10A NCAC 09 .0803 · Violation

Name of Operation: Little Tykes Nursery Center Facility ID: 25000636 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 3/11/2026 Number Present: 14 Completed Date: 3/11/2026 Age: From 0 To 1 Total Minutes: 250 Time In: 08:50 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. L. Gatling, owner and U. Murphy, Administrator, assisted me with the visit. Your program currently operates with a four-star license, issued 1/9/2020, earning 4 points in the education component, 5 points in the program standards component and 1 quality point for having a staff benefits package and an infrastructure of parental involvement. The last annual compliance visit was conducted on 4/9/25. The sanitation inspection was completed 5/29/25 with a “Superior” classification. The last fire inspection was conducted on 2/26/26 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety nine percent as of 3/3/26. The NC Secretary of State website was reviewed on 3/3/26 and LSG Enterprises, LLC was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. All indoor and outdoor spaces were monitored. Children throughout the center were engaged in free play in activity centers, personal care routines, and transitions. In space #1, a staff member sat on the carpet and read The Very Busy Bugs book to children. Infants in space #2 were being cared for according to individual needs including being fed and napping. The outdoor space was observed to have portable climbers, riding toys, and balls for the children to engage in gross motor activities. Lunch was observed and consisted of breaded chicken sandwiches, green beans, peaches, and milk. The following violations were documented. Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. In space #1, a feeding plan was not posted for a child under (fifteen) 15 months of age. 10A NCAC 09 .0902(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A child enrolled in space #1 had an Albuterol inhaler on file without written permission from the parent. 10A NCAC 09 .0803(1)(a & b) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). A staff member hired on 6/2/25, had a qualification letter that expired on October 15, 2025, and the five-year renewal qualification letter was issued on October 21, 2025. A staff member hired on 4/10/25, had a qualification letter that expired on August 10, 2025, and the five-year renewal qualification letter was issued on August 19, 2025. G.S. 110-90.2(b) & .2703(n)&(o) 1887 Each infant was not served only bottles labeled with their individual name. In space #2, four (4) bottles were not labeled with the child’s name. .0902(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 3/25/26, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@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 with Documented Violations: Criminal Background Checks: Criminal background checks (CBC) are completed to protect children from abuse and reduce liability risks. Background screenings are needed to provide a safe program environment, support children’s health and safety, and are important for preventing child maltreatment in early care and education programs. A CBC must be completed prior to employee hire and every five years thereafter. An expiration date is now listed in each Qualification Letter. Submissions can also be made six months before the expiration date listed on the current Qualification Letter. U. Murphy, qualification letter expired on October 15, 2025, and the five-year renewal qualification letter was issued on October 21, 2025. A. Murphy, qualification letter expired on August 10, 2025, and the five-year renewal qualification letter was issued on August 19, 2025. You stated that you didn’t start the application process in time for the letter to come back before it expired. We discussed adding expiration dates of criminal background checks in the digital calendar that will send reminders months before they expire. Regularly reviewing your files and staff and training worksheet will help keep you informed about upcoming expiring dates. Medication: Administering medication requires skill, knowledge, and careful attention to detail. All medications for children present at the center must have a current, completed medication permission form even if there is a Medical Action Plan. The medication permission forms provide additional information that could be critical to the administration of the medication and the care of the child. A child enrolled in space #1 had an Albuterol inhaler on file without written permission from the parent. You stated that the parent had the medical action form completed by the doctor and were unsure about the medication permission form. We reviewed the children’s file checklist and where to document when the medical action form and medication authorization are on file. During the visit you printed a medication permission form and stated that you will have the parents complete it this afternoon. Check children’s files regularly to ensure that documents are received on time and documented on the file checklist. Infant Needs: Growth and development during infancy require that nourishing, wholesome, and developmentally appropriate food be provided, using safe approaches to feeding. All children under 15 months of age must have a signed feeding schedule/plan posted for reference by the caregivers. In space #1, a feeding plan was not posted for a child under (fifteen) 15 months of age. You immediately posted the feeding plan to correct the violation. We discussed that when children transition to the toddler room from the infant room that the plan must be posted until the child is over 15 months. Each infant shall be served only bottles labeled with their individual name. In space #2, four (4) bottles were not labeled with the child’s name. You immediately added the child’s name to the bottle to correct the violation. We discussed checking bottles each morning when the parents bring them in to ensure that they are labeled and to use tape to add the name if they are not labeled. Resources: As a licensed child care facility, it is your responsibility to be knowledgeable of the child care laws and rules and to teach your staff the rules to ensure your center remains in compliance. The following resources are available to you: 1. DCDEE website, www.ncchildcare.ncdhhs.gov – current laws and rules regarding child care facilities in North Carolina, “What’s New” tab, Items Number Listing which you can use as a checklist for your program. 2. Raise NC Newsletter – weekly newsletter emailed to facility email including relevant information from the Division, training opportunities, grants, and more. You can sign up to receive Raise NC on the What’s New tab. 3. NC Health & Safety Resource Center publishes a quarterly newsletter which provides topical information on a variety of health and safety topics. If you are not receiving these emails and newsletters, then please go to https://healthychildcare.unc.edu/resources/nc-child-care-health-and-safety-e-news/ and click on ‘Newsletter Signup’ to join their mailing list. The Winter 2026 edition, “Ready, Set, Action!” includes articles on the emergency medical care plan and responding to infant/toddler emergencies. The North Carolina Rated License Assessment Project (NCRLAP), www.ncrlap.org , has resources to help you and your staff prepare for the third editions of the Environment Rating Scales (ECERS-3 and ITERS-3). Visit the website for more information about updated resources, credit hour trainings, self-assessments and outreach assessment opportunities to help you become familiar with these tools. At this time the SACERS-U will continue to be the program assessment tool for school-age programs and classrooms. Southwestern Child Development Commission, www.swcdcinc.org, Child Care Resources Inc., https://www.childcareresourcesinc.org/ and Early Years, https://www.earlyyearsnc.org/ offer DCDEE approved, on-line, self-paced and virtual real-time training and CEUs. SWCDC also offers affordable annual packages allowing you to take as many courses as you need or want for one price. The T.E.A.C.H. Early Childhood® North Carolina Scholarship Program provides educational scholarships to early care professionals and those who perform specialized functions in the early care system. https://www.childcareservices.org/programs/teach-north-carolina/ Additional Comments: EPR Plan: You have completed the training and are in the process of completing the plan. Complete the plan and print a copy to include with the Ready to Go file. ABCMS: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired within five business days. You must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on 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. QRIS (Quality Rating Improvement System) Technical Assistance: All information on the QRIS rated license assessments and documents will be posted at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRISModernization and will also be provided through emails and Raise NC newsletters. North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. NCID: Did you know that if you do not login on any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. Pro Tip: Set your calendar to remind you every 6 months to login and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. Outdoor Learning Environments Work Plan: Bring nature to children by naturalizing childcare centers and family child care homes, schools, residential neighborhoods, parks and greenways, community centers, cultural facilities, botanical gardens, museums and other nonformal education institutions. Today, we discussed adding a science center with a thermometer and rain gauge and soft furnishings and books. Craven Smart Start is also able to provide you with resources and information, training opportunities, and technical assistance on childcare issues. Their phone number is (252) 636- 3198 or check out their website at www.cravensmartstart.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-90 · Violation

Name of Operation: Little Tykes Nursery Center Facility ID: 25000636 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 3/11/2026 Number Present: 14 Completed Date: 3/11/2026 Age: From 0 To 1 Total Minutes: 250 Time In: 08:50 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. L. Gatling, owner and U. Murphy, Administrator, assisted me with the visit. Your program currently operates with a four-star license, issued 1/9/2020, earning 4 points in the education component, 5 points in the program standards component and 1 quality point for having a staff benefits package and an infrastructure of parental involvement. The last annual compliance visit was conducted on 4/9/25. The sanitation inspection was completed 5/29/25 with a “Superior” classification. The last fire inspection was conducted on 2/26/26 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety nine percent as of 3/3/26. The NC Secretary of State website was reviewed on 3/3/26 and LSG Enterprises, LLC was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. All indoor and outdoor spaces were monitored. Children throughout the center were engaged in free play in activity centers, personal care routines, and transitions. In space #1, a staff member sat on the carpet and read The Very Busy Bugs book to children. Infants in space #2 were being cared for according to individual needs including being fed and napping. The outdoor space was observed to have portable climbers, riding toys, and balls for the children to engage in gross motor activities. Lunch was observed and consisted of breaded chicken sandwiches, green beans, peaches, and milk. The following violations were documented. Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. In space #1, a feeding plan was not posted for a child under (fifteen) 15 months of age. 10A NCAC 09 .0902(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A child enrolled in space #1 had an Albuterol inhaler on file without written permission from the parent. 10A NCAC 09 .0803(1)(a & b) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). A staff member hired on 6/2/25, had a qualification letter that expired on October 15, 2025, and the five-year renewal qualification letter was issued on October 21, 2025. A staff member hired on 4/10/25, had a qualification letter that expired on August 10, 2025, and the five-year renewal qualification letter was issued on August 19, 2025. G.S. 110-90.2(b) & .2703(n)&(o) 1887 Each infant was not served only bottles labeled with their individual name. In space #2, four (4) bottles were not labeled with the child’s name. .0902(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 3/25/26, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@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 with Documented Violations: Criminal Background Checks: Criminal background checks (CBC) are completed to protect children from abuse and reduce liability risks. Background screenings are needed to provide a safe program environment, support children’s health and safety, and are important for preventing child maltreatment in early care and education programs. A CBC must be completed prior to employee hire and every five years thereafter. An expiration date is now listed in each Qualification Letter. Submissions can also be made six months before the expiration date listed on the current Qualification Letter. U. Murphy, qualification letter expired on October 15, 2025, and the five-year renewal qualification letter was issued on October 21, 2025. A. Murphy, qualification letter expired on August 10, 2025, and the five-year renewal qualification letter was issued on August 19, 2025. You stated that you didn’t start the application process in time for the letter to come back before it expired. We discussed adding expiration dates of criminal background checks in the digital calendar that will send reminders months before they expire. Regularly reviewing your files and staff and training worksheet will help keep you informed about upcoming expiring dates. Medication: Administering medication requires skill, knowledge, and careful attention to detail. All medications for children present at the center must have a current, completed medication permission form even if there is a Medical Action Plan. The medication permission forms provide additional information that could be critical to the administration of the medication and the care of the child. A child enrolled in space #1 had an Albuterol inhaler on file without written permission from the parent. You stated that the parent had the medical action form completed by the doctor and were unsure about the medication permission form. We reviewed the children’s file checklist and where to document when the medical action form and medication authorization are on file. During the visit you printed a medication permission form and stated that you will have the parents complete it this afternoon. Check children’s files regularly to ensure that documents are received on time and documented on the file checklist. Infant Needs: Growth and development during infancy require that nourishing, wholesome, and developmentally appropriate food be provided, using safe approaches to feeding. All children under 15 months of age must have a signed feeding schedule/plan posted for reference by the caregivers. In space #1, a feeding plan was not posted for a child under (fifteen) 15 months of age. You immediately posted the feeding plan to correct the violation. We discussed that when children transition to the toddler room from the infant room that the plan must be posted until the child is over 15 months. Each infant shall be served only bottles labeled with their individual name. In space #2, four (4) bottles were not labeled with the child’s name. You immediately added the child’s name to the bottle to correct the violation. We discussed checking bottles each morning when the parents bring them in to ensure that they are labeled and to use tape to add the name if they are not labeled. Resources: As a licensed child care facility, it is your responsibility to be knowledgeable of the child care laws and rules and to teach your staff the rules to ensure your center remains in compliance. The following resources are available to you: 1. DCDEE website, www.ncchildcare.ncdhhs.gov – current laws and rules regarding child care facilities in North Carolina, “What’s New” tab, Items Number Listing which you can use as a checklist for your program. 2. Raise NC Newsletter – weekly newsletter emailed to facility email including relevant information from the Division, training opportunities, grants, and more. You can sign up to receive Raise NC on the What’s New tab. 3. NC Health & Safety Resource Center publishes a quarterly newsletter which provides topical information on a variety of health and safety topics. If you are not receiving these emails and newsletters, then please go to https://healthychildcare.unc.edu/resources/nc-child-care-health-and-safety-e-news/ and click on ‘Newsletter Signup’ to join their mailing list. The Winter 2026 edition, “Ready, Set, Action!” includes articles on the emergency medical care plan and responding to infant/toddler emergencies. The North Carolina Rated License Assessment Project (NCRLAP), www.ncrlap.org , has resources to help you and your staff prepare for the third editions of the Environment Rating Scales (ECERS-3 and ITERS-3). Visit the website for more information about updated resources, credit hour trainings, self-assessments and outreach assessment opportunities to help you become familiar with these tools. At this time the SACERS-U will continue to be the program assessment tool for school-age programs and classrooms. Southwestern Child Development Commission, www.swcdcinc.org, Child Care Resources Inc., https://www.childcareresourcesinc.org/ and Early Years, https://www.earlyyearsnc.org/ offer DCDEE approved, on-line, self-paced and virtual real-time training and CEUs. SWCDC also offers affordable annual packages allowing you to take as many courses as you need or want for one price. The T.E.A.C.H. Early Childhood® North Carolina Scholarship Program provides educational scholarships to early care professionals and those who perform specialized functions in the early care system. https://www.childcareservices.org/programs/teach-north-carolina/ Additional Comments: EPR Plan: You have completed the training and are in the process of completing the plan. Complete the plan and print a copy to include with the Ready to Go file. ABCMS: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired within five business days. You must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on 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. QRIS (Quality Rating Improvement System) Technical Assistance: All information on the QRIS rated license assessments and documents will be posted at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRISModernization and will also be provided through emails and Raise NC newsletters. North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. NCID: Did you know that if you do not login on any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. Pro Tip: Set your calendar to remind you every 6 months to login and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. Outdoor Learning Environments Work Plan: Bring nature to children by naturalizing childcare centers and family child care homes, schools, residential neighborhoods, parks and greenways, community centers, cultural facilities, botanical gardens, museums and other nonformal education institutions. Today, we discussed adding a science center with a thermometer and rain gauge and soft furnishings and books. Craven Smart Start is also able to provide you with resources and information, training opportunities, and technical assistance on childcare issues. Their phone number is (252) 636- 3198 or check out their website at www.cravensmartstart.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: Little Tykes Nursery Center Facility ID: 25000636 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 3/11/2026 Number Present: 14 Completed Date: 3/11/2026 Age: From 0 To 1 Total Minutes: 250 Time In: 08:50 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. L. Gatling, owner and U. Murphy, Administrator, assisted me with the visit. Your program currently operates with a four-star license, issued 1/9/2020, earning 4 points in the education component, 5 points in the program standards component and 1 quality point for having a staff benefits package and an infrastructure of parental involvement. The last annual compliance visit was conducted on 4/9/25. The sanitation inspection was completed 5/29/25 with a “Superior” classification. The last fire inspection was conducted on 2/26/26 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety nine percent as of 3/3/26. The NC Secretary of State website was reviewed on 3/3/26 and LSG Enterprises, LLC was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. All indoor and outdoor spaces were monitored. Children throughout the center were engaged in free play in activity centers, personal care routines, and transitions. In space #1, a staff member sat on the carpet and read The Very Busy Bugs book to children. Infants in space #2 were being cared for according to individual needs including being fed and napping. The outdoor space was observed to have portable climbers, riding toys, and balls for the children to engage in gross motor activities. Lunch was observed and consisted of breaded chicken sandwiches, green beans, peaches, and milk. The following violations were documented. Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. In space #1, a feeding plan was not posted for a child under (fifteen) 15 months of age. 10A NCAC 09 .0902(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A child enrolled in space #1 had an Albuterol inhaler on file without written permission from the parent. 10A NCAC 09 .0803(1)(a & b) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). A staff member hired on 6/2/25, had a qualification letter that expired on October 15, 2025, and the five-year renewal qualification letter was issued on October 21, 2025. A staff member hired on 4/10/25, had a qualification letter that expired on August 10, 2025, and the five-year renewal qualification letter was issued on August 19, 2025. G.S. 110-90.2(b) & .2703(n)&(o) 1887 Each infant was not served only bottles labeled with their individual name. In space #2, four (4) bottles were not labeled with the child’s name. .0902(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 3/25/26, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@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 with Documented Violations: Criminal Background Checks: Criminal background checks (CBC) are completed to protect children from abuse and reduce liability risks. Background screenings are needed to provide a safe program environment, support children’s health and safety, and are important for preventing child maltreatment in early care and education programs. A CBC must be completed prior to employee hire and every five years thereafter. An expiration date is now listed in each Qualification Letter. Submissions can also be made six months before the expiration date listed on the current Qualification Letter. U. Murphy, qualification letter expired on October 15, 2025, and the five-year renewal qualification letter was issued on October 21, 2025. A. Murphy, qualification letter expired on August 10, 2025, and the five-year renewal qualification letter was issued on August 19, 2025. You stated that you didn’t start the application process in time for the letter to come back before it expired. We discussed adding expiration dates of criminal background checks in the digital calendar that will send reminders months before they expire. Regularly reviewing your files and staff and training worksheet will help keep you informed about upcoming expiring dates. Medication: Administering medication requires skill, knowledge, and careful attention to detail. All medications for children present at the center must have a current, completed medication permission form even if there is a Medical Action Plan. The medication permission forms provide additional information that could be critical to the administration of the medication and the care of the child. A child enrolled in space #1 had an Albuterol inhaler on file without written permission from the parent. You stated that the parent had the medical action form completed by the doctor and were unsure about the medication permission form. We reviewed the children’s file checklist and where to document when the medical action form and medication authorization are on file. During the visit you printed a medication permission form and stated that you will have the parents complete it this afternoon. Check children’s files regularly to ensure that documents are received on time and documented on the file checklist. Infant Needs: Growth and development during infancy require that nourishing, wholesome, and developmentally appropriate food be provided, using safe approaches to feeding. All children under 15 months of age must have a signed feeding schedule/plan posted for reference by the caregivers. In space #1, a feeding plan was not posted for a child under (fifteen) 15 months of age. You immediately posted the feeding plan to correct the violation. We discussed that when children transition to the toddler room from the infant room that the plan must be posted until the child is over 15 months. Each infant shall be served only bottles labeled with their individual name. In space #2, four (4) bottles were not labeled with the child’s name. You immediately added the child’s name to the bottle to correct the violation. We discussed checking bottles each morning when the parents bring them in to ensure that they are labeled and to use tape to add the name if they are not labeled. Resources: As a licensed child care facility, it is your responsibility to be knowledgeable of the child care laws and rules and to teach your staff the rules to ensure your center remains in compliance. The following resources are available to you: 1. DCDEE website, www.ncchildcare.ncdhhs.gov – current laws and rules regarding child care facilities in North Carolina, “What’s New” tab, Items Number Listing which you can use as a checklist for your program. 2. Raise NC Newsletter – weekly newsletter emailed to facility email including relevant information from the Division, training opportunities, grants, and more. You can sign up to receive Raise NC on the What’s New tab. 3. NC Health & Safety Resource Center publishes a quarterly newsletter which provides topical information on a variety of health and safety topics. If you are not receiving these emails and newsletters, then please go to https://healthychildcare.unc.edu/resources/nc-child-care-health-and-safety-e-news/ and click on ‘Newsletter Signup’ to join their mailing list. The Winter 2026 edition, “Ready, Set, Action!” includes articles on the emergency medical care plan and responding to infant/toddler emergencies. The North Carolina Rated License Assessment Project (NCRLAP), www.ncrlap.org , has resources to help you and your staff prepare for the third editions of the Environment Rating Scales (ECERS-3 and ITERS-3). Visit the website for more information about updated resources, credit hour trainings, self-assessments and outreach assessment opportunities to help you become familiar with these tools. At this time the SACERS-U will continue to be the program assessment tool for school-age programs and classrooms. Southwestern Child Development Commission, www.swcdcinc.org, Child Care Resources Inc., https://www.childcareresourcesinc.org/ and Early Years, https://www.earlyyearsnc.org/ offer DCDEE approved, on-line, self-paced and virtual real-time training and CEUs. SWCDC also offers affordable annual packages allowing you to take as many courses as you need or want for one price. The T.E.A.C.H. Early Childhood® North Carolina Scholarship Program provides educational scholarships to early care professionals and those who perform specialized functions in the early care system. https://www.childcareservices.org/programs/teach-north-carolina/ Additional Comments: EPR Plan: You have completed the training and are in the process of completing the plan. Complete the plan and print a copy to include with the Ready to Go file. ABCMS: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired within five business days. You must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on 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. QRIS (Quality Rating Improvement System) Technical Assistance: All information on the QRIS rated license assessments and documents will be posted at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRISModernization and will also be provided through emails and Raise NC newsletters. North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. NCID: Did you know that if you do not login on any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. Pro Tip: Set your calendar to remind you every 6 months to login and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. Outdoor Learning Environments Work Plan: Bring nature to children by naturalizing childcare centers and family child care homes, schools, residential neighborhoods, parks and greenways, community centers, cultural facilities, botanical gardens, museums and other nonformal education institutions. Today, we discussed adding a science center with a thermometer and rain gauge and soft furnishings and books. Craven Smart Start is also able to provide you with resources and information, training opportunities, and technical assistance on childcare issues. Their phone number is (252) 636- 3198 or check out their website at www.cravensmartstart.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.