Martha's Day Care Home

10A NCAC 09 .1719 · Violation

Name of Operation: MARTHA'S DAY CARE HOME Facility ID: 18000151 Consultant: KIMBERLY CRANE Operation Type: Family CC Home Case Number: Visit Date: 11/22/2024 Number Present: 5 Completed Date: 11/22/2024 Age: From 2 To 4 Total Minutes: 215 Time In: 09:10 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Martha Pegues, Owner/Operator, assisted me with today’s visit. I conducted last annual compliance visit on May 23, 2024. We reviewed the facility input form to ensure that there were no changes to your facility information. You stated there were no changes to the facility information. We reviewed the facility permit to ensure that there were no changes to your facility’s operation. The facility is owned/operated by Martha J Pegues. As the owner/operator, you are required by Child Care Rule .0102 (19) to reside in the home where the license is issued and according to General Statute 110-91(8) to be the full-time caregiver to the children enrolled at the family child care home. You stated you live in the home and are the person working full-time to care for the children enrolled at your family child care home. We reviewed the restrictions on your family child care home license as well as the capacity, shifts of care, and the age range of the children served at your facility. You stated that you did not have any questions regarding the information reviewed with you regarding your license. Your program’s compliance history was 99% as of November 18, 2024 and was reviewed with you today. Your program currently operates with a five-star license, issued on August 18, 2017, earning seven points in staff education, six points program standards, and one quality point for having obtained an Infant/Toddler Certificate. You stated you use The Creative Curriculum for Family Child Care as the required curriculum used with four-year and five-year-old children. You stated the five children ranging in age from two-years to four-years attending on first shift during today’s visit were the only children you had enrolled in your family child care home. You stated you had no infants enrolled and no children enrolled on second shift or third shift at this time. I verified that you have completed the initial lead water testing required to be completed by January 2025 and will need to be completed every three years thereafter. Your initial lead water test results dated February 29, 2024 indicated that your water is within acceptable ranges. I verified that you have started the lead-based paint and asbestos testing and are waiting for on-site results. I visited each indoor space today. Your designated child care room was set up in activity areas including areas for art, blocks, books, manipulatives, dramatic play. Children were participating in routine care activities, eating snack, participating in teacher directed whole-group music and language activities, and playing in the designated child care space of your home. I observed food stored in cabinets, on a cart, and a residential refrigerator in your kitchen at a temperature of 34 degrees Fahrenheit. I monitored hazardous product storage, medication storage and medication administration, general safety, fire safety, and sanitation. I reviewed program records including fire drills, emergency drills, Emergency Preparedness and Response (EPR) Plan, emergency medical care plan, outdoor safety inspections, incident log, arrival and departure time records, and attendance records. I reviewed your staff record file. I was able to verify that you had completed Recognizing and Responding to Suspicions of Child Maltreatment training, had documentation of valid and current First Aid and CPR training certification, and had documentation of current ITS-SIDS certification. I was also able to verify that you had completed your five-year renewal of your Health and Safety Training topics from March 16, 2021 through August 5, 2024. The Criminal Background Check (CBC) qualification letter for you, M Pegues, owner/operator, expired on October 7, 2024. You stated you had been attempting to contact the CBC Unit and had been attempting to submit your application for a five-year recheck since early October 2024. You shared email documentation that documented that your contacts with the CBC Unit had occurred from early October 2024 through November 21, 2024. You stated and I was able to verify that your application with through the ABCMS portal was in process as of November 21, 2024. You stated you needed to have your fingerprints taken and submitted electronically to complete the recheck application process. You stated the CBC Unit told you that you needed to complete the recheck application process first before your family members that reside in the home could complete the recheck application process. The CBC qualification letter for R Pegues and A Pegues, family members residing in the home, expired on October 16, 2024 and October 17, 2024. You stated you would complete the recheck application process for your family members as soon as you received your CBC qualification recheck letter. I monitored health & safety requirements. I monitored your written operational policies and procedures during a routine unannounced visit on January 18, 2024. You stated you had made no changes to your written policies since January 2024. I monitored supervision, licensed capacity, designated space use, and permit restrictions. The following violations were observed and cited during today’s visit: Violation Number Comment Rule 930 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years from the date of issuance). The Criminal Background Check qualification letters required for five year rechecks for the owner/operator and two family members residing in the home had expired on October 7, 2024, October 16, 2024, and October 17, 2024. G.S. 110-90.2 & .2703(n) & (o) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. One pack of pull-ups in opened shrink-wrap plastic and one opened plastic refill bag of diaper wipes were stored in an unlocked diaper changing table in the bottom shelf below five feet. .1719(a)(18) TECHNICAL ASSISTANCE 1. Per child care rule 10A NCAC 09 .1719(a)(18), plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, should be made inaccessible to children under the age of three. Plastic bags should be stored inaccessible to children above five feet or in a locked cabinet, closet, or drawer. Grocery bags, opened shrink wrapped or bagged products, diapers or pull-ups in opened plastic shrink wrap, opened diaper wipe refill packets, used and unused trash bags, used zip-loc bags, and opened teacher supply materials are considered plastic bags. Today, I observed one pack of pull-ups in opened shrink-wrap plastic and one opened plastic refill bag of diaper wipes stored in an unlocked diaper changing table in the bottom shelf below five feet. You moved these two plastic items to the shelf above five feet in the bathroom used by the children. To maintain compliance with this child care requirement, I suggest you remember to store these plastic items on the shelf above five feet in the bathroom used by the children. 2. Per General Statute 110-90.2 and 10A NCAC 09 .2703(n)&(o), prior to the expiration date of the qualification letter, the child care provider should complete and submit required forms to complete a criminal background check for themselves and for each family member sixteen years of age and older residing in the home. Each qualification letter is valid for a maximum of five years from the date of issuance. Your qualification letter expired on October 7, 2024. The qualification letter for the family members residing in your home expired on October 16, 2024 and October 17, 2024. To correct the violation of this child care requirement, you should complete the recheck application process for you and your two family members and send a copy of the three qualification letters to me by email within fifteen days (on or before December 7, 2024). With the Thanksgiving holiday season coming into play, I advised you to send me email messages to keep me in the loop with each step you take to correct this violation within in the required fifteen day timeframe. To maintain compliance with this child care requirement, I suggest you begin the recheck application process at As a resleast three months prior to the expiration date of any CBC qualification letter. CONSULTATION 1. Keep all outdoor equipment free of standing water. 2. Keep walls, doors, doorframes, and light switches wiped clean routinely. 3. Based on the ages and attention spans of the children enrolled, you may want to consider a shorter amount of time for teacher-directed language activities. I suggest you limit your teacher-directed language activity to one book. Then, allow those children that want to choose activity areas for play to leave the group while those children that want to engage in longer teacher-directed language activities such as reading individually selected books may remain with you to read to them. 4. As a result of tropical storm Helene and a declared natural disaster in Western North Carolina, technical assistance is provided to assist the child care provider in achieving compliance. Please be reminded to add newly enrolled children to your activity plan when documenting individual activity plans. 5. Keep an eye on your inbox for the 2024 annual license fee invoice. Invoices will be emailed to the facility addresses on file by November 30, 2024. Online payments will be due by December 31, 2024. Per North Carolina General Statute § 110-90(1a), licensed child care facilities are assessed an annual license fee. The amount of your annual license fee is based on the licensed capacity printed on your license as of October 1, 2024. It is not based on the number of children enrolled at your facility. Annual license fees do not apply to state- or public school-operated child care facilities, or to religious-sponsored facilities operating under a Notice of Compliance. For questions regarding license fees, check out these Frequently Asked Questions. For help with the annual license fee, contact DCDEE_LF@dhhs.nc.gov. 6. The reporting period for child care immunizations is now open. Reporting for 2024-2025 has been extended due to Hurricane Helene. Children have a grace period from requirements until November 30, 2024, and reports will be accepted until January 15, 2025. Click here to submit your report. Send any questions regarding child care immunization reporting to immunization.reports@dhhs.nc.gov. 7. Visit NC Child Care Health and Safety Resource Center at http://healthychildcare.unc.edu to find the following resources: technical assistance, coaching support, resources, handwashing and diapering posters, monthly newsletters, and a list of approved in-service trainings. 8. On Friday, July 12, 2024, DCDEE sent a “Raise North Carolina” email blast announcing the signing of Senate Bill 425. The email contained a section entitled, “Quality Rating Improvement System (QRIS) Modernization” which provided updated information regarding the Rated License Reassessment process and approved extended stabilization grant funding. What does all this mean for child care in general? 1. The new QRIS Modifications and additional pathways will be added to law which included moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for ECCERS. ITERS and FCCERS, effective February 1, 2025. DCDEE and the NC Child Care Commission have already begun the rulemaking process to add the rule language to child care requirements. This process with take several months. 2. Hold Harmless provisions have been extended. Star rated license reassessments are postponed until the QRIS rulemaking process has been completed. Providers in any Cohort may voluntarily request a star rated license reassessment if they wish. Star rated license assessments are still required for new child care programs. 3. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a 3- or 5-star license if they are not already at this star level. Providers will need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. What does all this mean for facilities in Cohort 1? A facility may voluntarily request to complete the star rated license reassessment at any time but will not be required to complete the star rated license reassessment process this year. What does this mean for the Environmental Rating Scales? Please be reminded that if a facility voluntarily chooses to complete the star rated license reassessment AND chooses to complete one or more Environmental Rating Scale (ERS) assessments, the ERS-revised editions will continue to be used until January 31, 2025. Any ERS assessment completed on February 1, 2025 and after will be assessed using the ERS-3 versions. If you wish to VOLUNTARILY move forward with a rated license reassessment, please reach out to me as soon as possible so plans can be made on both our calendars to ensure ease and success with completing the star rated license reassessment process in a timely manner that benefits us both. Over the next few months, I recommend you complete the following tasks and activities that will help you complete your reassessment process when the time comes: 1. Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS). 2. Determine whether you wish to have ERS Assessments conducted. 3. Request technical assistance with your child care consultant and local partners. 4. Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information). 5. Reach out to your local Community College to discuss educational opportunities. 6. Review NCRLAP website ERS resources (www.NCRLAP.org). 7. Review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms. COMPLIANCE PLAN: No compliance documentation is needed for violation item number 1922 corrected during today’s visit. I documented in the visit summary the corrective actions taken today to correct this violation. All violations cited and not corrected today must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. 1) Your compliance letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Your signature 2) Please send the updated CBC recheck qualification letters as supporting documentation for me to use to verify compliance. I should receive your compliance letter no later than December 6, 2024. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. An administrative action may be issued based on child care requirements outlined in Child Care Rule .2200 ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Your letter may be mailed to me at: Kimberly Crane Post Office Box 6217 Hickory, NC 28603 For your convenience, your compliance letter may be sent by email to: kimberly.crane@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included in the body of the email: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the end of today’s visit, a visit summary packet was prepared, reviewed with you, signed, and a copy was left with you today. We appreciate all you do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (828) 493-6390 or by email at kimberly.crane@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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 .2703 · Violation

Name of Operation: MARTHA'S DAY CARE HOME Facility ID: 18000151 Consultant: KIMBERLY CRANE Operation Type: Family CC Home Case Number: Visit Date: 11/22/2024 Number Present: 5 Completed Date: 11/22/2024 Age: From 2 To 4 Total Minutes: 215 Time In: 09:10 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Martha Pegues, Owner/Operator, assisted me with today’s visit. I conducted last annual compliance visit on May 23, 2024. We reviewed the facility input form to ensure that there were no changes to your facility information. You stated there were no changes to the facility information. We reviewed the facility permit to ensure that there were no changes to your facility’s operation. The facility is owned/operated by Martha J Pegues. As the owner/operator, you are required by Child Care Rule .0102 (19) to reside in the home where the license is issued and according to General Statute 110-91(8) to be the full-time caregiver to the children enrolled at the family child care home. You stated you live in the home and are the person working full-time to care for the children enrolled at your family child care home. We reviewed the restrictions on your family child care home license as well as the capacity, shifts of care, and the age range of the children served at your facility. You stated that you did not have any questions regarding the information reviewed with you regarding your license. Your program’s compliance history was 99% as of November 18, 2024 and was reviewed with you today. Your program currently operates with a five-star license, issued on August 18, 2017, earning seven points in staff education, six points program standards, and one quality point for having obtained an Infant/Toddler Certificate. You stated you use The Creative Curriculum for Family Child Care as the required curriculum used with four-year and five-year-old children. You stated the five children ranging in age from two-years to four-years attending on first shift during today’s visit were the only children you had enrolled in your family child care home. You stated you had no infants enrolled and no children enrolled on second shift or third shift at this time. I verified that you have completed the initial lead water testing required to be completed by January 2025 and will need to be completed every three years thereafter. Your initial lead water test results dated February 29, 2024 indicated that your water is within acceptable ranges. I verified that you have started the lead-based paint and asbestos testing and are waiting for on-site results. I visited each indoor space today. Your designated child care room was set up in activity areas including areas for art, blocks, books, manipulatives, dramatic play. Children were participating in routine care activities, eating snack, participating in teacher directed whole-group music and language activities, and playing in the designated child care space of your home. I observed food stored in cabinets, on a cart, and a residential refrigerator in your kitchen at a temperature of 34 degrees Fahrenheit. I monitored hazardous product storage, medication storage and medication administration, general safety, fire safety, and sanitation. I reviewed program records including fire drills, emergency drills, Emergency Preparedness and Response (EPR) Plan, emergency medical care plan, outdoor safety inspections, incident log, arrival and departure time records, and attendance records. I reviewed your staff record file. I was able to verify that you had completed Recognizing and Responding to Suspicions of Child Maltreatment training, had documentation of valid and current First Aid and CPR training certification, and had documentation of current ITS-SIDS certification. I was also able to verify that you had completed your five-year renewal of your Health and Safety Training topics from March 16, 2021 through August 5, 2024. The Criminal Background Check (CBC) qualification letter for you, M Pegues, owner/operator, expired on October 7, 2024. You stated you had been attempting to contact the CBC Unit and had been attempting to submit your application for a five-year recheck since early October 2024. You shared email documentation that documented that your contacts with the CBC Unit had occurred from early October 2024 through November 21, 2024. You stated and I was able to verify that your application with through the ABCMS portal was in process as of November 21, 2024. You stated you needed to have your fingerprints taken and submitted electronically to complete the recheck application process. You stated the CBC Unit told you that you needed to complete the recheck application process first before your family members that reside in the home could complete the recheck application process. The CBC qualification letter for R Pegues and A Pegues, family members residing in the home, expired on October 16, 2024 and October 17, 2024. You stated you would complete the recheck application process for your family members as soon as you received your CBC qualification recheck letter. I monitored health & safety requirements. I monitored your written operational policies and procedures during a routine unannounced visit on January 18, 2024. You stated you had made no changes to your written policies since January 2024. I monitored supervision, licensed capacity, designated space use, and permit restrictions. The following violations were observed and cited during today’s visit: Violation Number Comment Rule 930 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years from the date of issuance). The Criminal Background Check qualification letters required for five year rechecks for the owner/operator and two family members residing in the home had expired on October 7, 2024, October 16, 2024, and October 17, 2024. G.S. 110-90.2 & .2703(n) & (o) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. One pack of pull-ups in opened shrink-wrap plastic and one opened plastic refill bag of diaper wipes were stored in an unlocked diaper changing table in the bottom shelf below five feet. .1719(a)(18) TECHNICAL ASSISTANCE 1. Per child care rule 10A NCAC 09 .1719(a)(18), plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, should be made inaccessible to children under the age of three. Plastic bags should be stored inaccessible to children above five feet or in a locked cabinet, closet, or drawer. Grocery bags, opened shrink wrapped or bagged products, diapers or pull-ups in opened plastic shrink wrap, opened diaper wipe refill packets, used and unused trash bags, used zip-loc bags, and opened teacher supply materials are considered plastic bags. Today, I observed one pack of pull-ups in opened shrink-wrap plastic and one opened plastic refill bag of diaper wipes stored in an unlocked diaper changing table in the bottom shelf below five feet. You moved these two plastic items to the shelf above five feet in the bathroom used by the children. To maintain compliance with this child care requirement, I suggest you remember to store these plastic items on the shelf above five feet in the bathroom used by the children. 2. Per General Statute 110-90.2 and 10A NCAC 09 .2703(n)&(o), prior to the expiration date of the qualification letter, the child care provider should complete and submit required forms to complete a criminal background check for themselves and for each family member sixteen years of age and older residing in the home. Each qualification letter is valid for a maximum of five years from the date of issuance. Your qualification letter expired on October 7, 2024. The qualification letter for the family members residing in your home expired on October 16, 2024 and October 17, 2024. To correct the violation of this child care requirement, you should complete the recheck application process for you and your two family members and send a copy of the three qualification letters to me by email within fifteen days (on or before December 7, 2024). With the Thanksgiving holiday season coming into play, I advised you to send me email messages to keep me in the loop with each step you take to correct this violation within in the required fifteen day timeframe. To maintain compliance with this child care requirement, I suggest you begin the recheck application process at As a resleast three months prior to the expiration date of any CBC qualification letter. CONSULTATION 1. Keep all outdoor equipment free of standing water. 2. Keep walls, doors, doorframes, and light switches wiped clean routinely. 3. Based on the ages and attention spans of the children enrolled, you may want to consider a shorter amount of time for teacher-directed language activities. I suggest you limit your teacher-directed language activity to one book. Then, allow those children that want to choose activity areas for play to leave the group while those children that want to engage in longer teacher-directed language activities such as reading individually selected books may remain with you to read to them. 4. As a result of tropical storm Helene and a declared natural disaster in Western North Carolina, technical assistance is provided to assist the child care provider in achieving compliance. Please be reminded to add newly enrolled children to your activity plan when documenting individual activity plans. 5. Keep an eye on your inbox for the 2024 annual license fee invoice. Invoices will be emailed to the facility addresses on file by November 30, 2024. Online payments will be due by December 31, 2024. Per North Carolina General Statute § 110-90(1a), licensed child care facilities are assessed an annual license fee. The amount of your annual license fee is based on the licensed capacity printed on your license as of October 1, 2024. It is not based on the number of children enrolled at your facility. Annual license fees do not apply to state- or public school-operated child care facilities, or to religious-sponsored facilities operating under a Notice of Compliance. For questions regarding license fees, check out these Frequently Asked Questions. For help with the annual license fee, contact DCDEE_LF@dhhs.nc.gov. 6. The reporting period for child care immunizations is now open. Reporting for 2024-2025 has been extended due to Hurricane Helene. Children have a grace period from requirements until November 30, 2024, and reports will be accepted until January 15, 2025. Click here to submit your report. Send any questions regarding child care immunization reporting to immunization.reports@dhhs.nc.gov. 7. Visit NC Child Care Health and Safety Resource Center at http://healthychildcare.unc.edu to find the following resources: technical assistance, coaching support, resources, handwashing and diapering posters, monthly newsletters, and a list of approved in-service trainings. 8. On Friday, July 12, 2024, DCDEE sent a “Raise North Carolina” email blast announcing the signing of Senate Bill 425. The email contained a section entitled, “Quality Rating Improvement System (QRIS) Modernization” which provided updated information regarding the Rated License Reassessment process and approved extended stabilization grant funding. What does all this mean for child care in general? 1. The new QRIS Modifications and additional pathways will be added to law which included moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for ECCERS. ITERS and FCCERS, effective February 1, 2025. DCDEE and the NC Child Care Commission have already begun the rulemaking process to add the rule language to child care requirements. This process with take several months. 2. Hold Harmless provisions have been extended. Star rated license reassessments are postponed until the QRIS rulemaking process has been completed. Providers in any Cohort may voluntarily request a star rated license reassessment if they wish. Star rated license assessments are still required for new child care programs. 3. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a 3- or 5-star license if they are not already at this star level. Providers will need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. What does all this mean for facilities in Cohort 1? A facility may voluntarily request to complete the star rated license reassessment at any time but will not be required to complete the star rated license reassessment process this year. What does this mean for the Environmental Rating Scales? Please be reminded that if a facility voluntarily chooses to complete the star rated license reassessment AND chooses to complete one or more Environmental Rating Scale (ERS) assessments, the ERS-revised editions will continue to be used until January 31, 2025. Any ERS assessment completed on February 1, 2025 and after will be assessed using the ERS-3 versions. If you wish to VOLUNTARILY move forward with a rated license reassessment, please reach out to me as soon as possible so plans can be made on both our calendars to ensure ease and success with completing the star rated license reassessment process in a timely manner that benefits us both. Over the next few months, I recommend you complete the following tasks and activities that will help you complete your reassessment process when the time comes: 1. Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS). 2. Determine whether you wish to have ERS Assessments conducted. 3. Request technical assistance with your child care consultant and local partners. 4. Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information). 5. Reach out to your local Community College to discuss educational opportunities. 6. Review NCRLAP website ERS resources (www.NCRLAP.org). 7. Review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms. COMPLIANCE PLAN: No compliance documentation is needed for violation item number 1922 corrected during today’s visit. I documented in the visit summary the corrective actions taken today to correct this violation. All violations cited and not corrected today must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. 1) Your compliance letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Your signature 2) Please send the updated CBC recheck qualification letters as supporting documentation for me to use to verify compliance. I should receive your compliance letter no later than December 6, 2024. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. An administrative action may be issued based on child care requirements outlined in Child Care Rule .2200 ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Your letter may be mailed to me at: Kimberly Crane Post Office Box 6217 Hickory, NC 28603 For your convenience, your compliance letter may be sent by email to: kimberly.crane@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included in the body of the email: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the end of today’s visit, a visit summary packet was prepared, reviewed with you, signed, and a copy was left with you today. We appreciate all you do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (828) 493-6390 or by email at kimberly.crane@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: MARTHA'S DAY CARE HOME Facility ID: 18000151 Consultant: KIMBERLY CRANE Operation Type: Family CC Home Case Number: Visit Date: 11/22/2024 Number Present: 5 Completed Date: 11/22/2024 Age: From 2 To 4 Total Minutes: 215 Time In: 09:10 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Martha Pegues, Owner/Operator, assisted me with today’s visit. I conducted last annual compliance visit on May 23, 2024. We reviewed the facility input form to ensure that there were no changes to your facility information. You stated there were no changes to the facility information. We reviewed the facility permit to ensure that there were no changes to your facility’s operation. The facility is owned/operated by Martha J Pegues. As the owner/operator, you are required by Child Care Rule .0102 (19) to reside in the home where the license is issued and according to General Statute 110-91(8) to be the full-time caregiver to the children enrolled at the family child care home. You stated you live in the home and are the person working full-time to care for the children enrolled at your family child care home. We reviewed the restrictions on your family child care home license as well as the capacity, shifts of care, and the age range of the children served at your facility. You stated that you did not have any questions regarding the information reviewed with you regarding your license. Your program’s compliance history was 99% as of November 18, 2024 and was reviewed with you today. Your program currently operates with a five-star license, issued on August 18, 2017, earning seven points in staff education, six points program standards, and one quality point for having obtained an Infant/Toddler Certificate. You stated you use The Creative Curriculum for Family Child Care as the required curriculum used with four-year and five-year-old children. You stated the five children ranging in age from two-years to four-years attending on first shift during today’s visit were the only children you had enrolled in your family child care home. You stated you had no infants enrolled and no children enrolled on second shift or third shift at this time. I verified that you have completed the initial lead water testing required to be completed by January 2025 and will need to be completed every three years thereafter. Your initial lead water test results dated February 29, 2024 indicated that your water is within acceptable ranges. I verified that you have started the lead-based paint and asbestos testing and are waiting for on-site results. I visited each indoor space today. Your designated child care room was set up in activity areas including areas for art, blocks, books, manipulatives, dramatic play. Children were participating in routine care activities, eating snack, participating in teacher directed whole-group music and language activities, and playing in the designated child care space of your home. I observed food stored in cabinets, on a cart, and a residential refrigerator in your kitchen at a temperature of 34 degrees Fahrenheit. I monitored hazardous product storage, medication storage and medication administration, general safety, fire safety, and sanitation. I reviewed program records including fire drills, emergency drills, Emergency Preparedness and Response (EPR) Plan, emergency medical care plan, outdoor safety inspections, incident log, arrival and departure time records, and attendance records. I reviewed your staff record file. I was able to verify that you had completed Recognizing and Responding to Suspicions of Child Maltreatment training, had documentation of valid and current First Aid and CPR training certification, and had documentation of current ITS-SIDS certification. I was also able to verify that you had completed your five-year renewal of your Health and Safety Training topics from March 16, 2021 through August 5, 2024. The Criminal Background Check (CBC) qualification letter for you, M Pegues, owner/operator, expired on October 7, 2024. You stated you had been attempting to contact the CBC Unit and had been attempting to submit your application for a five-year recheck since early October 2024. You shared email documentation that documented that your contacts with the CBC Unit had occurred from early October 2024 through November 21, 2024. You stated and I was able to verify that your application with through the ABCMS portal was in process as of November 21, 2024. You stated you needed to have your fingerprints taken and submitted electronically to complete the recheck application process. You stated the CBC Unit told you that you needed to complete the recheck application process first before your family members that reside in the home could complete the recheck application process. The CBC qualification letter for R Pegues and A Pegues, family members residing in the home, expired on October 16, 2024 and October 17, 2024. You stated you would complete the recheck application process for your family members as soon as you received your CBC qualification recheck letter. I monitored health & safety requirements. I monitored your written operational policies and procedures during a routine unannounced visit on January 18, 2024. You stated you had made no changes to your written policies since January 2024. I monitored supervision, licensed capacity, designated space use, and permit restrictions. The following violations were observed and cited during today’s visit: Violation Number Comment Rule 930 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years from the date of issuance). The Criminal Background Check qualification letters required for five year rechecks for the owner/operator and two family members residing in the home had expired on October 7, 2024, October 16, 2024, and October 17, 2024. G.S. 110-90.2 & .2703(n) & (o) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. One pack of pull-ups in opened shrink-wrap plastic and one opened plastic refill bag of diaper wipes were stored in an unlocked diaper changing table in the bottom shelf below five feet. .1719(a)(18) TECHNICAL ASSISTANCE 1. Per child care rule 10A NCAC 09 .1719(a)(18), plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, should be made inaccessible to children under the age of three. Plastic bags should be stored inaccessible to children above five feet or in a locked cabinet, closet, or drawer. Grocery bags, opened shrink wrapped or bagged products, diapers or pull-ups in opened plastic shrink wrap, opened diaper wipe refill packets, used and unused trash bags, used zip-loc bags, and opened teacher supply materials are considered plastic bags. Today, I observed one pack of pull-ups in opened shrink-wrap plastic and one opened plastic refill bag of diaper wipes stored in an unlocked diaper changing table in the bottom shelf below five feet. You moved these two plastic items to the shelf above five feet in the bathroom used by the children. To maintain compliance with this child care requirement, I suggest you remember to store these plastic items on the shelf above five feet in the bathroom used by the children. 2. Per General Statute 110-90.2 and 10A NCAC 09 .2703(n)&(o), prior to the expiration date of the qualification letter, the child care provider should complete and submit required forms to complete a criminal background check for themselves and for each family member sixteen years of age and older residing in the home. Each qualification letter is valid for a maximum of five years from the date of issuance. Your qualification letter expired on October 7, 2024. The qualification letter for the family members residing in your home expired on October 16, 2024 and October 17, 2024. To correct the violation of this child care requirement, you should complete the recheck application process for you and your two family members and send a copy of the three qualification letters to me by email within fifteen days (on or before December 7, 2024). With the Thanksgiving holiday season coming into play, I advised you to send me email messages to keep me in the loop with each step you take to correct this violation within in the required fifteen day timeframe. To maintain compliance with this child care requirement, I suggest you begin the recheck application process at As a resleast three months prior to the expiration date of any CBC qualification letter. CONSULTATION 1. Keep all outdoor equipment free of standing water. 2. Keep walls, doors, doorframes, and light switches wiped clean routinely. 3. Based on the ages and attention spans of the children enrolled, you may want to consider a shorter amount of time for teacher-directed language activities. I suggest you limit your teacher-directed language activity to one book. Then, allow those children that want to choose activity areas for play to leave the group while those children that want to engage in longer teacher-directed language activities such as reading individually selected books may remain with you to read to them. 4. As a result of tropical storm Helene and a declared natural disaster in Western North Carolina, technical assistance is provided to assist the child care provider in achieving compliance. Please be reminded to add newly enrolled children to your activity plan when documenting individual activity plans. 5. Keep an eye on your inbox for the 2024 annual license fee invoice. Invoices will be emailed to the facility addresses on file by November 30, 2024. Online payments will be due by December 31, 2024. Per North Carolina General Statute § 110-90(1a), licensed child care facilities are assessed an annual license fee. The amount of your annual license fee is based on the licensed capacity printed on your license as of October 1, 2024. It is not based on the number of children enrolled at your facility. Annual license fees do not apply to state- or public school-operated child care facilities, or to religious-sponsored facilities operating under a Notice of Compliance. For questions regarding license fees, check out these Frequently Asked Questions. For help with the annual license fee, contact DCDEE_LF@dhhs.nc.gov. 6. The reporting period for child care immunizations is now open. Reporting for 2024-2025 has been extended due to Hurricane Helene. Children have a grace period from requirements until November 30, 2024, and reports will be accepted until January 15, 2025. Click here to submit your report. Send any questions regarding child care immunization reporting to immunization.reports@dhhs.nc.gov. 7. Visit NC Child Care Health and Safety Resource Center at http://healthychildcare.unc.edu to find the following resources: technical assistance, coaching support, resources, handwashing and diapering posters, monthly newsletters, and a list of approved in-service trainings. 8. On Friday, July 12, 2024, DCDEE sent a “Raise North Carolina” email blast announcing the signing of Senate Bill 425. The email contained a section entitled, “Quality Rating Improvement System (QRIS) Modernization” which provided updated information regarding the Rated License Reassessment process and approved extended stabilization grant funding. What does all this mean for child care in general? 1. The new QRIS Modifications and additional pathways will be added to law which included moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for ECCERS. ITERS and FCCERS, effective February 1, 2025. DCDEE and the NC Child Care Commission have already begun the rulemaking process to add the rule language to child care requirements. This process with take several months. 2. Hold Harmless provisions have been extended. Star rated license reassessments are postponed until the QRIS rulemaking process has been completed. Providers in any Cohort may voluntarily request a star rated license reassessment if they wish. Star rated license assessments are still required for new child care programs. 3. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a 3- or 5-star license if they are not already at this star level. Providers will need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. What does all this mean for facilities in Cohort 1? A facility may voluntarily request to complete the star rated license reassessment at any time but will not be required to complete the star rated license reassessment process this year. What does this mean for the Environmental Rating Scales? Please be reminded that if a facility voluntarily chooses to complete the star rated license reassessment AND chooses to complete one or more Environmental Rating Scale (ERS) assessments, the ERS-revised editions will continue to be used until January 31, 2025. Any ERS assessment completed on February 1, 2025 and after will be assessed using the ERS-3 versions. If you wish to VOLUNTARILY move forward with a rated license reassessment, please reach out to me as soon as possible so plans can be made on both our calendars to ensure ease and success with completing the star rated license reassessment process in a timely manner that benefits us both. Over the next few months, I recommend you complete the following tasks and activities that will help you complete your reassessment process when the time comes: 1. Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS). 2. Determine whether you wish to have ERS Assessments conducted. 3. Request technical assistance with your child care consultant and local partners. 4. Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information). 5. Reach out to your local Community College to discuss educational opportunities. 6. Review NCRLAP website ERS resources (www.NCRLAP.org). 7. Review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms. COMPLIANCE PLAN: No compliance documentation is needed for violation item number 1922 corrected during today’s visit. I documented in the visit summary the corrective actions taken today to correct this violation. All violations cited and not corrected today must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. 1) Your compliance letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Your signature 2) Please send the updated CBC recheck qualification letters as supporting documentation for me to use to verify compliance. I should receive your compliance letter no later than December 6, 2024. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. An administrative action may be issued based on child care requirements outlined in Child Care Rule .2200 ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Your letter may be mailed to me at: Kimberly Crane Post Office Box 6217 Hickory, NC 28603 For your convenience, your compliance letter may be sent by email to: kimberly.crane@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included in the body of the email: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the end of today’s visit, a visit summary packet was prepared, reviewed with you, signed, and a copy was left with you today. We appreciate all you do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (828) 493-6390 or by email at kimberly.crane@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.0604 · Violation

Name of Operation: MARTHA'S DAY CARE HOME Facility ID: 18000151 Consultant: KIMBERLY CRANE Operation Type: Family CC Home Case Number: Visit Date: 1/18/2024 Number Present: 4 Completed Date: 1/18/2024 Age: From 1 To 3 Total Minutes: 124 Time In: 09:06 AM Time Out: 11:10 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Martha Pegues, Owner/Operator, assisted me with today’s visit. Your program currently operates with a five-star license, issued on August 18, 2017, earning 7 points in education standards, 6 points in program standards and 1 quality point for serving no more than 2 infants under 1 year of age. I conducted last annual compliance visit on June 22, 2023. Your program’s compliance history was 100% as of January 16, 2024 and was reviewed with you today. I visited each indoor space today. I observed children participating in routine care activities, preparing for snack, and eating snack. I observed proper hand washing techniques during today’s visit. I observed a current menu documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. I observed the current menu posted in the kitchen. I observed morning snack listed as cheerios and milk. I observed snack prepared in the kitchen and served at a child-sized table in the dining area of the kitchen. I observed food stored in the kitchen and a residential refrigerator in the kitchen at a temperature of 32 degrees Fahrenheit. I observed and cited no violations. I monitored hazardous product storage. I observed and cited no violations. I monitored medication storage and medication administration. You stated none of the children currently enrolled take medications while in care. I monitored general safety, fire safety, and sanitation. I observed and cite no violations. I reviewed program records including fire drills, emergency drills, Emergency Preparedness and Response (EPR) Plan, emergency medical care plan, outdoor safety inspections, incident log, arrival and departure time records, and attendance records. I observed and cited one violation. I reviewed your staff file. I was able to verify valid and current Criminal Background Check qualification letters, completed Recognizing and to Suspicions of Child Maltreatment training, current First Aid and CPR training certification, and current ITS-SIDS certification for you. I observed and cited no violations. I monitored your written operational policies and procedures dated 2023. I observed and cited no violations. I observed children adequately supervised, licensed capacity of eight enrolled children maintained, approved space used, and permit restrictions including “Daytime and Overnight”, “Maximum of 5 preschool children at any time”, “Children in care on ground level only”, “No more than 3 children less than 1 year old”, “Fireplace/woodstove not used during operating hours” maintained during today’s visit. I observed and cited the following violations today: Violation Number Comment Rule 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. A shelter-in-place and lockdown drill was completed on 05/10/2023 making the next shelter-in-place or lockdown drill due by the end of August 2023. The next shelter-in-place and lockdown drill was completed on 09/08/2023 making the next shelter-in-place or lockdown drill due by the end of December 2023. .1719(a )(16) & .1721(e )(7) TECHNICAL ASSISTANCE: 1 Per child care rules 10A NCAC 09.0604(u) and .0302(d)(8), shelter-in-place or lockdown drills should be practiced every three months and recorded on the drill log. To maintain compliance with this child care requirement, I suggest you set a reminder on your phone to conduct a shelter-in-place or lockdown drill every three months. CONSULTATION: 1 Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest information for child care settings and child care updates including the most up to date documents and forms. 2 Visit NC Child Care Health and Safety Resource Center at http://healthychildcare.unc.edu to find the following resources: technical assistance, coaching support, resources, handwashing and diapering posters, monthly newsletters, and a list of approved in-service trainings including, but not limited to, ITS-SIDS training and Emergency Preparedness and Response in Child Care training. 3 The hold harmless legislation was extended and signed into law on June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024 and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each include a preparation year and a reassessment year. While the first reassessment year will not begin until July 1, 2024, the preparation year for cohort one begins July 1, 2023. Your facility is in Cohort 1. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 If you have questions, please contact me. I look forward to helping you through this rated license reassessment process 4 Items to include in a vehicle binder for each vehicle for DCDEE review: • Daily Transportation Roster (with accurate information documented daily) • Blanket permissions slips for routine transportation • Copy of each child’s application with the child’s picture attached • List of allergies or special health considerations and any medical action plans which would need to be followed • Copy of each staff person’s emergency info/health questionaries’ with staff picture attached • List of emergency telephone numbers: facility, administrator, owner etc. • Copy of current vehicle inspection • Copy of current vehicle insurance • Copy of current vehicle registration • Copy of each driver’s license for all designated drivers, including class C commercial driver’s license with a passenger endorsement if required (please see above) • Copy of DOT # (Department of Transportation Number) if the vehicle is designed for 9+ passengers including the driver (please see above) 5 Child Care Rule reminders for transportation: • First aid kit (secured in the vehicle) • Fire extinguisher (secured in the vehicle) • No smoking sign posted and visible in the vehicle • The vehicle must be in good repair and free of hazards (includes tire tread) • No children are left in the vehicle unattended by an adult • Children need to be loaded and unloaded in areas safe from traffic • Cell/mobile or two-way device needs to be available in the event of an emergency • Staff cannot be on the phone using their cell or two-way devices when there is no emergency and/or when the vehicle is moving (calls and use of mobile devices need to be made when the vehicle is parked and in a safe location) COMPLIANCE PLAN: All violations cited must be corrected immediately. Please submit written, signed, and dated compliance documentation to me at the email/address below detailing the steps taken to correct each violation. Your compliance documentation must include the following: 1) A compliance letter including the following: 1. The name of your facility 2. The ID number of your facility 3. The date you write the letter 4. A corrective action statement for each violation stating how you corrected the violation and are now in compliance. 5. A compliance plan statement for each violation stating how you plan to ensure that you will not have that violation again. 6. Your signature 2) Supporting documentation including the following: Please send supporting documentation such as training certificates, CBC letters, acknowledgement statements, and photographs for me to use to verify compliance. Please DO NOT send staff or child medical documents or documentation for verification as this is a violation of HIPPA protocol. If needed I will verify these documents at the next monitoring visit. I must receive your compliance letter no later than February 1, 2024. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Your letter may be mailed to me at: Kimberly Crane Post Office Box 6217 Hickory, NC 28603 For your convenience, your compliance letter may be sent by email to: kimberly.crane@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included in the body of the email: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your family do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (828) 493-6390 or by email at kimberly.crane@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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