Humpty Dumpty

10A NCAC 09 .0304 · Violation

Name of Operation: HUMPTY DUMPTY Facility ID: 9155056 Consultant: EMILY HARGROVE Operation Type: Center Case Number: Visit Date: 4/9/2026 Number Present: 34 Completed Date: 4/9/2026 Age: From 0 To 5 Total Minutes: 186 Time In: 09:59 AM Time Out: 01:05 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 this program for compliance with applicable child care requirements during an annual compliance visit. J. Robertson, Administrator and M. Robinson, Administrative Assistant were present today and assisted with the visit. This center currently operates with a three-star license, earning four points in the education component, two points in the program standard component and 1 quality point for the administrator completing a business wage and hour training of 30 hours. The last annual compliance visit was completed on May 21, 2025. The last sanitation inspection was completed on February 6, 2026, earning a “Superior” classification. The last fire inspection was completed on March 18, 2025, and the center was approved for daytime care only. Thirty-four (34) children were observed in care today. Children were engaged in morning activities, free-choice play, story time/circle time, interacting with the caregivers, completing toileting, diapering and hand washing routines, outdoor play, preparing for nap, napping, and lunch. Lunch consisted of Spaghetti with meatballs, navy beans, mixed greens, and milk. The following violations were documented today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Fire inspection expired on 3-18-2025. 10A NCAC 09 .0304(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff member in space#2 has not completed First Aid training. .1102(c) 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. Staff member in space #1 does not have proof of tuberculosis test on file. .0701(d) COMPLIANCE LETTER REQUIRED: The violations documented must be corrected immediately. Please send a compliance verification letter to me describing when and how the violation was corrected and your plans for maintaining compliance in the future. You may submit the compliance verification letter by postal mail to Emily Hargrove, PO Box 1974 Henderson, NC 27537 or email emily.hargrove@dhhs.nc.gov. The compliance verification letter must be received on or before April 23, 2026. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. GENERAL RULE REMINDERS: Child Care Licensing Requirements are established to ensure a safe, healthy, and developmentally appropriate environment for all child care facilities. Therefore, it is important for you to be knowledgeable of all licensing requirements that apply for your center. It is your responsibility to maintain compliance with the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the childcare laws and rules on the Division of Child Development and Early Education (DCDEE) website. CONSULTATION AND TECHNICAL ASSISTANCE: Compliance History: Prior to today's visit, this facility has maintained an 18-month compliance score of 100%. PROGRAM RECORDS: Fire Drills/Emergency Drills, Fire inspection, Sanitation report, First Aid/CPR Poster, Playground Outdoor Inspections, EMC Plan and License were reviewed and not current. FIRE INSPECTION: Fire inspection expired on 3-18-2026. You stated that you have called several times and was given the incorrect information regarding fire inspection. You stated that you were told that the program had to have a building inspection and that was not accurate. You stated that the fire inspector will be here on 4-10-2026 to complete fire inspection. You stated you would submit to me once completed. CHILDREN AND STAFF RECORDS: Ten percent (10%) or more of children records were monitored. Children records reviewed, were in compliance. Other children’s files not reviewed should be monitored to ensure compliance for the same information. Staff member H. Edwards need First Aid training and new staff member N. Nasia needs tuberculosis screening proof. Ten percent (10%) or more of staff records were monitored. Staff records reviewed, were not in compliance. Other staff files not reviewed should be monitored to ensure compliance for the same information. OWNERSHIP STATUS: Mark A. Robinson and Vivian G. Robertson is listed as the current owners of this program. You stated one of the owners listed is deceased. We discussed plans for updating ownership status. I informed you further research would be conducted, and follow-up information will be provided on how to proceed. FACILITY PROFILE INFORMATION: You stated the mailing address, phone number and email address listed for your program are correct. If changes in your facility information occurs, please contact me at 252-214-8454 or email emily.hargrove@dhhs.nc.gov to discuss the changes and ensure the information is updated in the system. This program is current and active with the North Carolina Secretary of State. CLEAN WATER FOR US KIDS: The Clean Water for Carolina Kids status for lead in water is “section complete”. For the lead base paint and asbestos, the status is "enrollment started". This information was verified in the clean water for US kids facility data. I discussed with you to call RTI to schedule lead and asbestos testing immediately. RESOURCES: • The most current provider documents/ forms, checklists, resources related to child care and new child care requirements, and how to create a DCDEE WORKS account can be found on the Division of Child Development and Early Education website. https://ncchildcare.ncdhhs.gov/ • North Carolina Risk Management Portal for EPR updates/review: https://rmp.nc.gov/portal/# • NC Child Care Health & Safety Resource Center If you have questions related to this visit or if I can be of additional assistance, I can be reached at 252-214-8454 or emily.hargrove@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809 or susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: HUMPTY DUMPTY Facility ID: 9155056 Consultant: EMILY HARGROVE Operation Type: Center Case Number: Visit Date: 5/21/2025 Number Present: 31 Completed Date: 5/21/2025 Age: From 0 To 5 Total Minutes: 155 Time In: 10:30 AM Time Out: 01:05 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 this program for compliance with applicable child care requirements during an annual compliance visit. J. Robertson, Administrator was present today. M. Robinson, Administrative Assistant assisted with the visit. This center currently operates with a three-star license, earning four points in the education component, two points in the program standard component and 1 quality point for the administrator completing a business wage and hour training of 30 hours. The last annual compliance visit was completed on June 7, 2024. The last sanitation inspection was completed on January 30, 2025, earning a “Superior” classification. The last fire inspection was completed on March 18, 2025, and the center was approved for daytime care only. Thirty-one (31) children were observed in care today. Children were engaged in morning activities, free-choice play, story time/circle time, interacting with the caregivers, completing toileting, diapering and hand washing routines and lunch. Lunch consisted of Macaroni and Cheese with Ham, black eye peas, green beans and milk. The following violations were documented today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Operator did not submit fire inspection within one week of the inspection visit on a form provided by the Division. 10A NCAC 09 .0304(a) 1821 The EPR Plan did not include the date of the last revision of the plan. EPR plan was last updated on June 6, 2023. .0607(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. EPR plan was not reviewed with staff members on an annual basis. .0607(f) COMPLIANCE LETTER REQUIRED: The violations documented must be corrected immediately. Please send a compliance verification letter to me describing when and how the violation was corrected and your plans for maintaining compliance in the future. You may submit the compliance verification letter by postal mail to Emily Hargrove, PO Box 1974 Henderson, NC 27537 or email emily.hargrove@dhhs.nc.gov. The compliance verification letter must be received on or before June 4, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. GENERAL RULE REMINDERS: Child Care Licensing Requirements are established to ensure a safe, healthy, and developmentally appropriate environment for all child care facilities. Therefore, it is important for you to be knowledgeable of all licensing requirements that apply for your center. It is your responsibility to maintain compliance with the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the childcare laws and rules on the Division of Child Development and Early Education (DCDEE) website. CONSULTATION AND TEHNICAL ASSISTANCE: Compliance History: Prior to today's visit, this facility has maintained an 18-month compliance score of 99%. PROGRAM RECORDS: Fire Drills/Emergency Drills, Fire inspection, Sanitation report, First Aid/CPR Poster, Playground Outdoor Inspections, EMC Plan and License were reviewed and current. You submitted the most current fire inspection. I discussed with you to make sure that you submit within one week of inspection to DCDEE. You submitted most current fire inspection and sanitation inspection during the visit. CHILDREN AND STAFF RECORDS: Ten percent (10%) or more of children records were monitored. Children records reviewed, were in compliance. Other children’s files not reviewed should be monitored to ensure compliance for the same information. Ten percent (10%) or more of staff records were monitored. Staff records reviewed, were in compliance. Other staff files not reviewed should be monitored to ensure compliance for the same information. OWNERSHIP STATUS: Mark A. Robinson and Vivian G. Robertson is listed as the current owners of this program. You stated one of the owners listed is deceased. We discussed plans for updating ownership status. I informed you further research would be conducted, and follow-up information will be provided on how to proceed. FACILITY PROFILE INFORMATION: You stated the mailing address, phone number and email address listed for your program are correct. If changes in your facility information occurs, please contact me at 252-214-8454 or email emily.hargrove@dhhs.nc.gov to discuss the changes and ensure the information is updated in the system. This program is current and active with the North Carolina Secretary of State. EPR Plan: The EPR Plan did not include the date of the last revision of the plan. EPR plan was last updated on June 6, 2023. I discussed with you that this form must be updated annually and filed with records. All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. EPR plan was not reviewed with staff members on an annual basis. CRIMINIAL BACKGROUND APPLICATIONS: A New feature links criminal background applications to facilities. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. This feature was observed being implemented. Staff that are not linked should be linked to the facility. A copy of the instructions was given to Nicole Baker, PreK Coordinator. CLEAN WATER FOR US KIDS: The Clean Water for Carolina Kids status for lead in water is “section complete”. For the lead base paint and asbestos, the status is “enrollment started”. N. Baker logged into the account and contacted Clean Water to receive clarification on what is needed for completion. This information was verified in the clean water for US kids facility data. STAR RATED LICENSE (SRL)/QRIS: Hold harmless has been extended until the new QRIS is implemented (SB 425). GET READY FOR THE 3s (ECERS-3, ITERS-3, FCCERS-3): The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) have collaboratively worked on preparations for the transition to the ECERS-3, ITERS-3, and FCCERS-3 that started February 1, 2025. Don't worry! Visit the Get ready for the 3s webpage to learn what's different and what you can do now to prepare. New resources have been added. You'll find updated FAQs, fact sheets, credit hour training, outreach assessment opportunities and more to help you become familiar with these tools. RESOURCES: • The most current provider documents/ forms, checklists, resources related to child care and new child care requirements, and how to create a DCDEE WORKS account can be found on the Division of Child Development and Early Education website. https://ncchildcare.ncdhhs.gov/ • North Carolina Risk Management Portal for EPR updates/review: https://rmp.nc.gov/portal/# • NC Child Care Health & Safety Resource Center If you have questions related to this visit or if I can be of additional assistance, I can be reached at 252-214-8454 or emily.hargrove@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809 or susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: HUMPTY DUMPTY Facility ID: 9155056 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 6/7/2024 Number Present: 28 Completed Date: 6/7/2024 Age: From 0 To 5 Total Minutes: 170 Time In: 11:40 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor this program for compliance with applicable child care requirements during an annual compliance visit. J. Robertson, Administrator was out today. M. Robinson, Administrative Assistant assisted with the visit. This center currently operates with a three-star license, earning four points in the education component, two points in the program standard component and 1 quality point for the administrator completing a business wage and hour training of 30 hours. The last annual compliance visit was completed on June 29, 2023. The last sanitation inspection was completed on February 29, 2024, earning a “Superior” classification. The last fire inspection was completed on April 16, 2024, and the center was approved for daytime care only. Twenty-eight (28) children were observed in care today. Children observed napping, playing with age-appropriate materials eating snack, completing hand washing routines, and interacting with caregivers. Snack consisted of graham crackers, pineapples and milk. The center’s compliance history score was reviewed with the operator. The program’s compliance history was 84% as of June 6, 2024. The following violations were documented. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection was not completed within twelve months from the last fire inspection report date of April 11, 2024. The current fire inspection was dated April 16, 2024. 10A NCAC 09 .0304(a) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. Milk bottles were observed inside the crib with two infants sleeping. In Space #3 10A NCAC 09 .0902(b) 807 A safe indoor and outdoor environment was not provided for the children. A staff member’s purse was observed on a shelf accessible to children in Space #2. 10A NCAC 09 .0601(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Visual safe sleep checks were not documented for three infants observed sleeping between 11:45am to 12:10pm .0606(g) 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. A medical report and TB skin test was not on file for one employee hired on June 5, 2024. Medical files were not separated form the personnel file. .0701(d) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before June 21, 2024. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. OWNERSHIP STATUS: We discussed the status of ownership. I informed you documentation has been submitted and is being reviewed by the Division. I further shared when review of documentation is completed, you will be contacted to discuss next steps. FACILITY PROFILE INFORMATION: You verified the phone number email address and mailing address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. TB SKIN TESTS & MEDICAL ASSESSMENTS: You stated the new employee started work prior to obtaining a medical assessment and TB skin test because there was a need for help. I reminded you the TB sin test and medial assessment is required prior to employment. You could require the TB skin test and medical assessment as a requirement during the hiring process. VISUAL SAFE SLEEP CHECKS: Based on my review, visual safe sleep checks were not completed for three infants today from 11:45am -12:07pm. Upon arrival children were napping. When requested documentation of sleep checks and times were not recorded on the forms provided for review. One caregiver stated she documented the wrong date for sleep checks; however, after further conversation it was determined the three infants were present the day prior and sleep checks were not completed. Staff were informed visual safe sleep check should be conducted every fifteen minutes from the time children are placed down for naps. A timer can be used as a time to reminder to complete the safe sleep checks. FIRE INSPECTIONS: I reminded you annual inspections must be completed on or before the date of the last inspection. We talked about scheduling fire inspection early to ensure enough time is allotted to get the inspection done prior to expiration. NUTRITION: Milk bottles were observed in cribs with two infants. One caregiver stated the child fell asleep with the bottle. I notified you bottles should not be given to children when placed in cribs. Drinking bottles while lying down could cause choking or strangulation. I further explained it is unsafe and that children should be held or placed in the appropriate feeding apparatus. You and the staff are responsible for ensuring the safety and wellbeing of children is always met. CHILD CARE RULE UPDATES EFFECTIVE JANUARY 2024: Please ensure you are using the updated rule book dated January 1, 2024, and review information in the DCDEE Moodle regarding the updated rule changes. You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. PROVIDER ACCESS to the BACKGROUND CHECK MANAGEMENT SYSTEM DCDEE has launched the Provider Portal for ABCMS effective February 1, 2024. This access will allow providers to: •See applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster •See the real-time background check status of staff members •Run a printable report of the staff roster to assist with compliance visits To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. The training consists of watching a short video then taking a test about the video. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. We will grant your access within 2 business days. Please do not use this email account to ask background check questions. If you have general questions, please continue to use DHHS.CBC.Unit@dhhs.nc.gov. EQUIVALENCY EXAM OFFLINE for MAINTENANCE: The NC Early Childhood Equivalency exam located in Moodle will be unavailable until further notice for updates. In the meantime, earn the Early Childhood Education Certificate by enrolling in EDU 119 at a local community college. Better yet, take advantage of DCDEE’s offer of a No-Cost Professional Development Teacher Membership and earn your CDA! The NC Early Childhood Equivalency exam located in Moodle will be unavailable until further notice for updates. In the meantime, earn the Early Childhood Education Certificate by enrolling in EDU 119 at a local community college. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0902 · Violation

Name of Operation: HUMPTY DUMPTY Facility ID: 9155056 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 6/7/2024 Number Present: 28 Completed Date: 6/7/2024 Age: From 0 To 5 Total Minutes: 170 Time In: 11:40 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor this program for compliance with applicable child care requirements during an annual compliance visit. J. Robertson, Administrator was out today. M. Robinson, Administrative Assistant assisted with the visit. This center currently operates with a three-star license, earning four points in the education component, two points in the program standard component and 1 quality point for the administrator completing a business wage and hour training of 30 hours. The last annual compliance visit was completed on June 29, 2023. The last sanitation inspection was completed on February 29, 2024, earning a “Superior” classification. The last fire inspection was completed on April 16, 2024, and the center was approved for daytime care only. Twenty-eight (28) children were observed in care today. Children observed napping, playing with age-appropriate materials eating snack, completing hand washing routines, and interacting with caregivers. Snack consisted of graham crackers, pineapples and milk. The center’s compliance history score was reviewed with the operator. The program’s compliance history was 84% as of June 6, 2024. The following violations were documented. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection was not completed within twelve months from the last fire inspection report date of April 11, 2024. The current fire inspection was dated April 16, 2024. 10A NCAC 09 .0304(a) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. Milk bottles were observed inside the crib with two infants sleeping. In Space #3 10A NCAC 09 .0902(b) 807 A safe indoor and outdoor environment was not provided for the children. A staff member’s purse was observed on a shelf accessible to children in Space #2. 10A NCAC 09 .0601(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Visual safe sleep checks were not documented for three infants observed sleeping between 11:45am to 12:10pm .0606(g) 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. A medical report and TB skin test was not on file for one employee hired on June 5, 2024. Medical files were not separated form the personnel file. .0701(d) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before June 21, 2024. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. OWNERSHIP STATUS: We discussed the status of ownership. I informed you documentation has been submitted and is being reviewed by the Division. I further shared when review of documentation is completed, you will be contacted to discuss next steps. FACILITY PROFILE INFORMATION: You verified the phone number email address and mailing address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. TB SKIN TESTS & MEDICAL ASSESSMENTS: You stated the new employee started work prior to obtaining a medical assessment and TB skin test because there was a need for help. I reminded you the TB sin test and medial assessment is required prior to employment. You could require the TB skin test and medical assessment as a requirement during the hiring process. VISUAL SAFE SLEEP CHECKS: Based on my review, visual safe sleep checks were not completed for three infants today from 11:45am -12:07pm. Upon arrival children were napping. When requested documentation of sleep checks and times were not recorded on the forms provided for review. One caregiver stated she documented the wrong date for sleep checks; however, after further conversation it was determined the three infants were present the day prior and sleep checks were not completed. Staff were informed visual safe sleep check should be conducted every fifteen minutes from the time children are placed down for naps. A timer can be used as a time to reminder to complete the safe sleep checks. FIRE INSPECTIONS: I reminded you annual inspections must be completed on or before the date of the last inspection. We talked about scheduling fire inspection early to ensure enough time is allotted to get the inspection done prior to expiration. NUTRITION: Milk bottles were observed in cribs with two infants. One caregiver stated the child fell asleep with the bottle. I notified you bottles should not be given to children when placed in cribs. Drinking bottles while lying down could cause choking or strangulation. I further explained it is unsafe and that children should be held or placed in the appropriate feeding apparatus. You and the staff are responsible for ensuring the safety and wellbeing of children is always met. CHILD CARE RULE UPDATES EFFECTIVE JANUARY 2024: Please ensure you are using the updated rule book dated January 1, 2024, and review information in the DCDEE Moodle regarding the updated rule changes. You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. PROVIDER ACCESS to the BACKGROUND CHECK MANAGEMENT SYSTEM DCDEE has launched the Provider Portal for ABCMS effective February 1, 2024. This access will allow providers to: •See applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster •See the real-time background check status of staff members •Run a printable report of the staff roster to assist with compliance visits To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. The training consists of watching a short video then taking a test about the video. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. We will grant your access within 2 business days. Please do not use this email account to ask background check questions. If you have general questions, please continue to use DHHS.CBC.Unit@dhhs.nc.gov. EQUIVALENCY EXAM OFFLINE for MAINTENANCE: The NC Early Childhood Equivalency exam located in Moodle will be unavailable until further notice for updates. In the meantime, earn the Early Childhood Education Certificate by enrolling in EDU 119 at a local community college. Better yet, take advantage of DCDEE’s offer of a No-Cost Professional Development Teacher Membership and earn your CDA! The NC Early Childhood Equivalency exam located in Moodle will be unavailable until further notice for updates. In the meantime, earn the Early Childhood Education Certificate by enrolling in EDU 119 at a local community college. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: HUMPTY DUMPTY Facility ID: 9155056 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 6/7/2024 Number Present: 28 Completed Date: 6/7/2024 Age: From 0 To 5 Total Minutes: 170 Time In: 11:40 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor this program for compliance with applicable child care requirements during an annual compliance visit. J. Robertson, Administrator was out today. M. Robinson, Administrative Assistant assisted with the visit. This center currently operates with a three-star license, earning four points in the education component, two points in the program standard component and 1 quality point for the administrator completing a business wage and hour training of 30 hours. The last annual compliance visit was completed on June 29, 2023. The last sanitation inspection was completed on February 29, 2024, earning a “Superior” classification. The last fire inspection was completed on April 16, 2024, and the center was approved for daytime care only. Twenty-eight (28) children were observed in care today. Children observed napping, playing with age-appropriate materials eating snack, completing hand washing routines, and interacting with caregivers. Snack consisted of graham crackers, pineapples and milk. The center’s compliance history score was reviewed with the operator. The program’s compliance history was 84% as of June 6, 2024. The following violations were documented. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection was not completed within twelve months from the last fire inspection report date of April 11, 2024. The current fire inspection was dated April 16, 2024. 10A NCAC 09 .0304(a) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. Milk bottles were observed inside the crib with two infants sleeping. In Space #3 10A NCAC 09 .0902(b) 807 A safe indoor and outdoor environment was not provided for the children. A staff member’s purse was observed on a shelf accessible to children in Space #2. 10A NCAC 09 .0601(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Visual safe sleep checks were not documented for three infants observed sleeping between 11:45am to 12:10pm .0606(g) 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. A medical report and TB skin test was not on file for one employee hired on June 5, 2024. Medical files were not separated form the personnel file. .0701(d) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before June 21, 2024. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. OWNERSHIP STATUS: We discussed the status of ownership. I informed you documentation has been submitted and is being reviewed by the Division. I further shared when review of documentation is completed, you will be contacted to discuss next steps. FACILITY PROFILE INFORMATION: You verified the phone number email address and mailing address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. TB SKIN TESTS & MEDICAL ASSESSMENTS: You stated the new employee started work prior to obtaining a medical assessment and TB skin test because there was a need for help. I reminded you the TB sin test and medial assessment is required prior to employment. You could require the TB skin test and medical assessment as a requirement during the hiring process. VISUAL SAFE SLEEP CHECKS: Based on my review, visual safe sleep checks were not completed for three infants today from 11:45am -12:07pm. Upon arrival children were napping. When requested documentation of sleep checks and times were not recorded on the forms provided for review. One caregiver stated she documented the wrong date for sleep checks; however, after further conversation it was determined the three infants were present the day prior and sleep checks were not completed. Staff were informed visual safe sleep check should be conducted every fifteen minutes from the time children are placed down for naps. A timer can be used as a time to reminder to complete the safe sleep checks. FIRE INSPECTIONS: I reminded you annual inspections must be completed on or before the date of the last inspection. We talked about scheduling fire inspection early to ensure enough time is allotted to get the inspection done prior to expiration. NUTRITION: Milk bottles were observed in cribs with two infants. One caregiver stated the child fell asleep with the bottle. I notified you bottles should not be given to children when placed in cribs. Drinking bottles while lying down could cause choking or strangulation. I further explained it is unsafe and that children should be held or placed in the appropriate feeding apparatus. You and the staff are responsible for ensuring the safety and wellbeing of children is always met. CHILD CARE RULE UPDATES EFFECTIVE JANUARY 2024: Please ensure you are using the updated rule book dated January 1, 2024, and review information in the DCDEE Moodle regarding the updated rule changes. You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. PROVIDER ACCESS to the BACKGROUND CHECK MANAGEMENT SYSTEM DCDEE has launched the Provider Portal for ABCMS effective February 1, 2024. This access will allow providers to: •See applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster •See the real-time background check status of staff members •Run a printable report of the staff roster to assist with compliance visits To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. The training consists of watching a short video then taking a test about the video. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. We will grant your access within 2 business days. Please do not use this email account to ask background check questions. If you have general questions, please continue to use DHHS.CBC.Unit@dhhs.nc.gov. EQUIVALENCY EXAM OFFLINE for MAINTENANCE: The NC Early Childhood Equivalency exam located in Moodle will be unavailable until further notice for updates. In the meantime, earn the Early Childhood Education Certificate by enrolling in EDU 119 at a local community college. Better yet, take advantage of DCDEE’s offer of a No-Cost Professional Development Teacher Membership and earn your CDA! The NC Early Childhood Equivalency exam located in Moodle will be unavailable until further notice for updates. In the meantime, earn the Early Childhood Education Certificate by enrolling in EDU 119 at a local community college. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: HUMPTY DUMPTY Facility ID: 9155056 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 1/25/2024 Number Present: 33 Completed Date: 1/25/2024 Age: From 0 To 5 Total Minutes: 175 Time In: 09:05 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your facility for compliance with applicable child care requirements during a routine unannounced visit. J. Robertson, Administrator, assisted with the visit. Thirty-three children were observed in care today ranging from ages zero to five years old. Children were engaged in morning activities, free-choice play, interacting with the caregivers, completing toileting, diapering and hand washing routines and eating breakfast and lunch. Breakfast consisted on oatmeal, applesauce, toast and milk. Lunch consisted on beef tacos in tortillas, corn, mixed fruit and milk. Currently this program operates with a Three-Star License earning four points in education the component, two points in program standards and one quality point for the administrator completing a business training course of at least 30 clock hours. The last annual compliance visit was completed on June 29, 2023. The last sanitation inspection was completed on April 10, 2023, with a “Superior” classification. The last fire inspection was completed on April 11, 2023, and the center was approved for day care only. The following violations were documented today. Violation Number Comment Rule 405 A child's hands were not washed after each diaper change. One infant’s hand was not washed immediately after diaper changing occurred in Space #3. 15A NCAC 18A .2803(c)(2) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One child was served a bottle while sitting in a rocker seat in Space #3. 10A NCAC 09 .0902(b) 807 A safe indoor and outdoor environment was not provided for the children. A screw was protruding from the cabinet door on the hand washing sink and a chair was torn exposing inside interior in Space #1. Three riding toys were broken exposing sharp edges on the playground used by children. 10A NCAC 09 .0601(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Parent authorization forms were not on file for diaper cream for two children enrolled in Space #1 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A tube of Nystatin cream on site for one child was not in its original container with the pharmacy label. .0803(2)(a) 871 Center staff did not comply with the safe sleep policy. Two infants were observed sleeping in rockers from 9:20am-9:24am. One infant was observed napping in the crib with a blanket in Space #3. 10A NCAC 09 .0606(a) 1756 Enhanced staff/child ratios and group sizes were not met. Enhanced staff/child ratio requirements were not met upon arrival, when one teacher was observed providing care for nine (9) children ranging from ages three (3) months to one (1) year old in Space #3. 10A NCAC 09 .2818 The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before February 8, 2024. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. COMPLIANCE HISTORY: The program's compliance history was reviewed with the operator. The program’s compliance history was 81% percent as of January 24, 2 024. OWNERSHIP STATUS: Mark A. Robinson and Vivian G. Robertson is listed as the current owners of this program. You stated one of the owners listed is deceased. We discussed plans for updating ownership status. I informed you further research would be conducted, and follow-up information will be provided on how to proceed. FACILITY PROFILE INFORMATION: You stated the mailing address, phone number and email address listed for your program are correct. If changes in your facility information occurs, please contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure the information is updated in the system. ENHANCED STAFF/CHIL RATIO: Upon arrival, one caregiver was observed providing care to nine children ranging from ages three months to one year old. One employee standing at the door immediately went into the classroom prior to me entering to complete enrollment. You were observed coming from another space with breakfast for a child in the class. It was reported the second caregiver was running late; therefore, you were assisting in the classroom. You stated you thought another person was in the classroom assisting when you left out. I informed you staff/child ratio requirements must always be maintained. We discussed ensuring anytime there are more than five children present, two teachers remain inside the classroom providing care to children. Your program is currently meeting enhanced staff/child ratio requirements. Maintaining adequate staff/child ratios ensures the health and safety of children enrolled. It was suggested having an additional person on site to assist when needed. A plan of action should be developed to ensure coverage for staff/child ratio is available when staff are late or need to take care of personal routines outside the classroom. MEDICATION REQUIREMENTS: We discussed monitoring medication to ensure prescription medication is provided in its original container with the pharmacy label. It was explained the pharmacy labels ensures the medication is prescribed to the designated child/children as well as provide information regarding the amount to be administered, the route of administration and how often to administer the medication. Also written, permission to administer medication should be given prior to applying topical ointments such as diaper cream, Vaselines, etc. on children. The caregiver stated the medication was no longer being administered to children. I explained when medication is no longer being administered it should be returned to the parents within 72 hours. It was recommended you review the medication requirements with all staff as a refresher. Staff can also take the Administering Medication training on the Division’s website in Moodle. SAFE SLEEP PRACTICES: Infants were observed sleeping in rocker chairs for approximately four minutes. The caregiver then removed the children and placed them in their cribs. Be reminded upon falling to sleep, infants should be removed from the rocker chairs and placed in their cribs for sleeping. According to the safe sleep policy posted in states no items will be inside the cribs with infants while sleeping. One infant was observed with a blanket in the crib. I recommended reviewing the safe sleep policy and monitoring to ensure the practices are being followed as required. HAND WASHING: One child’s hands were not washed immediately after diapering. The caregiver stated she cleaned the child’s hands with a wipe. I explained when children begin to have neck control their hand should be washed with soap and water. The caregiver washed the child’s hands after our conversation. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. You can also complete training modules located in the MOODLE platform, access provider's documents, and the child care rules and laws. At the end of this visit, the visit summary report was printed, reviewed with you, and a copy left for your records. CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0902 · Violation

Name of Operation: HUMPTY DUMPTY Facility ID: 9155056 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 1/25/2024 Number Present: 33 Completed Date: 1/25/2024 Age: From 0 To 5 Total Minutes: 175 Time In: 09:05 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your facility for compliance with applicable child care requirements during a routine unannounced visit. J. Robertson, Administrator, assisted with the visit. Thirty-three children were observed in care today ranging from ages zero to five years old. Children were engaged in morning activities, free-choice play, interacting with the caregivers, completing toileting, diapering and hand washing routines and eating breakfast and lunch. Breakfast consisted on oatmeal, applesauce, toast and milk. Lunch consisted on beef tacos in tortillas, corn, mixed fruit and milk. Currently this program operates with a Three-Star License earning four points in education the component, two points in program standards and one quality point for the administrator completing a business training course of at least 30 clock hours. The last annual compliance visit was completed on June 29, 2023. The last sanitation inspection was completed on April 10, 2023, with a “Superior” classification. The last fire inspection was completed on April 11, 2023, and the center was approved for day care only. The following violations were documented today. Violation Number Comment Rule 405 A child's hands were not washed after each diaper change. One infant’s hand was not washed immediately after diaper changing occurred in Space #3. 15A NCAC 18A .2803(c)(2) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One child was served a bottle while sitting in a rocker seat in Space #3. 10A NCAC 09 .0902(b) 807 A safe indoor and outdoor environment was not provided for the children. A screw was protruding from the cabinet door on the hand washing sink and a chair was torn exposing inside interior in Space #1. Three riding toys were broken exposing sharp edges on the playground used by children. 10A NCAC 09 .0601(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Parent authorization forms were not on file for diaper cream for two children enrolled in Space #1 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A tube of Nystatin cream on site for one child was not in its original container with the pharmacy label. .0803(2)(a) 871 Center staff did not comply with the safe sleep policy. Two infants were observed sleeping in rockers from 9:20am-9:24am. One infant was observed napping in the crib with a blanket in Space #3. 10A NCAC 09 .0606(a) 1756 Enhanced staff/child ratios and group sizes were not met. Enhanced staff/child ratio requirements were not met upon arrival, when one teacher was observed providing care for nine (9) children ranging from ages three (3) months to one (1) year old in Space #3. 10A NCAC 09 .2818 The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before February 8, 2024. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. COMPLIANCE HISTORY: The program's compliance history was reviewed with the operator. The program’s compliance history was 81% percent as of January 24, 2 024. OWNERSHIP STATUS: Mark A. Robinson and Vivian G. Robertson is listed as the current owners of this program. You stated one of the owners listed is deceased. We discussed plans for updating ownership status. I informed you further research would be conducted, and follow-up information will be provided on how to proceed. FACILITY PROFILE INFORMATION: You stated the mailing address, phone number and email address listed for your program are correct. If changes in your facility information occurs, please contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure the information is updated in the system. ENHANCED STAFF/CHIL RATIO: Upon arrival, one caregiver was observed providing care to nine children ranging from ages three months to one year old. One employee standing at the door immediately went into the classroom prior to me entering to complete enrollment. You were observed coming from another space with breakfast for a child in the class. It was reported the second caregiver was running late; therefore, you were assisting in the classroom. You stated you thought another person was in the classroom assisting when you left out. I informed you staff/child ratio requirements must always be maintained. We discussed ensuring anytime there are more than five children present, two teachers remain inside the classroom providing care to children. Your program is currently meeting enhanced staff/child ratio requirements. Maintaining adequate staff/child ratios ensures the health and safety of children enrolled. It was suggested having an additional person on site to assist when needed. A plan of action should be developed to ensure coverage for staff/child ratio is available when staff are late or need to take care of personal routines outside the classroom. MEDICATION REQUIREMENTS: We discussed monitoring medication to ensure prescription medication is provided in its original container with the pharmacy label. It was explained the pharmacy labels ensures the medication is prescribed to the designated child/children as well as provide information regarding the amount to be administered, the route of administration and how often to administer the medication. Also written, permission to administer medication should be given prior to applying topical ointments such as diaper cream, Vaselines, etc. on children. The caregiver stated the medication was no longer being administered to children. I explained when medication is no longer being administered it should be returned to the parents within 72 hours. It was recommended you review the medication requirements with all staff as a refresher. Staff can also take the Administering Medication training on the Division’s website in Moodle. SAFE SLEEP PRACTICES: Infants were observed sleeping in rocker chairs for approximately four minutes. The caregiver then removed the children and placed them in their cribs. Be reminded upon falling to sleep, infants should be removed from the rocker chairs and placed in their cribs for sleeping. According to the safe sleep policy posted in states no items will be inside the cribs with infants while sleeping. One infant was observed with a blanket in the crib. I recommended reviewing the safe sleep policy and monitoring to ensure the practices are being followed as required. HAND WASHING: One child’s hands were not washed immediately after diapering. The caregiver stated she cleaned the child’s hands with a wipe. I explained when children begin to have neck control their hand should be washed with soap and water. The caregiver washed the child’s hands after our conversation. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. You can also complete training modules located in the MOODLE platform, access provider's documents, and the child care rules and laws. At the end of this visit, the visit summary report was printed, reviewed with you, and a copy left for your records. CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0606 · Violation

Name of Operation: HUMPTY DUMPTY Facility ID: 9155056 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 1/25/2024 Number Present: 33 Completed Date: 1/25/2024 Age: From 0 To 5 Total Minutes: 175 Time In: 09:05 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your facility for compliance with applicable child care requirements during a routine unannounced visit. J. Robertson, Administrator, assisted with the visit. Thirty-three children were observed in care today ranging from ages zero to five years old. Children were engaged in morning activities, free-choice play, interacting with the caregivers, completing toileting, diapering and hand washing routines and eating breakfast and lunch. Breakfast consisted on oatmeal, applesauce, toast and milk. Lunch consisted on beef tacos in tortillas, corn, mixed fruit and milk. Currently this program operates with a Three-Star License earning four points in education the component, two points in program standards and one quality point for the administrator completing a business training course of at least 30 clock hours. The last annual compliance visit was completed on June 29, 2023. The last sanitation inspection was completed on April 10, 2023, with a “Superior” classification. The last fire inspection was completed on April 11, 2023, and the center was approved for day care only. The following violations were documented today. Violation Number Comment Rule 405 A child's hands were not washed after each diaper change. One infant’s hand was not washed immediately after diaper changing occurred in Space #3. 15A NCAC 18A .2803(c)(2) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One child was served a bottle while sitting in a rocker seat in Space #3. 10A NCAC 09 .0902(b) 807 A safe indoor and outdoor environment was not provided for the children. A screw was protruding from the cabinet door on the hand washing sink and a chair was torn exposing inside interior in Space #1. Three riding toys were broken exposing sharp edges on the playground used by children. 10A NCAC 09 .0601(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Parent authorization forms were not on file for diaper cream for two children enrolled in Space #1 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A tube of Nystatin cream on site for one child was not in its original container with the pharmacy label. .0803(2)(a) 871 Center staff did not comply with the safe sleep policy. Two infants were observed sleeping in rockers from 9:20am-9:24am. One infant was observed napping in the crib with a blanket in Space #3. 10A NCAC 09 .0606(a) 1756 Enhanced staff/child ratios and group sizes were not met. Enhanced staff/child ratio requirements were not met upon arrival, when one teacher was observed providing care for nine (9) children ranging from ages three (3) months to one (1) year old in Space #3. 10A NCAC 09 .2818 The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before February 8, 2024. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. COMPLIANCE HISTORY: The program's compliance history was reviewed with the operator. The program’s compliance history was 81% percent as of January 24, 2 024. OWNERSHIP STATUS: Mark A. Robinson and Vivian G. Robertson is listed as the current owners of this program. You stated one of the owners listed is deceased. We discussed plans for updating ownership status. I informed you further research would be conducted, and follow-up information will be provided on how to proceed. FACILITY PROFILE INFORMATION: You stated the mailing address, phone number and email address listed for your program are correct. If changes in your facility information occurs, please contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure the information is updated in the system. ENHANCED STAFF/CHIL RATIO: Upon arrival, one caregiver was observed providing care to nine children ranging from ages three months to one year old. One employee standing at the door immediately went into the classroom prior to me entering to complete enrollment. You were observed coming from another space with breakfast for a child in the class. It was reported the second caregiver was running late; therefore, you were assisting in the classroom. You stated you thought another person was in the classroom assisting when you left out. I informed you staff/child ratio requirements must always be maintained. We discussed ensuring anytime there are more than five children present, two teachers remain inside the classroom providing care to children. Your program is currently meeting enhanced staff/child ratio requirements. Maintaining adequate staff/child ratios ensures the health and safety of children enrolled. It was suggested having an additional person on site to assist when needed. A plan of action should be developed to ensure coverage for staff/child ratio is available when staff are late or need to take care of personal routines outside the classroom. MEDICATION REQUIREMENTS: We discussed monitoring medication to ensure prescription medication is provided in its original container with the pharmacy label. It was explained the pharmacy labels ensures the medication is prescribed to the designated child/children as well as provide information regarding the amount to be administered, the route of administration and how often to administer the medication. Also written, permission to administer medication should be given prior to applying topical ointments such as diaper cream, Vaselines, etc. on children. The caregiver stated the medication was no longer being administered to children. I explained when medication is no longer being administered it should be returned to the parents within 72 hours. It was recommended you review the medication requirements with all staff as a refresher. Staff can also take the Administering Medication training on the Division’s website in Moodle. SAFE SLEEP PRACTICES: Infants were observed sleeping in rocker chairs for approximately four minutes. The caregiver then removed the children and placed them in their cribs. Be reminded upon falling to sleep, infants should be removed from the rocker chairs and placed in their cribs for sleeping. According to the safe sleep policy posted in states no items will be inside the cribs with infants while sleeping. One infant was observed with a blanket in the crib. I recommended reviewing the safe sleep policy and monitoring to ensure the practices are being followed as required. HAND WASHING: One child’s hands were not washed immediately after diapering. The caregiver stated she cleaned the child’s hands with a wipe. I explained when children begin to have neck control their hand should be washed with soap and water. The caregiver washed the child’s hands after our conversation. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. You can also complete training modules located in the MOODLE platform, access provider's documents, and the child care rules and laws. At the end of this visit, the visit summary report was printed, reviewed with you, and a copy left for your records. CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: HUMPTY DUMPTY Facility ID: 9155056 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 1/25/2024 Number Present: 33 Completed Date: 1/25/2024 Age: From 0 To 5 Total Minutes: 175 Time In: 09:05 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your facility for compliance with applicable child care requirements during a routine unannounced visit. J. Robertson, Administrator, assisted with the visit. Thirty-three children were observed in care today ranging from ages zero to five years old. Children were engaged in morning activities, free-choice play, interacting with the caregivers, completing toileting, diapering and hand washing routines and eating breakfast and lunch. Breakfast consisted on oatmeal, applesauce, toast and milk. Lunch consisted on beef tacos in tortillas, corn, mixed fruit and milk. Currently this program operates with a Three-Star License earning four points in education the component, two points in program standards and one quality point for the administrator completing a business training course of at least 30 clock hours. The last annual compliance visit was completed on June 29, 2023. The last sanitation inspection was completed on April 10, 2023, with a “Superior” classification. The last fire inspection was completed on April 11, 2023, and the center was approved for day care only. The following violations were documented today. Violation Number Comment Rule 405 A child's hands were not washed after each diaper change. One infant’s hand was not washed immediately after diaper changing occurred in Space #3. 15A NCAC 18A .2803(c)(2) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One child was served a bottle while sitting in a rocker seat in Space #3. 10A NCAC 09 .0902(b) 807 A safe indoor and outdoor environment was not provided for the children. A screw was protruding from the cabinet door on the hand washing sink and a chair was torn exposing inside interior in Space #1. Three riding toys were broken exposing sharp edges on the playground used by children. 10A NCAC 09 .0601(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Parent authorization forms were not on file for diaper cream for two children enrolled in Space #1 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A tube of Nystatin cream on site for one child was not in its original container with the pharmacy label. .0803(2)(a) 871 Center staff did not comply with the safe sleep policy. Two infants were observed sleeping in rockers from 9:20am-9:24am. One infant was observed napping in the crib with a blanket in Space #3. 10A NCAC 09 .0606(a) 1756 Enhanced staff/child ratios and group sizes were not met. Enhanced staff/child ratio requirements were not met upon arrival, when one teacher was observed providing care for nine (9) children ranging from ages three (3) months to one (1) year old in Space #3. 10A NCAC 09 .2818 The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before February 8, 2024. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. COMPLIANCE HISTORY: The program's compliance history was reviewed with the operator. The program’s compliance history was 81% percent as of January 24, 2 024. OWNERSHIP STATUS: Mark A. Robinson and Vivian G. Robertson is listed as the current owners of this program. You stated one of the owners listed is deceased. We discussed plans for updating ownership status. I informed you further research would be conducted, and follow-up information will be provided on how to proceed. FACILITY PROFILE INFORMATION: You stated the mailing address, phone number and email address listed for your program are correct. If changes in your facility information occurs, please contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure the information is updated in the system. ENHANCED STAFF/CHIL RATIO: Upon arrival, one caregiver was observed providing care to nine children ranging from ages three months to one year old. One employee standing at the door immediately went into the classroom prior to me entering to complete enrollment. You were observed coming from another space with breakfast for a child in the class. It was reported the second caregiver was running late; therefore, you were assisting in the classroom. You stated you thought another person was in the classroom assisting when you left out. I informed you staff/child ratio requirements must always be maintained. We discussed ensuring anytime there are more than five children present, two teachers remain inside the classroom providing care to children. Your program is currently meeting enhanced staff/child ratio requirements. Maintaining adequate staff/child ratios ensures the health and safety of children enrolled. It was suggested having an additional person on site to assist when needed. A plan of action should be developed to ensure coverage for staff/child ratio is available when staff are late or need to take care of personal routines outside the classroom. MEDICATION REQUIREMENTS: We discussed monitoring medication to ensure prescription medication is provided in its original container with the pharmacy label. It was explained the pharmacy labels ensures the medication is prescribed to the designated child/children as well as provide information regarding the amount to be administered, the route of administration and how often to administer the medication. Also written, permission to administer medication should be given prior to applying topical ointments such as diaper cream, Vaselines, etc. on children. The caregiver stated the medication was no longer being administered to children. I explained when medication is no longer being administered it should be returned to the parents within 72 hours. It was recommended you review the medication requirements with all staff as a refresher. Staff can also take the Administering Medication training on the Division’s website in Moodle. SAFE SLEEP PRACTICES: Infants were observed sleeping in rocker chairs for approximately four minutes. The caregiver then removed the children and placed them in their cribs. Be reminded upon falling to sleep, infants should be removed from the rocker chairs and placed in their cribs for sleeping. According to the safe sleep policy posted in states no items will be inside the cribs with infants while sleeping. One infant was observed with a blanket in the crib. I recommended reviewing the safe sleep policy and monitoring to ensure the practices are being followed as required. HAND WASHING: One child’s hands were not washed immediately after diapering. The caregiver stated she cleaned the child’s hands with a wipe. I explained when children begin to have neck control their hand should be washed with soap and water. The caregiver washed the child’s hands after our conversation. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. You can also complete training modules located in the MOODLE platform, access provider's documents, and the child care rules and laws. At the end of this visit, the visit summary report was printed, reviewed with you, and a copy left for your records. CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2818 · Violation

Name of Operation: HUMPTY DUMPTY Facility ID: 9155056 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 1/25/2024 Number Present: 33 Completed Date: 1/25/2024 Age: From 0 To 5 Total Minutes: 175 Time In: 09:05 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your facility for compliance with applicable child care requirements during a routine unannounced visit. J. Robertson, Administrator, assisted with the visit. Thirty-three children were observed in care today ranging from ages zero to five years old. Children were engaged in morning activities, free-choice play, interacting with the caregivers, completing toileting, diapering and hand washing routines and eating breakfast and lunch. Breakfast consisted on oatmeal, applesauce, toast and milk. Lunch consisted on beef tacos in tortillas, corn, mixed fruit and milk. Currently this program operates with a Three-Star License earning four points in education the component, two points in program standards and one quality point for the administrator completing a business training course of at least 30 clock hours. The last annual compliance visit was completed on June 29, 2023. The last sanitation inspection was completed on April 10, 2023, with a “Superior” classification. The last fire inspection was completed on April 11, 2023, and the center was approved for day care only. The following violations were documented today. Violation Number Comment Rule 405 A child's hands were not washed after each diaper change. One infant’s hand was not washed immediately after diaper changing occurred in Space #3. 15A NCAC 18A .2803(c)(2) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. One child was served a bottle while sitting in a rocker seat in Space #3. 10A NCAC 09 .0902(b) 807 A safe indoor and outdoor environment was not provided for the children. A screw was protruding from the cabinet door on the hand washing sink and a chair was torn exposing inside interior in Space #1. Three riding toys were broken exposing sharp edges on the playground used by children. 10A NCAC 09 .0601(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Parent authorization forms were not on file for diaper cream for two children enrolled in Space #1 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A tube of Nystatin cream on site for one child was not in its original container with the pharmacy label. .0803(2)(a) 871 Center staff did not comply with the safe sleep policy. Two infants were observed sleeping in rockers from 9:20am-9:24am. One infant was observed napping in the crib with a blanket in Space #3. 10A NCAC 09 .0606(a) 1756 Enhanced staff/child ratios and group sizes were not met. Enhanced staff/child ratio requirements were not met upon arrival, when one teacher was observed providing care for nine (9) children ranging from ages three (3) months to one (1) year old in Space #3. 10A NCAC 09 .2818 The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before February 8, 2024. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. COMPLIANCE HISTORY: The program's compliance history was reviewed with the operator. The program’s compliance history was 81% percent as of January 24, 2 024. OWNERSHIP STATUS: Mark A. Robinson and Vivian G. Robertson is listed as the current owners of this program. You stated one of the owners listed is deceased. We discussed plans for updating ownership status. I informed you further research would be conducted, and follow-up information will be provided on how to proceed. FACILITY PROFILE INFORMATION: You stated the mailing address, phone number and email address listed for your program are correct. If changes in your facility information occurs, please contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure the information is updated in the system. ENHANCED STAFF/CHIL RATIO: Upon arrival, one caregiver was observed providing care to nine children ranging from ages three months to one year old. One employee standing at the door immediately went into the classroom prior to me entering to complete enrollment. You were observed coming from another space with breakfast for a child in the class. It was reported the second caregiver was running late; therefore, you were assisting in the classroom. You stated you thought another person was in the classroom assisting when you left out. I informed you staff/child ratio requirements must always be maintained. We discussed ensuring anytime there are more than five children present, two teachers remain inside the classroom providing care to children. Your program is currently meeting enhanced staff/child ratio requirements. Maintaining adequate staff/child ratios ensures the health and safety of children enrolled. It was suggested having an additional person on site to assist when needed. A plan of action should be developed to ensure coverage for staff/child ratio is available when staff are late or need to take care of personal routines outside the classroom. MEDICATION REQUIREMENTS: We discussed monitoring medication to ensure prescription medication is provided in its original container with the pharmacy label. It was explained the pharmacy labels ensures the medication is prescribed to the designated child/children as well as provide information regarding the amount to be administered, the route of administration and how often to administer the medication. Also written, permission to administer medication should be given prior to applying topical ointments such as diaper cream, Vaselines, etc. on children. The caregiver stated the medication was no longer being administered to children. I explained when medication is no longer being administered it should be returned to the parents within 72 hours. It was recommended you review the medication requirements with all staff as a refresher. Staff can also take the Administering Medication training on the Division’s website in Moodle. SAFE SLEEP PRACTICES: Infants were observed sleeping in rocker chairs for approximately four minutes. The caregiver then removed the children and placed them in their cribs. Be reminded upon falling to sleep, infants should be removed from the rocker chairs and placed in their cribs for sleeping. According to the safe sleep policy posted in states no items will be inside the cribs with infants while sleeping. One infant was observed with a blanket in the crib. I recommended reviewing the safe sleep policy and monitoring to ensure the practices are being followed as required. HAND WASHING: One child’s hands were not washed immediately after diapering. The caregiver stated she cleaned the child’s hands with a wipe. I explained when children begin to have neck control their hand should be washed with soap and water. The caregiver washed the child’s hands after our conversation. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. You can also complete training modules located in the MOODLE platform, access provider's documents, and the child care rules and laws. At the end of this visit, the visit summary report was printed, reviewed with you, and a copy left for your records. CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. 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