Tiny Tots TOO

10A NCAC 09 .0604 · Violation

Name of Operation: TINY TOTS TOO Facility ID: 68000429 Consultant: TURKESSHA CASTERLOW Operation Type: Center Case Number: Visit Date: 1/8/2026 Number Present: 23 Completed Date: 1/8/2026 Age: From 0 To 4 Total Minutes: 118 Time In: 09:47 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced A routine unannounced visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Turkessha Casterlow, Childcare Consultant with Nancy Jones, Director. Your program currently operates with a Four - Star license. Restrictions include Daytime care only; Meets enhanced ratios; Meets enhanced space. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on January 5, 2026, and Shining Starz Academy Inc., was listed as current and active. The program’s compliance history was 83% prior to today’s visit. Today, the following items were monitored: • Supervision • Capacity • CBC Qualification • General Health Administering Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children playing in their outside learning environment, free play, and group time. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on July 23, 2025. A sanitation inspection was completed on November 21, 2025, with a Superior classification. The last fire inspection was conducted on October 28, 2025. Program records and required postings were monitored. A fire drill was conducted on January 6, 2026. A lockdown drill was documented on January 5, 2026. An outdoor inspection was documented on December 5, 2025. No new staff member was reported at this program. Nutrition requirements were monitored per DCDEE procedures. You stated that you do provide transportation. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed first aid kits and fire extinguishers on the vehicle. I monitored two vehicles today. I observed a 2014 Ford E-350, Tag #DJR-3473 and 2023 Chevy Express, Tag #VN2550. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on these vehicles is due for Ford August 2026 and the Chevy is due April 2026, and the insurance is valid through May 29, 2026. The following violations were cited during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. A outlet in the front foyer power strip was not covered. Three outlets in the school age room did not have outlet covers. 10A NCAC 09 .0604(c) Child Care programs are expected to always achieve and maintain compliance and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before January 22, 2026. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action being taken by the DCDEE. You may email the letter to turkessha.casterlow@dhhs.nc.gov. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action being taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Preparing for North Carolina’s New QRIS System North Carolina’s Quality Rating Improvement System (QRIS) is being modernized to provide more flexible and equitable ways for programs to demonstrate quality. Soon you will begin to choose from three star-rating pathways: Program Assessment, Classroom & Instructional Quality Accreditation. This new approach allows programs to align their strengths with the pathway that best fits their operations. Now is the time to prepare. Programs should begin evaluating staff qualifications including updating staff education in NC Works, curriculum, and classroom interactions to determine the most suitable pathway. Updates to staff qualification standards and assessment tools are expected, and while current star ratings remain valid for now, all new ratings will be issued under the revised QRIS system. Your program’s quality should reflect not only compliance, but also a strong commitment to best practices, child development, and continuous improvement. Providers are encouraged to take advantage of available technical assistance and training opportunities. Please visit the DCDEE website at https://ncchildcare.ncdhhs.gov/, click on What’s New then select QRIS Modernization from the drop-down list. Review the Pathways and start thinking about which pathway you would like to choose to earn your 2-5 Star license. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Turkessha Casterlow, Child Care Consultant (336) 268-0089 turkessha.casterlow@dhhs.nc.gov Kaye Adkins, Supervisor kaye.adkins@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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

NC GS 110-90 · Violation

Name of Operation: TINY TOTS TOO Facility ID: 68000429 Consultant: TURKESSHA CASTERLOW Operation Type: Center Case Number: Visit Date: 1/8/2026 Number Present: 23 Completed Date: 1/8/2026 Age: From 0 To 4 Total Minutes: 118 Time In: 09:47 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced A routine unannounced visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Turkessha Casterlow, Childcare Consultant with Nancy Jones, Director. Your program currently operates with a Four - Star license. Restrictions include Daytime care only; Meets enhanced ratios; Meets enhanced space. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on January 5, 2026, and Shining Starz Academy Inc., was listed as current and active. The program’s compliance history was 83% prior to today’s visit. Today, the following items were monitored: • Supervision • Capacity • CBC Qualification • General Health Administering Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children playing in their outside learning environment, free play, and group time. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on July 23, 2025. A sanitation inspection was completed on November 21, 2025, with a Superior classification. The last fire inspection was conducted on October 28, 2025. Program records and required postings were monitored. A fire drill was conducted on January 6, 2026. A lockdown drill was documented on January 5, 2026. An outdoor inspection was documented on December 5, 2025. No new staff member was reported at this program. Nutrition requirements were monitored per DCDEE procedures. You stated that you do provide transportation. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed first aid kits and fire extinguishers on the vehicle. I monitored two vehicles today. I observed a 2014 Ford E-350, Tag #DJR-3473 and 2023 Chevy Express, Tag #VN2550. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on these vehicles is due for Ford August 2026 and the Chevy is due April 2026, and the insurance is valid through May 29, 2026. The following violations were cited during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. A outlet in the front foyer power strip was not covered. Three outlets in the school age room did not have outlet covers. 10A NCAC 09 .0604(c) Child Care programs are expected to always achieve and maintain compliance and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before January 22, 2026. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action being taken by the DCDEE. You may email the letter to turkessha.casterlow@dhhs.nc.gov. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action being taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Preparing for North Carolina’s New QRIS System North Carolina’s Quality Rating Improvement System (QRIS) is being modernized to provide more flexible and equitable ways for programs to demonstrate quality. Soon you will begin to choose from three star-rating pathways: Program Assessment, Classroom & Instructional Quality Accreditation. This new approach allows programs to align their strengths with the pathway that best fits their operations. Now is the time to prepare. Programs should begin evaluating staff qualifications including updating staff education in NC Works, curriculum, and classroom interactions to determine the most suitable pathway. Updates to staff qualification standards and assessment tools are expected, and while current star ratings remain valid for now, all new ratings will be issued under the revised QRIS system. Your program’s quality should reflect not only compliance, but also a strong commitment to best practices, child development, and continuous improvement. Providers are encouraged to take advantage of available technical assistance and training opportunities. Please visit the DCDEE website at https://ncchildcare.ncdhhs.gov/, click on What’s New then select QRIS Modernization from the drop-down list. Review the Pathways and start thinking about which pathway you would like to choose to earn your 2-5 Star license. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Turkessha Casterlow, Child Care Consultant (336) 268-0089 turkessha.casterlow@dhhs.nc.gov Kaye Adkins, Supervisor kaye.adkins@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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 .0604 · Violation

Name of Operation: TINY TOTS TOO Facility ID: 68000429 Consultant: TURKESSHA CASTERLOW Operation Type: Center Case Number: Visit Date: 7/23/2025 Number Present: 33 Completed Date: 7/23/2025 Age: From 0 To 11 Total Minutes: 252 Time In: 10:03 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Turkessha Casterlow, Childcare Consultant with Nancy Jones, Administrator. Your program currently operates with a Four-Star license. Restrictions include Daytime care only; Meets enhanced ratio; Meets enhanced space. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on July 18, 2025, and Shining Starz Academy Inc. was listed as current and active. The program’s compliance history was 87% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children participating in free play, art activities, and lunch. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on August 13, 2024. A sanitation inspection was completed March 31, 2025, with a Superior classification. The last fire inspection was conducted October 30, 2024. Program records and required postings were monitored. A fire drill was conducted on June 27, 2025. A shelter in place drill was documented on March 4, 2025. An outdoor inspection was documented on July 16, 2025. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Hazardous items were stored in locked cabinets. Storage and administration of medication were monitored. Medication authorization was monitored. You stated that you do provide transportation in the afternoon during the school year and during the summer for field trips. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed first aid kits and fire extinguishers on the vehicle. I monitored two vehicles today. I observed a 2014 Ford E-350, Tag #DJR-3473 and a 2023 Chevy Express, Tag #VNZ2550. The vehicles were clean, in good repair, had working seat belts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on the Ford is due August 31, 2025, and the Chevy is due April 30, 2026, and the insurance is valid through May 29, 2026. The following violations were cited during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Outlets in a power strip within reach of children located in the lobby was not protected by an outlet cover. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A cleaning eraser was stored on a shelf in Space 3. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. An inhaler and a tube of diaper cream were stored in the classroom without a permission to administer form. 10A NCAC 09 .0803(1)(a & b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last safety drill was conducted on March 4, 2025. .0604(u);.0302(d)(8) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch was not adequate for the height of the equipment on the school age playground. .0605(k)(1-4) Child Care programs are expected to always achieve and maintain compliance and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before August 6, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to turkessha.casterlow@dhhs.nc.gov. If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action being taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action being taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: • Checking medications before administration in child care settings is crucial for ensuring children's safety and well-being. It's a multi-step process that involves verifying the medication, dosage, route, time, and the child, as well as proper documentation, to prevent errors and potential harm. • To protect children, it's crucial to store hazardous materials out of their reach and sight. This includes products like cleaning supplies, medications, and certain cleaning items. Implementing safety measures such as cabinet locks and storing items in original, child-resistant containers can significantly reduce the risk of accidental poisoning or injury. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The process of notifying the Division of new employees has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new childcare providers working who were hired or moved into the childcare facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. • With the warmer weather approaching, review the following information. 1.Safety Check & Maintenance Inspect equipment: Check for loose bolts, rust, splinters, or cracks on play structures, swings, and slides. Surface check: Ensure mulch, rubber mats, or sand are evenly spread and thick enough to cushion falls. Fence & gate: Inspect for damage or sharp edges and make sure gates latch securely. Pest control: Check for bees/wasp nests, ant hills, or signs of other pests. 2. Sun Protection Shade structures: Install or check canopies, sails, or umbrellas over play areas and seating. Natural shade: Trim trees for safety but keep them healthy to provide extra sun coverage. Sunscreen policy: Have a plan for applying sunscreen (with parent permission) and ensure staff follows it. 3. Hydration Station Water access: Ensure water is available with disposable cups. Encourage water breaks: Schedule regular hydration times during play. 4. Outdoor Activities & Toys Summer-appropriate toys: Add water tables, sand toys, sports equipment, or ride-ons. Rotate toys: Keep the environment fresh and engaging by rotating outdoor toys. Nature-based play: Include items like gardening tools, pots, or sensory bins with natural materials. 5. Cleanliness Sanitize outdoor toys regularly, especially anything children put in their mouths. Tidy up landscaping: Remove any debris, broken branches, or trash. 6. Safety from Heat Playtime schedule: Shift outdoor play to cooler times (morning or late afternoon). Cooling activities: Plan for cooling breaks with misting bottles, or popsicle breaks. Watch for signs of heat exhaustion in children and staff (lethargy, excessive sweating, etc.). 7. Communication Notify parents about changes in outdoor routines, sunscreen application, and clothing suggestions (hats, water shoes, etc.). Staff training: Review summer safety protocols with your teachers. • The paint of the gazebo located on the toddler playground is flaking and in need of repair. The three sandboxes we discussed should be covered to prevent animals etc. from getting inside when not in use. At the completion of the visit, this visit summary was reviewed with and provided to you. You were provided with an opportunity to ask questions regarding interpretation and implementation of all childcare requirements. Childcare licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to always maintain compliance with all the applicable laws and rules. The best way for you to make sure that you meet all requirements is to periodically review the childcare laws and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ on the home page under the ‘Services’ tab. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Turkessha Casterlow, Child Care Consultant (336) 268-0089 turkessha.casterlow@dhhs.nc.gov Kaye Adkins, Supervisor kaye.adkins@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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: TINY TOTS TOO Facility ID: 68000429 Consultant: TURKESSHA CASTERLOW Operation Type: Center Case Number: Visit Date: 7/23/2025 Number Present: 33 Completed Date: 7/23/2025 Age: From 0 To 11 Total Minutes: 252 Time In: 10:03 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Turkessha Casterlow, Childcare Consultant with Nancy Jones, Administrator. Your program currently operates with a Four-Star license. Restrictions include Daytime care only; Meets enhanced ratio; Meets enhanced space. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on July 18, 2025, and Shining Starz Academy Inc. was listed as current and active. The program’s compliance history was 87% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children participating in free play, art activities, and lunch. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on August 13, 2024. A sanitation inspection was completed March 31, 2025, with a Superior classification. The last fire inspection was conducted October 30, 2024. Program records and required postings were monitored. A fire drill was conducted on June 27, 2025. A shelter in place drill was documented on March 4, 2025. An outdoor inspection was documented on July 16, 2025. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Hazardous items were stored in locked cabinets. Storage and administration of medication were monitored. Medication authorization was monitored. You stated that you do provide transportation in the afternoon during the school year and during the summer for field trips. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed first aid kits and fire extinguishers on the vehicle. I monitored two vehicles today. I observed a 2014 Ford E-350, Tag #DJR-3473 and a 2023 Chevy Express, Tag #VNZ2550. The vehicles were clean, in good repair, had working seat belts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on the Ford is due August 31, 2025, and the Chevy is due April 30, 2026, and the insurance is valid through May 29, 2026. The following violations were cited during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Outlets in a power strip within reach of children located in the lobby was not protected by an outlet cover. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A cleaning eraser was stored on a shelf in Space 3. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. An inhaler and a tube of diaper cream were stored in the classroom without a permission to administer form. 10A NCAC 09 .0803(1)(a & b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last safety drill was conducted on March 4, 2025. .0604(u);.0302(d)(8) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch was not adequate for the height of the equipment on the school age playground. .0605(k)(1-4) Child Care programs are expected to always achieve and maintain compliance and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before August 6, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to turkessha.casterlow@dhhs.nc.gov. If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action being taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action being taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: • Checking medications before administration in child care settings is crucial for ensuring children's safety and well-being. It's a multi-step process that involves verifying the medication, dosage, route, time, and the child, as well as proper documentation, to prevent errors and potential harm. • To protect children, it's crucial to store hazardous materials out of their reach and sight. This includes products like cleaning supplies, medications, and certain cleaning items. Implementing safety measures such as cabinet locks and storing items in original, child-resistant containers can significantly reduce the risk of accidental poisoning or injury. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The process of notifying the Division of new employees has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new childcare providers working who were hired or moved into the childcare facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. • With the warmer weather approaching, review the following information. 1.Safety Check & Maintenance Inspect equipment: Check for loose bolts, rust, splinters, or cracks on play structures, swings, and slides. Surface check: Ensure mulch, rubber mats, or sand are evenly spread and thick enough to cushion falls. Fence & gate: Inspect for damage or sharp edges and make sure gates latch securely. Pest control: Check for bees/wasp nests, ant hills, or signs of other pests. 2. Sun Protection Shade structures: Install or check canopies, sails, or umbrellas over play areas and seating. Natural shade: Trim trees for safety but keep them healthy to provide extra sun coverage. Sunscreen policy: Have a plan for applying sunscreen (with parent permission) and ensure staff follows it. 3. Hydration Station Water access: Ensure water is available with disposable cups. Encourage water breaks: Schedule regular hydration times during play. 4. Outdoor Activities & Toys Summer-appropriate toys: Add water tables, sand toys, sports equipment, or ride-ons. Rotate toys: Keep the environment fresh and engaging by rotating outdoor toys. Nature-based play: Include items like gardening tools, pots, or sensory bins with natural materials. 5. Cleanliness Sanitize outdoor toys regularly, especially anything children put in their mouths. Tidy up landscaping: Remove any debris, broken branches, or trash. 6. Safety from Heat Playtime schedule: Shift outdoor play to cooler times (morning or late afternoon). Cooling activities: Plan for cooling breaks with misting bottles, or popsicle breaks. Watch for signs of heat exhaustion in children and staff (lethargy, excessive sweating, etc.). 7. Communication Notify parents about changes in outdoor routines, sunscreen application, and clothing suggestions (hats, water shoes, etc.). Staff training: Review summer safety protocols with your teachers. • The paint of the gazebo located on the toddler playground is flaking and in need of repair. The three sandboxes we discussed should be covered to prevent animals etc. from getting inside when not in use. At the completion of the visit, this visit summary was reviewed with and provided to you. You were provided with an opportunity to ask questions regarding interpretation and implementation of all childcare requirements. Childcare licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to always maintain compliance with all the applicable laws and rules. The best way for you to make sure that you meet all requirements is to periodically review the childcare laws and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ on the home page under the ‘Services’ tab. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Turkessha Casterlow, Child Care Consultant (336) 268-0089 turkessha.casterlow@dhhs.nc.gov Kaye Adkins, Supervisor kaye.adkins@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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

NC GS 110-90 · Violation

Name of Operation: TINY TOTS TOO Facility ID: 68000429 Consultant: TURKESSHA CASTERLOW Operation Type: Center Case Number: Visit Date: 7/23/2025 Number Present: 33 Completed Date: 7/23/2025 Age: From 0 To 11 Total Minutes: 252 Time In: 10:03 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Turkessha Casterlow, Childcare Consultant with Nancy Jones, Administrator. Your program currently operates with a Four-Star license. Restrictions include Daytime care only; Meets enhanced ratio; Meets enhanced space. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on July 18, 2025, and Shining Starz Academy Inc. was listed as current and active. The program’s compliance history was 87% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children participating in free play, art activities, and lunch. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on August 13, 2024. A sanitation inspection was completed March 31, 2025, with a Superior classification. The last fire inspection was conducted October 30, 2024. Program records and required postings were monitored. A fire drill was conducted on June 27, 2025. A shelter in place drill was documented on March 4, 2025. An outdoor inspection was documented on July 16, 2025. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Hazardous items were stored in locked cabinets. Storage and administration of medication were monitored. Medication authorization was monitored. You stated that you do provide transportation in the afternoon during the school year and during the summer for field trips. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed first aid kits and fire extinguishers on the vehicle. I monitored two vehicles today. I observed a 2014 Ford E-350, Tag #DJR-3473 and a 2023 Chevy Express, Tag #VNZ2550. The vehicles were clean, in good repair, had working seat belts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on the Ford is due August 31, 2025, and the Chevy is due April 30, 2026, and the insurance is valid through May 29, 2026. The following violations were cited during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Outlets in a power strip within reach of children located in the lobby was not protected by an outlet cover. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A cleaning eraser was stored on a shelf in Space 3. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. An inhaler and a tube of diaper cream were stored in the classroom without a permission to administer form. 10A NCAC 09 .0803(1)(a & b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last safety drill was conducted on March 4, 2025. .0604(u);.0302(d)(8) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch was not adequate for the height of the equipment on the school age playground. .0605(k)(1-4) Child Care programs are expected to always achieve and maintain compliance and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before August 6, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to turkessha.casterlow@dhhs.nc.gov. If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action being taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action being taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: • Checking medications before administration in child care settings is crucial for ensuring children's safety and well-being. It's a multi-step process that involves verifying the medication, dosage, route, time, and the child, as well as proper documentation, to prevent errors and potential harm. • To protect children, it's crucial to store hazardous materials out of their reach and sight. This includes products like cleaning supplies, medications, and certain cleaning items. Implementing safety measures such as cabinet locks and storing items in original, child-resistant containers can significantly reduce the risk of accidental poisoning or injury. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The process of notifying the Division of new employees has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new childcare providers working who were hired or moved into the childcare facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. • With the warmer weather approaching, review the following information. 1.Safety Check & Maintenance Inspect equipment: Check for loose bolts, rust, splinters, or cracks on play structures, swings, and slides. Surface check: Ensure mulch, rubber mats, or sand are evenly spread and thick enough to cushion falls. Fence & gate: Inspect for damage or sharp edges and make sure gates latch securely. Pest control: Check for bees/wasp nests, ant hills, or signs of other pests. 2. Sun Protection Shade structures: Install or check canopies, sails, or umbrellas over play areas and seating. Natural shade: Trim trees for safety but keep them healthy to provide extra sun coverage. Sunscreen policy: Have a plan for applying sunscreen (with parent permission) and ensure staff follows it. 3. Hydration Station Water access: Ensure water is available with disposable cups. Encourage water breaks: Schedule regular hydration times during play. 4. Outdoor Activities & Toys Summer-appropriate toys: Add water tables, sand toys, sports equipment, or ride-ons. Rotate toys: Keep the environment fresh and engaging by rotating outdoor toys. Nature-based play: Include items like gardening tools, pots, or sensory bins with natural materials. 5. Cleanliness Sanitize outdoor toys regularly, especially anything children put in their mouths. Tidy up landscaping: Remove any debris, broken branches, or trash. 6. Safety from Heat Playtime schedule: Shift outdoor play to cooler times (morning or late afternoon). Cooling activities: Plan for cooling breaks with misting bottles, or popsicle breaks. Watch for signs of heat exhaustion in children and staff (lethargy, excessive sweating, etc.). 7. Communication Notify parents about changes in outdoor routines, sunscreen application, and clothing suggestions (hats, water shoes, etc.). Staff training: Review summer safety protocols with your teachers. • The paint of the gazebo located on the toddler playground is flaking and in need of repair. The three sandboxes we discussed should be covered to prevent animals etc. from getting inside when not in use. At the completion of the visit, this visit summary was reviewed with and provided to you. You were provided with an opportunity to ask questions regarding interpretation and implementation of all childcare requirements. Childcare licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to always maintain compliance with all the applicable laws and rules. The best way for you to make sure that you meet all requirements is to periodically review the childcare laws and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ on the home page under the ‘Services’ tab. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Turkessha Casterlow, Child Care Consultant (336) 268-0089 turkessha.casterlow@dhhs.nc.gov Kaye Adkins, Supervisor kaye.adkins@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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 .0604 · Violation

Name of Operation: TINY TOTS TOO Facility ID: 68000429 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 2/27/2025 Number Present: 31 Completed Date: 2/27/2025 Age: From 0 To 5 Total Minutes: 165 Time In: 09:00 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Ms. N, Jones, assisted me with the visit today. Your program currently operates with a Four-Star license issued 9/23/19. The facility compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent (92%) as of 2/27/25. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. The facility has two rooms that are closed. I observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. One staff members’ file was observed during today’s visit to ensure training and criminal background checks have been renewed. A. Aguilar qualification letter expired on 1/8/25. I did call the ABCMS unit during today's visit and left a voicemail. Children were participating in free time, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs of the children. The last fire drill was conducted on 2/21/25. The last outdoor inspection was 1/31/25. Next one due by 2/28/25. The last shelter and lock down drill were 12/26/24. The last fire inspection was on 10/30/24. The last sanitation inspection was 9/16/24 with a superior classification with 13 demerits. Transportation I did not monitor transportation during today’s visit. Five violations were cited during today’s visit. However technical assistance was given to the provider to ensure compliance. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Three electrical outlets that were not in use did not have safety plugs in the toddler classroom. 10A NCAC 09 .0604(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One child had a left over medication that expired in August 2024 and it was not returned to the parent after the course of treatment. One child had a authorization form that expired on 9/6/23. .0803(12) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Prior to the expiration date of A. Aguilar qualification letter, the staff member did not submit required forms to complete a criminal background check. The letter expired 1/8/25. G.S. 110-90.2(b) & .2703(n)&(o) 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. One staff member did not have verification of completion of first aid training from an approved organization. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member did not have verification of completion of the CPR course from a approved organization. .1102(d) The violation(s) documented must be corrected immediately. On or before 3-13-25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware that any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance The provider and discussed all the topics below. Chapter 110 General Statute Child Care Facilities Article 7. Child Care Facilities § 110-90.2. Mandatory child care providers' criminal history checks. The Department shall ensure that, prior to employment and every five years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS A parent may withdraw written authorization for the administration of medications at any time in writing. (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. A parent may give a caregiver standing authorization for up to 12 months to apply over-the- counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. SUBCHAPTER 18A - SANITATION SECTION .2800 - SANITATION OF CHILD CARE CENTERS 15A NCAC 18A .2820 STORAGE Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable. Agency Information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle.” These training courses are free, and participants will receive training certificates when completed. Childcare programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: TINY TOTS TOO Facility ID: 68000429 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 2/27/2025 Number Present: 31 Completed Date: 2/27/2025 Age: From 0 To 5 Total Minutes: 165 Time In: 09:00 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Ms. N, Jones, assisted me with the visit today. Your program currently operates with a Four-Star license issued 9/23/19. The facility compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent (92%) as of 2/27/25. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. The facility has two rooms that are closed. I observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. One staff members’ file was observed during today’s visit to ensure training and criminal background checks have been renewed. A. Aguilar qualification letter expired on 1/8/25. I did call the ABCMS unit during today's visit and left a voicemail. Children were participating in free time, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs of the children. The last fire drill was conducted on 2/21/25. The last outdoor inspection was 1/31/25. Next one due by 2/28/25. The last shelter and lock down drill were 12/26/24. The last fire inspection was on 10/30/24. The last sanitation inspection was 9/16/24 with a superior classification with 13 demerits. Transportation I did not monitor transportation during today’s visit. Five violations were cited during today’s visit. However technical assistance was given to the provider to ensure compliance. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Three electrical outlets that were not in use did not have safety plugs in the toddler classroom. 10A NCAC 09 .0604(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One child had a left over medication that expired in August 2024 and it was not returned to the parent after the course of treatment. One child had a authorization form that expired on 9/6/23. .0803(12) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Prior to the expiration date of A. Aguilar qualification letter, the staff member did not submit required forms to complete a criminal background check. The letter expired 1/8/25. G.S. 110-90.2(b) & .2703(n)&(o) 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. One staff member did not have verification of completion of first aid training from an approved organization. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member did not have verification of completion of the CPR course from a approved organization. .1102(d) The violation(s) documented must be corrected immediately. On or before 3-13-25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware that any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance The provider and discussed all the topics below. Chapter 110 General Statute Child Care Facilities Article 7. Child Care Facilities § 110-90.2. Mandatory child care providers' criminal history checks. The Department shall ensure that, prior to employment and every five years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS A parent may withdraw written authorization for the administration of medications at any time in writing. (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. A parent may give a caregiver standing authorization for up to 12 months to apply over-the- counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. SUBCHAPTER 18A - SANITATION SECTION .2800 - SANITATION OF CHILD CARE CENTERS 15A NCAC 18A .2820 STORAGE Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable. Agency Information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle.” These training courses are free, and participants will receive training certificates when completed. Childcare programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: TINY TOTS TOO Facility ID: 68000429 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 2/27/2025 Number Present: 31 Completed Date: 2/27/2025 Age: From 0 To 5 Total Minutes: 165 Time In: 09:00 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Ms. N, Jones, assisted me with the visit today. Your program currently operates with a Four-Star license issued 9/23/19. The facility compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent (92%) as of 2/27/25. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. The facility has two rooms that are closed. I observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. One staff members’ file was observed during today’s visit to ensure training and criminal background checks have been renewed. A. Aguilar qualification letter expired on 1/8/25. I did call the ABCMS unit during today's visit and left a voicemail. Children were participating in free time, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs of the children. The last fire drill was conducted on 2/21/25. The last outdoor inspection was 1/31/25. Next one due by 2/28/25. The last shelter and lock down drill were 12/26/24. The last fire inspection was on 10/30/24. The last sanitation inspection was 9/16/24 with a superior classification with 13 demerits. Transportation I did not monitor transportation during today’s visit. Five violations were cited during today’s visit. However technical assistance was given to the provider to ensure compliance. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Three electrical outlets that were not in use did not have safety plugs in the toddler classroom. 10A NCAC 09 .0604(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One child had a left over medication that expired in August 2024 and it was not returned to the parent after the course of treatment. One child had a authorization form that expired on 9/6/23. .0803(12) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Prior to the expiration date of A. Aguilar qualification letter, the staff member did not submit required forms to complete a criminal background check. The letter expired 1/8/25. G.S. 110-90.2(b) & .2703(n)&(o) 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. One staff member did not have verification of completion of first aid training from an approved organization. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member did not have verification of completion of the CPR course from a approved organization. .1102(d) The violation(s) documented must be corrected immediately. On or before 3-13-25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware that any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance The provider and discussed all the topics below. Chapter 110 General Statute Child Care Facilities Article 7. Child Care Facilities § 110-90.2. Mandatory child care providers' criminal history checks. The Department shall ensure that, prior to employment and every five years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS A parent may withdraw written authorization for the administration of medications at any time in writing. (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. A parent may give a caregiver standing authorization for up to 12 months to apply over-the- counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. SUBCHAPTER 18A - SANITATION SECTION .2800 - SANITATION OF CHILD CARE CENTERS 15A NCAC 18A .2820 STORAGE Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable. Agency Information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle.” These training courses are free, and participants will receive training certificates when completed. Childcare programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: TINY TOTS TOO Facility ID: 68000429 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 2/27/2025 Number Present: 31 Completed Date: 2/27/2025 Age: From 0 To 5 Total Minutes: 165 Time In: 09:00 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Ms. N, Jones, assisted me with the visit today. Your program currently operates with a Four-Star license issued 9/23/19. The facility compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent (92%) as of 2/27/25. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. The facility has two rooms that are closed. I observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. One staff members’ file was observed during today’s visit to ensure training and criminal background checks have been renewed. A. Aguilar qualification letter expired on 1/8/25. I did call the ABCMS unit during today's visit and left a voicemail. Children were participating in free time, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs of the children. The last fire drill was conducted on 2/21/25. The last outdoor inspection was 1/31/25. Next one due by 2/28/25. The last shelter and lock down drill were 12/26/24. The last fire inspection was on 10/30/24. The last sanitation inspection was 9/16/24 with a superior classification with 13 demerits. Transportation I did not monitor transportation during today’s visit. Five violations were cited during today’s visit. However technical assistance was given to the provider to ensure compliance. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Three electrical outlets that were not in use did not have safety plugs in the toddler classroom. 10A NCAC 09 .0604(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One child had a left over medication that expired in August 2024 and it was not returned to the parent after the course of treatment. One child had a authorization form that expired on 9/6/23. .0803(12) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Prior to the expiration date of A. Aguilar qualification letter, the staff member did not submit required forms to complete a criminal background check. The letter expired 1/8/25. G.S. 110-90.2(b) & .2703(n)&(o) 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. One staff member did not have verification of completion of first aid training from an approved organization. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member did not have verification of completion of the CPR course from a approved organization. .1102(d) The violation(s) documented must be corrected immediately. On or before 3-13-25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware that any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance The provider and discussed all the topics below. Chapter 110 General Statute Child Care Facilities Article 7. Child Care Facilities § 110-90.2. Mandatory child care providers' criminal history checks. The Department shall ensure that, prior to employment and every five years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS A parent may withdraw written authorization for the administration of medications at any time in writing. (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. A parent may give a caregiver standing authorization for up to 12 months to apply over-the- counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. SUBCHAPTER 18A - SANITATION SECTION .2800 - SANITATION OF CHILD CARE CENTERS 15A NCAC 18A .2820 STORAGE Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable. Agency Information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle.” These training courses are free, and participants will receive training certificates when completed. Childcare programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: TINY TOTS TOO Facility ID: 68000429 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 2/27/2025 Number Present: 31 Completed Date: 2/27/2025 Age: From 0 To 5 Total Minutes: 165 Time In: 09:00 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Ms. N, Jones, assisted me with the visit today. Your program currently operates with a Four-Star license issued 9/23/19. The facility compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent (92%) as of 2/27/25. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. The facility has two rooms that are closed. I observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. One staff members’ file was observed during today’s visit to ensure training and criminal background checks have been renewed. A. Aguilar qualification letter expired on 1/8/25. I did call the ABCMS unit during today's visit and left a voicemail. Children were participating in free time, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs of the children. The last fire drill was conducted on 2/21/25. The last outdoor inspection was 1/31/25. Next one due by 2/28/25. The last shelter and lock down drill were 12/26/24. The last fire inspection was on 10/30/24. The last sanitation inspection was 9/16/24 with a superior classification with 13 demerits. Transportation I did not monitor transportation during today’s visit. Five violations were cited during today’s visit. However technical assistance was given to the provider to ensure compliance. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Three electrical outlets that were not in use did not have safety plugs in the toddler classroom. 10A NCAC 09 .0604(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One child had a left over medication that expired in August 2024 and it was not returned to the parent after the course of treatment. One child had a authorization form that expired on 9/6/23. .0803(12) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Prior to the expiration date of A. Aguilar qualification letter, the staff member did not submit required forms to complete a criminal background check. The letter expired 1/8/25. G.S. 110-90.2(b) & .2703(n)&(o) 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. One staff member did not have verification of completion of first aid training from an approved organization. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member did not have verification of completion of the CPR course from a approved organization. .1102(d) The violation(s) documented must be corrected immediately. On or before 3-13-25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware that any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance The provider and discussed all the topics below. Chapter 110 General Statute Child Care Facilities Article 7. Child Care Facilities § 110-90.2. Mandatory child care providers' criminal history checks. The Department shall ensure that, prior to employment and every five years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS A parent may withdraw written authorization for the administration of medications at any time in writing. (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. A parent may give a caregiver standing authorization for up to 12 months to apply over-the- counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. SUBCHAPTER 18A - SANITATION SECTION .2800 - SANITATION OF CHILD CARE CENTERS 15A NCAC 18A .2820 STORAGE Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable. Agency Information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle.” These training courses are free, and participants will receive training certificates when completed. Childcare programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: TINY TOTS TOO Facility ID: 68000429 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 2/27/2025 Number Present: 31 Completed Date: 2/27/2025 Age: From 0 To 5 Total Minutes: 165 Time In: 09:00 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Ms. N, Jones, assisted me with the visit today. Your program currently operates with a Four-Star license issued 9/23/19. The facility compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent (92%) as of 2/27/25. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. The facility has two rooms that are closed. I observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. One staff members’ file was observed during today’s visit to ensure training and criminal background checks have been renewed. A. Aguilar qualification letter expired on 1/8/25. I did call the ABCMS unit during today's visit and left a voicemail. Children were participating in free time, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs of the children. The last fire drill was conducted on 2/21/25. The last outdoor inspection was 1/31/25. Next one due by 2/28/25. The last shelter and lock down drill were 12/26/24. The last fire inspection was on 10/30/24. The last sanitation inspection was 9/16/24 with a superior classification with 13 demerits. Transportation I did not monitor transportation during today’s visit. Five violations were cited during today’s visit. However technical assistance was given to the provider to ensure compliance. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Three electrical outlets that were not in use did not have safety plugs in the toddler classroom. 10A NCAC 09 .0604(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One child had a left over medication that expired in August 2024 and it was not returned to the parent after the course of treatment. One child had a authorization form that expired on 9/6/23. .0803(12) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Prior to the expiration date of A. Aguilar qualification letter, the staff member did not submit required forms to complete a criminal background check. The letter expired 1/8/25. G.S. 110-90.2(b) & .2703(n)&(o) 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. One staff member did not have verification of completion of first aid training from an approved organization. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member did not have verification of completion of the CPR course from a approved organization. .1102(d) The violation(s) documented must be corrected immediately. On or before 3-13-25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware that any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance The provider and discussed all the topics below. Chapter 110 General Statute Child Care Facilities Article 7. Child Care Facilities § 110-90.2. Mandatory child care providers' criminal history checks. The Department shall ensure that, prior to employment and every five years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS A parent may withdraw written authorization for the administration of medications at any time in writing. (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. A parent may give a caregiver standing authorization for up to 12 months to apply over-the- counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. SUBCHAPTER 18A - SANITATION SECTION .2800 - SANITATION OF CHILD CARE CENTERS 15A NCAC 18A .2820 STORAGE Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable. Agency Information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle.” These training courses are free, and participants will receive training certificates when completed. Childcare programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-90 · Violation

Name of Operation: TINY TOTS TOO Facility ID: 68000429 Consultant: BOON TROTT Operation Type: Center Case Number: Visit Date: 9/12/2024 Number Present: 26 Completed Date: 9/12/2024 Age: From 0 To 4 Total Minutes: 130 Time In: 11:30 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements pertinent to unannounced follow up visit and to verify the violations cited during the 8/13/2024 visit have been corrected. I informed the director of the purpose of my visit upon arrival. She told me Arley, one of the staff records the operator was cited violations for, was no longer employed at this center shortly after the last visit. I conducted a walkthrough of the facility and completed a limited assessment of the child care requirements. I observed the children finishing lunch, being diapered, and resting. I reviewed three staff files, including the new caregiver, Graciela. I observed the following violations. Violation Number Comment Rule 1030 Application for employment and date of birth was not on file for all staff. "There was no application for Tylichia on file. This is a repeat violation." .0302(d)(1)(A) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. "There was no orientation received for Tylichia and Jala. This is a repeat violation." .1101(a) 1739 All records required were not available for review by a representative of the Division. "The file for the new caregiver, Graciela, was not on site at this center for me to review." .2318(1-8) The above violations must be corrected immediately. I must receive a compliance letter or statement in writing by 9/26/2024 for the above violations. In the compliance letter, include the following: 1.Your Facility Name and ID# 2.Each violation item number 3.Explain in detail what you did to correct each violation items. Falsification: If you state in your letter that corrections have been made when they have not, this will be considered falsification of information and an Administrative Action may be issued. Repeat violations may result in an Administrative Action. Compliance: Child care operators are required to maintain compliance with all applicable child care requirements at all times. GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 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. Technical assistance I discussed the following items with Ms. Jones and provided technical assistance: >Staff records: Discuss with the owner about having a set time you can dedicate to office management, including maintaining staff, children, program records, and such. These are all time-consuming duties and managed properly to maintain compliance. When a staff member is “transferred” from the other center the operator owns, one way to ensure compliance is to transfer the staff member’s file (or send a duplicate) prior to or at least on the day of the person starting work at this center. >Lesson plan and planning activities: Reach out to CCSA at 919-967-3272 or visit the website, www.childcareserviceces.org, for training or coaching opportunities for your staff regarding how to write effective lesson plans and plan corresponding activities for children. The lesson plans I reviewed seem too general and broad with little details. >North Carolina Foundations for Early Learning and Development: Lesson plans should be based on the domains provided in NCFELD. You and your staff can visit the following link for more information North Carolina Foundations for Early Learning and Development which is also available on the DCDEE website, https://ncchildcare.ncdhhs.gov/Foundations-for-Early-Learning-and-Development. > It is your responsibility to be familiar and up to date on the most current child are rules. Child Care Rulebook (Chapter 7) can be accessed by going to the DCDEE Website, https://ncchildcare.ncdhhs.gov/. Go to the Provider tab and hover over it. At the end of the visit, I provided Ms. Jones an opportunity to ask questions regarding today’s visit and interpretation and implementation of child care requirements. If you have any questions or concerns, I may be reached at (336) 706-2871 or boon.trott@dhhs.nc.gov/. My mailing address is PO BOX 1374, Mebane, NC 27302. The contact information for my supervisor, Kaye Adkins, is 336-580-2527 or kaye.adkins@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

GS 110-91 · Violation

Name of Operation: TINY TOTS TOO Facility ID: 68000429 Consultant: BOON TROTT Operation Type: Center Case Number: Visit Date: 8/13/2024 Number Present: 31 Completed Date: 8/13/2024 Age: From 0 To 10 Total Minutes: 260 Time In: 09:00 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable childcare requirements during an Annual Compliance Visit. This program is operating with a four-star rated license. Upon arrival, the director, Nancy Jones, welcomed me in. She stated they and the area were under lock down and followed the emergency procedures. The operator completed the last fire inspection on 10/30/2023 and the last sanitation inspection on 2/5/2024 with Approved rating and 18 demerits. Ms. Jones escorted me as I completed a walkthrough of the indoor learning environment. The outdoor learning environment was not monitored due to lock down. I observed the children participating in quiet activities. The curtains in the rooms were drawn, and the lights were turned off. I observed the following violations today. I reviewed the items with Ms. Jones and provided technical assistance. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In the one and two-year old room, there was no activity plan posted. Upon my asking, the teacher showed me a partially completed lesson plan for this week. She did not have nay from the past few weeks. GS 110-91(12); .0508(a) 1030 Application for employment and date of birth was not on file for all staff. "There were no application on file for Arley and Tyllidia." .0302(d)(1)(A) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. "Three new staff members (Arely, Tyllidia, Jala) did not have 16 hours of orientation completed within 6 weeks." .1101(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. "Arley did not complete a First Aid Training. She was hired on 3/14/2024." .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. "One staff member "Arley, hired on 3/14/2024 has not completed a CPR Training." .1102(d) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. "The operator did not review the Shaken Baby Syndrome Policy with two staff members, Arely and Jala." .0608(d)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. "The operator did not maintain medical records separately from the staff member's individual personnel file for Five staff members (Arely, Tylledia, Jala, Erica, and Abby) I reviewed." .0701(d) The above violations must be corrected immediately. I must receive a compliance statement/ letter by email or mail no later than 8/27/2024. In the letter, include the following information: 1. Your facility ID# and Name 2. Visit date 3. Violation item number(s) 4. How and when the violation was corrected (Be specific) 5. Your signature/name and position My email address is boon.trott@dhhs.nc.gov, and the mailing address is PO Box 1374, Mebane, NC 27302. Technical Assistance >Review staff record requirements on the DCDEE website, ncchildcare.ncdhhs.gov. >CPR and First Aid for new employees must be filled within 90 days of employment. >Staff medical records must be maintained separately and securely from the personnel records. > Lead in water and asbestos testing is part of Rule changes, effective 1/1/2024: They include.1707(1) and.1725(a)(2); .2204(3). The test results should be completed and on file by January 1, 2025. You may read the rules in its entirety by going to the DCDEE Website, https://ncchildcare.ncdhhs.gov/. Go to the Provider tab and hover over it. In the drop-down box Click on Child Care Rules. Scroll down to the North Carolina Child Care Rules and Law section. Click on Chapter 9- Child Care Rules for the most current rules. OTHER INFORMATION Weighted blankets or vests: 1.Blankets of any type are prohibited for children aged 0 to 12 months, per .0606(a)(2) Safe Sleep Policy. The current child care rules specifically state no blankets or other items can be used/placed with a sleeping infant aged 12 months or younger. 2.Weighted blankets or vests can potentially restrict a child’s movement; therefore, they are prohibited for use unless a therapist requests and approves the use. A therapist can only approve the use for children 13 months or older. 3.If the use of a weighted blanket or vest is something a facility wants to consider using, you’d need to contact me prior to use to ensure compliance with applicable requirements. REMINDER >After the initial Health and Safety (HS) Training the first year of employment, staff members are required to renew it every 5 years. Health and Safety Training hours count toward the required annual on-going training hours. You may access the HS Training on the Division’s website, https://www.dcdee.moodle.nc.gov/. Moodle is up and running again. >It is the childcare operator’s responsibility to be familiar and up to date on the most current child are rules. Child Care Rulebook as well as the Provider Forms and Documents can be accessed by going to the DCDEE Website, https://ncchildcare.ncdhhs.gov/. Childcare Rules may be accessed by going to the Provider tab and hover over it. In the drop-down box Click on Child Care Rules. Scroll down to North Carolina Child Care Rules and Law section. Click on Chapter 9- Child Care Rules. I provided Ms. Jones with an opportunity to ask questions regarding today’s visit and interpretation and the implementation of childcare requirements applicable to the facility. If you have any questions or concerns, you may reach me at 336-706-2871 or email me at boon.trott@dhhs.nc.gov. My mailing address is P.O. Box 1374, Mebane, NC 27302. The contact information for my supervisor, Kaye Adkins, is 336-580-2527 or kaye.adkins@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: TINY TOTS TOO Facility ID: 68000429 Consultant: BOON TROTT Operation Type: Center Case Number: Visit Date: 9/28/2023 Number Present: 16 Completed Date: 9/28/2023 Age: From 0 To 4 Total Minutes: 215 Time In: 09:40 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable childcare requirements during an Annual Compliance Visit. This program is operating with a four-star license, meeting enhanced ratios and space. Upon arrival, I was greeted by the director, Nancy Jones. Informed her of the purpose of my visit. The operator completed the last fire inspection on 9/28/2023. Ms. Jones shared with me that a fire inspection has begun. The operator was waiting for the alarm company to resolve an issue before the fire marshal conducts an inspection. The last sanitation inspection was completed on 7/27/2023 with a superior rating. I completed a walkthrough of the indoor and outdoor learning environment. Ms. Jones accompanied me. I observed the children playing in the outdoor learning environment, playing with a variety of toys and materials in the classrooms, and eating lunch. Ms. Jones assisted me by gathering the documents and files I needed to review. I reviewed the sampling of the staff and children’s files. There were no new staff files to review. I monitored the transportation requirements, including the Ford passenger van used for transporting the school age children. They were in compliance. I observed the following violations today. I reviewed the items with Ms. Jones and provided technical assistance. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. For one child, there was no parental confirmation of receipt of Summary of NC Child Care Law on file. GS 110-102 428 A current activity plan was not posted for each group of children for reference. There was no activity plan posted for this week in the school age care room. GS 110-91(12); .0508(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. For the playground containing the equipment with the critical height of 7 feet to 10 feet did not have 9 inches of mulch. The two playgrounds with the equipment less than 7 feet in height did not have 6 inches of mulch. .0605(k)(1-4) The above violations must be corrected immediately. I must receive a compliance statement/ letter by email or mail by 10/12/2023. In the letter, include the following information: 1. Your facility ID# and Name 2. Visit date 3. Violation item number(s) 4. How and when the violation was corrected (Be specific) 5. Your signature/name and position My email address is boon.trott@dhhs.nc.gov, and the mailing address is PO Box 1374, Mebane, NC 27302. Compliance: Childcare providers are required to maintain compliance with all applicable childcare rules and regulations at all times. NC GS 110-90(4)(d) requires all childcare facilities to maintain compliance history score of at least 75% for the past 18 months or during the length of time the facility operated, whichever is less. Failure to do so may result in an issuance of a provisional license or other administrative action. Reminders: >An annual fire inspection for your program is due this month. Upon completion, the fire inspection must be sent to me within 7 days of receipt per child care rule 10A NCAC 09 .0304. >Conduct a Playground Safety Inspection before the end of the month. Technical Assistance: >The Summary of NC Child Care Law brochure and poster have been revised and can be accessed on the Division’s website, https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms. >Depth of the surfacing material: Equipment with a critical height of more than 5 feet, but less than 7 feet must have 6 inches of loose surfacing material, except for sand, and equipment with a critical height of 7 feet to 10 feet must have 9 inches of any of the loose surfacing material, except for sand. Child Care Rule .605 (K). >A current activity plan must be posted for each group of children. >Sanitation Rules update: for child care center operators on the newly readopted child care sanitation rules. Reach out to your environmental health specialist for the rules update training they may be offering. You may be able to access the rule changes by clicking on the link, https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/children.htm. You may have to copy and paste the link onto your browser. >Rated License process was discussed. Your facility is in Cohort 1, meaning year 2023-2024 is a preparation year and the assessment of the rated license begins in year 2025. Contact me if you would like to complete the environment Rating Scale. You have an option to keep the ERS score or complete another assessment during the rated license assessment. >If applicable, submit any new education information to WORKS in a timely manner. > Visit www.ncrlap.org to access the Environment Rating Scale (ERS) training videos, frequently asked questions, additional notes, and more. Reach out to Orange County CCSA for technical assistance pertaining to the ERS assessment if you haven’t. >North Carolina Early Childhood Equivalency Exam: A new pathway option comparable to a NC Early Childhood Credential is available. The exam is accessed online, Moodle Training Portal at https://www.dcdee.moodle.nc.gov/. The applicant must be 18 years of age or older, have a High School Diploma or equivalent, and have an NCID Account (Creating Your NCID). Applicants who achieve a score of 80% or higher on the exam can earn the new North Carolina Early Childhood Equivalency Certificate. You may make 2 attempts to pass the exam within 6 months. If you don’t pass the second attempt, you will be advised to enroll in EDU 119 or pursue one of the other equivalency options. This exam does not take place of or is not equivalent to EDU 119. Once you receive your North Carolina Early Childhood Equivalency Certificate, go to the DCDEE Workforce Online Reporting and Knowledge System (WORKS) to upload your certificate. Use your NCID to login. If you have any questions about the NC Early Childhood Equivalency Quiz, please contact: DCDEE.Equivalency.Exam@dhhs.nc.gov. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. If you have any questions about the NC Early Childhood Equivalency Exam, please contact: DCDEE.Equivalency.Exam@dhhs.nc.gov. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326 >Health and Safety Training renewal is every 5 years. You may access the training on the Division’s website, https://www.dcdee.moodle.nc.gov/. > If you have questions about the background check process, please call (919) 814-6401 or email DHHS.CBC.Unit@dhhs.nc.gov. At the end of the visit, I provided Ms. Jones with an opportunity to ask questions regarding today’s visit and interpretation and the implementation of childcare requirements applicable to the facility. If you have any questions or concerns, you may reach me at 336-706-2871 or email me at boon.trott@dhhs.nc.gov. My mailing address is P.O. Box 1374, Mebane, NC 27302. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-102 · Violation

Name of Operation: TINY TOTS TOO Facility ID: 68000429 Consultant: BOON TROTT Operation Type: Center Case Number: Visit Date: 9/28/2023 Number Present: 16 Completed Date: 9/28/2023 Age: From 0 To 4 Total Minutes: 215 Time In: 09:40 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable childcare requirements during an Annual Compliance Visit. This program is operating with a four-star license, meeting enhanced ratios and space. Upon arrival, I was greeted by the director, Nancy Jones. Informed her of the purpose of my visit. The operator completed the last fire inspection on 9/28/2023. Ms. Jones shared with me that a fire inspection has begun. The operator was waiting for the alarm company to resolve an issue before the fire marshal conducts an inspection. The last sanitation inspection was completed on 7/27/2023 with a superior rating. I completed a walkthrough of the indoor and outdoor learning environment. Ms. Jones accompanied me. I observed the children playing in the outdoor learning environment, playing with a variety of toys and materials in the classrooms, and eating lunch. Ms. Jones assisted me by gathering the documents and files I needed to review. I reviewed the sampling of the staff and children’s files. There were no new staff files to review. I monitored the transportation requirements, including the Ford passenger van used for transporting the school age children. They were in compliance. I observed the following violations today. I reviewed the items with Ms. Jones and provided technical assistance. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. For one child, there was no parental confirmation of receipt of Summary of NC Child Care Law on file. GS 110-102 428 A current activity plan was not posted for each group of children for reference. There was no activity plan posted for this week in the school age care room. GS 110-91(12); .0508(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. For the playground containing the equipment with the critical height of 7 feet to 10 feet did not have 9 inches of mulch. The two playgrounds with the equipment less than 7 feet in height did not have 6 inches of mulch. .0605(k)(1-4) The above violations must be corrected immediately. I must receive a compliance statement/ letter by email or mail by 10/12/2023. In the letter, include the following information: 1. Your facility ID# and Name 2. Visit date 3. Violation item number(s) 4. How and when the violation was corrected (Be specific) 5. Your signature/name and position My email address is boon.trott@dhhs.nc.gov, and the mailing address is PO Box 1374, Mebane, NC 27302. Compliance: Childcare providers are required to maintain compliance with all applicable childcare rules and regulations at all times. NC GS 110-90(4)(d) requires all childcare facilities to maintain compliance history score of at least 75% for the past 18 months or during the length of time the facility operated, whichever is less. Failure to do so may result in an issuance of a provisional license or other administrative action. Reminders: >An annual fire inspection for your program is due this month. Upon completion, the fire inspection must be sent to me within 7 days of receipt per child care rule 10A NCAC 09 .0304. >Conduct a Playground Safety Inspection before the end of the month. Technical Assistance: >The Summary of NC Child Care Law brochure and poster have been revised and can be accessed on the Division’s website, https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms. >Depth of the surfacing material: Equipment with a critical height of more than 5 feet, but less than 7 feet must have 6 inches of loose surfacing material, except for sand, and equipment with a critical height of 7 feet to 10 feet must have 9 inches of any of the loose surfacing material, except for sand. Child Care Rule .605 (K). >A current activity plan must be posted for each group of children. >Sanitation Rules update: for child care center operators on the newly readopted child care sanitation rules. Reach out to your environmental health specialist for the rules update training they may be offering. You may be able to access the rule changes by clicking on the link, https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/children.htm. You may have to copy and paste the link onto your browser. >Rated License process was discussed. Your facility is in Cohort 1, meaning year 2023-2024 is a preparation year and the assessment of the rated license begins in year 2025. Contact me if you would like to complete the environment Rating Scale. You have an option to keep the ERS score or complete another assessment during the rated license assessment. >If applicable, submit any new education information to WORKS in a timely manner. > Visit www.ncrlap.org to access the Environment Rating Scale (ERS) training videos, frequently asked questions, additional notes, and more. Reach out to Orange County CCSA for technical assistance pertaining to the ERS assessment if you haven’t. >North Carolina Early Childhood Equivalency Exam: A new pathway option comparable to a NC Early Childhood Credential is available. The exam is accessed online, Moodle Training Portal at https://www.dcdee.moodle.nc.gov/. The applicant must be 18 years of age or older, have a High School Diploma or equivalent, and have an NCID Account (Creating Your NCID). Applicants who achieve a score of 80% or higher on the exam can earn the new North Carolina Early Childhood Equivalency Certificate. You may make 2 attempts to pass the exam within 6 months. If you don’t pass the second attempt, you will be advised to enroll in EDU 119 or pursue one of the other equivalency options. This exam does not take place of or is not equivalent to EDU 119. Once you receive your North Carolina Early Childhood Equivalency Certificate, go to the DCDEE Workforce Online Reporting and Knowledge System (WORKS) to upload your certificate. Use your NCID to login. If you have any questions about the NC Early Childhood Equivalency Quiz, please contact: DCDEE.Equivalency.Exam@dhhs.nc.gov. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. If you have any questions about the NC Early Childhood Equivalency Exam, please contact: DCDEE.Equivalency.Exam@dhhs.nc.gov. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326 >Health and Safety Training renewal is every 5 years. You may access the training on the Division’s website, https://www.dcdee.moodle.nc.gov/. > If you have questions about the background check process, please call (919) 814-6401 or email DHHS.CBC.Unit@dhhs.nc.gov. At the end of the visit, I provided Ms. Jones with an opportunity to ask questions regarding today’s visit and interpretation and the implementation of childcare requirements applicable to the facility. If you have any questions or concerns, you may reach me at 336-706-2871 or email me at boon.trott@dhhs.nc.gov. My mailing address is P.O. Box 1374, Mebane, NC 27302. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: TINY TOTS TOO Facility ID: 68000429 Consultant: BOON TROTT Operation Type: Center Case Number: Visit Date: 9/28/2023 Number Present: 16 Completed Date: 9/28/2023 Age: From 0 To 4 Total Minutes: 215 Time In: 09:40 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable childcare requirements during an Annual Compliance Visit. This program is operating with a four-star license, meeting enhanced ratios and space. Upon arrival, I was greeted by the director, Nancy Jones. Informed her of the purpose of my visit. The operator completed the last fire inspection on 9/28/2023. Ms. Jones shared with me that a fire inspection has begun. The operator was waiting for the alarm company to resolve an issue before the fire marshal conducts an inspection. The last sanitation inspection was completed on 7/27/2023 with a superior rating. I completed a walkthrough of the indoor and outdoor learning environment. Ms. Jones accompanied me. I observed the children playing in the outdoor learning environment, playing with a variety of toys and materials in the classrooms, and eating lunch. Ms. Jones assisted me by gathering the documents and files I needed to review. I reviewed the sampling of the staff and children’s files. There were no new staff files to review. I monitored the transportation requirements, including the Ford passenger van used for transporting the school age children. They were in compliance. I observed the following violations today. I reviewed the items with Ms. Jones and provided technical assistance. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. For one child, there was no parental confirmation of receipt of Summary of NC Child Care Law on file. GS 110-102 428 A current activity plan was not posted for each group of children for reference. There was no activity plan posted for this week in the school age care room. GS 110-91(12); .0508(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. For the playground containing the equipment with the critical height of 7 feet to 10 feet did not have 9 inches of mulch. The two playgrounds with the equipment less than 7 feet in height did not have 6 inches of mulch. .0605(k)(1-4) The above violations must be corrected immediately. I must receive a compliance statement/ letter by email or mail by 10/12/2023. In the letter, include the following information: 1. Your facility ID# and Name 2. Visit date 3. Violation item number(s) 4. How and when the violation was corrected (Be specific) 5. Your signature/name and position My email address is boon.trott@dhhs.nc.gov, and the mailing address is PO Box 1374, Mebane, NC 27302. Compliance: Childcare providers are required to maintain compliance with all applicable childcare rules and regulations at all times. NC GS 110-90(4)(d) requires all childcare facilities to maintain compliance history score of at least 75% for the past 18 months or during the length of time the facility operated, whichever is less. Failure to do so may result in an issuance of a provisional license or other administrative action. Reminders: >An annual fire inspection for your program is due this month. Upon completion, the fire inspection must be sent to me within 7 days of receipt per child care rule 10A NCAC 09 .0304. >Conduct a Playground Safety Inspection before the end of the month. Technical Assistance: >The Summary of NC Child Care Law brochure and poster have been revised and can be accessed on the Division’s website, https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms. >Depth of the surfacing material: Equipment with a critical height of more than 5 feet, but less than 7 feet must have 6 inches of loose surfacing material, except for sand, and equipment with a critical height of 7 feet to 10 feet must have 9 inches of any of the loose surfacing material, except for sand. Child Care Rule .605 (K). >A current activity plan must be posted for each group of children. >Sanitation Rules update: for child care center operators on the newly readopted child care sanitation rules. Reach out to your environmental health specialist for the rules update training they may be offering. You may be able to access the rule changes by clicking on the link, https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/children.htm. You may have to copy and paste the link onto your browser. >Rated License process was discussed. Your facility is in Cohort 1, meaning year 2023-2024 is a preparation year and the assessment of the rated license begins in year 2025. Contact me if you would like to complete the environment Rating Scale. You have an option to keep the ERS score or complete another assessment during the rated license assessment. >If applicable, submit any new education information to WORKS in a timely manner. > Visit www.ncrlap.org to access the Environment Rating Scale (ERS) training videos, frequently asked questions, additional notes, and more. Reach out to Orange County CCSA for technical assistance pertaining to the ERS assessment if you haven’t. >North Carolina Early Childhood Equivalency Exam: A new pathway option comparable to a NC Early Childhood Credential is available. The exam is accessed online, Moodle Training Portal at https://www.dcdee.moodle.nc.gov/. The applicant must be 18 years of age or older, have a High School Diploma or equivalent, and have an NCID Account (Creating Your NCID). Applicants who achieve a score of 80% or higher on the exam can earn the new North Carolina Early Childhood Equivalency Certificate. You may make 2 attempts to pass the exam within 6 months. If you don’t pass the second attempt, you will be advised to enroll in EDU 119 or pursue one of the other equivalency options. This exam does not take place of or is not equivalent to EDU 119. Once you receive your North Carolina Early Childhood Equivalency Certificate, go to the DCDEE Workforce Online Reporting and Knowledge System (WORKS) to upload your certificate. Use your NCID to login. If you have any questions about the NC Early Childhood Equivalency Quiz, please contact: DCDEE.Equivalency.Exam@dhhs.nc.gov. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. If you have any questions about the NC Early Childhood Equivalency Exam, please contact: DCDEE.Equivalency.Exam@dhhs.nc.gov. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326 >Health and Safety Training renewal is every 5 years. You may access the training on the Division’s website, https://www.dcdee.moodle.nc.gov/. > If you have questions about the background check process, please call (919) 814-6401 or email DHHS.CBC.Unit@dhhs.nc.gov. At the end of the visit, I provided Ms. Jones with an opportunity to ask questions regarding today’s visit and interpretation and the implementation of childcare requirements applicable to the facility. If you have any questions or concerns, you may reach me at 336-706-2871 or email me at boon.trott@dhhs.nc.gov. My mailing address is P.O. Box 1374, Mebane, NC 27302. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: TINY TOTS TOO Facility ID: 68000429 Consultant: BOON TROTT Operation Type: Center Case Number: Visit Date: 9/28/2023 Number Present: 16 Completed Date: 9/28/2023 Age: From 0 To 4 Total Minutes: 215 Time In: 09:40 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable childcare requirements during an Annual Compliance Visit. This program is operating with a four-star license, meeting enhanced ratios and space. Upon arrival, I was greeted by the director, Nancy Jones. Informed her of the purpose of my visit. The operator completed the last fire inspection on 9/28/2023. Ms. Jones shared with me that a fire inspection has begun. The operator was waiting for the alarm company to resolve an issue before the fire marshal conducts an inspection. The last sanitation inspection was completed on 7/27/2023 with a superior rating. I completed a walkthrough of the indoor and outdoor learning environment. Ms. Jones accompanied me. I observed the children playing in the outdoor learning environment, playing with a variety of toys and materials in the classrooms, and eating lunch. Ms. Jones assisted me by gathering the documents and files I needed to review. I reviewed the sampling of the staff and children’s files. There were no new staff files to review. I monitored the transportation requirements, including the Ford passenger van used for transporting the school age children. They were in compliance. I observed the following violations today. I reviewed the items with Ms. Jones and provided technical assistance. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. For one child, there was no parental confirmation of receipt of Summary of NC Child Care Law on file. GS 110-102 428 A current activity plan was not posted for each group of children for reference. There was no activity plan posted for this week in the school age care room. GS 110-91(12); .0508(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. For the playground containing the equipment with the critical height of 7 feet to 10 feet did not have 9 inches of mulch. The two playgrounds with the equipment less than 7 feet in height did not have 6 inches of mulch. .0605(k)(1-4) The above violations must be corrected immediately. I must receive a compliance statement/ letter by email or mail by 10/12/2023. In the letter, include the following information: 1. Your facility ID# and Name 2. Visit date 3. Violation item number(s) 4. How and when the violation was corrected (Be specific) 5. Your signature/name and position My email address is boon.trott@dhhs.nc.gov, and the mailing address is PO Box 1374, Mebane, NC 27302. Compliance: Childcare providers are required to maintain compliance with all applicable childcare rules and regulations at all times. NC GS 110-90(4)(d) requires all childcare facilities to maintain compliance history score of at least 75% for the past 18 months or during the length of time the facility operated, whichever is less. Failure to do so may result in an issuance of a provisional license or other administrative action. Reminders: >An annual fire inspection for your program is due this month. Upon completion, the fire inspection must be sent to me within 7 days of receipt per child care rule 10A NCAC 09 .0304. >Conduct a Playground Safety Inspection before the end of the month. Technical Assistance: >The Summary of NC Child Care Law brochure and poster have been revised and can be accessed on the Division’s website, https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms. >Depth of the surfacing material: Equipment with a critical height of more than 5 feet, but less than 7 feet must have 6 inches of loose surfacing material, except for sand, and equipment with a critical height of 7 feet to 10 feet must have 9 inches of any of the loose surfacing material, except for sand. Child Care Rule .605 (K). >A current activity plan must be posted for each group of children. >Sanitation Rules update: for child care center operators on the newly readopted child care sanitation rules. Reach out to your environmental health specialist for the rules update training they may be offering. You may be able to access the rule changes by clicking on the link, https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/children.htm. You may have to copy and paste the link onto your browser. >Rated License process was discussed. Your facility is in Cohort 1, meaning year 2023-2024 is a preparation year and the assessment of the rated license begins in year 2025. Contact me if you would like to complete the environment Rating Scale. You have an option to keep the ERS score or complete another assessment during the rated license assessment. >If applicable, submit any new education information to WORKS in a timely manner. > Visit www.ncrlap.org to access the Environment Rating Scale (ERS) training videos, frequently asked questions, additional notes, and more. Reach out to Orange County CCSA for technical assistance pertaining to the ERS assessment if you haven’t. >North Carolina Early Childhood Equivalency Exam: A new pathway option comparable to a NC Early Childhood Credential is available. The exam is accessed online, Moodle Training Portal at https://www.dcdee.moodle.nc.gov/. The applicant must be 18 years of age or older, have a High School Diploma or equivalent, and have an NCID Account (Creating Your NCID). Applicants who achieve a score of 80% or higher on the exam can earn the new North Carolina Early Childhood Equivalency Certificate. You may make 2 attempts to pass the exam within 6 months. If you don’t pass the second attempt, you will be advised to enroll in EDU 119 or pursue one of the other equivalency options. This exam does not take place of or is not equivalent to EDU 119. Once you receive your North Carolina Early Childhood Equivalency Certificate, go to the DCDEE Workforce Online Reporting and Knowledge System (WORKS) to upload your certificate. Use your NCID to login. If you have any questions about the NC Early Childhood Equivalency Quiz, please contact: DCDEE.Equivalency.Exam@dhhs.nc.gov. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. If you have any questions about the NC Early Childhood Equivalency Exam, please contact: DCDEE.Equivalency.Exam@dhhs.nc.gov. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326 >Health and Safety Training renewal is every 5 years. You may access the training on the Division’s website, https://www.dcdee.moodle.nc.gov/. > If you have questions about the background check process, please call (919) 814-6401 or email DHHS.CBC.Unit@dhhs.nc.gov. At the end of the visit, I provided Ms. Jones with an opportunity to ask questions regarding today’s visit and interpretation and the implementation of childcare requirements applicable to the facility. If you have any questions or concerns, you may reach me at 336-706-2871 or email me at boon.trott@dhhs.nc.gov. My mailing address is P.O. Box 1374, Mebane, NC 27302. 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