley, Child Care Consultant accompanied me during today’s visit. W. Everette and M. Everette assisted me with the visit. Your program currently operates with a five-star license, issued 6/1/2023, earning 6 points in the education component, 6 points in the program standards component (meeting enhanced space and ratio) and 1 quality point for all lead teachers and teachers have at least 5 years early childhood work experience in no more than 2 different centers. 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 9/12/2023. The sanitation inspection was completed 6/28/24 with a “Superior” classification. The last fire inspection was conducted 8/29/23 and your facility was approved for day time and night care. You contacted the fire Marshall during today’s visit, Jay Morris arrived during the visit to complete the fire inspection. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent as of 8/30/24. The NC Secretary of State website was reviewed on 8/30/24 and Small Impressions Child Care Center LLC was listed as current- active. I visited indoor and outdoor spaces. Children enrolled in classroom space #1 were engaged in free play with a flower that played music and repeated words, each child took a turn speaking and listening to the flower repeat their language. In classroom space #3 the engaged in free play with animals, and dramatic play items. Handwashing was observed. Today’s lunch menu reflected chicken strips, buns, fruit cocktail, potatoes and milk. The following violations were documented. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The facilities last fire inspection was conducted on 8/29/23. The fire inspection was completed during todays visit. 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. The sink in the hallway bathroom was leaking. The bolts of the mulch border around the truck in outdoor space #2 we protruding, the patio storage seat was cracked, the shelf storage with the waffle blocks was rusted, and the seat to the seesaw was broken. The bolts on the carport shelter in outdoor space #2 were protruding and there was a crack in the mulch border that created a pinch point. 10A NCAC 09 .0601(a) 823 Toxic plants were accessible to children. In classrooms space #2 there was a Peace Lilly on top of a shelf in the block area. .0604(l) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch around a stationary rock climbing structure in outdoor space #2 measured less than an inch. .0605(k)(1-4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff M. Everette did not have a five year renewal of the Recognizing and Responding to Suspicions of Maltreatment training. .1103(b) 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 September 13, 2023 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: Plants: Plants are important to our health and well-being and are a great lesson in learning to understand and respect our environment. However, some plants can be harmful when eaten or touched. Plants are among the most common household substances that children ingest. Determining the toxicity of every commercially available household plant is difficult. A more reasonable approach is to keep any unknown plant out of the environment that children use. All outdoor plants and their leaves, fruit, and stems should be considered potentially toxic. You stated you did not know that the Peace Lily was poisonous and you will remove it today. When bringing new plants into the facility check DCDEE website for which plants are poisonous. Surfacing: Parents/guardians expect that their child will not be exposed to hazardous play environments, yet will have the opportunity for free, creative play. The depth of the mulch surrounding the rock climber on the preschool/school-age outdoor space is not the required six (6) inches. You stated you would add more mulch around the rock-climbing structure. Properly laid out outdoor play spaces, age-appropriate, properly designed and maintained equipment, and installation of energy-absorbing surfaces help to reduce both the potential and the severity of injury. Outdoor Equipment: Proper maintenance is a key factor when trying to ensure a safe play environment for children. During today’s inspection, I observed anchor bolts protruding up, seesaw seat cracked, bench seat cracked, edging cracked, and a rusted shelf on the playground. You stated you would get your dad to hammer the bolts back down and that you had just bought the seesaw seats and didn’t know that one was already cracked. You stated you would get these taken care of next week. Equipment must be sturdy, stable, and free of hazards that are accessible to children during normal supervised play including splinters. Any hazardous equipment should be made inaccessible to children by barriers or removed until rendered safe or replaced. Limiting access to hazardous equipment can prevent injuries to children and staff in child care. Ongoing Health and Safety Training Requirements: Staff training requirements are essential for adults who interact with and teach children. These requirements protect children in child care facilities by ensuring these facilities provide a physically safe and healthy environment where the developmental needs of children are being met and where children are cared for by qualified staff. M. Everett had a training certificate on file for Recognizing and Responding to Suspicions of Maltreatment completed on 4/24/17. You stated you did not realize that it needed to be retaken every five years. Research demonstrates knowledge of why health and safety training is important and enhances your ability to work with young children appropriately and to the full benefit of the child. You can find a free training at https://www.preventchildabusenc.org/ Additional Comments: Today we reviewed section .2500 of the child care rules regarding activities areas. We also discussed creating a natural outdoor learning environment. Time outdoors is a critical tool for supporting mental and physical health in young children. Adoption of best practices for outdoor play and learning spaces is critical to increase daily time spent outside. The four components of this project include: 1. Relaunch a supportive network for outdoor play and learning environments in North Carolina; 2. Research nature-based programs and spaces and develop a plan to embed these in licensed childcare in North Carolina; 3. Motivate and train early educators and specialists to promote best practices and increase time in outdoor play and learning in NC childcare facilities; 4. Increase time outdoors playing and learning in NC family child care homes through professional development and technical assistance. Visit their website at https://naturalearning.org/ for resources on creating natural environments for your playground, trainings, playground design assistance and sign up for their newsletter. Reminders: The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor contact 1-888-600-1685 option 1 or to submit a question visit https://docs.google.com/forms/d/e/1FAIpQLSc-4ADUCpoHc9MrxFvD15H12AwsNWbUtWEJRXW38q_41Y3hzA/viewform The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: SMALL IMPRESSIONS CHILD CARE CENTER Facility ID: 74000899 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 8/30/2024 Number Present: 8 Completed Date: 8/30/2024 Age: From 1 To 4 Total Minutes: 230 Time In: 08:40 AM Time Out: 12:30 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. Michelle O’Kelley, Child Care Consultant accompanied me during today’s visit. W. Everette and M. Everette assisted me with the visit. Your program currently operates with a five-star license, issued 6/1/2023, earning 6 points in the education component, 6 points in the program standards component (meeting enhanced space and ratio) and 1 quality point for all lead teachers and teachers have at least 5 years early childhood work experience in no more than 2 different centers. 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 9/12/2023. The sanitation inspection was completed 6/28/24 with a “Superior” classification. The last fire inspection was conducted 8/29/23 and your facility was approved for day time and night care. You contacted the fire Marshall during today’s visit, Jay Morris arrived during the visit to complete the fire inspection. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent as of 8/30/24. The NC Secretary of State website was reviewed on 8/30/24 and Small Impressions Child Care Center LLC was listed as current- active. I visited indoor and outdoor spaces. Children enrolled in classroom space #1 were engaged in free play with a flower that played music and repeated words, each child took a turn speaking and listening to the flower repeat their language. In classroom space #3 the engaged in free play with animals, and dramatic play items. Handwashing was observed. Today’s lunch menu reflected chicken strips, buns, fruit cocktail, potatoes and milk. The following violations were documented. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The facilities last fire inspection was conducted on 8/29/23. The fire inspection was completed during todays visit. 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. The sink in the hallway bathroom was leaking. The bolts of the mulch border around the truck in outdoor space #2 we protruding, the patio storage seat was cracked, the shelf storage with the waffle blocks was rusted, and the seat to the seesaw was broken. The bolts on the carport shelter in outdoor space #2 were protruding and there was a crack in the mulch border that created a pinch point. 10A NCAC 09 .0601(a) 823 Toxic plants were accessible to children. In classrooms space #2 there was a Peace Lilly on top of a shelf in the block area. .0604(l) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch around a stationary rock climbing structure in outdoor space #2 measured less than an inch. .0605(k)(1-4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff M. Everette did not have a five year renewal of the Recognizing and Responding to Suspicions of Maltreatment training. .1103(b) 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 September 13, 2023 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: Plants: Plants are important to our health and well-being and are a great lesson in learning to understand and respect our environment. However, some plants can be harmful when eaten or touched. Plants are among the most common household substances that children ingest. Determining the toxicity of every commercially available household plant is difficult. A more reasonable approach is to keep any unknown plant out of the environment that children use. All outdoor plants and their leaves, fruit, and stems should be considered potentially toxic. You stated you did not know that the Peace Lily was poisonous and you will remove it today. When bringing new plants into the facility check DCDEE website for which plants are poisonous. Surfacing: Parents/guardians expect that their child will not be exposed to hazardous play environments, yet will have the opportunity for free, creative play. The depth of the mulch surrounding the rock climber on the preschool/school-age outdoor space is not the required six (6) inches. You stated you would add more mulch around the rock-climbing structure. Properly laid out outdoor play spaces, age-appropriate, properly designed and maintained equipment, and installation of energy-absorbing surfaces help to reduce both the potential and the severity of injury. Outdoor Equipment: Proper maintenance is a key factor when trying to ensure a safe play environment for children. During today’s inspection, I observed anchor bolts protruding up, seesaw seat cracked, bench seat cracked, edging cracked, and a rusted shelf on the playground. You stated you would get your dad to hammer the bolts back down and that you had just bought the seesaw seats and didn’t know that one was already cracked. You stated you would get these taken care of next week. Equipment must be sturdy, stable, and free of hazards that are accessible to children during normal supervised play including splinters. Any hazardous equipment should be made inaccessible to children by barriers or removed until rendered safe or replaced. Limiting access to hazardous equipment can prevent injuries to children and staff in child care. Ongoing Health and Safety Training Requirements: Staff training requirements are essential for adults who interact with and teach children. These requirements protect children in child care facilities by ensuring these facilities provide a physically safe and healthy environment where the developmental needs of children are being met and where children are cared for by qualified staff. M. Everett had a training certificate on file for Recognizing and Responding to Suspicions of Maltreatment completed on 4/24/17. You stated you did not realize that it needed to be retaken every five years. Research demonstrates knowledge of why health and safety training is important and enhances your ability to work with young children appropriately and to the full benefit of the child. You can find a free training at https://www.preventchildabusenc.org/ Additional Comments: Today we reviewed section .2500 of the child care rules regarding activities areas. We also discussed creating a natural outdoor learning environment. Time outdoors is a critical tool for supporting mental and physical health in young children. Adoption of best practices for outdoor play and learning spaces is critical to increase daily time spent outside. The four components of this project include: 1. Relaunch a supportive network for outdoor play and learning environments in North Carolina; 2. Research nature-based programs and spaces and develop a plan to embed these in licensed childcare in North Carolina; 3. Motivate and train early educators and specialists to promote best practices and increase time in outdoor play and learning in NC childcare facilities; 4. Increase time outdoors playing and learning in NC family child care homes through professional development and technical assistance. Visit their website at https://naturalearning.org/ for resources on creating natural environments for your playground, trainings, playground design assistance and sign up for their newsletter. Reminders: The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor contact 1-888-600-1685 option 1 or to submit a question visit https://docs.google.com/forms/d/e/1FAIpQLSc-4ADUCpoHc9MrxFvD15H12AwsNWbUtWEJRXW38q_41Y3hzA/viewform The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: SMALL IMPRESSIONS CHILD CARE CENTER Facility ID: 74000899 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 8/30/2024 Number Present: 8 Completed Date: 8/30/2024 Age: From 1 To 4 Total Minutes: 230 Time In: 08:40 AM Time Out: 12:30 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. Michelle O’Kelley, Child Care Consultant accompanied me during today’s visit. W. Everette and M. Everette assisted me with the visit. Your program currently operates with a five-star license, issued 6/1/2023, earning 6 points in the education component, 6 points in the program standards component (meeting enhanced space and ratio) and 1 quality point for all lead teachers and teachers have at least 5 years early childhood work experience in no more than 2 different centers. 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 9/12/2023. The sanitation inspection was completed 6/28/24 with a “Superior” classification. The last fire inspection was conducted 8/29/23 and your facility was approved for day time and night care. You contacted the fire Marshall during today’s visit, Jay Morris arrived during the visit to complete the fire inspection. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent as of 8/30/24. The NC Secretary of State website was reviewed on 8/30/24 and Small Impressions Child Care Center LLC was listed as current- active. I visited indoor and outdoor spaces. Children enrolled in classroom space #1 were engaged in free play with a flower that played music and repeated words, each child took a turn speaking and listening to the flower repeat their language. In classroom space #3 the engaged in free play with animals, and dramatic play items. Handwashing was observed. Today’s lunch menu reflected chicken strips, buns, fruit cocktail, potatoes and milk. The following violations were documented. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The facilities last fire inspection was conducted on 8/29/23. The fire inspection was completed during todays visit. 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. The sink in the hallway bathroom was leaking. The bolts of the mulch border around the truck in outdoor space #2 we protruding, the patio storage seat was cracked, the shelf storage with the waffle blocks was rusted, and the seat to the seesaw was broken. The bolts on the carport shelter in outdoor space #2 were protruding and there was a crack in the mulch border that created a pinch point. 10A NCAC 09 .0601(a) 823 Toxic plants were accessible to children. In classrooms space #2 there was a Peace Lilly on top of a shelf in the block area. .0604(l) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch around a stationary rock climbing structure in outdoor space #2 measured less than an inch. .0605(k)(1-4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff M. Everette did not have a five year renewal of the Recognizing and Responding to Suspicions of Maltreatment training. .1103(b) 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 September 13, 2023 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: Plants: Plants are important to our health and well-being and are a great lesson in learning to understand and respect our environment. However, some plants can be harmful when eaten or touched. Plants are among the most common household substances that children ingest. Determining the toxicity of every commercially available household plant is difficult. A more reasonable approach is to keep any unknown plant out of the environment that children use. All outdoor plants and their leaves, fruit, and stems should be considered potentially toxic. You stated you did not know that the Peace Lily was poisonous and you will remove it today. When bringing new plants into the facility check DCDEE website for which plants are poisonous. Surfacing: Parents/guardians expect that their child will not be exposed to hazardous play environments, yet will have the opportunity for free, creative play. The depth of the mulch surrounding the rock climber on the preschool/school-age outdoor space is not the required six (6) inches. You stated you would add more mulch around the rock-climbing structure. Properly laid out outdoor play spaces, age-appropriate, properly designed and maintained equipment, and installation of energy-absorbing surfaces help to reduce both the potential and the severity of injury. Outdoor Equipment: Proper maintenance is a key factor when trying to ensure a safe play environment for children. During today’s inspection, I observed anchor bolts protruding up, seesaw seat cracked, bench seat cracked, edging cracked, and a rusted shelf on the playground. You stated you would get your dad to hammer the bolts back down and that you had just bought the seesaw seats and didn’t know that one was already cracked. You stated you would get these taken care of next week. Equipment must be sturdy, stable, and free of hazards that are accessible to children during normal supervised play including splinters. Any hazardous equipment should be made inaccessible to children by barriers or removed until rendered safe or replaced. Limiting access to hazardous equipment can prevent injuries to children and staff in child care. Ongoing Health and Safety Training Requirements: Staff training requirements are essential for adults who interact with and teach children. These requirements protect children in child care facilities by ensuring these facilities provide a physically safe and healthy environment where the developmental needs of children are being met and where children are cared for by qualified staff. M. Everett had a training certificate on file for Recognizing and Responding to Suspicions of Maltreatment completed on 4/24/17. You stated you did not realize that it needed to be retaken every five years. Research demonstrates knowledge of why health and safety training is important and enhances your ability to work with young children appropriately and to the full benefit of the child. You can find a free training at https://www.preventchildabusenc.org/ Additional Comments: Today we reviewed section .2500 of the child care rules regarding activities areas. We also discussed creating a natural outdoor learning environment. Time outdoors is a critical tool for supporting mental and physical health in young children. Adoption of best practices for outdoor play and learning spaces is critical to increase daily time spent outside. The four components of this project include: 1. Relaunch a supportive network for outdoor play and learning environments in North Carolina; 2. Research nature-based programs and spaces and develop a plan to embed these in licensed childcare in North Carolina; 3. Motivate and train early educators and specialists to promote best practices and increase time in outdoor play and learning in NC childcare facilities; 4. Increase time outdoors playing and learning in NC family child care homes through professional development and technical assistance. Visit their website at https://naturalearning.org/ for resources on creating natural environments for your playground, trainings, playground design assistance and sign up for their newsletter. Reminders: The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor contact 1-888-600-1685 option 1 or to submit a question visit https://docs.google.com/forms/d/e/1FAIpQLSc-4ADUCpoHc9MrxFvD15H12AwsNWbUtWEJRXW38q_41Y3hzA/viewform The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: SMALL IMPRESSIONS CHILD CARE CENTER Facility ID: 74000899 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 4/4/2024 Number Present: 12 Completed Date: 4/4/2024 Age: From 1 To 4 Total Minutes: 195 Time In: 08:45 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Michelle O’Kelley Child Care Consultant accompanied me during today’s visit. M. Everett, owner assisted me with today’s visit. Your program currently operates with a five-star license, issued 6/1/2023 earning 6 points in the education component, 6 points in the program standards component (meeting enhanced space and ratio) and 1 quality point for having a all lead teachers and teachers having at least 5 years of EC work experience in no more than 2 different centers. 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 center's compliance history was reviewed with the operator. The program’s compliance history was eighty seven percent as of 4/1/24. The NC Secretary of State website was reviewed on 4/3/2024 and Small Impressions Child Care Center LLC was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. 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. I observed children in the indoor learning environments and found supervision and staff/child ratios to be in compliance. Children enrolled in space #1 and space #3 were engaged in free play with age appropriate materials. Children in space #2 were completing an activity about the earth and moon and engaging in conversation with the teacher. The following violations were observed. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In outdoor space #2 there was an active ant hill by the stationary bike, two holes in the ground by the climber boarder and picnic tables that created a tripping hazard, there were small cracks in the bridge of the portable climber. In outdoor space #1 the top of the little tykes table was broken around the edges. 10A NCAC 09 .0601(a) 853 Incident logs were not completed and maintained as required. An incident report was on file for an incident that occurred on 2/1/2024, the incident was not documented on the incident log. .0802(g)(1-6) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The 2019 Transit 350 XLT registration expired March 31, 2024. .1002(b) 1123 All vehicles used to transport children were not free of hazards. The window on the 2019 Transit XLT van was broken, cardboard was placed over the opening and tire treads on the front passenger and rear driver side measured less than 2/32 of an inch. 10A NCAC 09 .1002(a) 1301 Center did not maintain a record of daily attendance. Attendance for children enrolled in classroom space #2 was not available for April 1-3, 2024. GS 110-91(9) 1820 The EPR Plan did not include evacuation diagrams showing how the staff, children, and any other individuals who may be present will evacuate during an emergency. The facilities EPR plan did not include the evacuation diagram. .0607(d)(7) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 18, 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 with violations documented: 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. We treating ant hills and removing broken equipment. Vehicle Maintenance: Children should be cared for and transported in safe environments. Maintaining interior of vehicles is important to the safety of children. You stated that the company ordered the wrong window for the van. You provided a text message that confirmed Safelite would be at the facility to repair the window on 4/8/24. You also stated that you would have the tires changed. Vehicle Registration: Transporting children is a high risk activity, particularly for child care centers. Child care operators, staff members need to be aware that transporting children requires careful planning and proactive, protective measures to ensure the safety of children and staff. Careful planning also reduces liability for facility operators and their programs. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. State inspections are required for all vehicles. You stated that you went to get the registration and a FS-1 was required. You stated you sent the required information and needed to go back and have the registration completed. We discussed creating a safety checklist for the van that staff can complete to ensure the vehicle meets safety EPR Plan: Your programs Emergency Preparedness and Response plan was created to assist you with following a plan in the event of an emergency. We discussed that you need to access your plan on the Risk Management Portal and upload a copy of the facilities evacuation map and floor plan. During the visit you made copies and placed the map and floor plan in the binder with your EPR plan. Additional Comments: Today we discussed how to store the children's cots and ways to improve how they are currently stored. We also reviewed the requirements for updating the menu. Reminders: DCDEE has launched the Provider Portal for ABCMS on February 1, 2024. This access will allow providers to, see applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster, see the real-time background check status of staff members, and run a printable report of the staff roster to assist with compliance visits.To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. 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: 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 .1002 · Violation

Name of Operation: SMALL IMPRESSIONS CHILD CARE CENTER Facility ID: 74000899 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 4/4/2024 Number Present: 12 Completed Date: 4/4/2024 Age: From 1 To 4 Total Minutes: 195 Time In: 08:45 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Michelle O’Kelley Child Care Consultant accompanied me during today’s visit. M. Everett, owner assisted me with today’s visit. Your program currently operates with a five-star license, issued 6/1/2023 earning 6 points in the education component, 6 points in the program standards component (meeting enhanced space and ratio) and 1 quality point for having a all lead teachers and teachers having at least 5 years of EC work experience in no more than 2 different centers. 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 center's compliance history was reviewed with the operator. The program’s compliance history was eighty seven percent as of 4/1/24. The NC Secretary of State website was reviewed on 4/3/2024 and Small Impressions Child Care Center LLC was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. 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. I observed children in the indoor learning environments and found supervision and staff/child ratios to be in compliance. Children enrolled in space #1 and space #3 were engaged in free play with age appropriate materials. Children in space #2 were completing an activity about the earth and moon and engaging in conversation with the teacher. The following violations were observed. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In outdoor space #2 there was an active ant hill by the stationary bike, two holes in the ground by the climber boarder and picnic tables that created a tripping hazard, there were small cracks in the bridge of the portable climber. In outdoor space #1 the top of the little tykes table was broken around the edges. 10A NCAC 09 .0601(a) 853 Incident logs were not completed and maintained as required. An incident report was on file for an incident that occurred on 2/1/2024, the incident was not documented on the incident log. .0802(g)(1-6) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The 2019 Transit 350 XLT registration expired March 31, 2024. .1002(b) 1123 All vehicles used to transport children were not free of hazards. The window on the 2019 Transit XLT van was broken, cardboard was placed over the opening and tire treads on the front passenger and rear driver side measured less than 2/32 of an inch. 10A NCAC 09 .1002(a) 1301 Center did not maintain a record of daily attendance. Attendance for children enrolled in classroom space #2 was not available for April 1-3, 2024. GS 110-91(9) 1820 The EPR Plan did not include evacuation diagrams showing how the staff, children, and any other individuals who may be present will evacuate during an emergency. The facilities EPR plan did not include the evacuation diagram. .0607(d)(7) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 18, 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 with violations documented: 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. We treating ant hills and removing broken equipment. Vehicle Maintenance: Children should be cared for and transported in safe environments. Maintaining interior of vehicles is important to the safety of children. You stated that the company ordered the wrong window for the van. You provided a text message that confirmed Safelite would be at the facility to repair the window on 4/8/24. You also stated that you would have the tires changed. Vehicle Registration: Transporting children is a high risk activity, particularly for child care centers. Child care operators, staff members need to be aware that transporting children requires careful planning and proactive, protective measures to ensure the safety of children and staff. Careful planning also reduces liability for facility operators and their programs. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. State inspections are required for all vehicles. You stated that you went to get the registration and a FS-1 was required. You stated you sent the required information and needed to go back and have the registration completed. We discussed creating a safety checklist for the van that staff can complete to ensure the vehicle meets safety EPR Plan: Your programs Emergency Preparedness and Response plan was created to assist you with following a plan in the event of an emergency. We discussed that you need to access your plan on the Risk Management Portal and upload a copy of the facilities evacuation map and floor plan. During the visit you made copies and placed the map and floor plan in the binder with your EPR plan. Additional Comments: Today we discussed how to store the children's cots and ways to improve how they are currently stored. We also reviewed the requirements for updating the menu. Reminders: DCDEE has launched the Provider Portal for ABCMS on February 1, 2024. This access will allow providers to, see applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster, see the real-time background check status of staff members, and run a printable report of the staff roster to assist with compliance visits.To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. 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: 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: SMALL IMPRESSIONS CHILD CARE CENTER Facility ID: 74000899 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 4/4/2024 Number Present: 12 Completed Date: 4/4/2024 Age: From 1 To 4 Total Minutes: 195 Time In: 08:45 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Michelle O’Kelley Child Care Consultant accompanied me during today’s visit. M. Everett, owner assisted me with today’s visit. Your program currently operates with a five-star license, issued 6/1/2023 earning 6 points in the education component, 6 points in the program standards component (meeting enhanced space and ratio) and 1 quality point for having a all lead teachers and teachers having at least 5 years of EC work experience in no more than 2 different centers. 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 center's compliance history was reviewed with the operator. The program’s compliance history was eighty seven percent as of 4/1/24. The NC Secretary of State website was reviewed on 4/3/2024 and Small Impressions Child Care Center LLC was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. 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. I observed children in the indoor learning environments and found supervision and staff/child ratios to be in compliance. Children enrolled in space #1 and space #3 were engaged in free play with age appropriate materials. Children in space #2 were completing an activity about the earth and moon and engaging in conversation with the teacher. The following violations were observed. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In outdoor space #2 there was an active ant hill by the stationary bike, two holes in the ground by the climber boarder and picnic tables that created a tripping hazard, there were small cracks in the bridge of the portable climber. In outdoor space #1 the top of the little tykes table was broken around the edges. 10A NCAC 09 .0601(a) 853 Incident logs were not completed and maintained as required. An incident report was on file for an incident that occurred on 2/1/2024, the incident was not documented on the incident log. .0802(g)(1-6) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The 2019 Transit 350 XLT registration expired March 31, 2024. .1002(b) 1123 All vehicles used to transport children were not free of hazards. The window on the 2019 Transit XLT van was broken, cardboard was placed over the opening and tire treads on the front passenger and rear driver side measured less than 2/32 of an inch. 10A NCAC 09 .1002(a) 1301 Center did not maintain a record of daily attendance. Attendance for children enrolled in classroom space #2 was not available for April 1-3, 2024. GS 110-91(9) 1820 The EPR Plan did not include evacuation diagrams showing how the staff, children, and any other individuals who may be present will evacuate during an emergency. The facilities EPR plan did not include the evacuation diagram. .0607(d)(7) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 18, 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 with violations documented: 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. We treating ant hills and removing broken equipment. Vehicle Maintenance: Children should be cared for and transported in safe environments. Maintaining interior of vehicles is important to the safety of children. You stated that the company ordered the wrong window for the van. You provided a text message that confirmed Safelite would be at the facility to repair the window on 4/8/24. You also stated that you would have the tires changed. Vehicle Registration: Transporting children is a high risk activity, particularly for child care centers. Child care operators, staff members need to be aware that transporting children requires careful planning and proactive, protective measures to ensure the safety of children and staff. Careful planning also reduces liability for facility operators and their programs. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. State inspections are required for all vehicles. You stated that you went to get the registration and a FS-1 was required. You stated you sent the required information and needed to go back and have the registration completed. We discussed creating a safety checklist for the van that staff can complete to ensure the vehicle meets safety EPR Plan: Your programs Emergency Preparedness and Response plan was created to assist you with following a plan in the event of an emergency. We discussed that you need to access your plan on the Risk Management Portal and upload a copy of the facilities evacuation map and floor plan. During the visit you made copies and placed the map and floor plan in the binder with your EPR plan. Additional Comments: Today we discussed how to store the children's cots and ways to improve how they are currently stored. We also reviewed the requirements for updating the menu. Reminders: DCDEE has launched the Provider Portal for ABCMS on February 1, 2024. This access will allow providers to, see applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster, see the real-time background check status of staff members, and run a printable report of the staff roster to assist with compliance visits.To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. 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: 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: SMALL IMPRESSIONS CHILD CARE CENTER Facility ID: 74000899 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 4/4/2024 Number Present: 12 Completed Date: 4/4/2024 Age: From 1 To 4 Total Minutes: 195 Time In: 08:45 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Michelle O’Kelley Child Care Consultant accompanied me during today’s visit. M. Everett, owner assisted me with today’s visit. Your program currently operates with a five-star license, issued 6/1/2023 earning 6 points in the education component, 6 points in the program standards component (meeting enhanced space and ratio) and 1 quality point for having a all lead teachers and teachers having at least 5 years of EC work experience in no more than 2 different centers. 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 center's compliance history was reviewed with the operator. The program’s compliance history was eighty seven percent as of 4/1/24. The NC Secretary of State website was reviewed on 4/3/2024 and Small Impressions Child Care Center LLC was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. 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. I observed children in the indoor learning environments and found supervision and staff/child ratios to be in compliance. Children enrolled in space #1 and space #3 were engaged in free play with age appropriate materials. Children in space #2 were completing an activity about the earth and moon and engaging in conversation with the teacher. The following violations were observed. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In outdoor space #2 there was an active ant hill by the stationary bike, two holes in the ground by the climber boarder and picnic tables that created a tripping hazard, there were small cracks in the bridge of the portable climber. In outdoor space #1 the top of the little tykes table was broken around the edges. 10A NCAC 09 .0601(a) 853 Incident logs were not completed and maintained as required. An incident report was on file for an incident that occurred on 2/1/2024, the incident was not documented on the incident log. .0802(g)(1-6) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The 2019 Transit 350 XLT registration expired March 31, 2024. .1002(b) 1123 All vehicles used to transport children were not free of hazards. The window on the 2019 Transit XLT van was broken, cardboard was placed over the opening and tire treads on the front passenger and rear driver side measured less than 2/32 of an inch. 10A NCAC 09 .1002(a) 1301 Center did not maintain a record of daily attendance. Attendance for children enrolled in classroom space #2 was not available for April 1-3, 2024. GS 110-91(9) 1820 The EPR Plan did not include evacuation diagrams showing how the staff, children, and any other individuals who may be present will evacuate during an emergency. The facilities EPR plan did not include the evacuation diagram. .0607(d)(7) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 18, 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 with violations documented: 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. We treating ant hills and removing broken equipment. Vehicle Maintenance: Children should be cared for and transported in safe environments. Maintaining interior of vehicles is important to the safety of children. You stated that the company ordered the wrong window for the van. You provided a text message that confirmed Safelite would be at the facility to repair the window on 4/8/24. You also stated that you would have the tires changed. Vehicle Registration: Transporting children is a high risk activity, particularly for child care centers. Child care operators, staff members need to be aware that transporting children requires careful planning and proactive, protective measures to ensure the safety of children and staff. Careful planning also reduces liability for facility operators and their programs. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. State inspections are required for all vehicles. You stated that you went to get the registration and a FS-1 was required. You stated you sent the required information and needed to go back and have the registration completed. We discussed creating a safety checklist for the van that staff can complete to ensure the vehicle meets safety EPR Plan: Your programs Emergency Preparedness and Response plan was created to assist you with following a plan in the event of an emergency. We discussed that you need to access your plan on the Risk Management Portal and upload a copy of the facilities evacuation map and floor plan. During the visit you made copies and placed the map and floor plan in the binder with your EPR plan. Additional Comments: Today we discussed how to store the children's cots and ways to improve how they are currently stored. We also reviewed the requirements for updating the menu. Reminders: DCDEE has launched the Provider Portal for ABCMS on February 1, 2024. This access will allow providers to, see applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster, see the real-time background check status of staff members, and run a printable report of the staff roster to assist with compliance visits.To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. 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: 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 .0601 · Violation

Name of Operation: SMALL IMPRESSIONS CHILD CARE CENTER Facility ID: 74000899 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 9/12/2023 Number Present: 14 Completed Date: 9/12/2023 Age: From 1 To 4 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 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. W. Everette and M. Everette assisted me with the visit. Your program currently operates with a five-star license, issued 6/1/2023, earning 6 points in the education component, 6 points in the program standards component (meeting enhanced space and ratio) and 1 quality point for all lead teachers and teachers have at least 5 years early childhood work experience in no more than 2 different centers. 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 9/29/22. The sanitation inspection was completed 3/28/23 with a “Superior” classification. The last fire inspection was conducted 8/29/23 and your facility was approved for day time and night care. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percent as of 9/11/23. The NC Secretary of State website was reviewed on 9/11/23 and SMALL IMPRESSIONS CHILD CARE CENTER LLC was listed as current- active. I visited indoor and outdoor spaces. Children enrolled in space #1 and space #2 were engaged in free play with age-appropriate materials. Teachers engaged in conversation with children and redirected children needed. Following lunch children rested on linen covered cots. Lunch was observed and consisted of corn dog, sliced wheat bread, corn, fruit cocktail, applesauce, 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. One child enrolled on 9/1/23 did not have acknowledgement of receipt of the Summary of NC Child Care Laws on file. GS 110-102 807 A safe indoor and outdoor environment was not provided for the children. There were three ant hills on the preschool playground. The base and metal bolts of the two stationary trucks were exposed. 10A NCAC 09 .0601(a) 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. An electric fan was on a shelf below 5 feet in space #2. 10A NCAC 09 .0604(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. The storage cabinet in space#1 was unlocked, and in space #3 a can of Lysol Disinfectant spray was stored on a shelf above five feet in and unlocked closet. .2820(b) 1123 All vehicles used to transport children were not free of hazards. The windshield of the Ford Transit van used to transport children was cracked. 10A NCAC 09 .1002(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Four of twenty- five children did not have a photograph on file. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Twelve of twenty five children authorization forms were expired. Four of twenty-five children authorization forms did not have a date. Four twenty five children did not have authorization forms on file. .1003(i)(j) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. One child enrolled on 9/1/23 did not have acknowledgment of receipt of the facilities operational policies on file. 10A NCAC 09 .0514(b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child enrolled on 8/29/22 had a health assessment on file dated for 1/25/23. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child enrolled on 8/29/22 had a immunization record on file dated for 1/25/23. 10A NCAC 09 .0302(d)(2) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The current review of the plan was dated for 7/31/23 and the previous date was 4/19/22. .0607(e) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 26, 2023 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: 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. Within in 30 days of enrollment a child must have a health assessment on file and each child must also have an immunization record on file. One child enrolled on 8/29/22 had a health assessment and immunization record on file dated for 1/25/23. One child enrolled on 9/1/23 did not have acknowledgement of receipt of the Summary of NC Child Care Laws or the facilities operating policies on file. Review children’s files often and use the Center children’s checklist to ensure you have all required documents within the specified timeframe. 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. There were three ant hills, and the base and bolts of the stationary trucks were exposed. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. In space #2 there was a fan on a shelf below five feet, in space #1 the storage cabinet was unlocked, and in space # 3 there was a can of Lysol Disinfectant spray on an shelf in an unlocked closed. You locked the cabinet in space #1 and removed the fan and Lysol spray from Space #2 and #3. Review storage of hazardous items with staff. Vehicle Maintenance: Children should be cared for and transported in safe environments. Maintaining interior of vehicles is important to the safety of children. The windshield of the Ford Transit van used to transport children was cracked. We discussed fixing the windshield. 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. Prior to being transported, permission must be granted by each child’s parent stating when and where the child will be transported to and from. Twelve of twenty-five children authorization forms were expired. Four of twenty-five children authorization forms did not have a date. Four twenty-five children did not have authorization forms on file. Each child transported must have on file emergency contact information along with a photograph of each child. Four of twenty- five children did not have a photograph on file. This is helpful in identifying children in the event of an emergency/accident. One school age child did not have a photograph attached to their emergency information. EPR Plan: Your programs Emergency Preparedness and Response plan was created to assist you with following a plan in the event of an emergency. You must update your plan yearly or update the plan whenever changes occur in your program. The current review of the plan was dated for 7/31/23 and the previous date was 4/19/22.Your facilities emergency response plan must be reviewed with staff annually or when changes occur. Reminders: A new July 2023 New Rule/Rule Amendments Overview module has been added to the Child Care Rules Training on DCDEE Moodle. If you are unfamiliar with the Child Care Rule Rollout within Moodle, you will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, register for an individual NCID at https://ncid.nc.gov/ncidsspr/.To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326 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 Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor contact 1-888-600-1685 option 1 or to submit a question visit https://docs.google.com/forms/d/e/1FAIpQLSc-4ADUCpoHc9MrxFvD15H12AwsNWbUtWEJRXW38q_41Y3hzA/viewform The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: SMALL IMPRESSIONS CHILD CARE CENTER Facility ID: 74000899 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 9/12/2023 Number Present: 14 Completed Date: 9/12/2023 Age: From 1 To 4 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 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. W. Everette and M. Everette assisted me with the visit. Your program currently operates with a five-star license, issued 6/1/2023, earning 6 points in the education component, 6 points in the program standards component (meeting enhanced space and ratio) and 1 quality point for all lead teachers and teachers have at least 5 years early childhood work experience in no more than 2 different centers. 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 9/29/22. The sanitation inspection was completed 3/28/23 with a “Superior” classification. The last fire inspection was conducted 8/29/23 and your facility was approved for day time and night care. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percent as of 9/11/23. The NC Secretary of State website was reviewed on 9/11/23 and SMALL IMPRESSIONS CHILD CARE CENTER LLC was listed as current- active. I visited indoor and outdoor spaces. Children enrolled in space #1 and space #2 were engaged in free play with age-appropriate materials. Teachers engaged in conversation with children and redirected children needed. Following lunch children rested on linen covered cots. Lunch was observed and consisted of corn dog, sliced wheat bread, corn, fruit cocktail, applesauce, 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. One child enrolled on 9/1/23 did not have acknowledgement of receipt of the Summary of NC Child Care Laws on file. GS 110-102 807 A safe indoor and outdoor environment was not provided for the children. There were three ant hills on the preschool playground. The base and metal bolts of the two stationary trucks were exposed. 10A NCAC 09 .0601(a) 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. An electric fan was on a shelf below 5 feet in space #2. 10A NCAC 09 .0604(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. The storage cabinet in space#1 was unlocked, and in space #3 a can of Lysol Disinfectant spray was stored on a shelf above five feet in and unlocked closet. .2820(b) 1123 All vehicles used to transport children were not free of hazards. The windshield of the Ford Transit van used to transport children was cracked. 10A NCAC 09 .1002(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Four of twenty- five children did not have a photograph on file. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Twelve of twenty five children authorization forms were expired. Four of twenty-five children authorization forms did not have a date. Four twenty five children did not have authorization forms on file. .1003(i)(j) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. One child enrolled on 9/1/23 did not have acknowledgment of receipt of the facilities operational policies on file. 10A NCAC 09 .0514(b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child enrolled on 8/29/22 had a health assessment on file dated for 1/25/23. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child enrolled on 8/29/22 had a immunization record on file dated for 1/25/23. 10A NCAC 09 .0302(d)(2) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The current review of the plan was dated for 7/31/23 and the previous date was 4/19/22. .0607(e) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 26, 2023 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: 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. Within in 30 days of enrollment a child must have a health assessment on file and each child must also have an immunization record on file. One child enrolled on 8/29/22 had a health assessment and immunization record on file dated for 1/25/23. One child enrolled on 9/1/23 did not have acknowledgement of receipt of the Summary of NC Child Care Laws or the facilities operating policies on file. Review children’s files often and use the Center children’s checklist to ensure you have all required documents within the specified timeframe. 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. There were three ant hills, and the base and bolts of the stationary trucks were exposed. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. In space #2 there was a fan on a shelf below five feet, in space #1 the storage cabinet was unlocked, and in space # 3 there was a can of Lysol Disinfectant spray on an shelf in an unlocked closed. You locked the cabinet in space #1 and removed the fan and Lysol spray from Space #2 and #3. Review storage of hazardous items with staff. Vehicle Maintenance: Children should be cared for and transported in safe environments. Maintaining interior of vehicles is important to the safety of children. The windshield of the Ford Transit van used to transport children was cracked. We discussed fixing the windshield. 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. Prior to being transported, permission must be granted by each child’s parent stating when and where the child will be transported to and from. Twelve of twenty-five children authorization forms were expired. Four of twenty-five children authorization forms did not have a date. Four twenty-five children did not have authorization forms on file. Each child transported must have on file emergency contact information along with a photograph of each child. Four of twenty- five children did not have a photograph on file. This is helpful in identifying children in the event of an emergency/accident. One school age child did not have a photograph attached to their emergency information. EPR Plan: Your programs Emergency Preparedness and Response plan was created to assist you with following a plan in the event of an emergency. You must update your plan yearly or update the plan whenever changes occur in your program. The current review of the plan was dated for 7/31/23 and the previous date was 4/19/22.Your facilities emergency response plan must be reviewed with staff annually or when changes occur. Reminders: A new July 2023 New Rule/Rule Amendments Overview module has been added to the Child Care Rules Training on DCDEE Moodle. If you are unfamiliar with the Child Care Rule Rollout within Moodle, you will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, register for an individual NCID at https://ncid.nc.gov/ncidsspr/.To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326 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 Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor contact 1-888-600-1685 option 1 or to submit a question visit https://docs.google.com/forms/d/e/1FAIpQLSc-4ADUCpoHc9MrxFvD15H12AwsNWbUtWEJRXW38q_41Y3hzA/viewform The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: SMALL IMPRESSIONS CHILD CARE CENTER Facility ID: 74000899 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 9/12/2023 Number Present: 14 Completed Date: 9/12/2023 Age: From 1 To 4 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 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. W. Everette and M. Everette assisted me with the visit. Your program currently operates with a five-star license, issued 6/1/2023, earning 6 points in the education component, 6 points in the program standards component (meeting enhanced space and ratio) and 1 quality point for all lead teachers and teachers have at least 5 years early childhood work experience in no more than 2 different centers. 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 9/29/22. The sanitation inspection was completed 3/28/23 with a “Superior” classification. The last fire inspection was conducted 8/29/23 and your facility was approved for day time and night care. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percent as of 9/11/23. The NC Secretary of State website was reviewed on 9/11/23 and SMALL IMPRESSIONS CHILD CARE CENTER LLC was listed as current- active. I visited indoor and outdoor spaces. Children enrolled in space #1 and space #2 were engaged in free play with age-appropriate materials. Teachers engaged in conversation with children and redirected children needed. Following lunch children rested on linen covered cots. Lunch was observed and consisted of corn dog, sliced wheat bread, corn, fruit cocktail, applesauce, 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. One child enrolled on 9/1/23 did not have acknowledgement of receipt of the Summary of NC Child Care Laws on file. GS 110-102 807 A safe indoor and outdoor environment was not provided for the children. There were three ant hills on the preschool playground. The base and metal bolts of the two stationary trucks were exposed. 10A NCAC 09 .0601(a) 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. An electric fan was on a shelf below 5 feet in space #2. 10A NCAC 09 .0604(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. The storage cabinet in space#1 was unlocked, and in space #3 a can of Lysol Disinfectant spray was stored on a shelf above five feet in and unlocked closet. .2820(b) 1123 All vehicles used to transport children were not free of hazards. The windshield of the Ford Transit van used to transport children was cracked. 10A NCAC 09 .1002(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Four of twenty- five children did not have a photograph on file. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Twelve of twenty five children authorization forms were expired. Four of twenty-five children authorization forms did not have a date. Four twenty five children did not have authorization forms on file. .1003(i)(j) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. One child enrolled on 9/1/23 did not have acknowledgment of receipt of the facilities operational policies on file. 10A NCAC 09 .0514(b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child enrolled on 8/29/22 had a health assessment on file dated for 1/25/23. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child enrolled on 8/29/22 had a immunization record on file dated for 1/25/23. 10A NCAC 09 .0302(d)(2) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The current review of the plan was dated for 7/31/23 and the previous date was 4/19/22. .0607(e) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 26, 2023 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: 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. Within in 30 days of enrollment a child must have a health assessment on file and each child must also have an immunization record on file. One child enrolled on 8/29/22 had a health assessment and immunization record on file dated for 1/25/23. One child enrolled on 9/1/23 did not have acknowledgement of receipt of the Summary of NC Child Care Laws or the facilities operating policies on file. Review children’s files often and use the Center children’s checklist to ensure you have all required documents within the specified timeframe. 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. There were three ant hills, and the base and bolts of the stationary trucks were exposed. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. In space #2 there was a fan on a shelf below five feet, in space #1 the storage cabinet was unlocked, and in space # 3 there was a can of Lysol Disinfectant spray on an shelf in an unlocked closed. You locked the cabinet in space #1 and removed the fan and Lysol spray from Space #2 and #3. Review storage of hazardous items with staff. Vehicle Maintenance: Children should be cared for and transported in safe environments. Maintaining interior of vehicles is important to the safety of children. The windshield of the Ford Transit van used to transport children was cracked. We discussed fixing the windshield. 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. Prior to being transported, permission must be granted by each child’s parent stating when and where the child will be transported to and from. Twelve of twenty-five children authorization forms were expired. Four of twenty-five children authorization forms did not have a date. Four twenty-five children did not have authorization forms on file. Each child transported must have on file emergency contact information along with a photograph of each child. Four of twenty- five children did not have a photograph on file. This is helpful in identifying children in the event of an emergency/accident. One school age child did not have a photograph attached to their emergency information. EPR Plan: Your programs Emergency Preparedness and Response plan was created to assist you with following a plan in the event of an emergency. You must update your plan yearly or update the plan whenever changes occur in your program. The current review of the plan was dated for 7/31/23 and the previous date was 4/19/22.Your facilities emergency response plan must be reviewed with staff annually or when changes occur. Reminders: A new July 2023 New Rule/Rule Amendments Overview module has been added to the Child Care Rules Training on DCDEE Moodle. If you are unfamiliar with the Child Care Rule Rollout within Moodle, you will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, register for an individual NCID at https://ncid.nc.gov/ncidsspr/.To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326 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 Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor contact 1-888-600-1685 option 1 or to submit a question visit https://docs.google.com/forms/d/e/1FAIpQLSc-4ADUCpoHc9MrxFvD15H12AwsNWbUtWEJRXW38q_41Y3hzA/viewform The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0514 · Violation

Name of Operation: SMALL IMPRESSIONS CHILD CARE CENTER Facility ID: 74000899 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 9/12/2023 Number Present: 14 Completed Date: 9/12/2023 Age: From 1 To 4 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 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. W. Everette and M. Everette assisted me with the visit. Your program currently operates with a five-star license, issued 6/1/2023, earning 6 points in the education component, 6 points in the program standards component (meeting enhanced space and ratio) and 1 quality point for all lead teachers and teachers have at least 5 years early childhood work experience in no more than 2 different centers. 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 9/29/22. The sanitation inspection was completed 3/28/23 with a “Superior” classification. The last fire inspection was conducted 8/29/23 and your facility was approved for day time and night care. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percent as of 9/11/23. The NC Secretary of State website was reviewed on 9/11/23 and SMALL IMPRESSIONS CHILD CARE CENTER LLC was listed as current- active. I visited indoor and outdoor spaces. Children enrolled in space #1 and space #2 were engaged in free play with age-appropriate materials. Teachers engaged in conversation with children and redirected children needed. Following lunch children rested on linen covered cots. Lunch was observed and consisted of corn dog, sliced wheat bread, corn, fruit cocktail, applesauce, 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. One child enrolled on 9/1/23 did not have acknowledgement of receipt of the Summary of NC Child Care Laws on file. GS 110-102 807 A safe indoor and outdoor environment was not provided for the children. There were three ant hills on the preschool playground. The base and metal bolts of the two stationary trucks were exposed. 10A NCAC 09 .0601(a) 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. An electric fan was on a shelf below 5 feet in space #2. 10A NCAC 09 .0604(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. The storage cabinet in space#1 was unlocked, and in space #3 a can of Lysol Disinfectant spray was stored on a shelf above five feet in and unlocked closet. .2820(b) 1123 All vehicles used to transport children were not free of hazards. The windshield of the Ford Transit van used to transport children was cracked. 10A NCAC 09 .1002(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Four of twenty- five children did not have a photograph on file. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Twelve of twenty five children authorization forms were expired. Four of twenty-five children authorization forms did not have a date. Four twenty five children did not have authorization forms on file. .1003(i)(j) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. One child enrolled on 9/1/23 did not have acknowledgment of receipt of the facilities operational policies on file. 10A NCAC 09 .0514(b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child enrolled on 8/29/22 had a health assessment on file dated for 1/25/23. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child enrolled on 8/29/22 had a immunization record on file dated for 1/25/23. 10A NCAC 09 .0302(d)(2) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The current review of the plan was dated for 7/31/23 and the previous date was 4/19/22. .0607(e) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 26, 2023 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: 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. Within in 30 days of enrollment a child must have a health assessment on file and each child must also have an immunization record on file. One child enrolled on 8/29/22 had a health assessment and immunization record on file dated for 1/25/23. One child enrolled on 9/1/23 did not have acknowledgement of receipt of the Summary of NC Child Care Laws or the facilities operating policies on file. Review children’s files often and use the Center children’s checklist to ensure you have all required documents within the specified timeframe. 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. There were three ant hills, and the base and bolts of the stationary trucks were exposed. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. In space #2 there was a fan on a shelf below five feet, in space #1 the storage cabinet was unlocked, and in space # 3 there was a can of Lysol Disinfectant spray on an shelf in an unlocked closed. You locked the cabinet in space #1 and removed the fan and Lysol spray from Space #2 and #3. Review storage of hazardous items with staff. Vehicle Maintenance: Children should be cared for and transported in safe environments. Maintaining interior of vehicles is important to the safety of children. The windshield of the Ford Transit van used to transport children was cracked. We discussed fixing the windshield. 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. Prior to being transported, permission must be granted by each child’s parent stating when and where the child will be transported to and from. Twelve of twenty-five children authorization forms were expired. Four of twenty-five children authorization forms did not have a date. Four twenty-five children did not have authorization forms on file. Each child transported must have on file emergency contact information along with a photograph of each child. Four of twenty- five children did not have a photograph on file. This is helpful in identifying children in the event of an emergency/accident. One school age child did not have a photograph attached to their emergency information. EPR Plan: Your programs Emergency Preparedness and Response plan was created to assist you with following a plan in the event of an emergency. You must update your plan yearly or update the plan whenever changes occur in your program. The current review of the plan was dated for 7/31/23 and the previous date was 4/19/22.Your facilities emergency response plan must be reviewed with staff annually or when changes occur. Reminders: A new July 2023 New Rule/Rule Amendments Overview module has been added to the Child Care Rules Training on DCDEE Moodle. If you are unfamiliar with the Child Care Rule Rollout within Moodle, you will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, register for an individual NCID at https://ncid.nc.gov/ncidsspr/.To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326 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 Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor contact 1-888-600-1685 option 1 or to submit a question visit https://docs.google.com/forms/d/e/1FAIpQLSc-4ADUCpoHc9MrxFvD15H12AwsNWbUtWEJRXW38q_41Y3hzA/viewform The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1002 · Violation

Name of Operation: SMALL IMPRESSIONS CHILD CARE CENTER Facility ID: 74000899 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 9/12/2023 Number Present: 14 Completed Date: 9/12/2023 Age: From 1 To 4 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 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. W. Everette and M. Everette assisted me with the visit. Your program currently operates with a five-star license, issued 6/1/2023, earning 6 points in the education component, 6 points in the program standards component (meeting enhanced space and ratio) and 1 quality point for all lead teachers and teachers have at least 5 years early childhood work experience in no more than 2 different centers. 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 9/29/22. The sanitation inspection was completed 3/28/23 with a “Superior” classification. The last fire inspection was conducted 8/29/23 and your facility was approved for day time and night care. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percent as of 9/11/23. The NC Secretary of State website was reviewed on 9/11/23 and SMALL IMPRESSIONS CHILD CARE CENTER LLC was listed as current- active. I visited indoor and outdoor spaces. Children enrolled in space #1 and space #2 were engaged in free play with age-appropriate materials. Teachers engaged in conversation with children and redirected children needed. Following lunch children rested on linen covered cots. Lunch was observed and consisted of corn dog, sliced wheat bread, corn, fruit cocktail, applesauce, 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. One child enrolled on 9/1/23 did not have acknowledgement of receipt of the Summary of NC Child Care Laws on file. GS 110-102 807 A safe indoor and outdoor environment was not provided for the children. There were three ant hills on the preschool playground. The base and metal bolts of the two stationary trucks were exposed. 10A NCAC 09 .0601(a) 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. An electric fan was on a shelf below 5 feet in space #2. 10A NCAC 09 .0604(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. The storage cabinet in space#1 was unlocked, and in space #3 a can of Lysol Disinfectant spray was stored on a shelf above five feet in and unlocked closet. .2820(b) 1123 All vehicles used to transport children were not free of hazards. The windshield of the Ford Transit van used to transport children was cracked. 10A NCAC 09 .1002(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Four of twenty- five children did not have a photograph on file. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Twelve of twenty five children authorization forms were expired. Four of twenty-five children authorization forms did not have a date. Four twenty five children did not have authorization forms on file. .1003(i)(j) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. One child enrolled on 9/1/23 did not have acknowledgment of receipt of the facilities operational policies on file. 10A NCAC 09 .0514(b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child enrolled on 8/29/22 had a health assessment on file dated for 1/25/23. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child enrolled on 8/29/22 had a immunization record on file dated for 1/25/23. 10A NCAC 09 .0302(d)(2) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The current review of the plan was dated for 7/31/23 and the previous date was 4/19/22. .0607(e) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 26, 2023 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: 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. Within in 30 days of enrollment a child must have a health assessment on file and each child must also have an immunization record on file. One child enrolled on 8/29/22 had a health assessment and immunization record on file dated for 1/25/23. One child enrolled on 9/1/23 did not have acknowledgement of receipt of the Summary of NC Child Care Laws or the facilities operating policies on file. Review children’s files often and use the Center children’s checklist to ensure you have all required documents within the specified timeframe. 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. There were three ant hills, and the base and bolts of the stationary trucks were exposed. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. In space #2 there was a fan on a shelf below five feet, in space #1 the storage cabinet was unlocked, and in space # 3 there was a can of Lysol Disinfectant spray on an shelf in an unlocked closed. You locked the cabinet in space #1 and removed the fan and Lysol spray from Space #2 and #3. Review storage of hazardous items with staff. Vehicle Maintenance: Children should be cared for and transported in safe environments. Maintaining interior of vehicles is important to the safety of children. The windshield of the Ford Transit van used to transport children was cracked. We discussed fixing the windshield. 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. Prior to being transported, permission must be granted by each child’s parent stating when and where the child will be transported to and from. Twelve of twenty-five children authorization forms were expired. Four of twenty-five children authorization forms did not have a date. Four twenty-five children did not have authorization forms on file. Each child transported must have on file emergency contact information along with a photograph of each child. Four of twenty- five children did not have a photograph on file. This is helpful in identifying children in the event of an emergency/accident. One school age child did not have a photograph attached to their emergency information. EPR Plan: Your programs Emergency Preparedness and Response plan was created to assist you with following a plan in the event of an emergency. You must update your plan yearly or update the plan whenever changes occur in your program. The current review of the plan was dated for 7/31/23 and the previous date was 4/19/22.Your facilities emergency response plan must be reviewed with staff annually or when changes occur. Reminders: A new July 2023 New Rule/Rule Amendments Overview module has been added to the Child Care Rules Training on DCDEE Moodle. If you are unfamiliar with the Child Care Rule Rollout within Moodle, you will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, register for an individual NCID at https://ncid.nc.gov/ncidsspr/.To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326 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 Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor contact 1-888-600-1685 option 1 or to submit a question visit https://docs.google.com/forms/d/e/1FAIpQLSc-4ADUCpoHc9MrxFvD15H12AwsNWbUtWEJRXW38q_41Y3hzA/viewform The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1003 · Violation

Name of Operation: SMALL IMPRESSIONS CHILD CARE CENTER Facility ID: 74000899 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 9/12/2023 Number Present: 14 Completed Date: 9/12/2023 Age: From 1 To 4 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 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. W. Everette and M. Everette assisted me with the visit. Your program currently operates with a five-star license, issued 6/1/2023, earning 6 points in the education component, 6 points in the program standards component (meeting enhanced space and ratio) and 1 quality point for all lead teachers and teachers have at least 5 years early childhood work experience in no more than 2 different centers. 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 9/29/22. The sanitation inspection was completed 3/28/23 with a “Superior” classification. The last fire inspection was conducted 8/29/23 and your facility was approved for day time and night care. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percent as of 9/11/23. The NC Secretary of State website was reviewed on 9/11/23 and SMALL IMPRESSIONS CHILD CARE CENTER LLC was listed as current- active. I visited indoor and outdoor spaces. Children enrolled in space #1 and space #2 were engaged in free play with age-appropriate materials. Teachers engaged in conversation with children and redirected children needed. Following lunch children rested on linen covered cots. Lunch was observed and consisted of corn dog, sliced wheat bread, corn, fruit cocktail, applesauce, 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. One child enrolled on 9/1/23 did not have acknowledgement of receipt of the Summary of NC Child Care Laws on file. GS 110-102 807 A safe indoor and outdoor environment was not provided for the children. There were three ant hills on the preschool playground. The base and metal bolts of the two stationary trucks were exposed. 10A NCAC 09 .0601(a) 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. An electric fan was on a shelf below 5 feet in space #2. 10A NCAC 09 .0604(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. The storage cabinet in space#1 was unlocked, and in space #3 a can of Lysol Disinfectant spray was stored on a shelf above five feet in and unlocked closet. .2820(b) 1123 All vehicles used to transport children were not free of hazards. The windshield of the Ford Transit van used to transport children was cracked. 10A NCAC 09 .1002(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Four of twenty- five children did not have a photograph on file. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Twelve of twenty five children authorization forms were expired. Four of twenty-five children authorization forms did not have a date. Four twenty five children did not have authorization forms on file. .1003(i)(j) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. One child enrolled on 9/1/23 did not have acknowledgment of receipt of the facilities operational policies on file. 10A NCAC 09 .0514(b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child enrolled on 8/29/22 had a health assessment on file dated for 1/25/23. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child enrolled on 8/29/22 had a immunization record on file dated for 1/25/23. 10A NCAC 09 .0302(d)(2) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The current review of the plan was dated for 7/31/23 and the previous date was 4/19/22. .0607(e) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 26, 2023 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: 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. Within in 30 days of enrollment a child must have a health assessment on file and each child must also have an immunization record on file. One child enrolled on 8/29/22 had a health assessment and immunization record on file dated for 1/25/23. One child enrolled on 9/1/23 did not have acknowledgement of receipt of the Summary of NC Child Care Laws or the facilities operating policies on file. Review children’s files often and use the Center children’s checklist to ensure you have all required documents within the specified timeframe. 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. There were three ant hills, and the base and bolts of the stationary trucks were exposed. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. In space #2 there was a fan on a shelf below five feet, in space #1 the storage cabinet was unlocked, and in space # 3 there was a can of Lysol Disinfectant spray on an shelf in an unlocked closed. You locked the cabinet in space #1 and removed the fan and Lysol spray from Space #2 and #3. Review storage of hazardous items with staff. Vehicle Maintenance: Children should be cared for and transported in safe environments. Maintaining interior of vehicles is important to the safety of children. The windshield of the Ford Transit van used to transport children was cracked. We discussed fixing the windshield. 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. Prior to being transported, permission must be granted by each child’s parent stating when and where the child will be transported to and from. Twelve of twenty-five children authorization forms were expired. Four of twenty-five children authorization forms did not have a date. Four twenty-five children did not have authorization forms on file. Each child transported must have on file emergency contact information along with a photograph of each child. Four of twenty- five children did not have a photograph on file. This is helpful in identifying children in the event of an emergency/accident. One school age child did not have a photograph attached to their emergency information. EPR Plan: Your programs Emergency Preparedness and Response plan was created to assist you with following a plan in the event of an emergency. You must update your plan yearly or update the plan whenever changes occur in your program. The current review of the plan was dated for 7/31/23 and the previous date was 4/19/22.Your facilities emergency response plan must be reviewed with staff annually or when changes occur. Reminders: A new July 2023 New Rule/Rule Amendments Overview module has been added to the Child Care Rules Training on DCDEE Moodle. If you are unfamiliar with the Child Care Rule Rollout within Moodle, you will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, register for an individual NCID at https://ncid.nc.gov/ncidsspr/.To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326 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 Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor contact 1-888-600-1685 option 1 or to submit a question visit https://docs.google.com/forms/d/e/1FAIpQLSc-4ADUCpoHc9MrxFvD15H12AwsNWbUtWEJRXW38q_41Y3hzA/viewform The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-102 · Violation

Name of Operation: SMALL IMPRESSIONS CHILD CARE CENTER Facility ID: 74000899 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 9/12/2023 Number Present: 14 Completed Date: 9/12/2023 Age: From 1 To 4 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 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. W. Everette and M. Everette assisted me with the visit. Your program currently operates with a five-star license, issued 6/1/2023, earning 6 points in the education component, 6 points in the program standards component (meeting enhanced space and ratio) and 1 quality point for all lead teachers and teachers have at least 5 years early childhood work experience in no more than 2 different centers. 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 9/29/22. The sanitation inspection was completed 3/28/23 with a “Superior” classification. The last fire inspection was conducted 8/29/23 and your facility was approved for day time and night care. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percent as of 9/11/23. The NC Secretary of State website was reviewed on 9/11/23 and SMALL IMPRESSIONS CHILD CARE CENTER LLC was listed as current- active. I visited indoor and outdoor spaces. Children enrolled in space #1 and space #2 were engaged in free play with age-appropriate materials. Teachers engaged in conversation with children and redirected children needed. Following lunch children rested on linen covered cots. Lunch was observed and consisted of corn dog, sliced wheat bread, corn, fruit cocktail, applesauce, 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. One child enrolled on 9/1/23 did not have acknowledgement of receipt of the Summary of NC Child Care Laws on file. GS 110-102 807 A safe indoor and outdoor environment was not provided for the children. There were three ant hills on the preschool playground. The base and metal bolts of the two stationary trucks were exposed. 10A NCAC 09 .0601(a) 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. An electric fan was on a shelf below 5 feet in space #2. 10A NCAC 09 .0604(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. The storage cabinet in space#1 was unlocked, and in space #3 a can of Lysol Disinfectant spray was stored on a shelf above five feet in and unlocked closet. .2820(b) 1123 All vehicles used to transport children were not free of hazards. The windshield of the Ford Transit van used to transport children was cracked. 10A NCAC 09 .1002(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Four of twenty- five children did not have a photograph on file. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Twelve of twenty five children authorization forms were expired. Four of twenty-five children authorization forms did not have a date. Four twenty five children did not have authorization forms on file. .1003(i)(j) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. One child enrolled on 9/1/23 did not have acknowledgment of receipt of the facilities operational policies on file. 10A NCAC 09 .0514(b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child enrolled on 8/29/22 had a health assessment on file dated for 1/25/23. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child enrolled on 8/29/22 had a immunization record on file dated for 1/25/23. 10A NCAC 09 .0302(d)(2) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The current review of the plan was dated for 7/31/23 and the previous date was 4/19/22. .0607(e) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 26, 2023 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: 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. Within in 30 days of enrollment a child must have a health assessment on file and each child must also have an immunization record on file. One child enrolled on 8/29/22 had a health assessment and immunization record on file dated for 1/25/23. One child enrolled on 9/1/23 did not have acknowledgement of receipt of the Summary of NC Child Care Laws or the facilities operating policies on file. Review children’s files often and use the Center children’s checklist to ensure you have all required documents within the specified timeframe. 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. There were three ant hills, and the base and bolts of the stationary trucks were exposed. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. In space #2 there was a fan on a shelf below five feet, in space #1 the storage cabinet was unlocked, and in space # 3 there was a can of Lysol Disinfectant spray on an shelf in an unlocked closed. You locked the cabinet in space #1 and removed the fan and Lysol spray from Space #2 and #3. Review storage of hazardous items with staff. Vehicle Maintenance: Children should be cared for and transported in safe environments. Maintaining interior of vehicles is important to the safety of children. The windshield of the Ford Transit van used to transport children was cracked. We discussed fixing the windshield. 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. Prior to being transported, permission must be granted by each child’s parent stating when and where the child will be transported to and from. Twelve of twenty-five children authorization forms were expired. Four of twenty-five children authorization forms did not have a date. Four twenty-five children did not have authorization forms on file. Each child transported must have on file emergency contact information along with a photograph of each child. Four of twenty- five children did not have a photograph on file. This is helpful in identifying children in the event of an emergency/accident. One school age child did not have a photograph attached to their emergency information. EPR Plan: Your programs Emergency Preparedness and Response plan was created to assist you with following a plan in the event of an emergency. You must update your plan yearly or update the plan whenever changes occur in your program. The current review of the plan was dated for 7/31/23 and the previous date was 4/19/22.Your facilities emergency response plan must be reviewed with staff annually or when changes occur. Reminders: A new July 2023 New Rule/Rule Amendments Overview module has been added to the Child Care Rules Training on DCDEE Moodle. If you are unfamiliar with the Child Care Rule Rollout within Moodle, you will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, register for an individual NCID at https://ncid.nc.gov/ncidsspr/.To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326 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 Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor contact 1-888-600-1685 option 1 or to submit a question visit https://docs.google.com/forms/d/e/1FAIpQLSc-4ADUCpoHc9MrxFvD15H12AwsNWbUtWEJRXW38q_41Y3hzA/viewform The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-91 · Violation

Name of Operation: SMALL IMPRESSIONS CHILD CARE CENTER Facility ID: 74000899 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 9/12/2023 Number Present: 14 Completed Date: 9/12/2023 Age: From 1 To 4 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 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. W. Everette and M. Everette assisted me with the visit. Your program currently operates with a five-star license, issued 6/1/2023, earning 6 points in the education component, 6 points in the program standards component (meeting enhanced space and ratio) and 1 quality point for all lead teachers and teachers have at least 5 years early childhood work experience in no more than 2 different centers. 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 9/29/22. The sanitation inspection was completed 3/28/23 with a “Superior” classification. The last fire inspection was conducted 8/29/23 and your facility was approved for day time and night care. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percent as of 9/11/23. The NC Secretary of State website was reviewed on 9/11/23 and SMALL IMPRESSIONS CHILD CARE CENTER LLC was listed as current- active. I visited indoor and outdoor spaces. Children enrolled in space #1 and space #2 were engaged in free play with age-appropriate materials. Teachers engaged in conversation with children and redirected children needed. Following lunch children rested on linen covered cots. Lunch was observed and consisted of corn dog, sliced wheat bread, corn, fruit cocktail, applesauce, 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. One child enrolled on 9/1/23 did not have acknowledgement of receipt of the Summary of NC Child Care Laws on file. GS 110-102 807 A safe indoor and outdoor environment was not provided for the children. There were three ant hills on the preschool playground. The base and metal bolts of the two stationary trucks were exposed. 10A NCAC 09 .0601(a) 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. An electric fan was on a shelf below 5 feet in space #2. 10A NCAC 09 .0604(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. The storage cabinet in space#1 was unlocked, and in space #3 a can of Lysol Disinfectant spray was stored on a shelf above five feet in and unlocked closet. .2820(b) 1123 All vehicles used to transport children were not free of hazards. The windshield of the Ford Transit van used to transport children was cracked. 10A NCAC 09 .1002(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Four of twenty- five children did not have a photograph on file. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Twelve of twenty five children authorization forms were expired. Four of twenty-five children authorization forms did not have a date. Four twenty five children did not have authorization forms on file. .1003(i)(j) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. One child enrolled on 9/1/23 did not have acknowledgment of receipt of the facilities operational policies on file. 10A NCAC 09 .0514(b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child enrolled on 8/29/22 had a health assessment on file dated for 1/25/23. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child enrolled on 8/29/22 had a immunization record on file dated for 1/25/23. 10A NCAC 09 .0302(d)(2) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The current review of the plan was dated for 7/31/23 and the previous date was 4/19/22. .0607(e) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 26, 2023 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: 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. Within in 30 days of enrollment a child must have a health assessment on file and each child must also have an immunization record on file. One child enrolled on 8/29/22 had a health assessment and immunization record on file dated for 1/25/23. One child enrolled on 9/1/23 did not have acknowledgement of receipt of the Summary of NC Child Care Laws or the facilities operating policies on file. Review children’s files often and use the Center children’s checklist to ensure you have all required documents within the specified timeframe. 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. There were three ant hills, and the base and bolts of the stationary trucks were exposed. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. In space #2 there was a fan on a shelf below five feet, in space #1 the storage cabinet was unlocked, and in space # 3 there was a can of Lysol Disinfectant spray on an shelf in an unlocked closed. You locked the cabinet in space #1 and removed the fan and Lysol spray from Space #2 and #3. Review storage of hazardous items with staff. Vehicle Maintenance: Children should be cared for and transported in safe environments. Maintaining interior of vehicles is important to the safety of children. The windshield of the Ford Transit van used to transport children was cracked. We discussed fixing the windshield. 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. Prior to being transported, permission must be granted by each child’s parent stating when and where the child will be transported to and from. Twelve of twenty-five children authorization forms were expired. Four of twenty-five children authorization forms did not have a date. Four twenty-five children did not have authorization forms on file. Each child transported must have on file emergency contact information along with a photograph of each child. Four of twenty- five children did not have a photograph on file. This is helpful in identifying children in the event of an emergency/accident. One school age child did not have a photograph attached to their emergency information. EPR Plan: Your programs Emergency Preparedness and Response plan was created to assist you with following a plan in the event of an emergency. You must update your plan yearly or update the plan whenever changes occur in your program. The current review of the plan was dated for 7/31/23 and the previous date was 4/19/22.Your facilities emergency response plan must be reviewed with staff annually or when changes occur. Reminders: A new July 2023 New Rule/Rule Amendments Overview module has been added to the Child Care Rules Training on DCDEE Moodle. If you are unfamiliar with the Child Care Rule Rollout within Moodle, you will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, register for an individual NCID at https://ncid.nc.gov/ncidsspr/.To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326 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 Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor contact 1-888-600-1685 option 1 or to submit a question visit https://docs.google.com/forms/d/e/1FAIpQLSc-4ADUCpoHc9MrxFvD15H12AwsNWbUtWEJRXW38q_41Y3hzA/viewform The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: SMALL IMPRESSIONS CHILD CARE CENTER Facility ID: 74000899 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 9/12/2023 Number Present: 14 Completed Date: 9/12/2023 Age: From 1 To 4 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 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. W. Everette and M. Everette assisted me with the visit. Your program currently operates with a five-star license, issued 6/1/2023, earning 6 points in the education component, 6 points in the program standards component (meeting enhanced space and ratio) and 1 quality point for all lead teachers and teachers have at least 5 years early childhood work experience in no more than 2 different centers. 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 9/29/22. The sanitation inspection was completed 3/28/23 with a “Superior” classification. The last fire inspection was conducted 8/29/23 and your facility was approved for day time and night care. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percent as of 9/11/23. The NC Secretary of State website was reviewed on 9/11/23 and SMALL IMPRESSIONS CHILD CARE CENTER LLC was listed as current- active. I visited indoor and outdoor spaces. Children enrolled in space #1 and space #2 were engaged in free play with age-appropriate materials. Teachers engaged in conversation with children and redirected children needed. Following lunch children rested on linen covered cots. Lunch was observed and consisted of corn dog, sliced wheat bread, corn, fruit cocktail, applesauce, 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. One child enrolled on 9/1/23 did not have acknowledgement of receipt of the Summary of NC Child Care Laws on file. GS 110-102 807 A safe indoor and outdoor environment was not provided for the children. There were three ant hills on the preschool playground. The base and metal bolts of the two stationary trucks were exposed. 10A NCAC 09 .0601(a) 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. An electric fan was on a shelf below 5 feet in space #2. 10A NCAC 09 .0604(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. The storage cabinet in space#1 was unlocked, and in space #3 a can of Lysol Disinfectant spray was stored on a shelf above five feet in and unlocked closet. .2820(b) 1123 All vehicles used to transport children were not free of hazards. The windshield of the Ford Transit van used to transport children was cracked. 10A NCAC 09 .1002(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Four of twenty- five children did not have a photograph on file. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Twelve of twenty five children authorization forms were expired. Four of twenty-five children authorization forms did not have a date. Four twenty five children did not have authorization forms on file. .1003(i)(j) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. One child enrolled on 9/1/23 did not have acknowledgment of receipt of the facilities operational policies on file. 10A NCAC 09 .0514(b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child enrolled on 8/29/22 had a health assessment on file dated for 1/25/23. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child enrolled on 8/29/22 had a immunization record on file dated for 1/25/23. 10A NCAC 09 .0302(d)(2) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The current review of the plan was dated for 7/31/23 and the previous date was 4/19/22. .0607(e) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 26, 2023 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: 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. Within in 30 days of enrollment a child must have a health assessment on file and each child must also have an immunization record on file. One child enrolled on 8/29/22 had a health assessment and immunization record on file dated for 1/25/23. One child enrolled on 9/1/23 did not have acknowledgement of receipt of the Summary of NC Child Care Laws or the facilities operating policies on file. Review children’s files often and use the Center children’s checklist to ensure you have all required documents within the specified timeframe. 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. There were three ant hills, and the base and bolts of the stationary trucks were exposed. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. In space #2 there was a fan on a shelf below five feet, in space #1 the storage cabinet was unlocked, and in space # 3 there was a can of Lysol Disinfectant spray on an shelf in an unlocked closed. You locked the cabinet in space #1 and removed the fan and Lysol spray from Space #2 and #3. Review storage of hazardous items with staff. Vehicle Maintenance: Children should be cared for and transported in safe environments. Maintaining interior of vehicles is important to the safety of children. The windshield of the Ford Transit van used to transport children was cracked. We discussed fixing the windshield. 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. Prior to being transported, permission must be granted by each child’s parent stating when and where the child will be transported to and from. Twelve of twenty-five children authorization forms were expired. Four of twenty-five children authorization forms did not have a date. Four twenty-five children did not have authorization forms on file. Each child transported must have on file emergency contact information along with a photograph of each child. Four of twenty- five children did not have a photograph on file. This is helpful in identifying children in the event of an emergency/accident. One school age child did not have a photograph attached to their emergency information. EPR Plan: Your programs Emergency Preparedness and Response plan was created to assist you with following a plan in the event of an emergency. You must update your plan yearly or update the plan whenever changes occur in your program. The current review of the plan was dated for 7/31/23 and the previous date was 4/19/22.Your facilities emergency response plan must be reviewed with staff annually or when changes occur. Reminders: A new July 2023 New Rule/Rule Amendments Overview module has been added to the Child Care Rules Training on DCDEE Moodle. If you are unfamiliar with the Child Care Rule Rollout within Moodle, you will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, register for an individual NCID at https://ncid.nc.gov/ncidsspr/.To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326 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 Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor contact 1-888-600-1685 option 1 or to submit a question visit https://docs.google.com/forms/d/e/1FAIpQLSc-4ADUCpoHc9MrxFvD15H12AwsNWbUtWEJRXW38q_41Y3hzA/viewform The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times