Flaming Sword Daycare - Early Learning Center #1

G.S. 110-90 · Violation

Name of Operation: FLAMING SWORD DAYCARE - EARLY LEARNING CENTER #1 Facility ID: 26002489 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: Visit Date: 5/15/2026 Number Present: 5 Completed Date: 5/15/2026 Age: From 0 To 1 Total Minutes: 120 Time In: 09:00 AM Time Out: 11:00 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 compliance with applicable child care requirements pertinent to an annual compliance, including Health and Safety Trainings visit. The previous Annual Compliance Visit was completed December 8, 2025, and prior to today’s visit, the eighteen-month compliance history score is at 98%, which is above the 75% required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Notice of Compliance issued February 21, 2021. The information on record with DCDEE was verified as correct by Jamie Sifford, Administrator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior completed 8/11/2025. Fire Classification of Approved completed 7/8/2025. Ms. Sifford was present while observing the indoor and outdoor areas. The children in space #1a and #1b were observed participating in free choice play. The teachers were observed sitting with children on a small carpet playing with a toy that would spin and the balls would come out. As the balls came one of the teachers would say the color of the balls, how many balls came out of the toy. While encouraging the child to repeat what she said. The children were observed playing with large Legos, and sitting in a jumper activity toy, that had toys attached to it. The infant teacher was observed changing diapers and feeding one infant child. Diaper changing procedures were observed. At the completion of the visit, the Visit Summary was reviewed with Ms. Sifford. The following violation was observed. Violation Number Comment Rule 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The facility did not a ABCMS roster available for review. G.S. 110-90.2 & .2703(r) 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. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on May 29, 2026, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Sandra Johnson Child Care Consultant P.O. Box 64401 Fayetteville, NC 28306 sandra.johnson@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Facility Specific TA: A violation was cited during today’s visit regarding child care operator did not notify the Division of any new child care providers who were hired or moved into the child care facility within five business days. Refer to G.S. 110-90.2(a)(2). We discussed that it is a requirement to provide the Division through the ABCMS Portal of staff who have been hired at the facility within five business days. During my observations today, the children were engaged in playing in free choice play. They were observed playing with legos, musical toys, and a small spinning toy that released different color balls, The teachers were sitting with the children and talking with the children. They sat at eye level, supported the children and encouraged them to share with their friends. The teachers would say the colors of the balls and legos and would encourage the children to repeat them. I shared with the administrator that the teachers were having good interaction with the children, talking and playing with them. I asked her to share with the teachers to keep helping the children with their speech and giving them the words to use when they need help with solving problems. These things will help with the children’s vocabulary, social and emotional skills. Reminders: Measles Cases: Measles is on the rise globally and in North Carolina. As a highly contagious, airborne disease, even one case is a major priority for public health. NCDHHS is taking action by launching new outreach resources for child care providers, families, and community stakeholder to help curb the spread. Child care providers can share information about vaccinations with the families served and be informed with the most current information. For more information and to access tools and resources, visit NCDHHS at dph.ncdhhs.gov/measles. The Child Care Health Consultant provides support in the following areas, but not limited to oral health, illness, infectious disease, emergency preparedness, health related areas, nutrition, environmental health, and physical activity. For additional information areas, visit the website, https://healthychildcare.unc.edu/child-care-health-consultants/aboutcchc/ Child Care Health Consultant: The Cumberland County Department of Public Health current Child Care Health Consultant is Nicole Richardson. Her contact number is: 910-678-7706 and her email address: nrrichardson@cumberlandcountync.gov. Visit the DCDEE website (https://ncchildcare.ncdhhs.gov/) for updated requirements, forms, and other pertinent information. Please feel free to contact me at Sandra.Johnson@dhhs.nc.gov or (910) 408-8985 or Rhonda Blackmon, Licensing Supervisor at rhonda.blackmon@dhhs.nc.gov (910) 709-4168 if you have any questions or concerns. 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: FLAMING SWORD DAYCARE - EARLY LEARNING CENTER #1 Facility ID: 26002489 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: Visit Date: 5/15/2026 Number Present: 5 Completed Date: 5/15/2026 Age: From 0 To 1 Total Minutes: 120 Time In: 09:00 AM Time Out: 11:00 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 compliance with applicable child care requirements pertinent to an annual compliance, including Health and Safety Trainings visit. The previous Annual Compliance Visit was completed December 8, 2025, and prior to today’s visit, the eighteen-month compliance history score is at 98%, which is above the 75% required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Notice of Compliance issued February 21, 2021. The information on record with DCDEE was verified as correct by Jamie Sifford, Administrator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior completed 8/11/2025. Fire Classification of Approved completed 7/8/2025. Ms. Sifford was present while observing the indoor and outdoor areas. The children in space #1a and #1b were observed participating in free choice play. The teachers were observed sitting with children on a small carpet playing with a toy that would spin and the balls would come out. As the balls came one of the teachers would say the color of the balls, how many balls came out of the toy. While encouraging the child to repeat what she said. The children were observed playing with large Legos, and sitting in a jumper activity toy, that had toys attached to it. The infant teacher was observed changing diapers and feeding one infant child. Diaper changing procedures were observed. At the completion of the visit, the Visit Summary was reviewed with Ms. Sifford. The following violation was observed. Violation Number Comment Rule 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The facility did not a ABCMS roster available for review. G.S. 110-90.2 & .2703(r) 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. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on May 29, 2026, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Sandra Johnson Child Care Consultant P.O. Box 64401 Fayetteville, NC 28306 sandra.johnson@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Facility Specific TA: A violation was cited during today’s visit regarding child care operator did not notify the Division of any new child care providers who were hired or moved into the child care facility within five business days. Refer to G.S. 110-90.2(a)(2). We discussed that it is a requirement to provide the Division through the ABCMS Portal of staff who have been hired at the facility within five business days. During my observations today, the children were engaged in playing in free choice play. They were observed playing with legos, musical toys, and a small spinning toy that released different color balls, The teachers were sitting with the children and talking with the children. They sat at eye level, supported the children and encouraged them to share with their friends. The teachers would say the colors of the balls and legos and would encourage the children to repeat them. I shared with the administrator that the teachers were having good interaction with the children, talking and playing with them. I asked her to share with the teachers to keep helping the children with their speech and giving them the words to use when they need help with solving problems. These things will help with the children’s vocabulary, social and emotional skills. Reminders: Measles Cases: Measles is on the rise globally and in North Carolina. As a highly contagious, airborne disease, even one case is a major priority for public health. NCDHHS is taking action by launching new outreach resources for child care providers, families, and community stakeholder to help curb the spread. Child care providers can share information about vaccinations with the families served and be informed with the most current information. For more information and to access tools and resources, visit NCDHHS at dph.ncdhhs.gov/measles. The Child Care Health Consultant provides support in the following areas, but not limited to oral health, illness, infectious disease, emergency preparedness, health related areas, nutrition, environmental health, and physical activity. For additional information areas, visit the website, https://healthychildcare.unc.edu/child-care-health-consultants/aboutcchc/ Child Care Health Consultant: The Cumberland County Department of Public Health current Child Care Health Consultant is Nicole Richardson. Her contact number is: 910-678-7706 and her email address: nrrichardson@cumberlandcountync.gov. Visit the DCDEE website (https://ncchildcare.ncdhhs.gov/) for updated requirements, forms, and other pertinent information. Please feel free to contact me at Sandra.Johnson@dhhs.nc.gov or (910) 408-8985 or Rhonda Blackmon, Licensing Supervisor at rhonda.blackmon@dhhs.nc.gov (910) 709-4168 if you have any questions or concerns. 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: FLAMING SWORD DAYCARE - EARLY LEARNING CENTER #1 Facility ID: 26002489 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: Visit Date: 12/8/2025 Number Present: 9 Completed Date: 12/8/2025 Age: From 0 To 1 Total Minutes: 135 Time In: 08:45 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance, including Health and Safety Trainings visit. The previous Annual Compliance Visit was completed December 11, 2024, and prior to today’s visit, the eighteen-month compliance history score is at 99%, which is above the 75% required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Notice of Compliance issued February 21, 2021. The information on record with DCDEE was verified as correct by Jamie Sifford, Administrator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior completed 8/11/2025. Fire Classification of Approved completed 7/8/2025. J. Sifford was present while observing the indoor and outdoor areas. The children in space #4, were were observed participating in coloring a Christmas tree using construction paper that had a tree drawn on it. The children use a variety of different color crayons. The teacher reviewed with the children the colors they were using and encouraging the to repeat what she said. In space #1a, one child was observed sitting in a bouncer, while two children were crawling and walking about the space. At the completion of the visit, the Visit Summary was reviewed with Ms. Sifford. The following violations were observed. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. There four bottles for one child in space #1a, that was not labeled with name and date. This was corrected by the teacher. She stated that the bottles were received today and she dated and labeled the four bottles with the child's name and date. 15A NCAC 18A .2804(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One new staff did not complete Recognizing and Responding to Suspicions of Child Maltreatment. The hire date 8/18/2025. .1102(g) 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. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on December 22, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Sandra Johnson Child Care Consultant P.O. Box 64401 Fayetteville, NC 28306 sandra.johnson@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Facility Specific TA: Recognizing and Responding to Child Maltreatment: A violation was cited during today’s visit regarding Recognizing and Responding to Suspicions of Child Maltreatment training. As a reminder, administrators and all staff must complete the required training topics every five (5) years. [within 90 days of employment. I recommend administrators require new staff to complete the training requirement during new staff orientation to ensure it has been completed in a timely manner.] A Health and Safety Training Record is also a reminder for staff to ensure the training has been completed. The training can be accessed at preventchildabusenc.org. More information can be found in the NC Child Care Rule 10A NCAC 09 .1102(g). Reminders: The DCDEE has a new initiative – Natural Outdoor Learning Initiative. Through this initiative, we hope to: increase knowledge and confidence for everyone in developing and implementing best practices to support the creation, programming, and safe use of naturalized outdoor spaces in child care facilities. You can learn more by visiting the NLI website, where you will also find many resources, including an updated Toolkit designed to help you enhance your outdoor learning environment. The downloadable NLI Toolkit is available at: https://naturalearning.org/preschool-outdoor-toolkit. Please visit DCDEE’s website (www.ncchildcare.nc.gov) for the latest child care updated requirements, forms, and other pertinent information. Please feel free to contact me at please contact me at: 910-408-8985 or sandra.johnson@dhhs.nc.gov. if you have any questions or concerns. 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: FLAMING SWORD DAYCARE - EARLY LEARNING CENTER #1 Facility ID: 26002489 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: Visit Date: 12/8/2025 Number Present: 9 Completed Date: 12/8/2025 Age: From 0 To 1 Total Minutes: 135 Time In: 08:45 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance, including Health and Safety Trainings visit. The previous Annual Compliance Visit was completed December 11, 2024, and prior to today’s visit, the eighteen-month compliance history score is at 99%, which is above the 75% required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Notice of Compliance issued February 21, 2021. The information on record with DCDEE was verified as correct by Jamie Sifford, Administrator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior completed 8/11/2025. Fire Classification of Approved completed 7/8/2025. J. Sifford was present while observing the indoor and outdoor areas. The children in space #4, were were observed participating in coloring a Christmas tree using construction paper that had a tree drawn on it. The children use a variety of different color crayons. The teacher reviewed with the children the colors they were using and encouraging the to repeat what she said. In space #1a, one child was observed sitting in a bouncer, while two children were crawling and walking about the space. At the completion of the visit, the Visit Summary was reviewed with Ms. Sifford. The following violations were observed. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. There four bottles for one child in space #1a, that was not labeled with name and date. This was corrected by the teacher. She stated that the bottles were received today and she dated and labeled the four bottles with the child's name and date. 15A NCAC 18A .2804(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One new staff did not complete Recognizing and Responding to Suspicions of Child Maltreatment. The hire date 8/18/2025. .1102(g) 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. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on December 22, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Sandra Johnson Child Care Consultant P.O. Box 64401 Fayetteville, NC 28306 sandra.johnson@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Facility Specific TA: Recognizing and Responding to Child Maltreatment: A violation was cited during today’s visit regarding Recognizing and Responding to Suspicions of Child Maltreatment training. As a reminder, administrators and all staff must complete the required training topics every five (5) years. [within 90 days of employment. I recommend administrators require new staff to complete the training requirement during new staff orientation to ensure it has been completed in a timely manner.] A Health and Safety Training Record is also a reminder for staff to ensure the training has been completed. The training can be accessed at preventchildabusenc.org. More information can be found in the NC Child Care Rule 10A NCAC 09 .1102(g). Reminders: The DCDEE has a new initiative – Natural Outdoor Learning Initiative. Through this initiative, we hope to: increase knowledge and confidence for everyone in developing and implementing best practices to support the creation, programming, and safe use of naturalized outdoor spaces in child care facilities. You can learn more by visiting the NLI website, where you will also find many resources, including an updated Toolkit designed to help you enhance your outdoor learning environment. The downloadable NLI Toolkit is available at: https://naturalearning.org/preschool-outdoor-toolkit. Please visit DCDEE’s website (www.ncchildcare.nc.gov) for the latest child care updated requirements, forms, and other pertinent information. Please feel free to contact me at please contact me at: 910-408-8985 or sandra.johnson@dhhs.nc.gov. if you have any questions or concerns. 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 .0701 · Violation

Name of Operation: FLAMING SWORD DAYCARE - EARLY LEARNING CENTER #1 Facility ID: 26002489 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: Visit Date: 12/11/2024 Number Present: 8 Completed Date: 12/11/2024 Age: From 0 To 1 Total Minutes: 135 Time In: 08:30 AM Time Out: 10:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous Annual Compliance Visit was completed December 21, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 100 %, which is above the 75% required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Notice of Compliance issued February 19, 2021. The information on record with DCDEE was verified as correct by Jaimie Sifford and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Sanitation Classification of Superior completed 8/5/2024. Fire Classification of Approved for daytime care, completed 7/12/2024. J. Sifford, Administrator, was present and walked with me while observing the indoor and outdoor areas. In space #1a, three children were present. One child was resting in his/her crib on their back, while the teacher sat nearby with two children on a carpet. The children played with soft toys and musical instruments. In space #4, five children were sitting on a small carpet participating in a small group activity. The teacher was working with the children on number recognition. At the completion of the visit, the Visit Summary was reviewed with J. Sifford. The following violation was observed. Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member did not have a medical report prior to employment. Hire date 11/7/2024. This was corrected on 11/13/2024 when she received a medical report and it was placed in staff members file. 10A NCAC 09 .0701(a) 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. Facility Specific TA A violation was observed for medical report not being on file prior to employment. Refer to child care rule 10A NCAC 09 .0701(a). We discussed the following strategies: Ensure that you require all new hires to submit a medical report on or before their first day of employment. You can obtain a staff checklist from the DCDEE website to ensure you have all the required documents on file when they are due. Ensure you are giving all staff due dates as to when required forms are to be returned to you as the administrator. Reminders: The DCDEE has a new initiative – Natural Outdoor Learning Initiative. Through this initiative, we hope to increase knowledge and confidence for everyone in developing and implementing best practices to support the creation, programming, and safe use of naturalized outdoor spaces in child care facilities. You can learn more by visiting the NLI website, where you will also find many resources, including an updated Toolkit designed to help you enhance your outdoor learning environment. The downloadable NLI Toolkit is available at: Please visit DCDEE’s website for the latest child care updates information for child care at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: sandra.johnson@dhhs.nc.gov or 910-408-8985 if you have any questions, comments, or concerns. 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: FLAMING SWORD DAYCARE - EARLY LEARNING CENTER #1 Facility ID: 26002489 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: Visit Date: 12/11/2024 Number Present: 8 Completed Date: 12/11/2024 Age: From 0 To 1 Total Minutes: 135 Time In: 08:30 AM Time Out: 10:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous Annual Compliance Visit was completed December 21, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 100 %, which is above the 75% required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Notice of Compliance issued February 19, 2021. The information on record with DCDEE was verified as correct by Jaimie Sifford and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Sanitation Classification of Superior completed 8/5/2024. Fire Classification of Approved for daytime care, completed 7/12/2024. J. Sifford, Administrator, was present and walked with me while observing the indoor and outdoor areas. In space #1a, three children were present. One child was resting in his/her crib on their back, while the teacher sat nearby with two children on a carpet. The children played with soft toys and musical instruments. In space #4, five children were sitting on a small carpet participating in a small group activity. The teacher was working with the children on number recognition. At the completion of the visit, the Visit Summary was reviewed with J. Sifford. The following violation was observed. Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member did not have a medical report prior to employment. Hire date 11/7/2024. This was corrected on 11/13/2024 when she received a medical report and it was placed in staff members file. 10A NCAC 09 .0701(a) 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. Facility Specific TA A violation was observed for medical report not being on file prior to employment. Refer to child care rule 10A NCAC 09 .0701(a). We discussed the following strategies: Ensure that you require all new hires to submit a medical report on or before their first day of employment. You can obtain a staff checklist from the DCDEE website to ensure you have all the required documents on file when they are due. Ensure you are giving all staff due dates as to when required forms are to be returned to you as the administrator. Reminders: The DCDEE has a new initiative – Natural Outdoor Learning Initiative. Through this initiative, we hope to increase knowledge and confidence for everyone in developing and implementing best practices to support the creation, programming, and safe use of naturalized outdoor spaces in child care facilities. You can learn more by visiting the NLI website, where you will also find many resources, including an updated Toolkit designed to help you enhance your outdoor learning environment. The downloadable NLI Toolkit is available at: Please visit DCDEE’s website for the latest child care updates information for child care at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: sandra.johnson@dhhs.nc.gov or 910-408-8985 if you have any questions, comments, or concerns. 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