NC GS 110-90 · Violation

Name of Operation: TOUCHED BY AN ANGEL LEARNING CENTER Facility ID: 13000625 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 4/3/2025 Number Present: 9 Completed Date: 4/3/2025 Age: From 2 To 5 Total Minutes: 255 Time In: 08:15 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable childcare requirements during the second temporary time period visit. Upon arrival, I was greeted by you, Karen McMillan, Owner and Director, and I stated the reason for my visit. This facility was issued a temporary license on January 6, 2025, with a restriction of first and second shift care and children under 2 ½ years old are in rooms with direct exits. The following were posted: Temporary License, Classroom Staff to Child Ratio charts, Safe Arrival and Departure Procedures, NC Summary of Child Care Law poster (this has been revised), Emergency Medical Care Plan and Evacuation Plans. The children were observed during a coloring activity at the table, music and movement during group time, arrival procedures, hand washing routines, free choice activities outdoors, departure procedures, lunch and preparing for nap time. Supervision, staff/child ratio, grouping of children, the use of approved space, and permit restrictions were monitored during today’s visit. The last monthly fire drill was conducted on March 31, 2025. The last playground inspection was conducted on March 18, 2025. A fire inspection was conducted on July 12, 2024. A sanitation inspection was conducted on February 3, 2025, with no demerits. I monitored a portion of the children’s files. There was one new staff person/substitute from “PURE Excellence” that began yesterday, April 2, 2025. I monitored her file, and she did not have a medical statement. I also did not see documentation that she has received and you stated that you have not reviewed the Shaken Baby Head Trauma Policy. You did not have the Staff and Training Worksheet completed for me to review. You will want to include substitutes, volunteers, uncompensated providers. Please complete the worksheet and submit it to me no later than the end of the business day April 7, 2025. Rated License Discussion – I gave you the “Initial Application for Assessment for a Two-Through Five Star Rated License” and the “Rated License Assessment Request Review” form to complete during the visit conducted on February 11, 2025. We discussed that you would complete the Review form if you would like to have the Environmental Rating Scale 3 (ERS3) assessment completed. I received the completed documents today. -Education Standard points: You and staff need to have current education evaluated by the workforce unit in Raleigh. The education points will be determined upon the receipt of evaluation results from the workforce unit. If staffs' education is not evaluated by the fourth month of the temporary license, the education points will be calculated with the current education showing in WORKS. We discussed that a lead teacher will need to be at least: *18 years of age, have a HS/GED diploma and have earned the NCECC OR *18 years of age, have a HS/GED diploma and one year experience in a licensed early childhood program or two years of experience in a licensed FCCH. OR *Two years working in a Head Start Program. To be eligible to qualify for minimum lead teacher education standard points. They will also need to have a WORKS account and a status letter in their file. We discussed that a teacher will need to be at least 18 years of age and have one year experience in a licensed early childhood program to be eligible to qualify for minimum teacher education standard points. They will also need to have a WORKS account and a status letter in their file. I monitored WORKS during today’s visit, and you will need to upload your BSAC certificate into your WORKS account. -Program Standard Points: A request will be submitted to have the ERS-3 assessments conducted. -Quality point: You stated that the quality point options are still being reviewed, and you have not decided which option this program is eligible for. Star Rated License Child Care programs are expected to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent at all times [NC GS 110-90(4)(d)]. During today’s visit I gave you a Foundations Book to use as a resource. The following violations were observed today. Violation Number Comment Rule 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. There was no record now was it reviewed by with the provider prior to working with the children. .0608(d)(1-4) 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. The substitute provider's file had her TB results in her personnel file and was not located in a separate file. .0701(d) TECHNICAL ASSISTANCE: -Use the Substitute Staff File Checklist to ensure that you have all the required documents before a substitute staff member begins working with the children. The Checklist can be found on the DCDEE website under “Provider Documents”. I gave you a copy during today’s visit. -We discussed that all staffs’ health information needs to be in a sperate file and not placed the general personnel file. CONSULTATION: -We discussed that even when the kitchen is locked the sanitizer and disinfectant sprays are required to be at least five feet from the floor or in locked storage. -The NC Summary of Child Care Law brochure and poster were both updated in February 2025 and are available on the DCDEE website at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms. Please begin using the February 2025 version of the NC Summary of Child Care Law brochure in your enrollment packet. Please be reminded that any ERS assessments will be assessed using the ERS-3 versions. For additional information go to: https://ncrlap.org/ -We discussed that you need to be available and on site at 20 hours a week to complete administrative duties. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 16, 2025, We 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. While the Division allows you time to explain how you have corrected violations when violations are cited, it is expected you correct all violations immediately. When you are asked to send a compliance letter to me, it is expected and required that your compliance letter be sent to me no later than the date indicated in this documentation. Your letter must include the following: -Name of your program -ID number of your program -Date of Letter -Violation number -Explain how you corrected the violation (send supporting documentation to show compliance) -Describe your plan to make sure you will not have that same violation in the future -Name or signature of the person who wrote the letter. (If emailing the letter, your email address will be considered your digital signature.) At the completion of the visit, this visit summary was reviewed with you and a copy was given to you. Please continue to visit DCDEE’s website to get the latest information for childcare at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -DCDEE Documents and Forms: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates and Current Projects: https://ncchildcare.ncdhhs.gov/Whats-New At the completion of the visit, this visit summary was reviewed with you and a copy was given to you. We appreciate all you are doing to serve the children and families of NC. If you have any questions, please contact me at: 704-594-0149 or carolyn.conley@dhhs.nc.gov or Erin Pickard, Supervisor, at erin.pickard@dhhs.nc.gov. Carolyn Conley Lead Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box 835 Kannapolis, NC 28082-0835 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0601 · Violation

Name of Operation: TOUCHED BY AN ANGEL LEARNING CENTER Facility ID: 13000625 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 2/11/2025 Number Present: 6 Completed Date: 2/11/2025 Age: From 3 To 5 Total Minutes: 180 Time In: 10:10 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with all applicable child care requirements during the first temporary period visit (TTP). Upon arrival, I was greeted by you, Karen McMillan, Owner and Director, and I stated the reason for my visit. This facility was issued a temporary license on January 6, 2025, with a restriction of first and second shift care and children under 2 ½ years old are in rooms with direct exits. The children were observed during free choice activities indoors and outdoors, hand-washing routines, “Going on a Bear Hunt” activity, table toy manipulatives while waiting for lunch, eating lunch and naptime . Positive interactions between the staff and children took place throughout the visit today. A portion of children files were monitored. We discussed that you would need to complete the Staff and Training Worksheet for all staff; including yourself, and have it current and available for review by DCDEE staff. I gave you a copy of the worksheet today. It can also be found under “Provider Documents” on the DCDEE website. You are the only staff member at this time. A fire inspection was conducted on July 12, 2024 . A sanitation inspection was conducted on February 3, 2025, with no demerits. You stated that this facility does not provide transportation. The outdoor play area was monitored. We discussed the rated license process. You were reminded that a compliance history score of seventy five percent or above must be maintained to receive a rated license. I gave you the “Initial Application for Assessment for a Two-Through Five Star Rated License” and the “Rated License Assessment Request Review” form to complete. We discussed that you will complete the Review form if you would like to have the Environmental Rating Scale 3 (ERS3) assessment completed. Please submit the paperwork to me no later than March 11, 2025. -Education Standard points: The administrator, lead teachers and teachers must have their current education evaluated by the workforce unit in Raleigh. The education points will be determined upon the receipt of evaluation results from the workforce unit. If staff’s education is not evaluated by the fourth month of the temporary license, the education points will be calculated with the current education showing in WORKS. Quality point: The quality point options were reviewed, and a copy of options was given to you. You can inform me during the 2nd TTP what quality point option you would like to be approved for, to earn one extra point towards your star rated license. The following violations were observed: Violation Number Comment Rule 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. The railing that leads out to the outdoor play area had areas in the corner by the door and at the end of the ramp that had spaces greater than 3 1/2 inches between railing spindles. .0605(g) 807 A safe indoor and outdoor environment was not provided for the children. The disinfectant and sanitizer spray was located on top of a shelf that housed children activity materials and was not at least five feet from the floor. Sanitizing wipes and all purpose spray were located on the kitchen counter between the classroom and kitchen and were not stored in locked storage. 10A NCAC 09 .0601(a) 1314 Emergency information did not name child's health care professional. A child's file monitored did not have the this information listed on their application. .0802(c)(2) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. There was no documentation in your file that the above policy was reviewed, signed and dated. .0608(d)(1-4) TECHNICAL ASSITANCE: -Review all paperwork that you receive from the families to ensure that all spaces/blanks have something written in them. If it does not pertain to their children they can write “NA”. It is important that all dates and signatures are listed. -You will need to review the application to make sure parents have listed the medical professional and contact information. -The Sanitizer and disinfectant spray need to be at least five feet from the floor. You stated that you have a shelf that you will install at least five feet from the floor to store the sprays. All other cleaning supplies need to be kept in locked storage. -All staff, including yourself, will need to review, sign and date acknowledging that you have received the Shaken Baby Prevention Policy. Make sure to place it in your file. -There should no spaces greater than 3 ½ inches and less than 9 inches on equipment and railings. This is considered an entrapment hazard. CONSULTATION: -Any documents that pertain to staffs’ health information (health questionnaire, TB results, medical report, doctor notes, etc.) need to be placed in separate individual files. -Please visit The Center on the Social and Emotional Foundations for Early Learning at https://csefel.vanderbilt.edu/. The Center develops training and technical assistance (T/TA) and materials that reflect evidence-based practices for promoting children's social and emotional development and preventing challenging behaviors. -Another resource to visit is https://www.childcarerrnc.org/special-projects/healthy-social-behaviors/ -We discussed and reviewed the Volunteer File Checklist so you can ensure that any volunteer at the facility has the required information in their file. -As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. -Health and safety trainings need to be taken over if you are hiring staff that have health and safety trainings that are older than 12 months. -For continued eligibility in the subsidized child care program, you must achieve a three star or higher rated license at the end of the temporary licensed period. -A lead teacher must already have earned the NC Early Childhood Credential (NCECC) per Child Care Rule .0703(c) or meet the Preservice Lead Teacher requirements per Child Care Rule .0710(a) while working on the EDU 119 college course within six months of assuming the position. Once the EDU 119 course is complete, staff need to mail an unopened official transcript to the workforce unit in Raleigh, and request in WORKS for their transcript to be evaluated as a lead teacher. CC RULE REFERENCES: *.0710(b) A lead teacher or a teacher shall be 18 years of age, have a high school diploma or its equivalent, and have one of the following: (1) One year of child care experience working in a child care center or two years of verifiable experience as a licensed family child care home operator; or (2) Completion of a two-year high school program of Early Childhood Education in Family and Consumer Sciences Education; or (3) Twenty hours of training in child development, which shall include the North Carolina Early Childhood Credential coursework, within the first six months of employment in addition to the number of on-going training hours required in Rule .1103 of this Chapter. *.0703(c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (1) a copy of the credential certificate; (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; (3) a dated copy of the request submitted by the individual to the Division for the assessment of equivalency status; or (4) documentation of enrollment in credential coursework. -All staff must have their current education evaluated by the WORKS Unit in Raleigh. Instructions for the DCDEE WORKS system, including establishing a NCID, is located on our website at https://ncchildcare.ncdhhs.gov/. Remember to track the date information is submitted by staff. If you have questions regarding submitting information in the WORKS system, contact WORKS at 1-800-859-0829. If staff’s education is not evaluated by the fifth month of the temporary license, the education points will be calculated with the current education showing in WORKS. -Visit the North Carolina Rated License Assessment Project’s website: ncrlap.org. There are training and resources available for the Environmental Rating Scale 3 (ERS3) assessments: ncrlap.org -We reviewed and discussed the New Staff Orientation form, and a copy was given to you during today’s visit. It can also be found under “Provider Documents” on the DCDEE website. 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 February 25, 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. While the Division allows you time to explain how you have corrected violations when violations are cited, it is expected you correct all violations immediately. When you are asked to send a compliance letter to me, it is expected and required that your compliance letter be sent to me no later than the date indicated in this documentation. Your letter must include the following: -Name of your program -ID number of your program -Date of Letter -Violation number -Explain how you corrected the violation (send supporting documentation to show compliance) -Describe your plan to make sure you will not have that same violation in the future -Name or signature of the person who wrote the letter. (If emailing the letter, your email address will be considered your digital signature.) Your temporary license expires on July 6, 2025. Prior to the expiration date of your license, additional unannounced monitoring visits will be completed. At the completion of the visit, this visit summary was reviewed with you and a copy was given to you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: - QRIS Modernization Rulemaking Update and Resources: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -DCDEE Documents and Forms: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates and Current Projects: https://ncchildcare.ncdhhs.gov/Whats-New We appreciate all you are doing to serve the children and families of NC. If you have any questions, please contact me at: 704-594-0149 or carolyn.conley@dhhs.nc.gov. or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Carolyn Conley Lead Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box 835 Kannapolis, NC 28082-0835 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-90 · Violation

Name of Operation: TOUCHED BY AN ANGEL LEARNING CENTER Facility ID: 13000625 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 2/11/2025 Number Present: 6 Completed Date: 2/11/2025 Age: From 3 To 5 Total Minutes: 180 Time In: 10:10 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with all applicable child care requirements during the first temporary period visit (TTP). Upon arrival, I was greeted by you, Karen McMillan, Owner and Director, and I stated the reason for my visit. This facility was issued a temporary license on January 6, 2025, with a restriction of first and second shift care and children under 2 ½ years old are in rooms with direct exits. The children were observed during free choice activities indoors and outdoors, hand-washing routines, “Going on a Bear Hunt” activity, table toy manipulatives while waiting for lunch, eating lunch and naptime . Positive interactions between the staff and children took place throughout the visit today. A portion of children files were monitored. We discussed that you would need to complete the Staff and Training Worksheet for all staff; including yourself, and have it current and available for review by DCDEE staff. I gave you a copy of the worksheet today. It can also be found under “Provider Documents” on the DCDEE website. You are the only staff member at this time. A fire inspection was conducted on July 12, 2024 . A sanitation inspection was conducted on February 3, 2025, with no demerits. You stated that this facility does not provide transportation. The outdoor play area was monitored. We discussed the rated license process. You were reminded that a compliance history score of seventy five percent or above must be maintained to receive a rated license. I gave you the “Initial Application for Assessment for a Two-Through Five Star Rated License” and the “Rated License Assessment Request Review” form to complete. We discussed that you will complete the Review form if you would like to have the Environmental Rating Scale 3 (ERS3) assessment completed. Please submit the paperwork to me no later than March 11, 2025. -Education Standard points: The administrator, lead teachers and teachers must have their current education evaluated by the workforce unit in Raleigh. The education points will be determined upon the receipt of evaluation results from the workforce unit. If staff’s education is not evaluated by the fourth month of the temporary license, the education points will be calculated with the current education showing in WORKS. Quality point: The quality point options were reviewed, and a copy of options was given to you. You can inform me during the 2nd TTP what quality point option you would like to be approved for, to earn one extra point towards your star rated license. The following violations were observed: Violation Number Comment Rule 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. The railing that leads out to the outdoor play area had areas in the corner by the door and at the end of the ramp that had spaces greater than 3 1/2 inches between railing spindles. .0605(g) 807 A safe indoor and outdoor environment was not provided for the children. The disinfectant and sanitizer spray was located on top of a shelf that housed children activity materials and was not at least five feet from the floor. Sanitizing wipes and all purpose spray were located on the kitchen counter between the classroom and kitchen and were not stored in locked storage. 10A NCAC 09 .0601(a) 1314 Emergency information did not name child's health care professional. A child's file monitored did not have the this information listed on their application. .0802(c)(2) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. There was no documentation in your file that the above policy was reviewed, signed and dated. .0608(d)(1-4) TECHNICAL ASSITANCE: -Review all paperwork that you receive from the families to ensure that all spaces/blanks have something written in them. If it does not pertain to their children they can write “NA”. It is important that all dates and signatures are listed. -You will need to review the application to make sure parents have listed the medical professional and contact information. -The Sanitizer and disinfectant spray need to be at least five feet from the floor. You stated that you have a shelf that you will install at least five feet from the floor to store the sprays. All other cleaning supplies need to be kept in locked storage. -All staff, including yourself, will need to review, sign and date acknowledging that you have received the Shaken Baby Prevention Policy. Make sure to place it in your file. -There should no spaces greater than 3 ½ inches and less than 9 inches on equipment and railings. This is considered an entrapment hazard. CONSULTATION: -Any documents that pertain to staffs’ health information (health questionnaire, TB results, medical report, doctor notes, etc.) need to be placed in separate individual files. -Please visit The Center on the Social and Emotional Foundations for Early Learning at https://csefel.vanderbilt.edu/. The Center develops training and technical assistance (T/TA) and materials that reflect evidence-based practices for promoting children's social and emotional development and preventing challenging behaviors. -Another resource to visit is https://www.childcarerrnc.org/special-projects/healthy-social-behaviors/ -We discussed and reviewed the Volunteer File Checklist so you can ensure that any volunteer at the facility has the required information in their file. -As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. -Health and safety trainings need to be taken over if you are hiring staff that have health and safety trainings that are older than 12 months. -For continued eligibility in the subsidized child care program, you must achieve a three star or higher rated license at the end of the temporary licensed period. -A lead teacher must already have earned the NC Early Childhood Credential (NCECC) per Child Care Rule .0703(c) or meet the Preservice Lead Teacher requirements per Child Care Rule .0710(a) while working on the EDU 119 college course within six months of assuming the position. Once the EDU 119 course is complete, staff need to mail an unopened official transcript to the workforce unit in Raleigh, and request in WORKS for their transcript to be evaluated as a lead teacher. CC RULE REFERENCES: *.0710(b) A lead teacher or a teacher shall be 18 years of age, have a high school diploma or its equivalent, and have one of the following: (1) One year of child care experience working in a child care center or two years of verifiable experience as a licensed family child care home operator; or (2) Completion of a two-year high school program of Early Childhood Education in Family and Consumer Sciences Education; or (3) Twenty hours of training in child development, which shall include the North Carolina Early Childhood Credential coursework, within the first six months of employment in addition to the number of on-going training hours required in Rule .1103 of this Chapter. *.0703(c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (1) a copy of the credential certificate; (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; (3) a dated copy of the request submitted by the individual to the Division for the assessment of equivalency status; or (4) documentation of enrollment in credential coursework. -All staff must have their current education evaluated by the WORKS Unit in Raleigh. Instructions for the DCDEE WORKS system, including establishing a NCID, is located on our website at https://ncchildcare.ncdhhs.gov/. Remember to track the date information is submitted by staff. If you have questions regarding submitting information in the WORKS system, contact WORKS at 1-800-859-0829. If staff’s education is not evaluated by the fifth month of the temporary license, the education points will be calculated with the current education showing in WORKS. -Visit the North Carolina Rated License Assessment Project’s website: ncrlap.org. There are training and resources available for the Environmental Rating Scale 3 (ERS3) assessments: ncrlap.org -We reviewed and discussed the New Staff Orientation form, and a copy was given to you during today’s visit. It can also be found under “Provider Documents” on the DCDEE website. 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 February 25, 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. While the Division allows you time to explain how you have corrected violations when violations are cited, it is expected you correct all violations immediately. When you are asked to send a compliance letter to me, it is expected and required that your compliance letter be sent to me no later than the date indicated in this documentation. Your letter must include the following: -Name of your program -ID number of your program -Date of Letter -Violation number -Explain how you corrected the violation (send supporting documentation to show compliance) -Describe your plan to make sure you will not have that same violation in the future -Name or signature of the person who wrote the letter. (If emailing the letter, your email address will be considered your digital signature.) Your temporary license expires on July 6, 2025. Prior to the expiration date of your license, additional unannounced monitoring visits will be completed. At the completion of the visit, this visit summary was reviewed with you and a copy was given to you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: - QRIS Modernization Rulemaking Update and Resources: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -DCDEE Documents and Forms: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates and Current Projects: https://ncchildcare.ncdhhs.gov/Whats-New We appreciate all you are doing to serve the children and families of NC. If you have any questions, please contact me at: 704-594-0149 or carolyn.conley@dhhs.nc.gov. or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Carolyn Conley Lead Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box 835 Kannapolis, NC 28082-0835 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: TOUCHED BY AN ANGEL LEARNING CENTER Facility ID: 13000625 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 2/11/2025 Number Present: 6 Completed Date: 2/11/2025 Age: From 3 To 5 Total Minutes: 180 Time In: 10:10 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with all applicable child care requirements during the first temporary period visit (TTP). Upon arrival, I was greeted by you, Karen McMillan, Owner and Director, and I stated the reason for my visit. This facility was issued a temporary license on January 6, 2025, with a restriction of first and second shift care and children under 2 ½ years old are in rooms with direct exits. The children were observed during free choice activities indoors and outdoors, hand-washing routines, “Going on a Bear Hunt” activity, table toy manipulatives while waiting for lunch, eating lunch and naptime . Positive interactions between the staff and children took place throughout the visit today. A portion of children files were monitored. We discussed that you would need to complete the Staff and Training Worksheet for all staff; including yourself, and have it current and available for review by DCDEE staff. I gave you a copy of the worksheet today. It can also be found under “Provider Documents” on the DCDEE website. You are the only staff member at this time. A fire inspection was conducted on July 12, 2024 . A sanitation inspection was conducted on February 3, 2025, with no demerits. You stated that this facility does not provide transportation. The outdoor play area was monitored. We discussed the rated license process. You were reminded that a compliance history score of seventy five percent or above must be maintained to receive a rated license. I gave you the “Initial Application for Assessment for a Two-Through Five Star Rated License” and the “Rated License Assessment Request Review” form to complete. We discussed that you will complete the Review form if you would like to have the Environmental Rating Scale 3 (ERS3) assessment completed. Please submit the paperwork to me no later than March 11, 2025. -Education Standard points: The administrator, lead teachers and teachers must have their current education evaluated by the workforce unit in Raleigh. The education points will be determined upon the receipt of evaluation results from the workforce unit. If staff’s education is not evaluated by the fourth month of the temporary license, the education points will be calculated with the current education showing in WORKS. Quality point: The quality point options were reviewed, and a copy of options was given to you. You can inform me during the 2nd TTP what quality point option you would like to be approved for, to earn one extra point towards your star rated license. The following violations were observed: Violation Number Comment Rule 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. The railing that leads out to the outdoor play area had areas in the corner by the door and at the end of the ramp that had spaces greater than 3 1/2 inches between railing spindles. .0605(g) 807 A safe indoor and outdoor environment was not provided for the children. The disinfectant and sanitizer spray was located on top of a shelf that housed children activity materials and was not at least five feet from the floor. Sanitizing wipes and all purpose spray were located on the kitchen counter between the classroom and kitchen and were not stored in locked storage. 10A NCAC 09 .0601(a) 1314 Emergency information did not name child's health care professional. A child's file monitored did not have the this information listed on their application. .0802(c)(2) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. There was no documentation in your file that the above policy was reviewed, signed and dated. .0608(d)(1-4) TECHNICAL ASSITANCE: -Review all paperwork that you receive from the families to ensure that all spaces/blanks have something written in them. If it does not pertain to their children they can write “NA”. It is important that all dates and signatures are listed. -You will need to review the application to make sure parents have listed the medical professional and contact information. -The Sanitizer and disinfectant spray need to be at least five feet from the floor. You stated that you have a shelf that you will install at least five feet from the floor to store the sprays. All other cleaning supplies need to be kept in locked storage. -All staff, including yourself, will need to review, sign and date acknowledging that you have received the Shaken Baby Prevention Policy. Make sure to place it in your file. -There should no spaces greater than 3 ½ inches and less than 9 inches on equipment and railings. This is considered an entrapment hazard. CONSULTATION: -Any documents that pertain to staffs’ health information (health questionnaire, TB results, medical report, doctor notes, etc.) need to be placed in separate individual files. -Please visit The Center on the Social and Emotional Foundations for Early Learning at https://csefel.vanderbilt.edu/. The Center develops training and technical assistance (T/TA) and materials that reflect evidence-based practices for promoting children's social and emotional development and preventing challenging behaviors. -Another resource to visit is https://www.childcarerrnc.org/special-projects/healthy-social-behaviors/ -We discussed and reviewed the Volunteer File Checklist so you can ensure that any volunteer at the facility has the required information in their file. -As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. -Health and safety trainings need to be taken over if you are hiring staff that have health and safety trainings that are older than 12 months. -For continued eligibility in the subsidized child care program, you must achieve a three star or higher rated license at the end of the temporary licensed period. -A lead teacher must already have earned the NC Early Childhood Credential (NCECC) per Child Care Rule .0703(c) or meet the Preservice Lead Teacher requirements per Child Care Rule .0710(a) while working on the EDU 119 college course within six months of assuming the position. Once the EDU 119 course is complete, staff need to mail an unopened official transcript to the workforce unit in Raleigh, and request in WORKS for their transcript to be evaluated as a lead teacher. CC RULE REFERENCES: *.0710(b) A lead teacher or a teacher shall be 18 years of age, have a high school diploma or its equivalent, and have one of the following: (1) One year of child care experience working in a child care center or two years of verifiable experience as a licensed family child care home operator; or (2) Completion of a two-year high school program of Early Childhood Education in Family and Consumer Sciences Education; or (3) Twenty hours of training in child development, which shall include the North Carolina Early Childhood Credential coursework, within the first six months of employment in addition to the number of on-going training hours required in Rule .1103 of this Chapter. *.0703(c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (1) a copy of the credential certificate; (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; (3) a dated copy of the request submitted by the individual to the Division for the assessment of equivalency status; or (4) documentation of enrollment in credential coursework. -All staff must have their current education evaluated by the WORKS Unit in Raleigh. Instructions for the DCDEE WORKS system, including establishing a NCID, is located on our website at https://ncchildcare.ncdhhs.gov/. Remember to track the date information is submitted by staff. If you have questions regarding submitting information in the WORKS system, contact WORKS at 1-800-859-0829. If staff’s education is not evaluated by the fifth month of the temporary license, the education points will be calculated with the current education showing in WORKS. -Visit the North Carolina Rated License Assessment Project’s website: ncrlap.org. There are training and resources available for the Environmental Rating Scale 3 (ERS3) assessments: ncrlap.org -We reviewed and discussed the New Staff Orientation form, and a copy was given to you during today’s visit. It can also be found under “Provider Documents” on the DCDEE website. 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 February 25, 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. While the Division allows you time to explain how you have corrected violations when violations are cited, it is expected you correct all violations immediately. When you are asked to send a compliance letter to me, it is expected and required that your compliance letter be sent to me no later than the date indicated in this documentation. Your letter must include the following: -Name of your program -ID number of your program -Date of Letter -Violation number -Explain how you corrected the violation (send supporting documentation to show compliance) -Describe your plan to make sure you will not have that same violation in the future -Name or signature of the person who wrote the letter. (If emailing the letter, your email address will be considered your digital signature.) Your temporary license expires on July 6, 2025. Prior to the expiration date of your license, additional unannounced monitoring visits will be completed. At the completion of the visit, this visit summary was reviewed with you and a copy was given to you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: - QRIS Modernization Rulemaking Update and Resources: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -DCDEE Documents and Forms: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates and Current Projects: https://ncchildcare.ncdhhs.gov/Whats-New We appreciate all you are doing to serve the children and families of NC. If you have any questions, please contact me at: 704-594-0149 or carolyn.conley@dhhs.nc.gov. or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Carolyn Conley Lead Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box 835 Kannapolis, NC 28082-0835 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