Tiny Hands And Feet

10A NCAC 09.1721 · Violation

Name of Operation: TINY HANDS AND FEET Facility ID: 60003047 Consultant: MICHELLE CUTHBERTSON Operation Type: Family CC Home Case Number: Visit Date: 5/1/2025 Number Present: 4 Completed Date: 5/1/2025 Age: From 1 To 2 Total Minutes: 146 Time In: 09:04 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to conduct an annual compliance. This family childcare home has a five-star license and an 18-month compliance history score of 97%. The facilities license and NC childcare law were prominently posted. Permit restrictions, supervision and capacity were observed in compliance. I was greeted by Ms. Tessie Mckoy, provider. I monitored five children’s files. I monitored the operator’s file. Sanitation inspection was conducted on 1/31/2025 with 8 demerits. There were four children in attendance today. The children were observed participating in breakfast, story time and free play. The provider does not provide transportation. The playground was monitored today. The FCCH and Centers Located in a Residence Operator’s Statements of Responsibility form and Verification of Required Information for Operator and Additional Caregivers form were completed. Ms. McKoy is the only individual to reside at the home. There were 8 violations cited today. Violation Number Comment Rule 716 Electrical outlets not in use were not covered. An electrical outlet was not covered in the bathroom. 10A NCAC .1719(a)(27) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. A child's file was missing the medical report. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. A child's file was missing immunization records. GS 110-91(1); .1721(a)(2) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. A child's file was missing the acknowledgement of the discipline policy. G.S.110-91(10); .1727(a)&(b) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. A child's file was missing the acknowledgement of the summary of the law. GS 110-102 1821 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. There were no sleep chart documentations for the 1 enroll infant. .1724(a)(8)&(f) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. A child's file was missing the no smoking acknowledgement form. .1719(a)(11) 2031 Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy. A child's file was missing the acknowledgement for the shaken baby policy. .1726(b)&(c) Technical Assistance: -A reminder to keep items that states keep out of reach of children at least 5ft. -Complete lead water testing by May 31, 2025 -Discussed ABCMS portal with operator Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed and dated statement to me at the email address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation using the item listing in your visit summary, you must state how each violation was corrected and are now in compliance. 5. Your signature For your convenience, your letter may be sent by email to: Michelle.Cuthbertson@dhhs.nc.gov Your letter may be mailed to me at: Michelle Cuthbertson PO Box 681376 Charlotte, NC 28216 I must receive your compliance letter by 5/14/2025. If a letter is not received by the required date another visit will be conducted to confirm the violation was corrected. If you have questions or concerns, please feel free to contact me by email or by phone at 704-297-5431. 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.110-91 · Violation

Name of Operation: TINY HANDS AND FEET Facility ID: 60003047 Consultant: MICHELLE CUTHBERTSON Operation Type: Family CC Home Case Number: Visit Date: 5/1/2025 Number Present: 4 Completed Date: 5/1/2025 Age: From 1 To 2 Total Minutes: 146 Time In: 09:04 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to conduct an annual compliance. This family childcare home has a five-star license and an 18-month compliance history score of 97%. The facilities license and NC childcare law were prominently posted. Permit restrictions, supervision and capacity were observed in compliance. I was greeted by Ms. Tessie Mckoy, provider. I monitored five children’s files. I monitored the operator’s file. Sanitation inspection was conducted on 1/31/2025 with 8 demerits. There were four children in attendance today. The children were observed participating in breakfast, story time and free play. The provider does not provide transportation. The playground was monitored today. The FCCH and Centers Located in a Residence Operator’s Statements of Responsibility form and Verification of Required Information for Operator and Additional Caregivers form were completed. Ms. McKoy is the only individual to reside at the home. There were 8 violations cited today. Violation Number Comment Rule 716 Electrical outlets not in use were not covered. An electrical outlet was not covered in the bathroom. 10A NCAC .1719(a)(27) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. A child's file was missing the medical report. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. A child's file was missing immunization records. GS 110-91(1); .1721(a)(2) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. A child's file was missing the acknowledgement of the discipline policy. G.S.110-91(10); .1727(a)&(b) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. A child's file was missing the acknowledgement of the summary of the law. GS 110-102 1821 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. There were no sleep chart documentations for the 1 enroll infant. .1724(a)(8)&(f) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. A child's file was missing the no smoking acknowledgement form. .1719(a)(11) 2031 Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy. A child's file was missing the acknowledgement for the shaken baby policy. .1726(b)&(c) Technical Assistance: -A reminder to keep items that states keep out of reach of children at least 5ft. -Complete lead water testing by May 31, 2025 -Discussed ABCMS portal with operator Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed and dated statement to me at the email address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation using the item listing in your visit summary, you must state how each violation was corrected and are now in compliance. 5. Your signature For your convenience, your letter may be sent by email to: Michelle.Cuthbertson@dhhs.nc.gov Your letter may be mailed to me at: Michelle Cuthbertson PO Box 681376 Charlotte, NC 28216 I must receive your compliance letter by 5/14/2025. If a letter is not received by the required date another visit will be conducted to confirm the violation was corrected. If you have questions or concerns, please feel free to contact me by email or by phone at 704-297-5431. 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 HANDS AND FEET Facility ID: 60003047 Consultant: MICHELLE CUTHBERTSON Operation Type: Family CC Home Case Number: Visit Date: 5/1/2025 Number Present: 4 Completed Date: 5/1/2025 Age: From 1 To 2 Total Minutes: 146 Time In: 09:04 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to conduct an annual compliance. This family childcare home has a five-star license and an 18-month compliance history score of 97%. The facilities license and NC childcare law were prominently posted. Permit restrictions, supervision and capacity were observed in compliance. I was greeted by Ms. Tessie Mckoy, provider. I monitored five children’s files. I monitored the operator’s file. Sanitation inspection was conducted on 1/31/2025 with 8 demerits. There were four children in attendance today. The children were observed participating in breakfast, story time and free play. The provider does not provide transportation. The playground was monitored today. The FCCH and Centers Located in a Residence Operator’s Statements of Responsibility form and Verification of Required Information for Operator and Additional Caregivers form were completed. Ms. McKoy is the only individual to reside at the home. There were 8 violations cited today. Violation Number Comment Rule 716 Electrical outlets not in use were not covered. An electrical outlet was not covered in the bathroom. 10A NCAC .1719(a)(27) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. A child's file was missing the medical report. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. A child's file was missing immunization records. GS 110-91(1); .1721(a)(2) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. A child's file was missing the acknowledgement of the discipline policy. G.S.110-91(10); .1727(a)&(b) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. A child's file was missing the acknowledgement of the summary of the law. GS 110-102 1821 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. There were no sleep chart documentations for the 1 enroll infant. .1724(a)(8)&(f) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. A child's file was missing the no smoking acknowledgement form. .1719(a)(11) 2031 Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy. A child's file was missing the acknowledgement for the shaken baby policy. .1726(b)&(c) Technical Assistance: -A reminder to keep items that states keep out of reach of children at least 5ft. -Complete lead water testing by May 31, 2025 -Discussed ABCMS portal with operator Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed and dated statement to me at the email address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation using the item listing in your visit summary, you must state how each violation was corrected and are now in compliance. 5. Your signature For your convenience, your letter may be sent by email to: Michelle.Cuthbertson@dhhs.nc.gov Your letter may be mailed to me at: Michelle Cuthbertson PO Box 681376 Charlotte, NC 28216 I must receive your compliance letter by 5/14/2025. If a letter is not received by the required date another visit will be conducted to confirm the violation was corrected. If you have questions or concerns, please feel free to contact me by email or by phone at 704-297-5431. 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 HANDS AND FEET Facility ID: 60003047 Consultant: MICHELLE CUTHBERTSON Operation Type: Family CC Home Case Number: Visit Date: 5/1/2025 Number Present: 4 Completed Date: 5/1/2025 Age: From 1 To 2 Total Minutes: 146 Time In: 09:04 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to conduct an annual compliance. This family childcare home has a five-star license and an 18-month compliance history score of 97%. The facilities license and NC childcare law were prominently posted. Permit restrictions, supervision and capacity were observed in compliance. I was greeted by Ms. Tessie Mckoy, provider. I monitored five children’s files. I monitored the operator’s file. Sanitation inspection was conducted on 1/31/2025 with 8 demerits. There were four children in attendance today. The children were observed participating in breakfast, story time and free play. The provider does not provide transportation. The playground was monitored today. The FCCH and Centers Located in a Residence Operator’s Statements of Responsibility form and Verification of Required Information for Operator and Additional Caregivers form were completed. Ms. McKoy is the only individual to reside at the home. There were 8 violations cited today. Violation Number Comment Rule 716 Electrical outlets not in use were not covered. An electrical outlet was not covered in the bathroom. 10A NCAC .1719(a)(27) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. A child's file was missing the medical report. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. A child's file was missing immunization records. GS 110-91(1); .1721(a)(2) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. A child's file was missing the acknowledgement of the discipline policy. G.S.110-91(10); .1727(a)&(b) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. A child's file was missing the acknowledgement of the summary of the law. GS 110-102 1821 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. There were no sleep chart documentations for the 1 enroll infant. .1724(a)(8)&(f) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. A child's file was missing the no smoking acknowledgement form. .1719(a)(11) 2031 Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy. A child's file was missing the acknowledgement for the shaken baby policy. .1726(b)&(c) Technical Assistance: -A reminder to keep items that states keep out of reach of children at least 5ft. -Complete lead water testing by May 31, 2025 -Discussed ABCMS portal with operator Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed and dated statement to me at the email address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation using the item listing in your visit summary, you must state how each violation was corrected and are now in compliance. 5. Your signature For your convenience, your letter may be sent by email to: Michelle.Cuthbertson@dhhs.nc.gov Your letter may be mailed to me at: Michelle Cuthbertson PO Box 681376 Charlotte, NC 28216 I must receive your compliance letter by 5/14/2025. If a letter is not received by the required date another visit will be conducted to confirm the violation was corrected. If you have questions or concerns, please feel free to contact me by email or by phone at 704-297-5431. 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 09.1721 · Violation

Name of Operation: TINY HANDS AND FEET Facility ID: 60003047 Consultant: MICHELLE CUTHBERTSON Operation Type: Family CC Home Case Number: Visit Date: 5/7/2024 Number Present: 5 Completed Date: 5/7/2024 Age: From 0 To 3 Total Minutes: 90 Time In: 12:00 PM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to conduct an annual compliance. This family childcare home has a five-star license and an 18-month compliance history score of 95%. The facilities license and NC childcare law were prominently posted. Permit restrictions, supervision and capacity were observed in compliance. I was greeted by Ms. Tessie Mckoy, provider. I monitored five children’s files. I monitored the operator’s file for required trainings. Sanitation inspection was conducted on 2/9/24 with 14 demerits. There were five children in attendance today. The children were observed participating in lunch and nap. The provider does not provide transportation. The playground was monitored today. The FCCH and Centers Located in a Residence Operator’s Statements of Responsibility form and Verification of Required Information for Operator and Additional Caregivers form were completed. Ms. McKoy resides at the home. There were 2 violations cited today. Violation Number Comment Rule 908 Health questionnaire was not completed annually. The operator's health questionnaire was not completed annually. .1703(a)(1) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. A child's file did not include a health assessment (medical report). GS 110-91(1); 10A NCAC 09.1721(a)(1) Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed and dated statement to me at the email address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation using the item listing in your visit summary, you must state how each violation was corrected and are now in compliance. 5. Your signature For your convenience, your letter may be sent by email to: Michelle.Cuthbertson@dhhs.nc.gov Your letter may be mailed to me at: Michelle Cuthbertson PO Box 681376 Charlotte, NC 28216 I must receive your compliance letter by 5/20/24. If a letter is not received by the required date another visit will be conducted to confirm the violation was corrected. If you have questions or concerns, please feel free to contact me by email or by phone at 704-297-5431. 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 HANDS AND FEET Facility ID: 60003047 Consultant: MICHELLE CUTHBERTSON Operation Type: Family CC Home Case Number: Visit Date: 5/7/2024 Number Present: 5 Completed Date: 5/7/2024 Age: From 0 To 3 Total Minutes: 90 Time In: 12:00 PM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to conduct an annual compliance. This family childcare home has a five-star license and an 18-month compliance history score of 95%. The facilities license and NC childcare law were prominently posted. Permit restrictions, supervision and capacity were observed in compliance. I was greeted by Ms. Tessie Mckoy, provider. I monitored five children’s files. I monitored the operator’s file for required trainings. Sanitation inspection was conducted on 2/9/24 with 14 demerits. There were five children in attendance today. The children were observed participating in lunch and nap. The provider does not provide transportation. The playground was monitored today. The FCCH and Centers Located in a Residence Operator’s Statements of Responsibility form and Verification of Required Information for Operator and Additional Caregivers form were completed. Ms. McKoy resides at the home. There were 2 violations cited today. Violation Number Comment Rule 908 Health questionnaire was not completed annually. The operator's health questionnaire was not completed annually. .1703(a)(1) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. A child's file did not include a health assessment (medical report). GS 110-91(1); 10A NCAC 09.1721(a)(1) Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed and dated statement to me at the email address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation using the item listing in your visit summary, you must state how each violation was corrected and are now in compliance. 5. Your signature For your convenience, your letter may be sent by email to: Michelle.Cuthbertson@dhhs.nc.gov Your letter may be mailed to me at: Michelle Cuthbertson PO Box 681376 Charlotte, NC 28216 I must receive your compliance letter by 5/20/24. If a letter is not received by the required date another visit will be conducted to confirm the violation was corrected. If you have questions or concerns, please feel free to contact me by email or by phone at 704-297-5431. 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