Miss Charlie'S Child Development Center III

10A NCAC 09 .0601 · Violation

Name of Operation: MISS CHARLIE'S CHILD DEVELOPMENT CENTER III Facility ID: 54000286 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 1/13/2026 Number Present: 22 Completed Date: 1/13/2026 Age: From 0 To 5 Total Minutes: 230 Time In: 09:40 AM Time Out: 01:30 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 this facility for compliance with applicable child care requirements during an annual compliance. Kim Barnes, Child Care Consultant, assisted me with today’s visit. You, B. Teach-Lizzmore, administrator, was present available to assist with today’s visit Your program currently operates with a three-star license issued on July 28, 2017, earning four (4) points in the education component, two (2) points in the program standards component and one (1) quality point for having an administrator who has completed a business training course of at least 30 clock hours. The last annual compliance visit was conducted on February 12, 2025. The sanitation inspection was completed on November 19, 2025, with an “Approved” classification “20” demerits. The fire inspection was completed on April 7, 2025, and the center was approved for daytime care only. The license was posted, and the restrictions were in compliance. Upon arrival there were twenty-two (22) children, from ages eight (8) months to five-years-old, who were present during the visit. A walk-through of the facility was completed today. The indoor and outdoor environments were observed. I observed children in the indoor learning environment. Staff/child ratios were in compliance. Children throughout the facility were participating in free play in activity areas, music and movement, transitions, gross-motor play outdoor, and personal care routines. Teachers were interacting with the children in a nurturing and positive manner. The children were observed eating the following for lunch: ground meat for tacos, corn chips, salad, pears, and milk. You stated you are currently not providing transportation, and you are looking for a vehicle to be able to provide transportation in the future. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In the outdoor environment there were the following items that need to be removed or fixed immediately; paper towels, food wrappers, broken toys, broken bike helmet, on the second set of stairs on the climbing equipment the protective coating was peeling and rust was visible. The fence had two holes that a child could stick their arm or head through. 10A NCAC 09 .0601(a) 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. In space number one (#1) there was a bottle of hand sanitizer on a shelf that was about 4 ½ feet above ground; however, the sanitizer had “keep out of reach” of children with additional waring of keep our of eyes, and call poison control if ingested. .2820(b) 847 Parent's medication authorization did not include required information. In space number five (#5) there was a permission to administer medication form on file and was dated May 2025, this medication was for an albuterol inhaler and needed to be resigned by the parent in November 2025. 10A NCAC 09 .0803(4)(6-9) 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. D. Aguilar began employment on December 1, 2025, and was not connected to your ABCMS portal. 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. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before January 27, 2026. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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 may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with 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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 93%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: Miss Charlies Child Development Center of ENC, LLC is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Miss Charlies Child Development Center of ENC, LLC remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: STAFF AND CHILDREN FILES: Ten percent (10%) of existing staff files and one (1) new staff file for D. Aguilar was reviewed during today’s visit. Ms. Aguilar began employment on December 1, 2025. Her criminal Background Check Letter is valid through November 20, 2030. Ms. Aguilar has one year from her first day of employment to complete the health and safety trainings, the on-going annual trainings, the staff development plan, and the annual staff evaluation. Ten percent (10%) of children’s files were reviewed today. The children’s file were completed and incompliance. MEDICATION: In space number five (#5) there a permission to administer medication form on file and was dated May 2025, this medication was for an albuterol inhaler and needed to be resigned by the parent in November 2025. Please remember all emergency medication form must be reviewed and resigned every six (6) months. OUTDOOR ENVIRONMENT: In the outdoor environment where children play there were the following items that need to be removed or fixed immediately; paper towels, food wrappers, broken toys, broken bike helmet, on the second set of stairs on the climbing equipment the protective coating was peeling and rust was visible. The fence had two holes that a child could stick their arm or head through and is considered an entrapment hazard. These items need to be corrected immediately. STORAGE OF HAZARDOUS ITEMS: In space number one (#1) there was a bottle of hand sanitizer on a shelf that was about 4 ½ feet above ground; however, the sanitizer had “keep out of reach” of children with additional waring of keep our of eyes, and call poison control if ingested. You placed the hand sanitizer in a locked cabinet. Please remember items that have “keep our of reach of children” with additional warnings, must be locked up. This was corrected during the visit. CRMINAL BACKGROUND CHECK-AMBCMS PORTAL: D. Aguilar began employment on December 1, 2025, and was not connected to your ABCMS portal. Ms. Aguilar needed to be connected to the ABCMS Background Check porta within five business days of hire. 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 child care providers working who were hired or moved into the child care facility within five business days. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. QRIS: You are currently working on collecting your documentation for Pathway Two- Classroom and Instructional Quality and have started implementing the Funny Dapper which is an approved curriculum. You are working on getting updated DCDEE WORKS letters for all employed staff. CLEAN WATER FOR CAROLINA KIDS: You tested your water for lead on June 2, 2021. Child care facilities must test the cooking and drinking water every three (3) years. According to the Clean Water for Us Kids website, you need to test your drinking and cooking water. You have begun enrollment in the lead paint and asbestos testing. Please complete the enrollment process. Please log into https://www.cleanwaterforuskids.org/en/carolina/ to ensure you are meeting the requirements for Lead in Water / Paint/Asbestos testing. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: MISS CHARLIE'S CHILD DEVELOPMENT CENTER III Facility ID: 54000286 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 1/13/2026 Number Present: 22 Completed Date: 1/13/2026 Age: From 0 To 5 Total Minutes: 230 Time In: 09:40 AM Time Out: 01:30 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 this facility for compliance with applicable child care requirements during an annual compliance. Kim Barnes, Child Care Consultant, assisted me with today’s visit. You, B. Teach-Lizzmore, administrator, was present available to assist with today’s visit Your program currently operates with a three-star license issued on July 28, 2017, earning four (4) points in the education component, two (2) points in the program standards component and one (1) quality point for having an administrator who has completed a business training course of at least 30 clock hours. The last annual compliance visit was conducted on February 12, 2025. The sanitation inspection was completed on November 19, 2025, with an “Approved” classification “20” demerits. The fire inspection was completed on April 7, 2025, and the center was approved for daytime care only. The license was posted, and the restrictions were in compliance. Upon arrival there were twenty-two (22) children, from ages eight (8) months to five-years-old, who were present during the visit. A walk-through of the facility was completed today. The indoor and outdoor environments were observed. I observed children in the indoor learning environment. Staff/child ratios were in compliance. Children throughout the facility were participating in free play in activity areas, music and movement, transitions, gross-motor play outdoor, and personal care routines. Teachers were interacting with the children in a nurturing and positive manner. The children were observed eating the following for lunch: ground meat for tacos, corn chips, salad, pears, and milk. You stated you are currently not providing transportation, and you are looking for a vehicle to be able to provide transportation in the future. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In the outdoor environment there were the following items that need to be removed or fixed immediately; paper towels, food wrappers, broken toys, broken bike helmet, on the second set of stairs on the climbing equipment the protective coating was peeling and rust was visible. The fence had two holes that a child could stick their arm or head through. 10A NCAC 09 .0601(a) 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. In space number one (#1) there was a bottle of hand sanitizer on a shelf that was about 4 ½ feet above ground; however, the sanitizer had “keep out of reach” of children with additional waring of keep our of eyes, and call poison control if ingested. .2820(b) 847 Parent's medication authorization did not include required information. In space number five (#5) there was a permission to administer medication form on file and was dated May 2025, this medication was for an albuterol inhaler and needed to be resigned by the parent in November 2025. 10A NCAC 09 .0803(4)(6-9) 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. D. Aguilar began employment on December 1, 2025, and was not connected to your ABCMS portal. 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. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before January 27, 2026. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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 may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with 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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 93%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: Miss Charlies Child Development Center of ENC, LLC is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Miss Charlies Child Development Center of ENC, LLC remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: STAFF AND CHILDREN FILES: Ten percent (10%) of existing staff files and one (1) new staff file for D. Aguilar was reviewed during today’s visit. Ms. Aguilar began employment on December 1, 2025. Her criminal Background Check Letter is valid through November 20, 2030. Ms. Aguilar has one year from her first day of employment to complete the health and safety trainings, the on-going annual trainings, the staff development plan, and the annual staff evaluation. Ten percent (10%) of children’s files were reviewed today. The children’s file were completed and incompliance. MEDICATION: In space number five (#5) there a permission to administer medication form on file and was dated May 2025, this medication was for an albuterol inhaler and needed to be resigned by the parent in November 2025. Please remember all emergency medication form must be reviewed and resigned every six (6) months. OUTDOOR ENVIRONMENT: In the outdoor environment where children play there were the following items that need to be removed or fixed immediately; paper towels, food wrappers, broken toys, broken bike helmet, on the second set of stairs on the climbing equipment the protective coating was peeling and rust was visible. The fence had two holes that a child could stick their arm or head through and is considered an entrapment hazard. These items need to be corrected immediately. STORAGE OF HAZARDOUS ITEMS: In space number one (#1) there was a bottle of hand sanitizer on a shelf that was about 4 ½ feet above ground; however, the sanitizer had “keep out of reach” of children with additional waring of keep our of eyes, and call poison control if ingested. You placed the hand sanitizer in a locked cabinet. Please remember items that have “keep our of reach of children” with additional warnings, must be locked up. This was corrected during the visit. CRMINAL BACKGROUND CHECK-AMBCMS PORTAL: D. Aguilar began employment on December 1, 2025, and was not connected to your ABCMS portal. Ms. Aguilar needed to be connected to the ABCMS Background Check porta within five business days of hire. 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 child care providers working who were hired or moved into the child care facility within five business days. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. QRIS: You are currently working on collecting your documentation for Pathway Two- Classroom and Instructional Quality and have started implementing the Funny Dapper which is an approved curriculum. You are working on getting updated DCDEE WORKS letters for all employed staff. CLEAN WATER FOR CAROLINA KIDS: You tested your water for lead on June 2, 2021. Child care facilities must test the cooking and drinking water every three (3) years. According to the Clean Water for Us Kids website, you need to test your drinking and cooking water. You have begun enrollment in the lead paint and asbestos testing. Please complete the enrollment process. Please log into https://www.cleanwaterforuskids.org/en/carolina/ to ensure you are meeting the requirements for Lead in Water / Paint/Asbestos testing. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: MISS CHARLIE'S CHILD DEVELOPMENT CENTER III Facility ID: 54000286 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 1/13/2026 Number Present: 22 Completed Date: 1/13/2026 Age: From 0 To 5 Total Minutes: 230 Time In: 09:40 AM Time Out: 01:30 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 this facility for compliance with applicable child care requirements during an annual compliance. Kim Barnes, Child Care Consultant, assisted me with today’s visit. You, B. Teach-Lizzmore, administrator, was present available to assist with today’s visit Your program currently operates with a three-star license issued on July 28, 2017, earning four (4) points in the education component, two (2) points in the program standards component and one (1) quality point for having an administrator who has completed a business training course of at least 30 clock hours. The last annual compliance visit was conducted on February 12, 2025. The sanitation inspection was completed on November 19, 2025, with an “Approved” classification “20” demerits. The fire inspection was completed on April 7, 2025, and the center was approved for daytime care only. The license was posted, and the restrictions were in compliance. Upon arrival there were twenty-two (22) children, from ages eight (8) months to five-years-old, who were present during the visit. A walk-through of the facility was completed today. The indoor and outdoor environments were observed. I observed children in the indoor learning environment. Staff/child ratios were in compliance. Children throughout the facility were participating in free play in activity areas, music and movement, transitions, gross-motor play outdoor, and personal care routines. Teachers were interacting with the children in a nurturing and positive manner. The children were observed eating the following for lunch: ground meat for tacos, corn chips, salad, pears, and milk. You stated you are currently not providing transportation, and you are looking for a vehicle to be able to provide transportation in the future. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In the outdoor environment there were the following items that need to be removed or fixed immediately; paper towels, food wrappers, broken toys, broken bike helmet, on the second set of stairs on the climbing equipment the protective coating was peeling and rust was visible. The fence had two holes that a child could stick their arm or head through. 10A NCAC 09 .0601(a) 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. In space number one (#1) there was a bottle of hand sanitizer on a shelf that was about 4 ½ feet above ground; however, the sanitizer had “keep out of reach” of children with additional waring of keep our of eyes, and call poison control if ingested. .2820(b) 847 Parent's medication authorization did not include required information. In space number five (#5) there was a permission to administer medication form on file and was dated May 2025, this medication was for an albuterol inhaler and needed to be resigned by the parent in November 2025. 10A NCAC 09 .0803(4)(6-9) 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. D. Aguilar began employment on December 1, 2025, and was not connected to your ABCMS portal. 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. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before January 27, 2026. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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 may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with 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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 93%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: Miss Charlies Child Development Center of ENC, LLC is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Miss Charlies Child Development Center of ENC, LLC remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: STAFF AND CHILDREN FILES: Ten percent (10%) of existing staff files and one (1) new staff file for D. Aguilar was reviewed during today’s visit. Ms. Aguilar began employment on December 1, 2025. Her criminal Background Check Letter is valid through November 20, 2030. Ms. Aguilar has one year from her first day of employment to complete the health and safety trainings, the on-going annual trainings, the staff development plan, and the annual staff evaluation. Ten percent (10%) of children’s files were reviewed today. The children’s file were completed and incompliance. MEDICATION: In space number five (#5) there a permission to administer medication form on file and was dated May 2025, this medication was for an albuterol inhaler and needed to be resigned by the parent in November 2025. Please remember all emergency medication form must be reviewed and resigned every six (6) months. OUTDOOR ENVIRONMENT: In the outdoor environment where children play there were the following items that need to be removed or fixed immediately; paper towels, food wrappers, broken toys, broken bike helmet, on the second set of stairs on the climbing equipment the protective coating was peeling and rust was visible. The fence had two holes that a child could stick their arm or head through and is considered an entrapment hazard. These items need to be corrected immediately. STORAGE OF HAZARDOUS ITEMS: In space number one (#1) there was a bottle of hand sanitizer on a shelf that was about 4 ½ feet above ground; however, the sanitizer had “keep out of reach” of children with additional waring of keep our of eyes, and call poison control if ingested. You placed the hand sanitizer in a locked cabinet. Please remember items that have “keep our of reach of children” with additional warnings, must be locked up. This was corrected during the visit. CRMINAL BACKGROUND CHECK-AMBCMS PORTAL: D. Aguilar began employment on December 1, 2025, and was not connected to your ABCMS portal. Ms. Aguilar needed to be connected to the ABCMS Background Check porta within five business days of hire. 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 child care providers working who were hired or moved into the child care facility within five business days. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. QRIS: You are currently working on collecting your documentation for Pathway Two- Classroom and Instructional Quality and have started implementing the Funny Dapper which is an approved curriculum. You are working on getting updated DCDEE WORKS letters for all employed staff. CLEAN WATER FOR CAROLINA KIDS: You tested your water for lead on June 2, 2021. Child care facilities must test the cooking and drinking water every three (3) years. According to the Clean Water for Us Kids website, you need to test your drinking and cooking water. You have begun enrollment in the lead paint and asbestos testing. Please complete the enrollment process. Please log into https://www.cleanwaterforuskids.org/en/carolina/ to ensure you are meeting the requirements for Lead in Water / Paint/Asbestos testing. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: MISS CHARLIE'S CHILD DEVELOPMENT CENTER III Facility ID: 54000286 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 1/13/2026 Number Present: 22 Completed Date: 1/13/2026 Age: From 0 To 5 Total Minutes: 230 Time In: 09:40 AM Time Out: 01:30 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 this facility for compliance with applicable child care requirements during an annual compliance. Kim Barnes, Child Care Consultant, assisted me with today’s visit. You, B. Teach-Lizzmore, administrator, was present available to assist with today’s visit Your program currently operates with a three-star license issued on July 28, 2017, earning four (4) points in the education component, two (2) points in the program standards component and one (1) quality point for having an administrator who has completed a business training course of at least 30 clock hours. The last annual compliance visit was conducted on February 12, 2025. The sanitation inspection was completed on November 19, 2025, with an “Approved” classification “20” demerits. The fire inspection was completed on April 7, 2025, and the center was approved for daytime care only. The license was posted, and the restrictions were in compliance. Upon arrival there were twenty-two (22) children, from ages eight (8) months to five-years-old, who were present during the visit. A walk-through of the facility was completed today. The indoor and outdoor environments were observed. I observed children in the indoor learning environment. Staff/child ratios were in compliance. Children throughout the facility were participating in free play in activity areas, music and movement, transitions, gross-motor play outdoor, and personal care routines. Teachers were interacting with the children in a nurturing and positive manner. The children were observed eating the following for lunch: ground meat for tacos, corn chips, salad, pears, and milk. You stated you are currently not providing transportation, and you are looking for a vehicle to be able to provide transportation in the future. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In the outdoor environment there were the following items that need to be removed or fixed immediately; paper towels, food wrappers, broken toys, broken bike helmet, on the second set of stairs on the climbing equipment the protective coating was peeling and rust was visible. The fence had two holes that a child could stick their arm or head through. 10A NCAC 09 .0601(a) 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. In space number one (#1) there was a bottle of hand sanitizer on a shelf that was about 4 ½ feet above ground; however, the sanitizer had “keep out of reach” of children with additional waring of keep our of eyes, and call poison control if ingested. .2820(b) 847 Parent's medication authorization did not include required information. In space number five (#5) there was a permission to administer medication form on file and was dated May 2025, this medication was for an albuterol inhaler and needed to be resigned by the parent in November 2025. 10A NCAC 09 .0803(4)(6-9) 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. D. Aguilar began employment on December 1, 2025, and was not connected to your ABCMS portal. 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. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before January 27, 2026. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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 may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with 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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 93%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: Miss Charlies Child Development Center of ENC, LLC is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Miss Charlies Child Development Center of ENC, LLC remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: STAFF AND CHILDREN FILES: Ten percent (10%) of existing staff files and one (1) new staff file for D. Aguilar was reviewed during today’s visit. Ms. Aguilar began employment on December 1, 2025. Her criminal Background Check Letter is valid through November 20, 2030. Ms. Aguilar has one year from her first day of employment to complete the health and safety trainings, the on-going annual trainings, the staff development plan, and the annual staff evaluation. Ten percent (10%) of children’s files were reviewed today. The children’s file were completed and incompliance. MEDICATION: In space number five (#5) there a permission to administer medication form on file and was dated May 2025, this medication was for an albuterol inhaler and needed to be resigned by the parent in November 2025. Please remember all emergency medication form must be reviewed and resigned every six (6) months. OUTDOOR ENVIRONMENT: In the outdoor environment where children play there were the following items that need to be removed or fixed immediately; paper towels, food wrappers, broken toys, broken bike helmet, on the second set of stairs on the climbing equipment the protective coating was peeling and rust was visible. The fence had two holes that a child could stick their arm or head through and is considered an entrapment hazard. These items need to be corrected immediately. STORAGE OF HAZARDOUS ITEMS: In space number one (#1) there was a bottle of hand sanitizer on a shelf that was about 4 ½ feet above ground; however, the sanitizer had “keep out of reach” of children with additional waring of keep our of eyes, and call poison control if ingested. You placed the hand sanitizer in a locked cabinet. Please remember items that have “keep our of reach of children” with additional warnings, must be locked up. This was corrected during the visit. CRMINAL BACKGROUND CHECK-AMBCMS PORTAL: D. Aguilar began employment on December 1, 2025, and was not connected to your ABCMS portal. Ms. Aguilar needed to be connected to the ABCMS Background Check porta within five business days of hire. 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 child care providers working who were hired or moved into the child care facility within five business days. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. QRIS: You are currently working on collecting your documentation for Pathway Two- Classroom and Instructional Quality and have started implementing the Funny Dapper which is an approved curriculum. You are working on getting updated DCDEE WORKS letters for all employed staff. CLEAN WATER FOR CAROLINA KIDS: You tested your water for lead on June 2, 2021. Child care facilities must test the cooking and drinking water every three (3) years. According to the Clean Water for Us Kids website, you need to test your drinking and cooking water. You have begun enrollment in the lead paint and asbestos testing. Please complete the enrollment process. Please log into https://www.cleanwaterforuskids.org/en/carolina/ to ensure you are meeting the requirements for Lead in Water / Paint/Asbestos testing. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: MISS CHARLIE'S CHILD DEVELOPMENT CENTER III Facility ID: 54000286 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 10/2/2025 Number Present: 26 Completed Date: 10/2/2025 Age: From 0 To 4 Total Minutes: 120 Time In: 09:40 AM Time Out: 11:40 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during a routine unannounced visit. You, B. Teach-Lizzmore, administrator, was present available to assist with today’s visit Your program currently operates with a three-star license issued on July 28, 2017, earning four (4) points in the education component, two (2) points in the program standards component and one (1) quality point for having an administrator who has completed a business training course of at least 30 clock hours. The last annual compliance visit was conducted on February 12, 2025. The sanitation inspection was completed on March 11, 2025, with an “Approved” classification “25” demerits. The fire inspection was completed on April 7, 2025, and the center was approved for daytime care only. The license was posted, and the restrictions were in compliance. Upon arrival there were twenty-six (26) children, from ages three (3) months to four-years-old, were present during the visit. A walk-through of the facility was completed today. The indoor and outdoor environments were observed. I observed children in the indoor learning environment. Staff/child ratios were in compliance. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Teachers were interacting with the children in a nurturing and positive manner. The following were monitored: Supervision, Staff Child Ratio, First Aid, CPR, ITS SIDS, Special Training, CBC Qualification, Emergency Medical Care Plan, Storage of Hazardous Substances, Administration of Medication, Adequate/Approved Space, Permit Restrictions, and Program Records. One (1) new staff was reviewed today. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last documented fire drill was conducted on May 19, 2025. There was no documentation available for the months of June-September 2025. .0604(t); .0302(d)(5) 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. Upon reviewing the ABCMS portal, there is no documentation that you have created your ABCMS portal and have connected yourself and your existing staff. G.S. 110-90.2 & .2703(r) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last documented lockdown drill was conducted on March 24, 2025. There was no documentation of drills taking place in the months of June and September 2025. .0604(u);.0302(d)(8) 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. The violation(s) documented must be corrected immediately. On or before October 16, 2025. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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 may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with 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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 93%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: Miss Charlies Child Development Center of ENC, LLC is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Miss Charlies Child Development Center of ENC, LLC remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: NEW STAFF FILE: Q. Williams began employment on July 24, 2025. Her Criminal Background Check letter is valid through March 2, 2027. Ms. William has until October 24, 2025, (90 days from the first day of employment) to complete CPR and First Aid. Ms. Williams completed staff orientation and completed Recognizing and Responding to Suspicions of Child Maltreatment training on September 17, 2025. Ms. Williams has a valid health assessment and TB screening form on file. Ms. Williams completed a staff professional development plan and has one (1) year from the first day of employment to complete the required health and safety trainings and a staff evaluation. SAFETY AND HEALTH (FIRE DRILLS): The last documented fire drill was conducted on May 19, 2024. There was no documentation available for the months of June-September 2025. You stated you completed the fire drills, but did not document on the form. Please remember fire drills must be conducted every month. Please remember practicing fire drills with children will help them prepare for an emergency and they are more likely to remain calm. You may want to consider putting a monthly alarm on your phone to help you remember to conduct the fire drills. The US Fire Administration https://www.usfa.fema.gov/prevention/home-fires/at-risk-audiences/children/ has information you can use for fire safety information for children. There are conversation starters and activities you can do with the children to help the children understand the importance of fire safety. SHELTER-IN-PLACE/LOCKDOWN DRILLS: Upon observation, the last lockdown drill was conducted on March 24, 2025. There was no documentation of drills taking place in the months of June and September 2025. Please remember these drills need to be conducted every three (3) months. ABCMS MOODLE TRAINING: Upon reviewing the ABCMS portal, there is no documentation that you have created your ABCMS portal and have connected yourself and your existing staff. We discussed the training and how to access it at https://www.dcdee.moodle.nc.gov/course/view.php?id=119 . We discussed creating a business NCID to complete the Moodle training. I also emailed you the instructions on how to have your staff connect their existing application to your facility. 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 child care providers working who were hired or moved into the child care facility within five business days. CLEAN WATER FOR CAROLINA KIDS: You tested your water for lead on June 2, 2021. Child care facilities must test the cooking and drinking water every three (3) years. According to the Clean Water for Us Kids website, you need to test your drinking and cooking water. You have begun enrollment in the lead paint and asbestos testing. Please complete the enrollment process. Please log into https://www.cleanwaterforuskids.org/en/carolina/ to ensure you are meeting the requirements for Lead in Water / Paint/Asbestos testing. QRIS-PATHWAYS TO STARS UPDATE: Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within 12 months based on the pathway chosen. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: MISS CHARLIE'S CHILD DEVELOPMENT CENTER III Facility ID: 54000286 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 10/2/2025 Number Present: 26 Completed Date: 10/2/2025 Age: From 0 To 4 Total Minutes: 120 Time In: 09:40 AM Time Out: 11:40 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during a routine unannounced visit. You, B. Teach-Lizzmore, administrator, was present available to assist with today’s visit Your program currently operates with a three-star license issued on July 28, 2017, earning four (4) points in the education component, two (2) points in the program standards component and one (1) quality point for having an administrator who has completed a business training course of at least 30 clock hours. The last annual compliance visit was conducted on February 12, 2025. The sanitation inspection was completed on March 11, 2025, with an “Approved” classification “25” demerits. The fire inspection was completed on April 7, 2025, and the center was approved for daytime care only. The license was posted, and the restrictions were in compliance. Upon arrival there were twenty-six (26) children, from ages three (3) months to four-years-old, were present during the visit. A walk-through of the facility was completed today. The indoor and outdoor environments were observed. I observed children in the indoor learning environment. Staff/child ratios were in compliance. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Teachers were interacting with the children in a nurturing and positive manner. The following were monitored: Supervision, Staff Child Ratio, First Aid, CPR, ITS SIDS, Special Training, CBC Qualification, Emergency Medical Care Plan, Storage of Hazardous Substances, Administration of Medication, Adequate/Approved Space, Permit Restrictions, and Program Records. One (1) new staff was reviewed today. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last documented fire drill was conducted on May 19, 2025. There was no documentation available for the months of June-September 2025. .0604(t); .0302(d)(5) 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. Upon reviewing the ABCMS portal, there is no documentation that you have created your ABCMS portal and have connected yourself and your existing staff. G.S. 110-90.2 & .2703(r) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last documented lockdown drill was conducted on March 24, 2025. There was no documentation of drills taking place in the months of June and September 2025. .0604(u);.0302(d)(8) 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. The violation(s) documented must be corrected immediately. On or before October 16, 2025. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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 may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with 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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 93%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: Miss Charlies Child Development Center of ENC, LLC is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Miss Charlies Child Development Center of ENC, LLC remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: NEW STAFF FILE: Q. Williams began employment on July 24, 2025. Her Criminal Background Check letter is valid through March 2, 2027. Ms. William has until October 24, 2025, (90 days from the first day of employment) to complete CPR and First Aid. Ms. Williams completed staff orientation and completed Recognizing and Responding to Suspicions of Child Maltreatment training on September 17, 2025. Ms. Williams has a valid health assessment and TB screening form on file. Ms. Williams completed a staff professional development plan and has one (1) year from the first day of employment to complete the required health and safety trainings and a staff evaluation. SAFETY AND HEALTH (FIRE DRILLS): The last documented fire drill was conducted on May 19, 2024. There was no documentation available for the months of June-September 2025. You stated you completed the fire drills, but did not document on the form. Please remember fire drills must be conducted every month. Please remember practicing fire drills with children will help them prepare for an emergency and they are more likely to remain calm. You may want to consider putting a monthly alarm on your phone to help you remember to conduct the fire drills. The US Fire Administration https://www.usfa.fema.gov/prevention/home-fires/at-risk-audiences/children/ has information you can use for fire safety information for children. There are conversation starters and activities you can do with the children to help the children understand the importance of fire safety. SHELTER-IN-PLACE/LOCKDOWN DRILLS: Upon observation, the last lockdown drill was conducted on March 24, 2025. There was no documentation of drills taking place in the months of June and September 2025. Please remember these drills need to be conducted every three (3) months. ABCMS MOODLE TRAINING: Upon reviewing the ABCMS portal, there is no documentation that you have created your ABCMS portal and have connected yourself and your existing staff. We discussed the training and how to access it at https://www.dcdee.moodle.nc.gov/course/view.php?id=119 . We discussed creating a business NCID to complete the Moodle training. I also emailed you the instructions on how to have your staff connect their existing application to your facility. 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 child care providers working who were hired or moved into the child care facility within five business days. CLEAN WATER FOR CAROLINA KIDS: You tested your water for lead on June 2, 2021. Child care facilities must test the cooking and drinking water every three (3) years. According to the Clean Water for Us Kids website, you need to test your drinking and cooking water. You have begun enrollment in the lead paint and asbestos testing. Please complete the enrollment process. Please log into https://www.cleanwaterforuskids.org/en/carolina/ to ensure you are meeting the requirements for Lead in Water / Paint/Asbestos testing. QRIS-PATHWAYS TO STARS UPDATE: Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within 12 months based on the pathway chosen. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: MISS CHARLIE'S CHILD DEVELOPMENT CENTER III Facility ID: 54000286 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 5/28/2025 Number Present: 26 Completed Date: 5/28/2025 Age: From 0 To 5 Total Minutes: 120 Time In: 09:35 AM Time Out: 11:35 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during a routine unannounced visit. You, B. Teach-Lizzmore, administrator, was present available to assist with today’s visit Your program currently operates with a three-star license issued on July 28, 2017, earning four (4) points in the education component, two (2) points in the program standards component and one (1) quality point for having an administrator who has completed a business training course of at least 30 clock hours. The last annual compliance visit was conducted on February 12, 2025. The sanitation inspection was completed on March 11, 2025, with an “Approved” classification “25” demerits. The fire inspection was completed on April 7, 2025, and the center was approved for daytime care only. The license was posted, and the restrictions were in compliance. Forty (40) children from ages six (6) months to five-years-old were present during the visit. A walk-through of the facility was completed today. The indoor and outdoor environments were observed. I observed children in the indoor learning environment. Staff/child ratios were in compliance. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Teachers were interacting with the children in a nurturing and positive manner. The following were monitored: Supervision, Staff Child Ratio, First Aid, CPR, ITS SIDS, Special Training, CBC Qualification, Emergency Medical Care Plan, Storage of Hazardous Substances, Administration of Medication, Adequate/Approved Space, Permit Restrictions, and Program Records. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In the outdoor learning environment, there were broken pieces of plastic, old socks, and trash on the playground. 10A NCAC 09 .0601(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space number five (5), where infant aged children are cared for, there was a six (6) month old who did not have current documentation of visual sleep checks. The last visual sleep check documented was March 5, 2025. .0606(g) 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. Provider did not complete the ABCMS Moodle training. 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. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 11, 2025. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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 may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with 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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 94%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: Miss Charlies Child Development Center of ENC, LLC is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Miss Charlies Child Development Center of ENC, LLC remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: SAFE SLEEP POLICIES AND PRACTICES: In space number five (5), where infant aged children are cared for, there was a six (6) month old who did not have current documentation of visual sleep checks. The last visual sleep check documented was March 5, 2025. V. Teach stated she misplaced the sleep charts and could not locate them. Please consider using a binder with each child’s name in it and place the sleep charts in the binder to help you stay organized. You need to keep the current month and the previous months sleep charts. Children who are twelve months and younger must have documentation of visual sleep checks. The visual sleep check should occur every 15 minutes while the child is sleeping. SAFETY AND HEALTH: In the outdoor learning environment, there were broken pieces of plastic, old socks, and trash on the playground. Please remove all the above-mentioned items from the outdoor learning environment. Remind staff they should be checking the playground prior to children playing on it and removing any trash or broken items from the play area. ABCMS MOODLE TRAINING: You stated you did not complete the ABCMS Moodle training. We discussed the training and how to access it at https://www.dcdee.moodle.nc.gov/course/view.php?id=119 . We discussed creating a business NCID to complete the Moodle training. I also emailed you the instructions on how to have your staff connect their existing application to your facility. 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 child care providers working who were hired or moved into the child care facility within five business days. CLEAN WATER FOR CAROLINA KIDS: You tested your water for lead on May 27, 2021. Child care facilities must test the cooking and drinking water every three (3) years. You have begun enrollment in the lead paint and asbestos testing. Please complete the enrollment process. Please log into https://www.cleanwaterforuskids.org/en/carolina/ to ensure you are meeting the requirements for Lead in Water / Paint/Asbestos testing. Due to the recent impacts of Hurricane Helene and other natural disasters, the Clean Classrooms for Carolina Kids™ enrollment deadline has been revised statewide, and schools and child care facilities that have not yet enrolled should complete the online process by May 31, 2025. The lead-based paint and asbestos enrollment surveys must be completed for ALL schools and child care facilities within school districts prior to receiving on-site inspections. PROGRAM ASSESSMENT (ERS-3) UPDATE: Starting February 1, 2025, as part of QRIS Modernization, Session Law 2024-34 states that beginning on February 1, 2025, new child care facilities and child care facilities that choose to use program assessment to earn points toward their Two through Five Star Rated License shall be evaluated using the following, as applicable: • Infant/Toddler Environment Rating Scale, Third Edition (ITERS-3) • Early Childhood Environment Rating Scale, Third Edition (ECERS-3) • Family Child Care Environment Rating Scale, Third Edition (FCCERS-3) • School-Age Care Environment Rating Scale, Updated Edition (SACERS-U) The North Carolina Rated License Assessment Project (NCRLAP) has prepared many resources and trainings for child care facilities to use in planning for the new editions of the Environment Rating Scale. The NC Division of Child Development and Early Education is implementing the use of lower threshold scores to assist child care facilities in their shift to the new edition, matching the NC Child Care Commission’s on-going work regarding proposed QRIS rules. This intentional, collaborative planning will ensure a smooth transition regarding program assessment requirements. Hold Harmless remains effective until all new QRIS rules are effective. New child care facilities and child care facilities that choose to move forward with ERS-3 program assessment should work with their consultant to learn more about the changes and revised scores needed to earn points toward their Two through Five Star Rated License. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: MISS CHARLIE'S CHILD DEVELOPMENT CENTER III Facility ID: 54000286 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 5/28/2025 Number Present: 26 Completed Date: 5/28/2025 Age: From 0 To 5 Total Minutes: 120 Time In: 09:35 AM Time Out: 11:35 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during a routine unannounced visit. You, B. Teach-Lizzmore, administrator, was present available to assist with today’s visit Your program currently operates with a three-star license issued on July 28, 2017, earning four (4) points in the education component, two (2) points in the program standards component and one (1) quality point for having an administrator who has completed a business training course of at least 30 clock hours. The last annual compliance visit was conducted on February 12, 2025. The sanitation inspection was completed on March 11, 2025, with an “Approved” classification “25” demerits. The fire inspection was completed on April 7, 2025, and the center was approved for daytime care only. The license was posted, and the restrictions were in compliance. Forty (40) children from ages six (6) months to five-years-old were present during the visit. A walk-through of the facility was completed today. The indoor and outdoor environments were observed. I observed children in the indoor learning environment. Staff/child ratios were in compliance. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Teachers were interacting with the children in a nurturing and positive manner. The following were monitored: Supervision, Staff Child Ratio, First Aid, CPR, ITS SIDS, Special Training, CBC Qualification, Emergency Medical Care Plan, Storage of Hazardous Substances, Administration of Medication, Adequate/Approved Space, Permit Restrictions, and Program Records. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In the outdoor learning environment, there were broken pieces of plastic, old socks, and trash on the playground. 10A NCAC 09 .0601(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space number five (5), where infant aged children are cared for, there was a six (6) month old who did not have current documentation of visual sleep checks. The last visual sleep check documented was March 5, 2025. .0606(g) 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. Provider did not complete the ABCMS Moodle training. 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. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 11, 2025. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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 may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with 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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 94%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: Miss Charlies Child Development Center of ENC, LLC is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Miss Charlies Child Development Center of ENC, LLC remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: SAFE SLEEP POLICIES AND PRACTICES: In space number five (5), where infant aged children are cared for, there was a six (6) month old who did not have current documentation of visual sleep checks. The last visual sleep check documented was March 5, 2025. V. Teach stated she misplaced the sleep charts and could not locate them. Please consider using a binder with each child’s name in it and place the sleep charts in the binder to help you stay organized. You need to keep the current month and the previous months sleep charts. Children who are twelve months and younger must have documentation of visual sleep checks. The visual sleep check should occur every 15 minutes while the child is sleeping. SAFETY AND HEALTH: In the outdoor learning environment, there were broken pieces of plastic, old socks, and trash on the playground. Please remove all the above-mentioned items from the outdoor learning environment. Remind staff they should be checking the playground prior to children playing on it and removing any trash or broken items from the play area. ABCMS MOODLE TRAINING: You stated you did not complete the ABCMS Moodle training. We discussed the training and how to access it at https://www.dcdee.moodle.nc.gov/course/view.php?id=119 . We discussed creating a business NCID to complete the Moodle training. I also emailed you the instructions on how to have your staff connect their existing application to your facility. 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 child care providers working who were hired or moved into the child care facility within five business days. CLEAN WATER FOR CAROLINA KIDS: You tested your water for lead on May 27, 2021. Child care facilities must test the cooking and drinking water every three (3) years. You have begun enrollment in the lead paint and asbestos testing. Please complete the enrollment process. Please log into https://www.cleanwaterforuskids.org/en/carolina/ to ensure you are meeting the requirements for Lead in Water / Paint/Asbestos testing. Due to the recent impacts of Hurricane Helene and other natural disasters, the Clean Classrooms for Carolina Kids™ enrollment deadline has been revised statewide, and schools and child care facilities that have not yet enrolled should complete the online process by May 31, 2025. The lead-based paint and asbestos enrollment surveys must be completed for ALL schools and child care facilities within school districts prior to receiving on-site inspections. PROGRAM ASSESSMENT (ERS-3) UPDATE: Starting February 1, 2025, as part of QRIS Modernization, Session Law 2024-34 states that beginning on February 1, 2025, new child care facilities and child care facilities that choose to use program assessment to earn points toward their Two through Five Star Rated License shall be evaluated using the following, as applicable: • Infant/Toddler Environment Rating Scale, Third Edition (ITERS-3) • Early Childhood Environment Rating Scale, Third Edition (ECERS-3) • Family Child Care Environment Rating Scale, Third Edition (FCCERS-3) • School-Age Care Environment Rating Scale, Updated Edition (SACERS-U) The North Carolina Rated License Assessment Project (NCRLAP) has prepared many resources and trainings for child care facilities to use in planning for the new editions of the Environment Rating Scale. The NC Division of Child Development and Early Education is implementing the use of lower threshold scores to assist child care facilities in their shift to the new edition, matching the NC Child Care Commission’s on-going work regarding proposed QRIS rules. This intentional, collaborative planning will ensure a smooth transition regarding program assessment requirements. Hold Harmless remains effective until all new QRIS rules are effective. New child care facilities and child care facilities that choose to move forward with ERS-3 program assessment should work with their consultant to learn more about the changes and revised scores needed to earn points toward their Two through Five Star Rated License. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: MISS CHARLIE'S CHILD DEVELOPMENT CENTER III Facility ID: 54000286 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 5/28/2025 Number Present: 26 Completed Date: 5/28/2025 Age: From 0 To 5 Total Minutes: 120 Time In: 09:35 AM Time Out: 11:35 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during a routine unannounced visit. You, B. Teach-Lizzmore, administrator, was present available to assist with today’s visit Your program currently operates with a three-star license issued on July 28, 2017, earning four (4) points in the education component, two (2) points in the program standards component and one (1) quality point for having an administrator who has completed a business training course of at least 30 clock hours. The last annual compliance visit was conducted on February 12, 2025. The sanitation inspection was completed on March 11, 2025, with an “Approved” classification “25” demerits. The fire inspection was completed on April 7, 2025, and the center was approved for daytime care only. The license was posted, and the restrictions were in compliance. Forty (40) children from ages six (6) months to five-years-old were present during the visit. A walk-through of the facility was completed today. The indoor and outdoor environments were observed. I observed children in the indoor learning environment. Staff/child ratios were in compliance. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Teachers were interacting with the children in a nurturing and positive manner. The following were monitored: Supervision, Staff Child Ratio, First Aid, CPR, ITS SIDS, Special Training, CBC Qualification, Emergency Medical Care Plan, Storage of Hazardous Substances, Administration of Medication, Adequate/Approved Space, Permit Restrictions, and Program Records. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In the outdoor learning environment, there were broken pieces of plastic, old socks, and trash on the playground. 10A NCAC 09 .0601(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space number five (5), where infant aged children are cared for, there was a six (6) month old who did not have current documentation of visual sleep checks. The last visual sleep check documented was March 5, 2025. .0606(g) 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. Provider did not complete the ABCMS Moodle training. 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. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 11, 2025. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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 may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with 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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 94%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: Miss Charlies Child Development Center of ENC, LLC is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Miss Charlies Child Development Center of ENC, LLC remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: SAFE SLEEP POLICIES AND PRACTICES: In space number five (5), where infant aged children are cared for, there was a six (6) month old who did not have current documentation of visual sleep checks. The last visual sleep check documented was March 5, 2025. V. Teach stated she misplaced the sleep charts and could not locate them. Please consider using a binder with each child’s name in it and place the sleep charts in the binder to help you stay organized. You need to keep the current month and the previous months sleep charts. Children who are twelve months and younger must have documentation of visual sleep checks. The visual sleep check should occur every 15 minutes while the child is sleeping. SAFETY AND HEALTH: In the outdoor learning environment, there were broken pieces of plastic, old socks, and trash on the playground. Please remove all the above-mentioned items from the outdoor learning environment. Remind staff they should be checking the playground prior to children playing on it and removing any trash or broken items from the play area. ABCMS MOODLE TRAINING: You stated you did not complete the ABCMS Moodle training. We discussed the training and how to access it at https://www.dcdee.moodle.nc.gov/course/view.php?id=119 . We discussed creating a business NCID to complete the Moodle training. I also emailed you the instructions on how to have your staff connect their existing application to your facility. 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 child care providers working who were hired or moved into the child care facility within five business days. CLEAN WATER FOR CAROLINA KIDS: You tested your water for lead on May 27, 2021. Child care facilities must test the cooking and drinking water every three (3) years. You have begun enrollment in the lead paint and asbestos testing. Please complete the enrollment process. Please log into https://www.cleanwaterforuskids.org/en/carolina/ to ensure you are meeting the requirements for Lead in Water / Paint/Asbestos testing. Due to the recent impacts of Hurricane Helene and other natural disasters, the Clean Classrooms for Carolina Kids™ enrollment deadline has been revised statewide, and schools and child care facilities that have not yet enrolled should complete the online process by May 31, 2025. The lead-based paint and asbestos enrollment surveys must be completed for ALL schools and child care facilities within school districts prior to receiving on-site inspections. PROGRAM ASSESSMENT (ERS-3) UPDATE: Starting February 1, 2025, as part of QRIS Modernization, Session Law 2024-34 states that beginning on February 1, 2025, new child care facilities and child care facilities that choose to use program assessment to earn points toward their Two through Five Star Rated License shall be evaluated using the following, as applicable: • Infant/Toddler Environment Rating Scale, Third Edition (ITERS-3) • Early Childhood Environment Rating Scale, Third Edition (ECERS-3) • Family Child Care Environment Rating Scale, Third Edition (FCCERS-3) • School-Age Care Environment Rating Scale, Updated Edition (SACERS-U) The North Carolina Rated License Assessment Project (NCRLAP) has prepared many resources and trainings for child care facilities to use in planning for the new editions of the Environment Rating Scale. The NC Division of Child Development and Early Education is implementing the use of lower threshold scores to assist child care facilities in their shift to the new edition, matching the NC Child Care Commission’s on-going work regarding proposed QRIS rules. This intentional, collaborative planning will ensure a smooth transition regarding program assessment requirements. Hold Harmless remains effective until all new QRIS rules are effective. New child care facilities and child care facilities that choose to move forward with ERS-3 program assessment should work with their consultant to learn more about the changes and revised scores needed to earn points toward their Two through Five Star Rated License. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: MISS CHARLIE'S CHILD DEVELOPMENT CENTER III Facility ID: 54000286 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 2/12/2025 Number Present: 21 Completed Date: 2/12/2025 Age: From 0 To 5 Total Minutes: 190 Time In: 09:45 AM Time Out: 12:55 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 this facility for compliance with applicable child care requirements during an annual compliance visit. You, B. Teach-Lizzmore, administrator, was present available to assist with today’s visit Your program currently operates with a three-star license issued on February 9, 2017, earning four (4) points in the education component, two (2) points in the program standards component and one (1) quality point for having an administrator who has completed a business training course of at least 30 clock hours. The last annual compliance visit was conducted on February 22, 2024. The sanitation inspection was completed on February 20, 2024, with an “Approved” classification “18” demerits. The fire inspection was completed on January 4, 2024, and the center was approved for daytime care only. The license was posted, and the restrictions were in compliance. Twenty-one (21) children from ages eight (8) weeks to five (5) years old were present during the visit. A walk-through of the facility was completed today. The indoor and outdoor environments were observed. I observed children in the indoor learning environment and Staff/child ratios were in compliance. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Teachers were interacting with the children in a nurturing and positive manner. The children were observed eating the following for lunch: chicken, rice, broccoli, wheat bread, oranges and milk. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection conducted was on January 3, 2024. 10A NCAC 09 .0304(a) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. Ms. Teach is the administrator of the facility and does not have documentation of completing the EPR training. There is no one in the facility who has completed the training for EPR. .0607(b) 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. The violation(s) documented must be corrected immediately. On or before February 26, 2025. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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 may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with 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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit, your center’s Compliance History score, over an 18-month period time frame, is 88%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: Miss Charlies Child Development Center of ENC, LLC is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Miss Charlies Child Development Center of ENC, LLC remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: STAFF AND CHILDREN FILES: Ten (10%) percent of staff files were reviewed, and one (1) new staff file was reviewed. Files were well organized. N. Luter began employment on January 17, 2025. He has one year from his first day of employment to complete the health and safety trainings at DCDEE Moodle: https://www.dcdee.moodle.nc.gov/ and on-going training. Mr. Luter has 90 days to complete CPR/FA and 90 days to complete the Recognizing and Responding to Suspicions of Child Maltreatment training at the Positive Childhood Alliance website: https://www.preventchildabusenc.org/ . Please have Mr. Luter create his DCDEE WORKS account and select what position he would like to be evaluated for. You stated he has submitted his transcripts to DCDEE WORKS and they will need to connect his transcripts and information to his DCDEE WORKS account, so make sure he complete his DCDEE WORKS account. Ten percent of children’s files were reviewed today. The children’s files were well organized and in compliance. ANNUAL INSPECTIONS (FIRE INSPECTION): The last fire inspection conducted was on January 3, 2024. You stated you have scheduled a cleaning of the oven hood for next week. Once the hood has been cleaned then the fire inspector will come out to inspect the facility. Once the fire inspection has been completed, please send me the original copy of the fire inspection. Please remember the inspection must be completed on the DCDEE fire inspection form. You can find this form on the DCDEE website at: https://ncchildcare.ncdhhs.gov/ under provider forms and documents. EMERGENCY PREPAREDNESS AND RESPONSE (EPR) TRAINING: Ms. Teach is the administrator of the facility and does not have documentation of completing the EPR training. There is no one in the facility who has completed the training for EPR. Please contact your local Partnership for Children to see when the next training is going to be conducted. TRANSPORTATION: You stated that the vehicle you were using to transport children was stolen. You are currently not providing transportation. You are currently working with your insurance company to replace the car seats that were stolen. You have a new vehicle, a 2001 Ford Expedition with the license plate VAD-2815, that you will be using once you have new car seats and a fire extinguisher. I verified that you have a current inspection on the vehicle, the tire tread was more than 2/23 of an inch, there was a first aid kit on the vehicle, and you had current liability insurance. I will verify on the next visit that you have car seats and a fire extinguisher on the vehicle. REMINDERS: ANNUAL SANITATION INSPECTION: Your last sanitation inspection was conducted on February 20, 2024. Please contact your local Environmental Health Inspector to schedule your next inspection. EMERGENCY PREAPREDNESS AND RESPONSE: Your EPR Plan will need to be updated on or prior to March 11, 2025. You can go to the NC Risk Management Portal at https://rmp.nc.gov/portal/ to complete the update. PROGRAM ASSESSMENT (ERS-3) UPDATE: Starting February 1, 2025, as part of QRIS Modernization, Session Law 2024-34 states that beginning on February 1, 2025, new child care facilities and child care facilities that choose to use program assessment to earn points toward their Two through Five Star Rated License shall be evaluated using the following, as applicable: • Infant/Toddler Environment Rating Scale, Third Edition (ITERS-3) • Early Childhood Environment Rating Scale, Third Edition (ECERS-3) • Family Child Care Environment Rating Scale, Third Edition (FCCERS-3) • School-Age Care Environment Rating Scale, Updated Edition (SACERS-U) The North Carolina Rated License Assessment Project (NCRLAP) has prepared many resources and trainings for child care facilities to use in planning for the new editions of the Environment Rating Scale. The NC Division of Child Development and Early Education is implementing the use of lower threshold scores to assist child care facilities in their shift to the new edition, matching the NC Child Care Commission’s on-going work regarding proposed QRIS rules. This intentional, collaborative planning will ensure a smooth transition regarding program assessment requirements. Hold Harmless remains effective until all new QRIS rules are effective. New child care facilities and child care facilities that choose to move forward with ERS-3 program assessment should work with their consultant to learn more about the changes and revised scores needed to earn points toward their Two through Five Star Rated License. CLEAN WATER FOR US KIDS: According to the Clean Water for Us Kids website you last tested your water for lead on May 27, 2021, and June 2, 2021. You must test your drinking and cooking water every three (3) years. According to the Clean Water for Us Kids website, you have begun the enrollment process for the paint and asbestos testing. Please continue refer to the https://www.cleanwaterforuskids.org/en/carolina/ website and complete the process. CRMINAL BACKGROUND CHECK-AMBCMS PORTAL: The process of notifying the Division 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 child care providers working who were hired or moved into the child care 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 1-800-859-0829 and someone will assist you. DCDEE WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, and completed training. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please contact the WORKS department if you have questions about what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: MISS CHARLIE'S CHILD DEVELOPMENT CENTER III Facility ID: 54000286 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 2/12/2025 Number Present: 21 Completed Date: 2/12/2025 Age: From 0 To 5 Total Minutes: 190 Time In: 09:45 AM Time Out: 12:55 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 this facility for compliance with applicable child care requirements during an annual compliance visit. You, B. Teach-Lizzmore, administrator, was present available to assist with today’s visit Your program currently operates with a three-star license issued on February 9, 2017, earning four (4) points in the education component, two (2) points in the program standards component and one (1) quality point for having an administrator who has completed a business training course of at least 30 clock hours. The last annual compliance visit was conducted on February 22, 2024. The sanitation inspection was completed on February 20, 2024, with an “Approved” classification “18” demerits. The fire inspection was completed on January 4, 2024, and the center was approved for daytime care only. The license was posted, and the restrictions were in compliance. Twenty-one (21) children from ages eight (8) weeks to five (5) years old were present during the visit. A walk-through of the facility was completed today. The indoor and outdoor environments were observed. I observed children in the indoor learning environment and Staff/child ratios were in compliance. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Teachers were interacting with the children in a nurturing and positive manner. The children were observed eating the following for lunch: chicken, rice, broccoli, wheat bread, oranges and milk. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection conducted was on January 3, 2024. 10A NCAC 09 .0304(a) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. Ms. Teach is the administrator of the facility and does not have documentation of completing the EPR training. There is no one in the facility who has completed the training for EPR. .0607(b) 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. The violation(s) documented must be corrected immediately. On or before February 26, 2025. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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 may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with 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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit, your center’s Compliance History score, over an 18-month period time frame, is 88%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: Miss Charlies Child Development Center of ENC, LLC is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Miss Charlies Child Development Center of ENC, LLC remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: STAFF AND CHILDREN FILES: Ten (10%) percent of staff files were reviewed, and one (1) new staff file was reviewed. Files were well organized. N. Luter began employment on January 17, 2025. He has one year from his first day of employment to complete the health and safety trainings at DCDEE Moodle: https://www.dcdee.moodle.nc.gov/ and on-going training. Mr. Luter has 90 days to complete CPR/FA and 90 days to complete the Recognizing and Responding to Suspicions of Child Maltreatment training at the Positive Childhood Alliance website: https://www.preventchildabusenc.org/ . Please have Mr. Luter create his DCDEE WORKS account and select what position he would like to be evaluated for. You stated he has submitted his transcripts to DCDEE WORKS and they will need to connect his transcripts and information to his DCDEE WORKS account, so make sure he complete his DCDEE WORKS account. Ten percent of children’s files were reviewed today. The children’s files were well organized and in compliance. ANNUAL INSPECTIONS (FIRE INSPECTION): The last fire inspection conducted was on January 3, 2024. You stated you have scheduled a cleaning of the oven hood for next week. Once the hood has been cleaned then the fire inspector will come out to inspect the facility. Once the fire inspection has been completed, please send me the original copy of the fire inspection. Please remember the inspection must be completed on the DCDEE fire inspection form. You can find this form on the DCDEE website at: https://ncchildcare.ncdhhs.gov/ under provider forms and documents. EMERGENCY PREPAREDNESS AND RESPONSE (EPR) TRAINING: Ms. Teach is the administrator of the facility and does not have documentation of completing the EPR training. There is no one in the facility who has completed the training for EPR. Please contact your local Partnership for Children to see when the next training is going to be conducted. TRANSPORTATION: You stated that the vehicle you were using to transport children was stolen. You are currently not providing transportation. You are currently working with your insurance company to replace the car seats that were stolen. You have a new vehicle, a 2001 Ford Expedition with the license plate VAD-2815, that you will be using once you have new car seats and a fire extinguisher. I verified that you have a current inspection on the vehicle, the tire tread was more than 2/23 of an inch, there was a first aid kit on the vehicle, and you had current liability insurance. I will verify on the next visit that you have car seats and a fire extinguisher on the vehicle. REMINDERS: ANNUAL SANITATION INSPECTION: Your last sanitation inspection was conducted on February 20, 2024. Please contact your local Environmental Health Inspector to schedule your next inspection. EMERGENCY PREAPREDNESS AND RESPONSE: Your EPR Plan will need to be updated on or prior to March 11, 2025. You can go to the NC Risk Management Portal at https://rmp.nc.gov/portal/ to complete the update. PROGRAM ASSESSMENT (ERS-3) UPDATE: Starting February 1, 2025, as part of QRIS Modernization, Session Law 2024-34 states that beginning on February 1, 2025, new child care facilities and child care facilities that choose to use program assessment to earn points toward their Two through Five Star Rated License shall be evaluated using the following, as applicable: • Infant/Toddler Environment Rating Scale, Third Edition (ITERS-3) • Early Childhood Environment Rating Scale, Third Edition (ECERS-3) • Family Child Care Environment Rating Scale, Third Edition (FCCERS-3) • School-Age Care Environment Rating Scale, Updated Edition (SACERS-U) The North Carolina Rated License Assessment Project (NCRLAP) has prepared many resources and trainings for child care facilities to use in planning for the new editions of the Environment Rating Scale. The NC Division of Child Development and Early Education is implementing the use of lower threshold scores to assist child care facilities in their shift to the new edition, matching the NC Child Care Commission’s on-going work regarding proposed QRIS rules. This intentional, collaborative planning will ensure a smooth transition regarding program assessment requirements. Hold Harmless remains effective until all new QRIS rules are effective. New child care facilities and child care facilities that choose to move forward with ERS-3 program assessment should work with their consultant to learn more about the changes and revised scores needed to earn points toward their Two through Five Star Rated License. CLEAN WATER FOR US KIDS: According to the Clean Water for Us Kids website you last tested your water for lead on May 27, 2021, and June 2, 2021. You must test your drinking and cooking water every three (3) years. According to the Clean Water for Us Kids website, you have begun the enrollment process for the paint and asbestos testing. Please continue refer to the https://www.cleanwaterforuskids.org/en/carolina/ website and complete the process. CRMINAL BACKGROUND CHECK-AMBCMS PORTAL: The process of notifying the Division 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 child care providers working who were hired or moved into the child care 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 1-800-859-0829 and someone will assist you. DCDEE WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, and completed training. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please contact the WORKS department if you have questions about what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: MISS CHARLIE'S CHILD DEVELOPMENT CENTER III Facility ID: 54000286 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 9/23/2024 Number Present: 23 Completed Date: 9/23/2024 Age: From 0 To 5 Total Minutes: 260 Time In: 10:10 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: ERS Announced/Unannounced: Announced The purpose of today’s announced visit was to review the results of your Environment Rating Scale (ERS) conducted on August 6th, August 19th, and August 20th, 2024, and to finalize your rated license assessment. ERS summaries were reviewed today and items scoring less than a three could constitute a violation of child care requirements and therefore were monitored. These items are noted below: ECERS-R ASSESSMENT – August 6, 2024– (C. Cartwright) TOTAL SCORE – 5.14 ITEM 1 Indicator: 5.1 (see pages: 10-11 in the ECERS-R) Score: 3 pts Assessor Comments: The table for the art area was against the art shelf, which made it difficult to reach the materials. In the math area the table and chairs were positioned against the shelf. In order to reach the materials, the table and chairs needed to be moved. Additionally, children had to walk through the play area with science/nature and fine motor materials to get to the sand table. Children playing in this area had to stop their activities and move to allow children to walk to the sand table. There was not ample space in these different areas, which prevented this indicator from earning credit. Observations today: Ms. Teach-Lizzmore children move table back and forth. No violation written for this item. Indicator: 5.3 (see pages: 10-11 in the ECERS-R) Assessors Comments: The facility entrance, classroom, and bathroom doors had round door knobs. Additionally, there were steps at the front used to enter the facility. There was a ramp at the rear of the building. However, the gate used to reach the ramp had a latch that was at the top of the gate so that it was too high for easy use by individuals in a wheelchair. Also, there was a 1.5 inch high threshold at this entrance door. There was also a blue ramp on one side of the building; however, there was a 2 inch high threshold at this entrance door. Observations today: no violations were written for this item. ITEM 4 Indicator: 3.2 (see page: 15 in the ECERS-R) Score: 2 pts Assessors Comments: The space used by the children was a combination of two rooms, where the wall had been opened between the two spaces, which left a portion on either side of the opening. When in the book area, the blocks and dramatic play areas could not be seen due to the wall, and vice versa. During the observation, three teachers were present; however, it was reported that one teacher works with the children for 1 hour in the early morning and 3 hours in the late afternoon. Observations today: Two teachers were present during the observation. One on one side of the classroom and one other side of the classroom. No violation written today. ITEM 7 Indicator: 3.2 (see pages: 18-19 in the ECERS-R) Score: 2 pts Assessors Comments: Outdoors, there was a geodome climber and another climber. The base of the geodome climber measured 3 feet 9 inches to the containment border and 5 feet 4 inches to the climber, rather than 6 feet. The climber measured 4 feet 2 inches to the containment border on one side and 5 feet to the containment border in the back. Additionally, the top step of the yellow slide was broken and had sharp edges. Please refer to the document, NCRLAP's Requirements for Gross Motor Space and Equipment, for more information. Observations today: Both climbers are moveable pieces of equipment and have been moved to accommodate the 6 feet. The step of the yellow slide is broken, and rust is showing. Please sand down the sharp edges and use a rust spray to seal the exposed rust. A violation will be documented for the stairs. ITEM 8 Indicator: 3.1(see pages: 20-21 in the ECERS-R) No violation documented today. ITEM 10 Indicator: 3.3 (see pages: 24-25 in the ECERS-R) Score: 2pts Assessor's Comments: This indicator requires that eating surfaces are cleaned with soapy water, and then sprayed with a sanitizing solution that is allowed to air dry on the surface for at least 2 minutes. Following breakfast in the classroom, the tables were cleaned and sanitized appropriately. Before and after morning snack and lunch, the tables were cleaned with soapy water and then sprayed with a sanitizing solution that was wiped off immediately. Please refer to the NC Additional Notes for more information.) Observations today: I observed the appropriate sanitating of the tables. No violations were documented. ITEM 12 Indicator: 3.1 (see pages: 28-29 in the ECERS-R) Score: 2 pts. Assessor’s Comments: children and teachers used the sinks in the bathroom to wash their hands after toileting routines, following instances of wiping their noses, after arrival, using glue, painting, playing in sand and with playdough, and before and after breakfast, morning snack, and lunch. The sink was not sprayed with a disinfectant after toileting routines before it was used for other purposes. Observations today: I observed you cleaning the sinks in between each use. ITEM 14 Indicator: 3.1 (see pages: 32-33 in the ECERS-R) Score: 2pts Assessor’s Comments: There were no safety concerns inside. Outside, the safety concern mentioned in item 7, applies to this indicator as well. Observations Today: The stairs were documented as violation. ITEM 14 Indicator: 3.3 (see pages: 54-55 in the ECERS-R) Score: 2pts Assessor’s Comments: Before morning group time, the children played instruments along with a video on the TV for 7 minutes. After free play the children danced to videos on the TV with music for 31 minutes. Additionally, the teacher reported that the children could play on tablets for 10 minutes during free play. Observations Today: ITERS-R ASSESSMENT- August 1, 2024- (S. Jones) ITEM 1 Indicator: 5.1 (see pages: 10-11 in the ITERS-R) Score: 3 pts. Assessor Comments: There were four children on roll in this group. The day of the observation, an older mobile infant and two toddlers, as well as the teacher were present. The positioning of the furniture and shelving made some of the play areas and the pathways crowded. For example, the pretend stove/sink, a bin of music instruments, a block shelf, and a stack of vinyl cube blocks were stored side by side against a wall of the classroom. There was limited floor space in front of these play areas and when children played in these areas, the floor space became crowded with the different types of materials. The fine motor shelf was against another wall of the classroom. Children used materials on the carpet in front of the shelf. To get to the book area or the diapering area from the other play areas, the children and/or teacher had to walk through this play area. There was not ample space in these different areas, which prevented this indicator from earning credit. Indicator: 5.3 (see pages: 10-11 in the ITERS-R) Assessor’s Comments: There were a set of steps at the entrance of the facility and round knobs on the doors to enter the facility. Although it was reported that the yellow ramp at the back of the building could be used, there was a 1.5 inch high threshold at this entrance door. Also, the playground gate used to reach this ramp had a latch that was at the top of the gate so that it was too high for easy use by individuals in a wheelchair. It was also reported that the blue ramp on the side of the building could be used; however, there was a 2 inch high threshold at this entrance door. During the observation, one child arrived to the classroom. The parent stood at the doorway as the child walked through the gate and into the classroom. The parent did not enter the classroom. Observations today: You are in the process of rearranging spaces and there was no violation documented. Therefore, a violation was not documented related to this item. ITEM 3 Indicator: 5.1 (see page: 14 in the ITERS-R) Score: 3 pts. Assessor’s Comments: Two boppy pillows and two animal pillows were placed on the carpet in the book area. There was a body pillow and an accent pillow on the carpet in the area between the wooden crib and the fine motor shelf. Although these furnishings met the requirements for the infant, these items did not provide a level of softness required for the toddlers. Indicator: 5.2 (see page: 14 in the ITERS-R) Assessor’s Comments: Since an area meeting the requirements of indicator 5.1 was not present, the requirements of this indicator were not met as well. Observations today: No violations were documented. ITEM 6 Indicator: 3.3 (see pages: 18-19 in the ITERS-R) Score: 2pts Assessor’s Observation: During the observation, one child arrived to the classroom. The parent passed the child over the half door to the teacher. This parent did not enter the classroom. Observations today: You stated the parents do not have time to take off shoes prior to entering the room, so parents stop at the half gate, and the teacher open the gate, and the child come in. No violations were documented today. ITEM 7 Indicator: 1.4 (see pages: 20-21 in the ITERS-R) Score: 1pt Assessor’s Comments: Two toddlers walked around the classroom as they drank from their bottles. Observations today: You stated for children who area old enough to hold their bottle, are sitting at the table with the teacher next to them. This was observed. A violation was not documented related to this item. ITEM 8: Indicator: 1.1 (see pages: 22-23 in the ITERS-R) Score: 1pts Assessor’s Comments: During the observation, a toddler fell asleep, and the teacher placed him on his mat in front of the book shelf. As this child slept, the teacher and children continued to play next to his mat. There were several instances when the two other children crawled on this child and his mat as he slept. Observations today: You stated you are rearranging spaces and will no longer have an issue with children being interrupted during naptime. A violation was not documented related to this item. ITEM 9: Indicator: 3.1 (see pages: 24-25 in the ITERS-R) Score: 1pt Assessor’s Comments: The sink in the classroom was used by the teacher and the children to wash their hands upon arrival, following outdoor play, after cleaning spit up, before/after meals, and after diaper changes. The sink was not disinfected after diapering routines before it was used for another purpose. Four diaper changes were observed: • Preparations: In all four routines, preparations were made as the child lay on the diapering table, rather than beforehand. • Disposal: During the four routines, the teacher placed the soiled diaper in a plastic bag. The plastic bag was disposed of at the end of the routine, rather than before the clean diaper was placed on the child. • Wipes: The teacher cleaned her hands with wipes during one routine before handling the clean diaper. During the other routines she cleaned her hands at the end of the routine. All four children had their hands cleaned with a wipe at the end of the routine. • Clean/Disinfect: Following three routines the diapering table was cleaned and disinfected properly. Following the other routine, the diapering table was not cleaned with soapy water and sprayed with a disinfected that remained on the surface for 2 minutes. Indicator: 3.2 (see pages: 24-25 in the ITERS-R) Assessor’s Comments: All three children present wore diapers. Diaper changes occurred within the required 2-hour time frame for one child. The observed increments of time during which a check or change did not occur for individual children were 3 hours 53 minutes and 2 hours 27 minutes, rather than at least every 2 hours. Indicator: 3.3 (see pages: 24-25 in the ITERS-R) Assessor’ Comments: The children's hands were washed as needed after diapering; however, the teacher washed her hands 25% of the times needed, which was less than the 75% required. Of the 4 times that diaper changes occurred, the teacher washed her hands 1 time after spraying the diapering surface with soapy solution. During the other instances she touched other children or materials, such as pacifiers before washing her hands. Observations today: You stated you reviewed the diaper changing procedures with your teacher and I observed a diaper changing and all the steps were followed and appropriated sanitizing and handwashing occurred. A violation was not documented related to this item. ITEM 10: Score: 1pt Indicator: 1.3 (see pages: 26-27 in the ITERS-R) Assessor’s Comments: The teacher reported that when children become sick and need to go home, they are allowed to rest on the soft furnishings that were between the wooden crib and the fine motor shelf until their parent arrives. This area is used by other children throughout the day. Observations Today: You stated you will use a child’s cot from now on to help separate a child when sick. A violation was not documented related to this item. Item 11: Score: 1pt Indicator: 1.1 (see pages: 28-29 in the ITERS-R) Assessor’s Comments: Indoors, there were several instances when children were lifted by their upper arms to be held, placed on or off the steps at the sink, or moved to different areas. Lifting children in this manner puts them at risk for joint injury. There was an instance when the teacher sprayed the diapering table with disinfectant as a child stood next to the table. After a child spit up on the floor the teacher sprayed disinfectant on the floor as children were nearby. Before lunch, the teacher sprayed the table with sanitizer as children played on the floor near the table. The mist from these solutions is considered a potential eye/lung irritant. During the observed art activity, a child used a small crayon and this small item is considered a choking hazard for children under 3 years of age. The 13-month-old was served an apple wedge for lunch. As he ate the apple, he gagged and spit it out on his plate. Apples cut in this manner are a choking hazard for children under four years of age. Observations Today: Observed teacher picking a child up by their trunk off the changing table. Did not observe teacher spraying the table. The crayons were removed from the classroom, and you stated the child eats and spits everything out. A violation was not documented related to this item. Item 12: Score: 1pt Indicator: 3.4 (see pages: 30-31 in the ITERS-R) Assessor’s Comments: There were instances throughout children's play when they were told "don't," "we're not," or "let's not" in response to a typical behavior such as mouthing toys, throwing toys, or pulling on displayed items, rather than being told what to do instead. Using more positive language or redirection was not consistently observed in situations when children's behaviors were corrected. Observations Today: You stated you discussed with the teachers to use positive statements such as, “use your walking feet”. A violation was not documented related to this item. Item 16: Score: 2pts Indicator: 3.2 (see pages: 36-37 in the ITERS-R) Assessor’s Comments: On the day of the observation the older infant was taken outside for 30 minutes. During this time she was briefly placed on the plastic rocking horse and on the metal seat with a steering wheel. However, for 24 minutes of this time the teacher or a staff member held her and this was reported as typical. Since this child was not provided the type of outdoor play experience as required by this indicator; credit was not earned. Observations Today: You stated you discussed with the teachers the children must play on the ground when they area outside. A violation was not documented related to this item. Item 17: Score: 2pts Indicator: 3.2 (see page: 38 in the ITERS-R) Assessor’ Comments: The concern with the small crayon mentioned in item 11 applies here as well. Observations Today: The crayons were removed from the room. A violation was not documented related to this item. Items 21: Score: 1pt Indicator: 3.1 (see page: 42 in the ITERS-R) Assessor’s Comments: The teacher reported that water play is offered indoors once a month. She further reported that the children in this group do not use the sand table on the playground and water play is not offered outdoors. Since some type of sensory play is not offered at least once every 2 weeks, credit was not earned. Indicator: 3.3 (see page: 42 in the ITERS-R) Assessor’s Comments: The teacher reported that when children play with water indoors, she adds food coloring and bubbles. She further stated that the children do not use any toys with the water. Observation: You stated water play is offered at least twice week and teacher was nervous and did not answer the question correctly. A violation was not documented related to this item. Item 29 Score: 2pts Indicator: 3.1 (see page: 50 in the ITERS-R) Assessor’s Comments: As described in item 9, two children did not have their diaper checked or changed within a 2 hour time period. Observations Today: You are using Bright wheel to keep track of changing diapers and discussed with teachers to change and check diapers every two hours. You stated you discussed with the teachers the children must play on the ground when they area outside. A violation was not documented related to this item. Item 30 Score: 2pts Indicator: 3.1 (see page: 51 in the ITERS-R) Assessor’s Comments: Indoor play occurs each day meeting a part of the indicator's requirement. As stated in item 16, the older infant was not provided the type of outdoor play experience as required by this indicator and credit was not earned. Observations Today: You stated you discussed with the teachers the children must play on the ground when they area outside. A violation was not documented related to this item. SACERS-U ASSESSMENT – August 20, 2024– (C. Allen) TOTAL SCORE – 4.11 Item 2 Score: 3pts Indicator: 5.1 (see page: 9 in the SACERS-U) Assessor’s Comments: The children had space indoors to use for gross motor activities, meeting a part of this indicator's requirements. When describing policies for outdoor play, some positive weather permitting practices were reported including not taking children outdoors when it is raining as well as when the temperature is above 95 degrees. However, other practices mentioned such as not taking the children outdoors when the temperature is below 35 degrees does not meet the requirements. This situation alone does not pose a health or safety concern for children dressed for this condition. Therefore, outdoor play does not occur each day the weather allows. Indicator: 5.2 (see page: 9 in the SACERS-U) Assessor’s Comments: Both hard and soft surfaces were present for children to use when they play outside. However, as previously mentioned, the children do not play outdoors each day when the weather allows. Observations Today: You stated you are using the Child Care Weather Watch to help determine when it is safe to go outside. A violation was not documented related to this item. Item 8 Score: 2 pts Indicator: 3.2 (see page: 15 in the SACERS-U) Assessor’s Comments: The required portable gross motor materials were present outdoors. However, per teacher's report, when children remain indoors due to the weather they participate in music activities, exercise to songs and do arts/crafts. Portable gross motor equipment was not reported to be used indoors on these days. Observations Today: You have all the required portable equipment, make sure teachers are using the equipment. Item 10 Score: 2pts Indicator: 3.1 (see page: 17 in the SACERS-U) Assessor’s Comments: Per observation and teacher report, the bathroom in the hallway is used by the staff and children. A separate restroom was not provided for adults. Observations Today: A violation was not documented related to this item. Item 12 Score: 2pts Indicator: 3.1 (see page: 19 in the SACERS-U) Assessor’s Comments: The teacher reported that if children are sick, they may wait in the cozy corner; this space does not meet the requirements of this indicator because it is used by other children during the day. Observations Today: You stated you are now using a cot for a sick child to separate from the rest of the children and can be easily clean and sanitized. A violation was not documented related to this item. Item 14 Score: 2pts Indicator: 3.1 (see page: 21 in the SACERS-U) Assessor’s Comments: Outdoors, there was a geodome climber and an arch climber. The geodome climber measured 3 feet 9 inches away from the containment border and 5 feet 4 inches to the arched climber, instead of at least 6 feet. The arched climber was placed 4 feet 2 inches from the containment border on one side and 5 feet to the containment border in the back. Additionally, the top step of the yellow slide was broken and had sharp edges. Please refer to the document, NCRLAP's Requirements for Gross Motor Space and Equipment, for more information. Indicator: 3.3 (see page: 21 in the SACERS-U) Assessor’s Comments: Emergency numbers were not posted Observations Today: Both climbers are moveable pieces of equipment and have been moved to accommodate the 6 feet. The step of the yellow slide is broken, and rust is showing. Please sand down the sharp edges and use a rust spray to seal the exposed rust. Emergency numbers are posted at the front door entrance. A violation will be documented for the stairs. Emergency numbers are posted at the front door entrance. Item 17 Score:2pts Indicator: 3.5 (see page: 24 in the SACERS-U) Assessor’s Comments: After breakfast, the table was cleaned and sanitized properly. Before snack, the table was cleaned with soapy water and sprayed with sanitizer. However, the sanitizer was wiped away after 1 minute, rather than being allowed to air dry at least 2 minutes. After snack, the table was not cleaned or sanitized. Indicator: 3.6 (see page: 24 in the SACERS-U) Assessor’s Comments: On the day of the observation, the posted menu showed that cereal, bananas, and milk were to be served for breakfast. However, the children were served pancakes, mixed berries, syrup, and milk, and the posted menu was not updated to reflect this change. Observations Today: I observed the teachers cleaning and sainting the tables following the appropriate steps. A menu was posted, and the correct items were served for lunch: turkey sausage, pasta, green beans, mixed fruit, and milk. A violation was not documented related to this item. Items 18 Score: 2pts Indicator: 3.2 (see page: 25 in the SACERS-U) Assessor’s Comments: Although some of the requirements of this indicator were met, there were no facial tissues provided for children in their classroom. Observations Today: A violation was not documented related to this item. Item 23 Score: 3pts Indicator: 5.1 (see page: 30 in the SACERS-U) Assessor’s Comments: There were enough books provided. The book "American Heroes Robert Smalls: The Boat Thief" showed an image of two men chained together with chains attached to their wrists. Text in the book also indicated that a child watched his family being sold. Content that is violent or racially insensitive is not suitable for the age group enrolled (range 6-9 years). The games Scrabble and Headbanz were present in the classroom, however, there was not at least one additional language game present for this group of seven children. Indicator: 5.3 (see page: 30 in the SACERS-U) Assessor’s Comments: Although the teacher encouraged the children to write down stories about their drawings at the art table, a second example that supported children in the practical use of reading or writing was not observed. Observations Today: The book "American Heroes Robert Smalls: The Boat Thief" has been removed from the classroom. A violation was not documented related to this item. Items 25 Score: 1 pts Indicator: 5.1 (see page: 30 in the SACERS-U) Assessor’s Comments: There were enough books provided. The book "American Heroes Robert Smalls: The Boat Thief" showed an image of two men chained together with chains attached to their wrists. Text in the book also indicated that a child watched his family being sold. Content that is violent or racially insensitive is not suitable for the age group enrolled (range 6-9 years). The games Scrabble and Headbanz were present in the classroom, however, there was not at least one additional language game present for this group of seven children. Indicator: 5.3 (see page: 30 in the SACERS-U) Assesssor’s comments: Although the teacher encouraged the children to write down stories about their drawings at the art table, a second example that supported children in the practical use of reading or writing was not observed. Observations Today: The book "American Heroes Robert Smalls: The Boat Thief" has been removed from the classroom. A violation was not documented related to this item. Item 26 Score: 3pts Indicator: 5.1 (see page: 33 in the SACERS-U) Assessor’s Comments: There were many materials representing various types of diversity. However, the book, “American Heroes Robert Smalls: The Boat Thief" mentioned in item 23 included an image showing violence between ethnic groups, which prevented this indicator from earning credit. Indicator: 5.2 (see page: 33 in the SACERS-U) Assessor’s Comments: A picture of a female firefighter was posted on the wall. However, there were no examples showing males in non-traditional roles, as needed to meet the requirements of this indicator. Observation Today: The book "American Heroes Robert Smalls: The Boat Thief" has been removed from the classroom. A violation was not documented related to this item. Item 32 Score: 3pts Indicator: 5.1 (see page: 39 in the SACERS-U) Assessor’s Comments: There were instances when children played well together and assisted each other. However, there were many instances throughout the assessment when children argued over materials, shouted, and pushed each other. Indicator: 5.3 (see page: 39 in the SACERS-U) Assessor’s Comments: The teacher told them to stop when they experienced conflicts. Although the teacher intervened to stop the disagreements, the children were not helped to develop social skills such as talking through or problem solving their conflicts. Observation Today: School age children were not present today. You stated you are encouraging children to talk through their problems. A violation was not documented related to this item. Items 37 Score: 2pts Indicator: 3.2 (see page: 44 in the SACERS-U) Assessor’s Comments: It was reported that children are required to do their homework during the allotted time provided each afternoon. Observations Today: You stated they have opportunities to have free-play and to complete their homework. A violation was not documented related to this item. Item 42 Score: 2pts Indicator: 3.2 (see page: 49 in the SACERS-U) Assessor’s Comments: The teacher stated that she does not have information concerning the two children with disabilities and did not report any attempts to obtain this information for either child. Observations Today: You stated you have had conversations with the parents, they were recently diagnosed, and they parents are working on getting you the paperwork. A violation was not documented related to this item. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The stairs to the climbing equipment were rusting and there were sharp edges. 10A NCAC 09 .0601(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. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 7, 2024. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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 may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with 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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. Comments Section – 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. COMPLIANCE HISTORY: Your compliance history score prior to this visit is 89%. RATED LICENSE INFORMATION: Prior to today’s visit, your program operated with a Three (3) Star License earning four (4) points in the education component, 2 points in program standards, and 1 quality point for Administrator has completed a business training course of at least 30 clock hours. Your three-year reassessment was due by July 28, 2020; however, your program was under Senate Bill 291; Hold Harmless status. The center is currently operating with a 3 Star-Rated License. You submitted your application for re-assessment and your Rate License Assessment Request Review, on June 18, 2024, the requirements for the reassessment of the center's star-rated license were reviewed during today's visit: It appears you are eligible to maintain your three (3) star License, which is based on the following: Education – Points are earned based on the lowest level of education for any one position. There is one (1) administrator, three (3) lead teachers and one (1) group leader. Based on review of all applicable staffs' education in the DCDEE Workforce Database: -B. Teach-Lizzmore, Administrator and Program Coordinator, has a four-year degree in EC/CD and SA, 119 equivalency, level 3 administrator equivalency, level 3 SA Administrator equivalency, BSAC, and 13 years of experience-7 points -N. Jackson, Lead Teacher, has AAS EC/CD & SA and NCECC and 13 years of experience-7points -V. Teach, Lead Teacher, has NCECC and 19 ECE SH, and 19 years of experience-4 points -R. Croom, Lead Teacher, does not have a DCDEE workforce letter -M. Croom, Group Leader, has AAS other, 26 ECE SH, and 26 SA SH, NCECC and three (3) years of experience-7 points You stated Ms. R. Croom has NCECC and one year of experience, however she does not have a DCDEE WORKS letter to verify Ms. Croom’s education. It looks like you may be eligible for four (4) points in education. once Ms. Croom's education is verified. Program Standards – The program meets requirements in Rule .2806 and enhanced ratios. The facility completed the request for the Environment Rating Scales and submitted it with the reassessment packet on June 18, 2024. Environment Rating Scale (ERS) conducted on August 6th, August 19th, and August 20th, 2024The assessment report was reviewed during a rated license visit on September 23, 2024. The scores are as follows: ITERS-3.67 and ECERS – 5.14. and SACERS-4.11. The facility had a classroom score lower than four (4) points. This program is eligible for two (2) points. Quality Point Option: The program is eligible for meeting the following: Staff Benefits for paid professional development and paid vacation/sick leave. The program also has an infrastructure of parent involvement; providing a quarterly newsletter, and quarterly parent meetings. Total: 4 + 2 + 1 =7 = 3 Star License. It appears your program is eligible to maintain the three (3) star license. You stated you do not wish to further pursue the reassessment process at this time. TECHINAL ASSISTANCE/CONSULTATION: OUTDOOR ENVIORNMENT: Please continue to monitor your outdoor environment. From time to time measure the distance between your outdoor non-stationary items and the distance between your non-stationary items and the boarder timbers. Please make sure there is at least six (6) feet apart between the non-stationary item and the boarder timbers. This will prevent children from possible injury. The stairs to your climbing equipment must be fixed immediately. You may want to consider sanding down the rough pieces and spraying the steps with spray that will seal the rusted areas. NC RATED LICENS ASSESSMENT PROJECT (NCRLAP): Please visit the NCRLAP website at www.ncrlap.org to review video and written information to maintain your program standards. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov . You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: MISS CHARLIE'S CHILD DEVELOPMENT CENTER III Facility ID: 54000286 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 9/23/2024 Number Present: 23 Completed Date: 9/23/2024 Age: From 0 To 5 Total Minutes: 260 Time In: 10:10 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: ERS Announced/Unannounced: Announced The purpose of today’s announced visit was to review the results of your Environment Rating Scale (ERS) conducted on August 6th, August 19th, and August 20th, 2024, and to finalize your rated license assessment. ERS summaries were reviewed today and items scoring less than a three could constitute a violation of child care requirements and therefore were monitored. These items are noted below: ECERS-R ASSESSMENT – August 6, 2024– (C. Cartwright) TOTAL SCORE – 5.14 ITEM 1 Indicator: 5.1 (see pages: 10-11 in the ECERS-R) Score: 3 pts Assessor Comments: The table for the art area was against the art shelf, which made it difficult to reach the materials. In the math area the table and chairs were positioned against the shelf. In order to reach the materials, the table and chairs needed to be moved. Additionally, children had to walk through the play area with science/nature and fine motor materials to get to the sand table. Children playing in this area had to stop their activities and move to allow children to walk to the sand table. There was not ample space in these different areas, which prevented this indicator from earning credit. Observations today: Ms. Teach-Lizzmore children move table back and forth. No violation written for this item. Indicator: 5.3 (see pages: 10-11 in the ECERS-R) Assessors Comments: The facility entrance, classroom, and bathroom doors had round door knobs. Additionally, there were steps at the front used to enter the facility. There was a ramp at the rear of the building. However, the gate used to reach the ramp had a latch that was at the top of the gate so that it was too high for easy use by individuals in a wheelchair. Also, there was a 1.5 inch high threshold at this entrance door. There was also a blue ramp on one side of the building; however, there was a 2 inch high threshold at this entrance door. Observations today: no violations were written for this item. ITEM 4 Indicator: 3.2 (see page: 15 in the ECERS-R) Score: 2 pts Assessors Comments: The space used by the children was a combination of two rooms, where the wall had been opened between the two spaces, which left a portion on either side of the opening. When in the book area, the blocks and dramatic play areas could not be seen due to the wall, and vice versa. During the observation, three teachers were present; however, it was reported that one teacher works with the children for 1 hour in the early morning and 3 hours in the late afternoon. Observations today: Two teachers were present during the observation. One on one side of the classroom and one other side of the classroom. No violation written today. ITEM 7 Indicator: 3.2 (see pages: 18-19 in the ECERS-R) Score: 2 pts Assessors Comments: Outdoors, there was a geodome climber and another climber. The base of the geodome climber measured 3 feet 9 inches to the containment border and 5 feet 4 inches to the climber, rather than 6 feet. The climber measured 4 feet 2 inches to the containment border on one side and 5 feet to the containment border in the back. Additionally, the top step of the yellow slide was broken and had sharp edges. Please refer to the document, NCRLAP's Requirements for Gross Motor Space and Equipment, for more information. Observations today: Both climbers are moveable pieces of equipment and have been moved to accommodate the 6 feet. The step of the yellow slide is broken, and rust is showing. Please sand down the sharp edges and use a rust spray to seal the exposed rust. A violation will be documented for the stairs. ITEM 8 Indicator: 3.1(see pages: 20-21 in the ECERS-R) No violation documented today. ITEM 10 Indicator: 3.3 (see pages: 24-25 in the ECERS-R) Score: 2pts Assessor's Comments: This indicator requires that eating surfaces are cleaned with soapy water, and then sprayed with a sanitizing solution that is allowed to air dry on the surface for at least 2 minutes. Following breakfast in the classroom, the tables were cleaned and sanitized appropriately. Before and after morning snack and lunch, the tables were cleaned with soapy water and then sprayed with a sanitizing solution that was wiped off immediately. Please refer to the NC Additional Notes for more information.) Observations today: I observed the appropriate sanitating of the tables. No violations were documented. ITEM 12 Indicator: 3.1 (see pages: 28-29 in the ECERS-R) Score: 2 pts. Assessor’s Comments: children and teachers used the sinks in the bathroom to wash their hands after toileting routines, following instances of wiping their noses, after arrival, using glue, painting, playing in sand and with playdough, and before and after breakfast, morning snack, and lunch. The sink was not sprayed with a disinfectant after toileting routines before it was used for other purposes. Observations today: I observed you cleaning the sinks in between each use. ITEM 14 Indicator: 3.1 (see pages: 32-33 in the ECERS-R) Score: 2pts Assessor’s Comments: There were no safety concerns inside. Outside, the safety concern mentioned in item 7, applies to this indicator as well. Observations Today: The stairs were documented as violation. ITEM 14 Indicator: 3.3 (see pages: 54-55 in the ECERS-R) Score: 2pts Assessor’s Comments: Before morning group time, the children played instruments along with a video on the TV for 7 minutes. After free play the children danced to videos on the TV with music for 31 minutes. Additionally, the teacher reported that the children could play on tablets for 10 minutes during free play. Observations Today: ITERS-R ASSESSMENT- August 1, 2024- (S. Jones) ITEM 1 Indicator: 5.1 (see pages: 10-11 in the ITERS-R) Score: 3 pts. Assessor Comments: There were four children on roll in this group. The day of the observation, an older mobile infant and two toddlers, as well as the teacher were present. The positioning of the furniture and shelving made some of the play areas and the pathways crowded. For example, the pretend stove/sink, a bin of music instruments, a block shelf, and a stack of vinyl cube blocks were stored side by side against a wall of the classroom. There was limited floor space in front of these play areas and when children played in these areas, the floor space became crowded with the different types of materials. The fine motor shelf was against another wall of the classroom. Children used materials on the carpet in front of the shelf. To get to the book area or the diapering area from the other play areas, the children and/or teacher had to walk through this play area. There was not ample space in these different areas, which prevented this indicator from earning credit. Indicator: 5.3 (see pages: 10-11 in the ITERS-R) Assessor’s Comments: There were a set of steps at the entrance of the facility and round knobs on the doors to enter the facility. Although it was reported that the yellow ramp at the back of the building could be used, there was a 1.5 inch high threshold at this entrance door. Also, the playground gate used to reach this ramp had a latch that was at the top of the gate so that it was too high for easy use by individuals in a wheelchair. It was also reported that the blue ramp on the side of the building could be used; however, there was a 2 inch high threshold at this entrance door. During the observation, one child arrived to the classroom. The parent stood at the doorway as the child walked through the gate and into the classroom. The parent did not enter the classroom. Observations today: You are in the process of rearranging spaces and there was no violation documented. Therefore, a violation was not documented related to this item. ITEM 3 Indicator: 5.1 (see page: 14 in the ITERS-R) Score: 3 pts. Assessor’s Comments: Two boppy pillows and two animal pillows were placed on the carpet in the book area. There was a body pillow and an accent pillow on the carpet in the area between the wooden crib and the fine motor shelf. Although these furnishings met the requirements for the infant, these items did not provide a level of softness required for the toddlers. Indicator: 5.2 (see page: 14 in the ITERS-R) Assessor’s Comments: Since an area meeting the requirements of indicator 5.1 was not present, the requirements of this indicator were not met as well. Observations today: No violations were documented. ITEM 6 Indicator: 3.3 (see pages: 18-19 in the ITERS-R) Score: 2pts Assessor’s Observation: During the observation, one child arrived to the classroom. The parent passed the child over the half door to the teacher. This parent did not enter the classroom. Observations today: You stated the parents do not have time to take off shoes prior to entering the room, so parents stop at the half gate, and the teacher open the gate, and the child come in. No violations were documented today. ITEM 7 Indicator: 1.4 (see pages: 20-21 in the ITERS-R) Score: 1pt Assessor’s Comments: Two toddlers walked around the classroom as they drank from their bottles. Observations today: You stated for children who area old enough to hold their bottle, are sitting at the table with the teacher next to them. This was observed. A violation was not documented related to this item. ITEM 8: Indicator: 1.1 (see pages: 22-23 in the ITERS-R) Score: 1pts Assessor’s Comments: During the observation, a toddler fell asleep, and the teacher placed him on his mat in front of the book shelf. As this child slept, the teacher and children continued to play next to his mat. There were several instances when the two other children crawled on this child and his mat as he slept. Observations today: You stated you are rearranging spaces and will no longer have an issue with children being interrupted during naptime. A violation was not documented related to this item. ITEM 9: Indicator: 3.1 (see pages: 24-25 in the ITERS-R) Score: 1pt Assessor’s Comments: The sink in the classroom was used by the teacher and the children to wash their hands upon arrival, following outdoor play, after cleaning spit up, before/after meals, and after diaper changes. The sink was not disinfected after diapering routines before it was used for another purpose. Four diaper changes were observed: • Preparations: In all four routines, preparations were made as the child lay on the diapering table, rather than beforehand. • Disposal: During the four routines, the teacher placed the soiled diaper in a plastic bag. The plastic bag was disposed of at the end of the routine, rather than before the clean diaper was placed on the child. • Wipes: The teacher cleaned her hands with wipes during one routine before handling the clean diaper. During the other routines she cleaned her hands at the end of the routine. All four children had their hands cleaned with a wipe at the end of the routine. • Clean/Disinfect: Following three routines the diapering table was cleaned and disinfected properly. Following the other routine, the diapering table was not cleaned with soapy water and sprayed with a disinfected that remained on the surface for 2 minutes. Indicator: 3.2 (see pages: 24-25 in the ITERS-R) Assessor’s Comments: All three children present wore diapers. Diaper changes occurred within the required 2-hour time frame for one child. The observed increments of time during which a check or change did not occur for individual children were 3 hours 53 minutes and 2 hours 27 minutes, rather than at least every 2 hours. Indicator: 3.3 (see pages: 24-25 in the ITERS-R) Assessor’ Comments: The children's hands were washed as needed after diapering; however, the teacher washed her hands 25% of the times needed, which was less than the 75% required. Of the 4 times that diaper changes occurred, the teacher washed her hands 1 time after spraying the diapering surface with soapy solution. During the other instances she touched other children or materials, such as pacifiers before washing her hands. Observations today: You stated you reviewed the diaper changing procedures with your teacher and I observed a diaper changing and all the steps were followed and appropriated sanitizing and handwashing occurred. A violation was not documented related to this item. ITEM 10: Score: 1pt Indicator: 1.3 (see pages: 26-27 in the ITERS-R) Assessor’s Comments: The teacher reported that when children become sick and need to go home, they are allowed to rest on the soft furnishings that were between the wooden crib and the fine motor shelf until their parent arrives. This area is used by other children throughout the day. Observations Today: You stated you will use a child’s cot from now on to help separate a child when sick. A violation was not documented related to this item. Item 11: Score: 1pt Indicator: 1.1 (see pages: 28-29 in the ITERS-R) Assessor’s Comments: Indoors, there were several instances when children were lifted by their upper arms to be held, placed on or off the steps at the sink, or moved to different areas. Lifting children in this manner puts them at risk for joint injury. There was an instance when the teacher sprayed the diapering table with disinfectant as a child stood next to the table. After a child spit up on the floor the teacher sprayed disinfectant on the floor as children were nearby. Before lunch, the teacher sprayed the table with sanitizer as children played on the floor near the table. The mist from these solutions is considered a potential eye/lung irritant. During the observed art activity, a child used a small crayon and this small item is considered a choking hazard for children under 3 years of age. The 13-month-old was served an apple wedge for lunch. As he ate the apple, he gagged and spit it out on his plate. Apples cut in this manner are a choking hazard for children under four years of age. Observations Today: Observed teacher picking a child up by their trunk off the changing table. Did not observe teacher spraying the table. The crayons were removed from the classroom, and you stated the child eats and spits everything out. A violation was not documented related to this item. Item 12: Score: 1pt Indicator: 3.4 (see pages: 30-31 in the ITERS-R) Assessor’s Comments: There were instances throughout children's play when they were told "don't," "we're not," or "let's not" in response to a typical behavior such as mouthing toys, throwing toys, or pulling on displayed items, rather than being told what to do instead. Using more positive language or redirection was not consistently observed in situations when children's behaviors were corrected. Observations Today: You stated you discussed with the teachers to use positive statements such as, “use your walking feet”. A violation was not documented related to this item. Item 16: Score: 2pts Indicator: 3.2 (see pages: 36-37 in the ITERS-R) Assessor’s Comments: On the day of the observation the older infant was taken outside for 30 minutes. During this time she was briefly placed on the plastic rocking horse and on the metal seat with a steering wheel. However, for 24 minutes of this time the teacher or a staff member held her and this was reported as typical. Since this child was not provided the type of outdoor play experience as required by this indicator; credit was not earned. Observations Today: You stated you discussed with the teachers the children must play on the ground when they area outside. A violation was not documented related to this item. Item 17: Score: 2pts Indicator: 3.2 (see page: 38 in the ITERS-R) Assessor’ Comments: The concern with the small crayon mentioned in item 11 applies here as well. Observations Today: The crayons were removed from the room. A violation was not documented related to this item. Items 21: Score: 1pt Indicator: 3.1 (see page: 42 in the ITERS-R) Assessor’s Comments: The teacher reported that water play is offered indoors once a month. She further reported that the children in this group do not use the sand table on the playground and water play is not offered outdoors. Since some type of sensory play is not offered at least once every 2 weeks, credit was not earned. Indicator: 3.3 (see page: 42 in the ITERS-R) Assessor’s Comments: The teacher reported that when children play with water indoors, she adds food coloring and bubbles. She further stated that the children do not use any toys with the water. Observation: You stated water play is offered at least twice week and teacher was nervous and did not answer the question correctly. A violation was not documented related to this item. Item 29 Score: 2pts Indicator: 3.1 (see page: 50 in the ITERS-R) Assessor’s Comments: As described in item 9, two children did not have their diaper checked or changed within a 2 hour time period. Observations Today: You are using Bright wheel to keep track of changing diapers and discussed with teachers to change and check diapers every two hours. You stated you discussed with the teachers the children must play on the ground when they area outside. A violation was not documented related to this item. Item 30 Score: 2pts Indicator: 3.1 (see page: 51 in the ITERS-R) Assessor’s Comments: Indoor play occurs each day meeting a part of the indicator's requirement. As stated in item 16, the older infant was not provided the type of outdoor play experience as required by this indicator and credit was not earned. Observations Today: You stated you discussed with the teachers the children must play on the ground when they area outside. A violation was not documented related to this item. SACERS-U ASSESSMENT – August 20, 2024– (C. Allen) TOTAL SCORE – 4.11 Item 2 Score: 3pts Indicator: 5.1 (see page: 9 in the SACERS-U) Assessor’s Comments: The children had space indoors to use for gross motor activities, meeting a part of this indicator's requirements. When describing policies for outdoor play, some positive weather permitting practices were reported including not taking children outdoors when it is raining as well as when the temperature is above 95 degrees. However, other practices mentioned such as not taking the children outdoors when the temperature is below 35 degrees does not meet the requirements. This situation alone does not pose a health or safety concern for children dressed for this condition. Therefore, outdoor play does not occur each day the weather allows. Indicator: 5.2 (see page: 9 in the SACERS-U) Assessor’s Comments: Both hard and soft surfaces were present for children to use when they play outside. However, as previously mentioned, the children do not play outdoors each day when the weather allows. Observations Today: You stated you are using the Child Care Weather Watch to help determine when it is safe to go outside. A violation was not documented related to this item. Item 8 Score: 2 pts Indicator: 3.2 (see page: 15 in the SACERS-U) Assessor’s Comments: The required portable gross motor materials were present outdoors. However, per teacher's report, when children remain indoors due to the weather they participate in music activities, exercise to songs and do arts/crafts. Portable gross motor equipment was not reported to be used indoors on these days. Observations Today: You have all the required portable equipment, make sure teachers are using the equipment. Item 10 Score: 2pts Indicator: 3.1 (see page: 17 in the SACERS-U) Assessor’s Comments: Per observation and teacher report, the bathroom in the hallway is used by the staff and children. A separate restroom was not provided for adults. Observations Today: A violation was not documented related to this item. Item 12 Score: 2pts Indicator: 3.1 (see page: 19 in the SACERS-U) Assessor’s Comments: The teacher reported that if children are sick, they may wait in the cozy corner; this space does not meet the requirements of this indicator because it is used by other children during the day. Observations Today: You stated you are now using a cot for a sick child to separate from the rest of the children and can be easily clean and sanitized. A violation was not documented related to this item. Item 14 Score: 2pts Indicator: 3.1 (see page: 21 in the SACERS-U) Assessor’s Comments: Outdoors, there was a geodome climber and an arch climber. The geodome climber measured 3 feet 9 inches away from the containment border and 5 feet 4 inches to the arched climber, instead of at least 6 feet. The arched climber was placed 4 feet 2 inches from the containment border on one side and 5 feet to the containment border in the back. Additionally, the top step of the yellow slide was broken and had sharp edges. Please refer to the document, NCRLAP's Requirements for Gross Motor Space and Equipment, for more information. Indicator: 3.3 (see page: 21 in the SACERS-U) Assessor’s Comments: Emergency numbers were not posted Observations Today: Both climbers are moveable pieces of equipment and have been moved to accommodate the 6 feet. The step of the yellow slide is broken, and rust is showing. Please sand down the sharp edges and use a rust spray to seal the exposed rust. Emergency numbers are posted at the front door entrance. A violation will be documented for the stairs. Emergency numbers are posted at the front door entrance. Item 17 Score:2pts Indicator: 3.5 (see page: 24 in the SACERS-U) Assessor’s Comments: After breakfast, the table was cleaned and sanitized properly. Before snack, the table was cleaned with soapy water and sprayed with sanitizer. However, the sanitizer was wiped away after 1 minute, rather than being allowed to air dry at least 2 minutes. After snack, the table was not cleaned or sanitized. Indicator: 3.6 (see page: 24 in the SACERS-U) Assessor’s Comments: On the day of the observation, the posted menu showed that cereal, bananas, and milk were to be served for breakfast. However, the children were served pancakes, mixed berries, syrup, and milk, and the posted menu was not updated to reflect this change. Observations Today: I observed the teachers cleaning and sainting the tables following the appropriate steps. A menu was posted, and the correct items were served for lunch: turkey sausage, pasta, green beans, mixed fruit, and milk. A violation was not documented related to this item. Items 18 Score: 2pts Indicator: 3.2 (see page: 25 in the SACERS-U) Assessor’s Comments: Although some of the requirements of this indicator were met, there were no facial tissues provided for children in their classroom. Observations Today: A violation was not documented related to this item. Item 23 Score: 3pts Indicator: 5.1 (see page: 30 in the SACERS-U) Assessor’s Comments: There were enough books provided. The book "American Heroes Robert Smalls: The Boat Thief" showed an image of two men chained together with chains attached to their wrists. Text in the book also indicated that a child watched his family being sold. Content that is violent or racially insensitive is not suitable for the age group enrolled (range 6-9 years). The games Scrabble and Headbanz were present in the classroom, however, there was not at least one additional language game present for this group of seven children. Indicator: 5.3 (see page: 30 in the SACERS-U) Assessor’s Comments: Although the teacher encouraged the children to write down stories about their drawings at the art table, a second example that supported children in the practical use of reading or writing was not observed. Observations Today: The book "American Heroes Robert Smalls: The Boat Thief" has been removed from the classroom. A violation was not documented related to this item. Items 25 Score: 1 pts Indicator: 5.1 (see page: 30 in the SACERS-U) Assessor’s Comments: There were enough books provided. The book "American Heroes Robert Smalls: The Boat Thief" showed an image of two men chained together with chains attached to their wrists. Text in the book also indicated that a child watched his family being sold. Content that is violent or racially insensitive is not suitable for the age group enrolled (range 6-9 years). The games Scrabble and Headbanz were present in the classroom, however, there was not at least one additional language game present for this group of seven children. Indicator: 5.3 (see page: 30 in the SACERS-U) Assesssor’s comments: Although the teacher encouraged the children to write down stories about their drawings at the art table, a second example that supported children in the practical use of reading or writing was not observed. Observations Today: The book "American Heroes Robert Smalls: The Boat Thief" has been removed from the classroom. A violation was not documented related to this item. Item 26 Score: 3pts Indicator: 5.1 (see page: 33 in the SACERS-U) Assessor’s Comments: There were many materials representing various types of diversity. However, the book, “American Heroes Robert Smalls: The Boat Thief" mentioned in item 23 included an image showing violence between ethnic groups, which prevented this indicator from earning credit. Indicator: 5.2 (see page: 33 in the SACERS-U) Assessor’s Comments: A picture of a female firefighter was posted on the wall. However, there were no examples showing males in non-traditional roles, as needed to meet the requirements of this indicator. Observation Today: The book "American Heroes Robert Smalls: The Boat Thief" has been removed from the classroom. A violation was not documented related to this item. Item 32 Score: 3pts Indicator: 5.1 (see page: 39 in the SACERS-U) Assessor’s Comments: There were instances when children played well together and assisted each other. However, there were many instances throughout the assessment when children argued over materials, shouted, and pushed each other. Indicator: 5.3 (see page: 39 in the SACERS-U) Assessor’s Comments: The teacher told them to stop when they experienced conflicts. Although the teacher intervened to stop the disagreements, the children were not helped to develop social skills such as talking through or problem solving their conflicts. Observation Today: School age children were not present today. You stated you are encouraging children to talk through their problems. A violation was not documented related to this item. Items 37 Score: 2pts Indicator: 3.2 (see page: 44 in the SACERS-U) Assessor’s Comments: It was reported that children are required to do their homework during the allotted time provided each afternoon. Observations Today: You stated they have opportunities to have free-play and to complete their homework. A violation was not documented related to this item. Item 42 Score: 2pts Indicator: 3.2 (see page: 49 in the SACERS-U) Assessor’s Comments: The teacher stated that she does not have information concerning the two children with disabilities and did not report any attempts to obtain this information for either child. Observations Today: You stated you have had conversations with the parents, they were recently diagnosed, and they parents are working on getting you the paperwork. A violation was not documented related to this item. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The stairs to the climbing equipment were rusting and there were sharp edges. 10A NCAC 09 .0601(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. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 7, 2024. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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 may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with 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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. Comments Section – 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. COMPLIANCE HISTORY: Your compliance history score prior to this visit is 89%. RATED LICENSE INFORMATION: Prior to today’s visit, your program operated with a Three (3) Star License earning four (4) points in the education component, 2 points in program standards, and 1 quality point for Administrator has completed a business training course of at least 30 clock hours. Your three-year reassessment was due by July 28, 2020; however, your program was under Senate Bill 291; Hold Harmless status. The center is currently operating with a 3 Star-Rated License. You submitted your application for re-assessment and your Rate License Assessment Request Review, on June 18, 2024, the requirements for the reassessment of the center's star-rated license were reviewed during today's visit: It appears you are eligible to maintain your three (3) star License, which is based on the following: Education – Points are earned based on the lowest level of education for any one position. There is one (1) administrator, three (3) lead teachers and one (1) group leader. Based on review of all applicable staffs' education in the DCDEE Workforce Database: -B. Teach-Lizzmore, Administrator and Program Coordinator, has a four-year degree in EC/CD and SA, 119 equivalency, level 3 administrator equivalency, level 3 SA Administrator equivalency, BSAC, and 13 years of experience-7 points -N. Jackson, Lead Teacher, has AAS EC/CD & SA and NCECC and 13 years of experience-7points -V. Teach, Lead Teacher, has NCECC and 19 ECE SH, and 19 years of experience-4 points -R. Croom, Lead Teacher, does not have a DCDEE workforce letter -M. Croom, Group Leader, has AAS other, 26 ECE SH, and 26 SA SH, NCECC and three (3) years of experience-7 points You stated Ms. R. Croom has NCECC and one year of experience, however she does not have a DCDEE WORKS letter to verify Ms. Croom’s education. It looks like you may be eligible for four (4) points in education. once Ms. Croom's education is verified. Program Standards – The program meets requirements in Rule .2806 and enhanced ratios. The facility completed the request for the Environment Rating Scales and submitted it with the reassessment packet on June 18, 2024. Environment Rating Scale (ERS) conducted on August 6th, August 19th, and August 20th, 2024The assessment report was reviewed during a rated license visit on September 23, 2024. The scores are as follows: ITERS-3.67 and ECERS – 5.14. and SACERS-4.11. The facility had a classroom score lower than four (4) points. This program is eligible for two (2) points. Quality Point Option: The program is eligible for meeting the following: Staff Benefits for paid professional development and paid vacation/sick leave. The program also has an infrastructure of parent involvement; providing a quarterly newsletter, and quarterly parent meetings. Total: 4 + 2 + 1 =7 = 3 Star License. It appears your program is eligible to maintain the three (3) star license. You stated you do not wish to further pursue the reassessment process at this time. TECHINAL ASSISTANCE/CONSULTATION: OUTDOOR ENVIORNMENT: Please continue to monitor your outdoor environment. From time to time measure the distance between your outdoor non-stationary items and the distance between your non-stationary items and the boarder timbers. Please make sure there is at least six (6) feet apart between the non-stationary item and the boarder timbers. This will prevent children from possible injury. The stairs to your climbing equipment must be fixed immediately. You may want to consider sanding down the rough pieces and spraying the steps with spray that will seal the rusted areas. NC RATED LICENS ASSESSMENT PROJECT (NCRLAP): Please visit the NCRLAP website at www.ncrlap.org to review video and written information to maintain your program standards. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov . You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: MISS CHARLIE'S CHILD DEVELOPMENT CENTER III Facility ID: 54000286 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 6/18/2024 Number Present: 29 Completed Date: 6/18/2024 Age: From 0 To 9 Total Minutes: 140 Time In: 09:25 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Rated License Assessment Announced/Unannounced: Announced The purpose of today’s announced visit was to monitor this facility for compliance with applicable child care requirements for a rated license visit. B. Teach-Lizzmore, Administrator was present and available to assist with today’s visit. Your program currently operates with a three-star license issued February 9, 2024, earning four (4) points in the education component, two (2) points in the program standards component (meeting minimum requirements and enhanced ratios). The last annual compliance visit was conducted on February 2, 2024. The last sanitation inspection was completed on February 20, 2024, with an “Approved” classification. The last fire inspection was completed on January 4, 2024, and the center was approved for daytime and night care. The center’s compliance history was reviewed with the operator. The program’s compliance history was 90% percent as of June 17, 2024. CORPORATION STATUS: Miss Charlies Child Development Center of ENC, LLC is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Miss Charlies Child Development Center of ENC, LLC remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. Twenty-seven (27) children were present during the visit. The children were observed engaging in free-play in center, participating in gross-motor activities in the outdoor learning environment and completing personal care routines. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations were documented: Violation Number Comment Rule 1043 All staff records, except financial records, were not made available for review. There was a volunteer in the facility an there was not a file available for review. G.S. 110-91( 9) 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. The violation(s) documented must be corrected immediately. On or before July 1, 2024. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. 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: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with 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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNIAL ASSISTANCE/CONSULTATION: STAFF RECORDS: You had one new staff member, V. Grady, floater, who began employment on May 15, 2024. I reviewed her file, and it was incompliance. She has until August 15, 2024, to complete CPR and FA training. Ms. Grady has until May 15, 2025, to complete her health and safety training, and has until May 15, 2025, to complete the staff evaluation. You had one volunteer, who you stated was your son. You did not have a volunteer file available for review. We reviewed the following requirements: volunteers must be at 13 years of age, not left in ratio with the children and supervised by an adult at least 21 years or older, a negative TB test, emergency information form, health questionnaire, and documentation of being informed of the EPR plan and its location. I also printed off the volunteer checklist for you to use. STAR RATED LICENSE ASSESSMENT INFORMATION: Your three-year reassessment was due by July 2020; however, your program is currently under Senate Bill 291; Hold Harmless status and you are in cohort one (1). The center is currently operating with a Thee (3) Star-Rated License. You submitted your application for initial assessment and your Rate License Assessment Request Review, today June 18, 2024, the requirements for the reassessment of the center's star-rated license were reviewed during today's visit: EDUCATION STANDARDS: There is one (1) administrator, four (4) lead teachers. Based on review of all applicable staffs' education in the DCDEE Workforce Database, one (1) staff member is in the process of receiving and DCDE WORKS letter and three (3) other staff members have submitted their education. These staff members were reviewed with Ms. Teach-Lizzmore. The following staff members need DCDEE WORKS letters: V. Teach, M. Croom, R. Croom, and T. Jackson. Once their information is verified in DCDEE WORKS, I will be able to determine a point total for this standard. . Program Standards: The program is currently meeting minimum child care requirements (including the most current requirements for policies) and enhanced ratios. The operator also requests to complete an Environment Rating Scale assessment. Based on the score received from the ERS assessment will determine how many points the center is qualified for in Program Standards. During today’s visit you completed the Rated License Assessment Request Review form. Points earned are pending the overall score on the Early Childhood Environment Rating Scale. You stated that you have been working with your local Partnership and at this time you do not need any technical assistance and were ready for the environment rating scales assessment. I encouraged you to review the North Carolina Rated License Assessment Project website at www.ncrlap.org. The website contains Additional Notes for Clarification, resources and NCRLAP videos regarding the assessment process. Quality Point Option: The program looks to be eligible to use the programmatic option of using an age/developmentally appropriate curriculum. REMINDERS/RESOURCES: RESUMMING STAR RATED LICENSE-COHORT (1): Please be aware that your facility is in Cohort one (1) for resuming the NC Start Rated License. Your preparation year will be July 1, 2023, through June 30, 2024. Your reassessment year will be July 1, 2024, through June 30, 2025. To help your facility prepare for the environment rating scale, please review the North Carolina Rated License Assessment Project’s (NCRLAP) website: https://ncrlap.org/ for videos and written resources to help prepare you for the environment rating scale (ERS). You stated you have contacted the Partnership for Children of Lenoir-Greene Counties and have been working with the staff on room arrangements and making sure all your rooms have the necessary materials. WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, and completed training. We discussed making sure new employees you hire and any current staff working on education submit any education transcripts to the “WORKS” system, so their education can be evaluated. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please contact the WORKS department if you have questions on what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. CHILD A CARE RULE CHANGES: The Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Consultants will assist as you begin to review and implement the changes, but please note, some of the rule changes may or may not impact your facility. An example is the rules in section .2600 for multi-unit child care center. These rules are specific to child care centers with multiple licensed centers within one building. Please ensure you are using the updated January 2024 rule book, and view information in the DCDEE Moodle (enroll if necessary). You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: MISS CHARLIE'S CHILD DEVELOPMENT CENTER III Facility ID: 54000286 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 6/18/2024 Number Present: 29 Completed Date: 6/18/2024 Age: From 0 To 9 Total Minutes: 140 Time In: 09:25 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Rated License Assessment Announced/Unannounced: Announced The purpose of today’s announced visit was to monitor this facility for compliance with applicable child care requirements for a rated license visit. B. Teach-Lizzmore, Administrator was present and available to assist with today’s visit. Your program currently operates with a three-star license issued February 9, 2024, earning four (4) points in the education component, two (2) points in the program standards component (meeting minimum requirements and enhanced ratios). The last annual compliance visit was conducted on February 2, 2024. The last sanitation inspection was completed on February 20, 2024, with an “Approved” classification. The last fire inspection was completed on January 4, 2024, and the center was approved for daytime and night care. The center’s compliance history was reviewed with the operator. The program’s compliance history was 90% percent as of June 17, 2024. CORPORATION STATUS: Miss Charlies Child Development Center of ENC, LLC is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Miss Charlies Child Development Center of ENC, LLC remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. Twenty-seven (27) children were present during the visit. The children were observed engaging in free-play in center, participating in gross-motor activities in the outdoor learning environment and completing personal care routines. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations were documented: Violation Number Comment Rule 1043 All staff records, except financial records, were not made available for review. There was a volunteer in the facility an there was not a file available for review. G.S. 110-91( 9) 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. The violation(s) documented must be corrected immediately. On or before July 1, 2024. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. 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: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with 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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNIAL ASSISTANCE/CONSULTATION: STAFF RECORDS: You had one new staff member, V. Grady, floater, who began employment on May 15, 2024. I reviewed her file, and it was incompliance. She has until August 15, 2024, to complete CPR and FA training. Ms. Grady has until May 15, 2025, to complete her health and safety training, and has until May 15, 2025, to complete the staff evaluation. You had one volunteer, who you stated was your son. You did not have a volunteer file available for review. We reviewed the following requirements: volunteers must be at 13 years of age, not left in ratio with the children and supervised by an adult at least 21 years or older, a negative TB test, emergency information form, health questionnaire, and documentation of being informed of the EPR plan and its location. I also printed off the volunteer checklist for you to use. STAR RATED LICENSE ASSESSMENT INFORMATION: Your three-year reassessment was due by July 2020; however, your program is currently under Senate Bill 291; Hold Harmless status and you are in cohort one (1). The center is currently operating with a Thee (3) Star-Rated License. You submitted your application for initial assessment and your Rate License Assessment Request Review, today June 18, 2024, the requirements for the reassessment of the center's star-rated license were reviewed during today's visit: EDUCATION STANDARDS: There is one (1) administrator, four (4) lead teachers. Based on review of all applicable staffs' education in the DCDEE Workforce Database, one (1) staff member is in the process of receiving and DCDE WORKS letter and three (3) other staff members have submitted their education. These staff members were reviewed with Ms. Teach-Lizzmore. The following staff members need DCDEE WORKS letters: V. Teach, M. Croom, R. Croom, and T. Jackson. Once their information is verified in DCDEE WORKS, I will be able to determine a point total for this standard. . Program Standards: The program is currently meeting minimum child care requirements (including the most current requirements for policies) and enhanced ratios. The operator also requests to complete an Environment Rating Scale assessment. Based on the score received from the ERS assessment will determine how many points the center is qualified for in Program Standards. During today’s visit you completed the Rated License Assessment Request Review form. Points earned are pending the overall score on the Early Childhood Environment Rating Scale. You stated that you have been working with your local Partnership and at this time you do not need any technical assistance and were ready for the environment rating scales assessment. I encouraged you to review the North Carolina Rated License Assessment Project website at www.ncrlap.org. The website contains Additional Notes for Clarification, resources and NCRLAP videos regarding the assessment process. Quality Point Option: The program looks to be eligible to use the programmatic option of using an age/developmentally appropriate curriculum. REMINDERS/RESOURCES: RESUMMING STAR RATED LICENSE-COHORT (1): Please be aware that your facility is in Cohort one (1) for resuming the NC Start Rated License. Your preparation year will be July 1, 2023, through June 30, 2024. Your reassessment year will be July 1, 2024, through June 30, 2025. To help your facility prepare for the environment rating scale, please review the North Carolina Rated License Assessment Project’s (NCRLAP) website: https://ncrlap.org/ for videos and written resources to help prepare you for the environment rating scale (ERS). You stated you have contacted the Partnership for Children of Lenoir-Greene Counties and have been working with the staff on room arrangements and making sure all your rooms have the necessary materials. WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, and completed training. We discussed making sure new employees you hire and any current staff working on education submit any education transcripts to the “WORKS” system, so their education can be evaluated. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please contact the WORKS department if you have questions on what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. CHILD A CARE RULE CHANGES: The Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Consultants will assist as you begin to review and implement the changes, but please note, some of the rule changes may or may not impact your facility. An example is the rules in section .2600 for multi-unit child care center. These rules are specific to child care centers with multiple licensed centers within one building. Please ensure you are using the updated January 2024 rule book, and view information in the DCDEE Moodle (enroll if necessary). You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: MISS CHARLIE'S CHILD DEVELOPMENT CENTER III Facility ID: 54000286 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 2/22/2024 Number Present: 17 Completed Date: 2/22/2024 Age: From 0 To 4 Total Minutes: 265 Time In: 09:25 AM Time Out: 01:50 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 this facility for compliance with applicable child care requirements during an annual compliance visit. You, B. Teach-Lizzmore, administrator, was present available to assist with today’s visit Your program currently operates with a three-star license issued on July 28, 2017, earning four (4) points in the education component, two (2) points in the program standards component and one (1) quality point for having an administrator who has completed a business training course of at least 30 clock hours. The last annual compliance visit was conducted on March 7, 2023. The sanitation inspection was completed on February 20, 2024, with an “Approved” classification “18” demerits. The fire inspection was completed on January 4, 2024, and the center was approved for daytime care only. The license was posted, and the restrictions were in compliance. Seventeen (17) children from ages six (6) months to four (4) years of age were present during the visit. A walk-through of the facility was completed today. The indoor and outdoor environments were observed. I observed children in the indoor learning environment and engaging in gross-motor play in the outdoor learning environment. Staff/child ratios were in compliance. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Teachers were interacting with the children in a nurturing and positive manner. The children were observed eating the following for lunch: hot dogs, wheat bread, baked beans, pears, and milk. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: 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. The receipt of the NC Summary of Law was missing from one child’s file with an enrollment date of February 19, 2024. GS 110-102 807 A safe indoor and outdoor environment was not provided for the children. The door to the bathroom was not securely attached to the door hinges. The door had come off of the top hinge. In the outdoor play area there was one (1) blue metal chair with a plastic seat that was eroding. The seat was rough and could cut the children if they sat on it. There was also a broken plastic steering wheel on the playground. There were several napkins scattered all over the outdoor area, please remove these items from the playground. 10A NCAC 09 .0601(a) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. One child with the enrollment date of August 1, 2022, had permission to transport form on file, however the form was dated February 1, 2023-February 1, 2024. The form had expired. .1003(i)(j) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Two (2) children’s files did not have receipt of the facility’s operational policies. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Two (2) children’s files did not have documentation of the facility's parent participation plan. 10A NCAC 09 .0515(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Two (2) children’s files did not have documentation of a medical exam or health assessment. The children’s enrollment dates were November 22, 2023, and June 20, 2022. GS 110-91(1);.0302(d)(2); .0304(g) 1821 The EPR Plan did not include the date of the last revision of the plan. You reviewed your EPR plan with your staff on October 23, 2023, however the plan had not been updated in North Carolina Risk Management Portal at https://rmp.nc.gov/portal/ . The plan was last updated on June 13, 2018. .0607(d)(8) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Ms. Platt had documentation of the Health and Safety Trainings with the date of April 15, 2018, however they expired on April 15, 2023. .1103(b) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Four (4) children’s files were missing a signed and dated statement showing receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) 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. The violation(s) documented must be corrected immediately. On or before March 7, 2024. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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 may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with 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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 89%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: Miss Charlies Child Development Center of ENC, LLC is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Miss Charlies Child Development Center of ENC, LLC remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: STAFF AND CHILDREN FILES: Ten (10%) percent of staff files were reviewed today. A. Platts’ file was reviewed today. Ms. Platt had documentation of the Health and Safety Trainings with the date of April 15, 2018, however they expired on April 15, 2023. Health and Safety Trainings need to be completed at least every five (5) years. You can access these trainings via Moodle on the Division of Child Development and Early Education’s (DCDEE) website at https://www.dcdee.moodle.nc.gov/ Ten percent of children’s files were reviewed today. The following items were missing out the children’s files reviewed. The NC Summary of Law was missing from one child’s file with an enrollment date of February 19, 2024. You can access the NC Summary of Law at https://ncchildcare.ncdhhs.gov/. Each child’s parent/guardian must sign and date a statement acknowledging the receipt of NC Summary of Law prior to the child’s first day of enrollment. One child with the enrollment date of August 1, 2022, had permission to transport form on file, however the form was dated February 1, 2023-February 1, 2024. The form had expired. Permission to transport must be updated annually. Two (2) children’s files did not have receipt of the facility’s operational policies. Each child’s parent/guardian must sign and date a statement acknowledging the receipt of the facility’s operational policies. Two (2) children’s files did not have documentation of the facility's parent participation plan. Two (2) children’s files did not have documentation of a medical exam or health assessment. Documentation of a medical exam or health assessment must be on file within thirty (30) days of enrollment. The children’s enrollment dates were November 22, 2023, and June 20, 2022. Four (4) children’s files were missing a signed and dated statement showing receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be signed upon enrollment. Please review the rest of your children’s files to make sure all enrollment forms are completed and on file. Please refer to the Children’s Records form I used today to help make corrections and come into compliance. SAFE INDOOR AND OUTDOOR ENVIRONMENT: In the hallway there is a bathroom located to the left of space number five (#5). The children use this bathroom. The door to the bathroom was not securely attached to the door hinges. The door had come off of the top hinge. This is a safety hazard to the children. You stated the door was being fixed on February 23, 2024. The outdoor environment had one (1) blue metal chair with a plastic seat that was eroding. The seat was rough and could cut the children if they sat on it. There was also a broken plastic steering wheel on the playground. There were several napkins scattered all over the outdoor area, please remove these from the playground. You want to consider putting trashcan with a lid outside to help staff and children throw away trash. You removed all items from the playground. This was corrected during the visit. EMERGENCY PREPAREDNESS AND RESPONSE PLAN (EPR): You reviewed your EPR plan with your staff on October 23, 2023, however the plan had not been updated in North Carolina Risk Management Portal at https://rmp.nc.gov/portal/ . The EPR plan should be reviewed annually even if there are no changes. We discussed updating all contact information including updating your child care consultant information. TRANSPORTATION: You provide transportation, however your vehicle you use was not on site. You stated you did not provide transportation today. Please make sure you are in compliance with all transportation requirements. I will assess the vehicle at my next visit. RMINDERS: COHORT (1): Please be aware that your facility is in Cohort one (1) for resuming the NC Start Rated License. Your preparation year will be July 1, 2023, through June 30, 2024. Your reassessment year will be July 1, 2024, through June 30, 2025. To help your facility prepare for the environment rating scale, please review the North Carolina Rated License Assessment Project’s (NCRLAP) website: https://ncrlap.org/ for videos and written resources to help prepare you for the environment rating scale (ERS). You stated you are working with the Partnership for Children of Lenoir and Greene Counties to help you prepare for the ERS assessment. We also discussed making sure all teacher education information is updated in the DCDEE WORKS portal. RESOURCES: CHILD A CARE RULE CHANGES: The Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Consultants will assist as you begin to review and implement the changes, but please note, some of the rule changes may or may not impact your facility. An example is the rules in section .2600 for multi-unit child care center. These rules are specific to child care centers with multiple licensed centers within one building. Please ensure you are using the updated January 2024 rule book, and view information in the DCDEE Moodle (enroll if necessary). You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. PROVIDER ACCESS TO THE BACKGROUND CHECK MANAGEMENT SYSTEMS: Beginning February 1, child care administrators can access the Automated Background Check Management System (ABCMS) This access will allow providers to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. Access to the ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. CHILD CARE HEALTH CONSULTANTS ARE HERE TO HELP: CCHCs are trained to focus on health and safety in the child care environment. This includes illness and infectious disease. As part of their role, CCHCs use the North Carolina Health and Safety Assessment and Encounter Tool (NC HSAET) to guide them while completing classroom assessments. The assessment results can be used to help child care programs plan and take steps to reduce the spread of illnesses. The CCHC can use the NC HSAET to observe: • Diapering • Handwashing • Toileting • Sanitation practices • Exclusion The chart below shows the number of facilities who worked with a CCHC to complete a classroom assessment from July 2022 to June 2023. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0514 · Violation

Name of Operation: MISS CHARLIE'S CHILD DEVELOPMENT CENTER III Facility ID: 54000286 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 2/22/2024 Number Present: 17 Completed Date: 2/22/2024 Age: From 0 To 4 Total Minutes: 265 Time In: 09:25 AM Time Out: 01:50 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 this facility for compliance with applicable child care requirements during an annual compliance visit. You, B. Teach-Lizzmore, administrator, was present available to assist with today’s visit Your program currently operates with a three-star license issued on July 28, 2017, earning four (4) points in the education component, two (2) points in the program standards component and one (1) quality point for having an administrator who has completed a business training course of at least 30 clock hours. The last annual compliance visit was conducted on March 7, 2023. The sanitation inspection was completed on February 20, 2024, with an “Approved” classification “18” demerits. The fire inspection was completed on January 4, 2024, and the center was approved for daytime care only. The license was posted, and the restrictions were in compliance. Seventeen (17) children from ages six (6) months to four (4) years of age were present during the visit. A walk-through of the facility was completed today. The indoor and outdoor environments were observed. I observed children in the indoor learning environment and engaging in gross-motor play in the outdoor learning environment. Staff/child ratios were in compliance. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Teachers were interacting with the children in a nurturing and positive manner. The children were observed eating the following for lunch: hot dogs, wheat bread, baked beans, pears, and milk. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: 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. The receipt of the NC Summary of Law was missing from one child’s file with an enrollment date of February 19, 2024. GS 110-102 807 A safe indoor and outdoor environment was not provided for the children. The door to the bathroom was not securely attached to the door hinges. The door had come off of the top hinge. In the outdoor play area there was one (1) blue metal chair with a plastic seat that was eroding. The seat was rough and could cut the children if they sat on it. There was also a broken plastic steering wheel on the playground. There were several napkins scattered all over the outdoor area, please remove these items from the playground. 10A NCAC 09 .0601(a) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. One child with the enrollment date of August 1, 2022, had permission to transport form on file, however the form was dated February 1, 2023-February 1, 2024. The form had expired. .1003(i)(j) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Two (2) children’s files did not have receipt of the facility’s operational policies. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Two (2) children’s files did not have documentation of the facility's parent participation plan. 10A NCAC 09 .0515(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Two (2) children’s files did not have documentation of a medical exam or health assessment. The children’s enrollment dates were November 22, 2023, and June 20, 2022. GS 110-91(1);.0302(d)(2); .0304(g) 1821 The EPR Plan did not include the date of the last revision of the plan. You reviewed your EPR plan with your staff on October 23, 2023, however the plan had not been updated in North Carolina Risk Management Portal at https://rmp.nc.gov/portal/ . The plan was last updated on June 13, 2018. .0607(d)(8) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Ms. Platt had documentation of the Health and Safety Trainings with the date of April 15, 2018, however they expired on April 15, 2023. .1103(b) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Four (4) children’s files were missing a signed and dated statement showing receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) 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. The violation(s) documented must be corrected immediately. On or before March 7, 2024. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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 may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with 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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 89%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: Miss Charlies Child Development Center of ENC, LLC is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Miss Charlies Child Development Center of ENC, LLC remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: STAFF AND CHILDREN FILES: Ten (10%) percent of staff files were reviewed today. A. Platts’ file was reviewed today. Ms. Platt had documentation of the Health and Safety Trainings with the date of April 15, 2018, however they expired on April 15, 2023. Health and Safety Trainings need to be completed at least every five (5) years. You can access these trainings via Moodle on the Division of Child Development and Early Education’s (DCDEE) website at https://www.dcdee.moodle.nc.gov/ Ten percent of children’s files were reviewed today. The following items were missing out the children’s files reviewed. The NC Summary of Law was missing from one child’s file with an enrollment date of February 19, 2024. You can access the NC Summary of Law at https://ncchildcare.ncdhhs.gov/. Each child’s parent/guardian must sign and date a statement acknowledging the receipt of NC Summary of Law prior to the child’s first day of enrollment. One child with the enrollment date of August 1, 2022, had permission to transport form on file, however the form was dated February 1, 2023-February 1, 2024. The form had expired. Permission to transport must be updated annually. Two (2) children’s files did not have receipt of the facility’s operational policies. Each child’s parent/guardian must sign and date a statement acknowledging the receipt of the facility’s operational policies. Two (2) children’s files did not have documentation of the facility's parent participation plan. Two (2) children’s files did not have documentation of a medical exam or health assessment. Documentation of a medical exam or health assessment must be on file within thirty (30) days of enrollment. The children’s enrollment dates were November 22, 2023, and June 20, 2022. Four (4) children’s files were missing a signed and dated statement showing receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be signed upon enrollment. Please review the rest of your children’s files to make sure all enrollment forms are completed and on file. Please refer to the Children’s Records form I used today to help make corrections and come into compliance. SAFE INDOOR AND OUTDOOR ENVIRONMENT: In the hallway there is a bathroom located to the left of space number five (#5). The children use this bathroom. The door to the bathroom was not securely attached to the door hinges. The door had come off of the top hinge. This is a safety hazard to the children. You stated the door was being fixed on February 23, 2024. The outdoor environment had one (1) blue metal chair with a plastic seat that was eroding. The seat was rough and could cut the children if they sat on it. There was also a broken plastic steering wheel on the playground. There were several napkins scattered all over the outdoor area, please remove these from the playground. You want to consider putting trashcan with a lid outside to help staff and children throw away trash. You removed all items from the playground. This was corrected during the visit. EMERGENCY PREPAREDNESS AND RESPONSE PLAN (EPR): You reviewed your EPR plan with your staff on October 23, 2023, however the plan had not been updated in North Carolina Risk Management Portal at https://rmp.nc.gov/portal/ . The EPR plan should be reviewed annually even if there are no changes. We discussed updating all contact information including updating your child care consultant information. TRANSPORTATION: You provide transportation, however your vehicle you use was not on site. You stated you did not provide transportation today. Please make sure you are in compliance with all transportation requirements. I will assess the vehicle at my next visit. RMINDERS: COHORT (1): Please be aware that your facility is in Cohort one (1) for resuming the NC Start Rated License. Your preparation year will be July 1, 2023, through June 30, 2024. Your reassessment year will be July 1, 2024, through June 30, 2025. To help your facility prepare for the environment rating scale, please review the North Carolina Rated License Assessment Project’s (NCRLAP) website: https://ncrlap.org/ for videos and written resources to help prepare you for the environment rating scale (ERS). You stated you are working with the Partnership for Children of Lenoir and Greene Counties to help you prepare for the ERS assessment. We also discussed making sure all teacher education information is updated in the DCDEE WORKS portal. RESOURCES: CHILD A CARE RULE CHANGES: The Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Consultants will assist as you begin to review and implement the changes, but please note, some of the rule changes may or may not impact your facility. An example is the rules in section .2600 for multi-unit child care center. These rules are specific to child care centers with multiple licensed centers within one building. Please ensure you are using the updated January 2024 rule book, and view information in the DCDEE Moodle (enroll if necessary). You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. PROVIDER ACCESS TO THE BACKGROUND CHECK MANAGEMENT SYSTEMS: Beginning February 1, child care administrators can access the Automated Background Check Management System (ABCMS) This access will allow providers to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. Access to the ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. CHILD CARE HEALTH CONSULTANTS ARE HERE TO HELP: CCHCs are trained to focus on health and safety in the child care environment. This includes illness and infectious disease. As part of their role, CCHCs use the North Carolina Health and Safety Assessment and Encounter Tool (NC HSAET) to guide them while completing classroom assessments. The assessment results can be used to help child care programs plan and take steps to reduce the spread of illnesses. The CCHC can use the NC HSAET to observe: • Diapering • Handwashing • Toileting • Sanitation practices • Exclusion The chart below shows the number of facilities who worked with a CCHC to complete a classroom assessment from July 2022 to June 2023. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0515 · Violation

Name of Operation: MISS CHARLIE'S CHILD DEVELOPMENT CENTER III Facility ID: 54000286 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 2/22/2024 Number Present: 17 Completed Date: 2/22/2024 Age: From 0 To 4 Total Minutes: 265 Time In: 09:25 AM Time Out: 01:50 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 this facility for compliance with applicable child care requirements during an annual compliance visit. You, B. Teach-Lizzmore, administrator, was present available to assist with today’s visit Your program currently operates with a three-star license issued on July 28, 2017, earning four (4) points in the education component, two (2) points in the program standards component and one (1) quality point for having an administrator who has completed a business training course of at least 30 clock hours. The last annual compliance visit was conducted on March 7, 2023. The sanitation inspection was completed on February 20, 2024, with an “Approved” classification “18” demerits. The fire inspection was completed on January 4, 2024, and the center was approved for daytime care only. The license was posted, and the restrictions were in compliance. Seventeen (17) children from ages six (6) months to four (4) years of age were present during the visit. A walk-through of the facility was completed today. The indoor and outdoor environments were observed. I observed children in the indoor learning environment and engaging in gross-motor play in the outdoor learning environment. Staff/child ratios were in compliance. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Teachers were interacting with the children in a nurturing and positive manner. The children were observed eating the following for lunch: hot dogs, wheat bread, baked beans, pears, and milk. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: 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. The receipt of the NC Summary of Law was missing from one child’s file with an enrollment date of February 19, 2024. GS 110-102 807 A safe indoor and outdoor environment was not provided for the children. The door to the bathroom was not securely attached to the door hinges. The door had come off of the top hinge. In the outdoor play area there was one (1) blue metal chair with a plastic seat that was eroding. The seat was rough and could cut the children if they sat on it. There was also a broken plastic steering wheel on the playground. There were several napkins scattered all over the outdoor area, please remove these items from the playground. 10A NCAC 09 .0601(a) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. One child with the enrollment date of August 1, 2022, had permission to transport form on file, however the form was dated February 1, 2023-February 1, 2024. The form had expired. .1003(i)(j) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Two (2) children’s files did not have receipt of the facility’s operational policies. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Two (2) children’s files did not have documentation of the facility's parent participation plan. 10A NCAC 09 .0515(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Two (2) children’s files did not have documentation of a medical exam or health assessment. The children’s enrollment dates were November 22, 2023, and June 20, 2022. GS 110-91(1);.0302(d)(2); .0304(g) 1821 The EPR Plan did not include the date of the last revision of the plan. You reviewed your EPR plan with your staff on October 23, 2023, however the plan had not been updated in North Carolina Risk Management Portal at https://rmp.nc.gov/portal/ . The plan was last updated on June 13, 2018. .0607(d)(8) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Ms. Platt had documentation of the Health and Safety Trainings with the date of April 15, 2018, however they expired on April 15, 2023. .1103(b) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Four (4) children’s files were missing a signed and dated statement showing receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) 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. The violation(s) documented must be corrected immediately. On or before March 7, 2024. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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 may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with 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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 89%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: Miss Charlies Child Development Center of ENC, LLC is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Miss Charlies Child Development Center of ENC, LLC remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: STAFF AND CHILDREN FILES: Ten (10%) percent of staff files were reviewed today. A. Platts’ file was reviewed today. Ms. Platt had documentation of the Health and Safety Trainings with the date of April 15, 2018, however they expired on April 15, 2023. Health and Safety Trainings need to be completed at least every five (5) years. You can access these trainings via Moodle on the Division of Child Development and Early Education’s (DCDEE) website at https://www.dcdee.moodle.nc.gov/ Ten percent of children’s files were reviewed today. The following items were missing out the children’s files reviewed. The NC Summary of Law was missing from one child’s file with an enrollment date of February 19, 2024. You can access the NC Summary of Law at https://ncchildcare.ncdhhs.gov/. Each child’s parent/guardian must sign and date a statement acknowledging the receipt of NC Summary of Law prior to the child’s first day of enrollment. One child with the enrollment date of August 1, 2022, had permission to transport form on file, however the form was dated February 1, 2023-February 1, 2024. The form had expired. Permission to transport must be updated annually. Two (2) children’s files did not have receipt of the facility’s operational policies. Each child’s parent/guardian must sign and date a statement acknowledging the receipt of the facility’s operational policies. Two (2) children’s files did not have documentation of the facility's parent participation plan. Two (2) children’s files did not have documentation of a medical exam or health assessment. Documentation of a medical exam or health assessment must be on file within thirty (30) days of enrollment. The children’s enrollment dates were November 22, 2023, and June 20, 2022. Four (4) children’s files were missing a signed and dated statement showing receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be signed upon enrollment. Please review the rest of your children’s files to make sure all enrollment forms are completed and on file. Please refer to the Children’s Records form I used today to help make corrections and come into compliance. SAFE INDOOR AND OUTDOOR ENVIRONMENT: In the hallway there is a bathroom located to the left of space number five (#5). The children use this bathroom. The door to the bathroom was not securely attached to the door hinges. The door had come off of the top hinge. This is a safety hazard to the children. You stated the door was being fixed on February 23, 2024. The outdoor environment had one (1) blue metal chair with a plastic seat that was eroding. The seat was rough and could cut the children if they sat on it. There was also a broken plastic steering wheel on the playground. There were several napkins scattered all over the outdoor area, please remove these from the playground. You want to consider putting trashcan with a lid outside to help staff and children throw away trash. You removed all items from the playground. This was corrected during the visit. EMERGENCY PREPAREDNESS AND RESPONSE PLAN (EPR): You reviewed your EPR plan with your staff on October 23, 2023, however the plan had not been updated in North Carolina Risk Management Portal at https://rmp.nc.gov/portal/ . The EPR plan should be reviewed annually even if there are no changes. We discussed updating all contact information including updating your child care consultant information. TRANSPORTATION: You provide transportation, however your vehicle you use was not on site. You stated you did not provide transportation today. Please make sure you are in compliance with all transportation requirements. I will assess the vehicle at my next visit. RMINDERS: COHORT (1): Please be aware that your facility is in Cohort one (1) for resuming the NC Start Rated License. Your preparation year will be July 1, 2023, through June 30, 2024. Your reassessment year will be July 1, 2024, through June 30, 2025. To help your facility prepare for the environment rating scale, please review the North Carolina Rated License Assessment Project’s (NCRLAP) website: https://ncrlap.org/ for videos and written resources to help prepare you for the environment rating scale (ERS). You stated you are working with the Partnership for Children of Lenoir and Greene Counties to help you prepare for the ERS assessment. We also discussed making sure all teacher education information is updated in the DCDEE WORKS portal. RESOURCES: CHILD A CARE RULE CHANGES: The Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Consultants will assist as you begin to review and implement the changes, but please note, some of the rule changes may or may not impact your facility. An example is the rules in section .2600 for multi-unit child care center. These rules are specific to child care centers with multiple licensed centers within one building. Please ensure you are using the updated January 2024 rule book, and view information in the DCDEE Moodle (enroll if necessary). You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. PROVIDER ACCESS TO THE BACKGROUND CHECK MANAGEMENT SYSTEMS: Beginning February 1, child care administrators can access the Automated Background Check Management System (ABCMS) This access will allow providers to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. Access to the ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. CHILD CARE HEALTH CONSULTANTS ARE HERE TO HELP: CCHCs are trained to focus on health and safety in the child care environment. This includes illness and infectious disease. As part of their role, CCHCs use the North Carolina Health and Safety Assessment and Encounter Tool (NC HSAET) to guide them while completing classroom assessments. The assessment results can be used to help child care programs plan and take steps to reduce the spread of illnesses. The CCHC can use the NC HSAET to observe: • Diapering • Handwashing • Toileting • Sanitation practices • Exclusion The chart below shows the number of facilities who worked with a CCHC to complete a classroom assessment from July 2022 to June 2023. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-102 · Violation

Name of Operation: MISS CHARLIE'S CHILD DEVELOPMENT CENTER III Facility ID: 54000286 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 2/22/2024 Number Present: 17 Completed Date: 2/22/2024 Age: From 0 To 4 Total Minutes: 265 Time In: 09:25 AM Time Out: 01:50 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 this facility for compliance with applicable child care requirements during an annual compliance visit. You, B. Teach-Lizzmore, administrator, was present available to assist with today’s visit Your program currently operates with a three-star license issued on July 28, 2017, earning four (4) points in the education component, two (2) points in the program standards component and one (1) quality point for having an administrator who has completed a business training course of at least 30 clock hours. The last annual compliance visit was conducted on March 7, 2023. The sanitation inspection was completed on February 20, 2024, with an “Approved” classification “18” demerits. The fire inspection was completed on January 4, 2024, and the center was approved for daytime care only. The license was posted, and the restrictions were in compliance. Seventeen (17) children from ages six (6) months to four (4) years of age were present during the visit. A walk-through of the facility was completed today. The indoor and outdoor environments were observed. I observed children in the indoor learning environment and engaging in gross-motor play in the outdoor learning environment. Staff/child ratios were in compliance. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Teachers were interacting with the children in a nurturing and positive manner. The children were observed eating the following for lunch: hot dogs, wheat bread, baked beans, pears, and milk. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: 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. The receipt of the NC Summary of Law was missing from one child’s file with an enrollment date of February 19, 2024. GS 110-102 807 A safe indoor and outdoor environment was not provided for the children. The door to the bathroom was not securely attached to the door hinges. The door had come off of the top hinge. In the outdoor play area there was one (1) blue metal chair with a plastic seat that was eroding. The seat was rough and could cut the children if they sat on it. There was also a broken plastic steering wheel on the playground. There were several napkins scattered all over the outdoor area, please remove these items from the playground. 10A NCAC 09 .0601(a) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. One child with the enrollment date of August 1, 2022, had permission to transport form on file, however the form was dated February 1, 2023-February 1, 2024. The form had expired. .1003(i)(j) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Two (2) children’s files did not have receipt of the facility’s operational policies. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Two (2) children’s files did not have documentation of the facility's parent participation plan. 10A NCAC 09 .0515(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Two (2) children’s files did not have documentation of a medical exam or health assessment. The children’s enrollment dates were November 22, 2023, and June 20, 2022. GS 110-91(1);.0302(d)(2); .0304(g) 1821 The EPR Plan did not include the date of the last revision of the plan. You reviewed your EPR plan with your staff on October 23, 2023, however the plan had not been updated in North Carolina Risk Management Portal at https://rmp.nc.gov/portal/ . The plan was last updated on June 13, 2018. .0607(d)(8) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Ms. Platt had documentation of the Health and Safety Trainings with the date of April 15, 2018, however they expired on April 15, 2023. .1103(b) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Four (4) children’s files were missing a signed and dated statement showing receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) 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. The violation(s) documented must be corrected immediately. On or before March 7, 2024. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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 may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with 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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 89%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: Miss Charlies Child Development Center of ENC, LLC is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Miss Charlies Child Development Center of ENC, LLC remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: STAFF AND CHILDREN FILES: Ten (10%) percent of staff files were reviewed today. A. Platts’ file was reviewed today. Ms. Platt had documentation of the Health and Safety Trainings with the date of April 15, 2018, however they expired on April 15, 2023. Health and Safety Trainings need to be completed at least every five (5) years. You can access these trainings via Moodle on the Division of Child Development and Early Education’s (DCDEE) website at https://www.dcdee.moodle.nc.gov/ Ten percent of children’s files were reviewed today. The following items were missing out the children’s files reviewed. The NC Summary of Law was missing from one child’s file with an enrollment date of February 19, 2024. You can access the NC Summary of Law at https://ncchildcare.ncdhhs.gov/. Each child’s parent/guardian must sign and date a statement acknowledging the receipt of NC Summary of Law prior to the child’s first day of enrollment. One child with the enrollment date of August 1, 2022, had permission to transport form on file, however the form was dated February 1, 2023-February 1, 2024. The form had expired. Permission to transport must be updated annually. Two (2) children’s files did not have receipt of the facility’s operational policies. Each child’s parent/guardian must sign and date a statement acknowledging the receipt of the facility’s operational policies. Two (2) children’s files did not have documentation of the facility's parent participation plan. Two (2) children’s files did not have documentation of a medical exam or health assessment. Documentation of a medical exam or health assessment must be on file within thirty (30) days of enrollment. The children’s enrollment dates were November 22, 2023, and June 20, 2022. Four (4) children’s files were missing a signed and dated statement showing receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be signed upon enrollment. Please review the rest of your children’s files to make sure all enrollment forms are completed and on file. Please refer to the Children’s Records form I used today to help make corrections and come into compliance. SAFE INDOOR AND OUTDOOR ENVIRONMENT: In the hallway there is a bathroom located to the left of space number five (#5). The children use this bathroom. The door to the bathroom was not securely attached to the door hinges. The door had come off of the top hinge. This is a safety hazard to the children. You stated the door was being fixed on February 23, 2024. The outdoor environment had one (1) blue metal chair with a plastic seat that was eroding. The seat was rough and could cut the children if they sat on it. There was also a broken plastic steering wheel on the playground. There were several napkins scattered all over the outdoor area, please remove these from the playground. You want to consider putting trashcan with a lid outside to help staff and children throw away trash. You removed all items from the playground. This was corrected during the visit. EMERGENCY PREPAREDNESS AND RESPONSE PLAN (EPR): You reviewed your EPR plan with your staff on October 23, 2023, however the plan had not been updated in North Carolina Risk Management Portal at https://rmp.nc.gov/portal/ . The EPR plan should be reviewed annually even if there are no changes. We discussed updating all contact information including updating your child care consultant information. TRANSPORTATION: You provide transportation, however your vehicle you use was not on site. You stated you did not provide transportation today. Please make sure you are in compliance with all transportation requirements. I will assess the vehicle at my next visit. RMINDERS: COHORT (1): Please be aware that your facility is in Cohort one (1) for resuming the NC Start Rated License. Your preparation year will be July 1, 2023, through June 30, 2024. Your reassessment year will be July 1, 2024, through June 30, 2025. To help your facility prepare for the environment rating scale, please review the North Carolina Rated License Assessment Project’s (NCRLAP) website: https://ncrlap.org/ for videos and written resources to help prepare you for the environment rating scale (ERS). You stated you are working with the Partnership for Children of Lenoir and Greene Counties to help you prepare for the ERS assessment. We also discussed making sure all teacher education information is updated in the DCDEE WORKS portal. RESOURCES: CHILD A CARE RULE CHANGES: The Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Consultants will assist as you begin to review and implement the changes, but please note, some of the rule changes may or may not impact your facility. An example is the rules in section .2600 for multi-unit child care center. These rules are specific to child care centers with multiple licensed centers within one building. Please ensure you are using the updated January 2024 rule book, and view information in the DCDEE Moodle (enroll if necessary). You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. PROVIDER ACCESS TO THE BACKGROUND CHECK MANAGEMENT SYSTEMS: Beginning February 1, child care administrators can access the Automated Background Check Management System (ABCMS) This access will allow providers to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. Access to the ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. CHILD CARE HEALTH CONSULTANTS ARE HERE TO HELP: CCHCs are trained to focus on health and safety in the child care environment. This includes illness and infectious disease. As part of their role, CCHCs use the North Carolina Health and Safety Assessment and Encounter Tool (NC HSAET) to guide them while completing classroom assessments. The assessment results can be used to help child care programs plan and take steps to reduce the spread of illnesses. The CCHC can use the NC HSAET to observe: • Diapering • Handwashing • Toileting • Sanitation practices • Exclusion The chart below shows the number of facilities who worked with a CCHC to complete a classroom assessment from July 2022 to June 2023. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: MISS CHARLIE'S CHILD DEVELOPMENT CENTER III Facility ID: 54000286 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 2/22/2024 Number Present: 17 Completed Date: 2/22/2024 Age: From 0 To 4 Total Minutes: 265 Time In: 09:25 AM Time Out: 01:50 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 this facility for compliance with applicable child care requirements during an annual compliance visit. You, B. Teach-Lizzmore, administrator, was present available to assist with today’s visit Your program currently operates with a three-star license issued on July 28, 2017, earning four (4) points in the education component, two (2) points in the program standards component and one (1) quality point for having an administrator who has completed a business training course of at least 30 clock hours. The last annual compliance visit was conducted on March 7, 2023. The sanitation inspection was completed on February 20, 2024, with an “Approved” classification “18” demerits. The fire inspection was completed on January 4, 2024, and the center was approved for daytime care only. The license was posted, and the restrictions were in compliance. Seventeen (17) children from ages six (6) months to four (4) years of age were present during the visit. A walk-through of the facility was completed today. The indoor and outdoor environments were observed. I observed children in the indoor learning environment and engaging in gross-motor play in the outdoor learning environment. Staff/child ratios were in compliance. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Teachers were interacting with the children in a nurturing and positive manner. The children were observed eating the following for lunch: hot dogs, wheat bread, baked beans, pears, and milk. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: 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. The receipt of the NC Summary of Law was missing from one child’s file with an enrollment date of February 19, 2024. GS 110-102 807 A safe indoor and outdoor environment was not provided for the children. The door to the bathroom was not securely attached to the door hinges. The door had come off of the top hinge. In the outdoor play area there was one (1) blue metal chair with a plastic seat that was eroding. The seat was rough and could cut the children if they sat on it. There was also a broken plastic steering wheel on the playground. There were several napkins scattered all over the outdoor area, please remove these items from the playground. 10A NCAC 09 .0601(a) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. One child with the enrollment date of August 1, 2022, had permission to transport form on file, however the form was dated February 1, 2023-February 1, 2024. The form had expired. .1003(i)(j) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Two (2) children’s files did not have receipt of the facility’s operational policies. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Two (2) children’s files did not have documentation of the facility's parent participation plan. 10A NCAC 09 .0515(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Two (2) children’s files did not have documentation of a medical exam or health assessment. The children’s enrollment dates were November 22, 2023, and June 20, 2022. GS 110-91(1);.0302(d)(2); .0304(g) 1821 The EPR Plan did not include the date of the last revision of the plan. You reviewed your EPR plan with your staff on October 23, 2023, however the plan had not been updated in North Carolina Risk Management Portal at https://rmp.nc.gov/portal/ . The plan was last updated on June 13, 2018. .0607(d)(8) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Ms. Platt had documentation of the Health and Safety Trainings with the date of April 15, 2018, however they expired on April 15, 2023. .1103(b) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Four (4) children’s files were missing a signed and dated statement showing receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) 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. The violation(s) documented must be corrected immediately. On or before March 7, 2024. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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 may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with 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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 89%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: Miss Charlies Child Development Center of ENC, LLC is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Miss Charlies Child Development Center of ENC, LLC remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: STAFF AND CHILDREN FILES: Ten (10%) percent of staff files were reviewed today. A. Platts’ file was reviewed today. Ms. Platt had documentation of the Health and Safety Trainings with the date of April 15, 2018, however they expired on April 15, 2023. Health and Safety Trainings need to be completed at least every five (5) years. You can access these trainings via Moodle on the Division of Child Development and Early Education’s (DCDEE) website at https://www.dcdee.moodle.nc.gov/ Ten percent of children’s files were reviewed today. The following items were missing out the children’s files reviewed. The NC Summary of Law was missing from one child’s file with an enrollment date of February 19, 2024. You can access the NC Summary of Law at https://ncchildcare.ncdhhs.gov/. Each child’s parent/guardian must sign and date a statement acknowledging the receipt of NC Summary of Law prior to the child’s first day of enrollment. One child with the enrollment date of August 1, 2022, had permission to transport form on file, however the form was dated February 1, 2023-February 1, 2024. The form had expired. Permission to transport must be updated annually. Two (2) children’s files did not have receipt of the facility’s operational policies. Each child’s parent/guardian must sign and date a statement acknowledging the receipt of the facility’s operational policies. Two (2) children’s files did not have documentation of the facility's parent participation plan. Two (2) children’s files did not have documentation of a medical exam or health assessment. Documentation of a medical exam or health assessment must be on file within thirty (30) days of enrollment. The children’s enrollment dates were November 22, 2023, and June 20, 2022. Four (4) children’s files were missing a signed and dated statement showing receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be signed upon enrollment. Please review the rest of your children’s files to make sure all enrollment forms are completed and on file. Please refer to the Children’s Records form I used today to help make corrections and come into compliance. SAFE INDOOR AND OUTDOOR ENVIRONMENT: In the hallway there is a bathroom located to the left of space number five (#5). The children use this bathroom. The door to the bathroom was not securely attached to the door hinges. The door had come off of the top hinge. This is a safety hazard to the children. You stated the door was being fixed on February 23, 2024. The outdoor environment had one (1) blue metal chair with a plastic seat that was eroding. The seat was rough and could cut the children if they sat on it. There was also a broken plastic steering wheel on the playground. There were several napkins scattered all over the outdoor area, please remove these from the playground. You want to consider putting trashcan with a lid outside to help staff and children throw away trash. You removed all items from the playground. This was corrected during the visit. EMERGENCY PREPAREDNESS AND RESPONSE PLAN (EPR): You reviewed your EPR plan with your staff on October 23, 2023, however the plan had not been updated in North Carolina Risk Management Portal at https://rmp.nc.gov/portal/ . The EPR plan should be reviewed annually even if there are no changes. We discussed updating all contact information including updating your child care consultant information. TRANSPORTATION: You provide transportation, however your vehicle you use was not on site. You stated you did not provide transportation today. Please make sure you are in compliance with all transportation requirements. I will assess the vehicle at my next visit. RMINDERS: COHORT (1): Please be aware that your facility is in Cohort one (1) for resuming the NC Start Rated License. Your preparation year will be July 1, 2023, through June 30, 2024. Your reassessment year will be July 1, 2024, through June 30, 2025. To help your facility prepare for the environment rating scale, please review the North Carolina Rated License Assessment Project’s (NCRLAP) website: https://ncrlap.org/ for videos and written resources to help prepare you for the environment rating scale (ERS). You stated you are working with the Partnership for Children of Lenoir and Greene Counties to help you prepare for the ERS assessment. We also discussed making sure all teacher education information is updated in the DCDEE WORKS portal. RESOURCES: CHILD A CARE RULE CHANGES: The Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Consultants will assist as you begin to review and implement the changes, but please note, some of the rule changes may or may not impact your facility. An example is the rules in section .2600 for multi-unit child care center. These rules are specific to child care centers with multiple licensed centers within one building. Please ensure you are using the updated January 2024 rule book, and view information in the DCDEE Moodle (enroll if necessary). You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. PROVIDER ACCESS TO THE BACKGROUND CHECK MANAGEMENT SYSTEMS: Beginning February 1, child care administrators can access the Automated Background Check Management System (ABCMS) This access will allow providers to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. Access to the ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. CHILD CARE HEALTH CONSULTANTS ARE HERE TO HELP: CCHCs are trained to focus on health and safety in the child care environment. This includes illness and infectious disease. As part of their role, CCHCs use the North Carolina Health and Safety Assessment and Encounter Tool (NC HSAET) to guide them while completing classroom assessments. The assessment results can be used to help child care programs plan and take steps to reduce the spread of illnesses. The CCHC can use the NC HSAET to observe: • Diapering • Handwashing • Toileting • Sanitation practices • Exclusion The chart below shows the number of facilities who worked with a CCHC to complete a classroom assessment from July 2022 to June 2023. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: MISS CHARLIE'S CHILD DEVELOPMENT CENTER III Facility ID: 54000286 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 2/22/2024 Number Present: 17 Completed Date: 2/22/2024 Age: From 0 To 4 Total Minutes: 265 Time In: 09:25 AM Time Out: 01:50 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 this facility for compliance with applicable child care requirements during an annual compliance visit. You, B. Teach-Lizzmore, administrator, was present available to assist with today’s visit Your program currently operates with a three-star license issued on July 28, 2017, earning four (4) points in the education component, two (2) points in the program standards component and one (1) quality point for having an administrator who has completed a business training course of at least 30 clock hours. The last annual compliance visit was conducted on March 7, 2023. The sanitation inspection was completed on February 20, 2024, with an “Approved” classification “18” demerits. The fire inspection was completed on January 4, 2024, and the center was approved for daytime care only. The license was posted, and the restrictions were in compliance. Seventeen (17) children from ages six (6) months to four (4) years of age were present during the visit. A walk-through of the facility was completed today. The indoor and outdoor environments were observed. I observed children in the indoor learning environment and engaging in gross-motor play in the outdoor learning environment. Staff/child ratios were in compliance. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Teachers were interacting with the children in a nurturing and positive manner. The children were observed eating the following for lunch: hot dogs, wheat bread, baked beans, pears, and milk. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: 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. The receipt of the NC Summary of Law was missing from one child’s file with an enrollment date of February 19, 2024. GS 110-102 807 A safe indoor and outdoor environment was not provided for the children. The door to the bathroom was not securely attached to the door hinges. The door had come off of the top hinge. In the outdoor play area there was one (1) blue metal chair with a plastic seat that was eroding. The seat was rough and could cut the children if they sat on it. There was also a broken plastic steering wheel on the playground. There were several napkins scattered all over the outdoor area, please remove these items from the playground. 10A NCAC 09 .0601(a) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. One child with the enrollment date of August 1, 2022, had permission to transport form on file, however the form was dated February 1, 2023-February 1, 2024. The form had expired. .1003(i)(j) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Two (2) children’s files did not have receipt of the facility’s operational policies. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Two (2) children’s files did not have documentation of the facility's parent participation plan. 10A NCAC 09 .0515(a) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Two (2) children’s files did not have documentation of a medical exam or health assessment. The children’s enrollment dates were November 22, 2023, and June 20, 2022. GS 110-91(1);.0302(d)(2); .0304(g) 1821 The EPR Plan did not include the date of the last revision of the plan. You reviewed your EPR plan with your staff on October 23, 2023, however the plan had not been updated in North Carolina Risk Management Portal at https://rmp.nc.gov/portal/ . The plan was last updated on June 13, 2018. .0607(d)(8) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Ms. Platt had documentation of the Health and Safety Trainings with the date of April 15, 2018, however they expired on April 15, 2023. .1103(b) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Four (4) children’s files were missing a signed and dated statement showing receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) 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. The violation(s) documented must be corrected immediately. On or before March 7, 2024. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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 may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with 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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 89%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: Miss Charlies Child Development Center of ENC, LLC is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Miss Charlies Child Development Center of ENC, LLC remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: STAFF AND CHILDREN FILES: Ten (10%) percent of staff files were reviewed today. A. Platts’ file was reviewed today. Ms. Platt had documentation of the Health and Safety Trainings with the date of April 15, 2018, however they expired on April 15, 2023. Health and Safety Trainings need to be completed at least every five (5) years. You can access these trainings via Moodle on the Division of Child Development and Early Education’s (DCDEE) website at https://www.dcdee.moodle.nc.gov/ Ten percent of children’s files were reviewed today. The following items were missing out the children’s files reviewed. The NC Summary of Law was missing from one child’s file with an enrollment date of February 19, 2024. You can access the NC Summary of Law at https://ncchildcare.ncdhhs.gov/. Each child’s parent/guardian must sign and date a statement acknowledging the receipt of NC Summary of Law prior to the child’s first day of enrollment. One child with the enrollment date of August 1, 2022, had permission to transport form on file, however the form was dated February 1, 2023-February 1, 2024. The form had expired. Permission to transport must be updated annually. Two (2) children’s files did not have receipt of the facility’s operational policies. Each child’s parent/guardian must sign and date a statement acknowledging the receipt of the facility’s operational policies. Two (2) children’s files did not have documentation of the facility's parent participation plan. Two (2) children’s files did not have documentation of a medical exam or health assessment. Documentation of a medical exam or health assessment must be on file within thirty (30) days of enrollment. The children’s enrollment dates were November 22, 2023, and June 20, 2022. Four (4) children’s files were missing a signed and dated statement showing receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be signed upon enrollment. Please review the rest of your children’s files to make sure all enrollment forms are completed and on file. Please refer to the Children’s Records form I used today to help make corrections and come into compliance. SAFE INDOOR AND OUTDOOR ENVIRONMENT: In the hallway there is a bathroom located to the left of space number five (#5). The children use this bathroom. The door to the bathroom was not securely attached to the door hinges. The door had come off of the top hinge. This is a safety hazard to the children. You stated the door was being fixed on February 23, 2024. The outdoor environment had one (1) blue metal chair with a plastic seat that was eroding. The seat was rough and could cut the children if they sat on it. There was also a broken plastic steering wheel on the playground. There were several napkins scattered all over the outdoor area, please remove these from the playground. You want to consider putting trashcan with a lid outside to help staff and children throw away trash. You removed all items from the playground. This was corrected during the visit. EMERGENCY PREPAREDNESS AND RESPONSE PLAN (EPR): You reviewed your EPR plan with your staff on October 23, 2023, however the plan had not been updated in North Carolina Risk Management Portal at https://rmp.nc.gov/portal/ . The EPR plan should be reviewed annually even if there are no changes. We discussed updating all contact information including updating your child care consultant information. TRANSPORTATION: You provide transportation, however your vehicle you use was not on site. You stated you did not provide transportation today. Please make sure you are in compliance with all transportation requirements. I will assess the vehicle at my next visit. RMINDERS: COHORT (1): Please be aware that your facility is in Cohort one (1) for resuming the NC Start Rated License. Your preparation year will be July 1, 2023, through June 30, 2024. Your reassessment year will be July 1, 2024, through June 30, 2025. To help your facility prepare for the environment rating scale, please review the North Carolina Rated License Assessment Project’s (NCRLAP) website: https://ncrlap.org/ for videos and written resources to help prepare you for the environment rating scale (ERS). You stated you are working with the Partnership for Children of Lenoir and Greene Counties to help you prepare for the ERS assessment. We also discussed making sure all teacher education information is updated in the DCDEE WORKS portal. RESOURCES: CHILD A CARE RULE CHANGES: The Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Consultants will assist as you begin to review and implement the changes, but please note, some of the rule changes may or may not impact your facility. An example is the rules in section .2600 for multi-unit child care center. These rules are specific to child care centers with multiple licensed centers within one building. Please ensure you are using the updated January 2024 rule book, and view information in the DCDEE Moodle (enroll if necessary). You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. PROVIDER ACCESS TO THE BACKGROUND CHECK MANAGEMENT SYSTEMS: Beginning February 1, child care administrators can access the Automated Background Check Management System (ABCMS) This access will allow providers to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. Access to the ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. CHILD CARE HEALTH CONSULTANTS ARE HERE TO HELP: CCHCs are trained to focus on health and safety in the child care environment. This includes illness and infectious disease. As part of their role, CCHCs use the North Carolina Health and Safety Assessment and Encounter Tool (NC HSAET) to guide them while completing classroom assessments. The assessment results can be used to help child care programs plan and take steps to reduce the spread of illnesses. The CCHC can use the NC HSAET to observe: • Diapering • Handwashing • Toileting • Sanitation practices • Exclusion The chart below shows the number of facilities who worked with a CCHC to complete a classroom assessment from July 2022 to June 2023. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: MISS CHARLIE'S CHILD DEVELOPMENT CENTER III Facility ID: 54000286 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 2/7/2024 Number Present: 17 Completed Date: 2/7/2024 Age: From 0 To 5 Total Minutes: 145 Time In: 09:20 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit. Upon arrival, You, Britany Teach-Lizzmore, Administrator were present and available to assist with today’s visit. Seventeen (17) children from ages eight (8) months old to five (5) years old were present. The children were observed participating in free choice play in centers, engaging in personal care routines. Caregivers were interacting in a positive and nurturing manner with the children. The children were observed eating the following for snack: rice cakes and water. The following child care requirements were monitored: Supervision, Staff/Child Ratio, CPR/First Aid certification, Storage of hazardous substances, storage of medication, adequate/approved space, staff records, program records, license posted, permit restrictions. The Provisional License was posted on the wall next to the parent information board, to the right of the door where parents come in to drop off their children. The Notice of Administrative Action, cover letter, and corrective action plan were posted on the parent information board. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violation was documented today: 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. In space number five (#5) there was an electrical outlet that did not have a protective cover. B. Teach-Lizzmore covered the outlet immediately with a protective cover. 10A NCAC 09 .0604(c) 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. I verified the Notice of Administrative Action was posted in a space visual to parents and visitors. TECHNICAL ASSISTANCE/CONSULTATION: CORPORATION STATUS: You provided me with documentation on January 26, 2024, from the North Carolina Secretary of State showing your corporation Miss Charlie’s Child Development Center of ENC, LLC had been reinstated and has a “Current-Active Status”. Miss Charlie’s Child Development Center of ENC, LLC is listed as the current owner of this facility. The NC Secretary of State website was reviewed on February 7, 2024, Miss Charlie’s Child Development Center of ENC, LLC is listed as current an active. You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occur, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. Please remember your corporation status must always be “Current and Active. Based on this information your license will go from the provisional license issued December 13, 2023, back to a Three Star Rated License provided. SAFETY AND HEALTH (ELECTRICAL OUTLET): In space number five (#5) there was an electrical outlet that did not have a protective electrical outlet cover. You immediately covered the outlet with a protective electrical outlet cover. This was corrected during the visit. SPACE CAPACITY: During this visit you asked me to measure space number one (#1) and space number two (#2) you want to use both rooms as one space. I measured both spaces and will call you and let you know if the space capacity changes. If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: MISS CHARLIE'S CHILD DEVELOPMENT CENTER III Facility ID: 54000286 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 2/7/2024 Number Present: 17 Completed Date: 2/7/2024 Age: From 0 To 5 Total Minutes: 145 Time In: 09:20 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit. Upon arrival, You, Britany Teach-Lizzmore, Administrator were present and available to assist with today’s visit. Seventeen (17) children from ages eight (8) months old to five (5) years old were present. The children were observed participating in free choice play in centers, engaging in personal care routines. Caregivers were interacting in a positive and nurturing manner with the children. The children were observed eating the following for snack: rice cakes and water. The following child care requirements were monitored: Supervision, Staff/Child Ratio, CPR/First Aid certification, Storage of hazardous substances, storage of medication, adequate/approved space, staff records, program records, license posted, permit restrictions. The Provisional License was posted on the wall next to the parent information board, to the right of the door where parents come in to drop off their children. The Notice of Administrative Action, cover letter, and corrective action plan were posted on the parent information board. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violation was documented today: 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. In space number five (#5) there was an electrical outlet that did not have a protective cover. B. Teach-Lizzmore covered the outlet immediately with a protective cover. 10A NCAC 09 .0604(c) 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. I verified the Notice of Administrative Action was posted in a space visual to parents and visitors. TECHNICAL ASSISTANCE/CONSULTATION: CORPORATION STATUS: You provided me with documentation on January 26, 2024, from the North Carolina Secretary of State showing your corporation Miss Charlie’s Child Development Center of ENC, LLC had been reinstated and has a “Current-Active Status”. Miss Charlie’s Child Development Center of ENC, LLC is listed as the current owner of this facility. The NC Secretary of State website was reviewed on February 7, 2024, Miss Charlie’s Child Development Center of ENC, LLC is listed as current an active. You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occur, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. Please remember your corporation status must always be “Current and Active. Based on this information your license will go from the provisional license issued December 13, 2023, back to a Three Star Rated License provided. SAFETY AND HEALTH (ELECTRICAL OUTLET): In space number five (#5) there was an electrical outlet that did not have a protective electrical outlet cover. You immediately covered the outlet with a protective electrical outlet cover. This was corrected during the visit. SPACE CAPACITY: During this visit you asked me to measure space number one (#1) and space number two (#2) you want to use both rooms as one space. I measured both spaces and will call you and let you know if the space capacity changes. If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: MISS CHARLIE'S CHILD DEVELOPMENT CENTER III Facility ID: 54000286 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 10/17/2023 Number Present: 31 Completed Date: 10/17/2023 Age: From 1 To 5 Total Minutes: 275 Time In: 09:55 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during a routine unannounced visit. You, B. Teach-Lizzmore, administrator, was present available to assist with today’s visit Your program currently operates with a three-star license issued on July 28, 2017, earning four (4) points in the education component, two (2) points in the program standards component and one (1) quality point for having an administrator who has completed a business training course of at least 30 clock hours. The last annual compliance visit was conducted on March 7, 2023. The sanitation inspection was completed on August 29, 2023, with an “Approved” classification “17” demerits. The fire inspection was completed on December 21, 2021, and the center was approved for daytime and night-time care. The license was posted, and the restrictions were in compliance. Nine-teen (19) children from ages one (1) to twelve (5) were present during the visit. A walk-through of the facility was completed today. The indoor and outdoor environments were observed. I observed children in the indoor learning environment. Staff/child ratios were in compliance. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Teachers were interacting with the children in a nurturing and positive manner. The children were observed eating the following for lunch: meat ball, mashed potatoes, pineapple, slice of bread, and milk. The following were monitored: Supervision, Staff Child Ratio, First Aid, CPR, ITS SIDS, Special Training, CBC Qualification, Emergency Medical Care Plan, Storage of Hazardous Substances, Administration of Medication, Adequate/Approved Space, Permit Restrictions, and Program Records. One (1) new staff record was reviewed today. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last annual fire inspection was completed on December 21, 2021. 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. The outdoor environment had three blue metal chairs and two pink metal chairs with plastic seats that were eroding. The seats were rough and could cut the children if they sat on them. There was also a scooter that was missing a wheel. You immediately removed the items from the outdoor environment. 10A NCAC 09 .0601(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised .A new employee with a first day of employment date of May 17, 2023, did not have documentation of review of the center’s EMC plan available for review. 10A NCAC 09 .0802(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff member with the first day of employment as May 17, 2023, was missing documentation of orientation. .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. One staff member with the first day of employment as May 17, 2023, did not have documentation of completion of First Aid training within 90 days of employment. All existing staff had a Basic Life Skills card from American Heart Association. Basic Life Skills does not meet the requirements for Adult and Pediatric First Aid. .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 with the first day of employment as May 17, 2023, did not have documentation of completion of CPR training within 90 days of employment. All existing staff had a Basic Life Skills card from American Heart Association. Basic Life Skills does not meet the requirements for Adult and Pediatric CPR. .1102(d) 1230 Personnel policies were not discussed with each staff at employment and a copy was not available to all staff. One staff member with the first day of employment as May 17, 2023, was missing documentation of review of the personnel policies. 10A NCAC 09 .0514(e) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. One staff member with the first day of employment as May 17, 2023, was missing documentation of review of the personnel and operational policies. 10A NCAC 09 .0514(g) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff file with the first day of employment of May 17, 2023, did not have documentation of reviewing the emergency preparedness and response plan during orientation. .0607(f) 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 staff member with the first day of employment as May 17, 2023 did not have documentation of completing the Recognizing and Responding to Suspicions of Child Maltreatment training. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. A staff member with the hire date of December 9, 2013, had documentation of completion of the Maltreatment training dated May 23, 2017. A staff member with the hire date of June 26, 2006, had documentation of completion of the Maltreatment training dated June 4, 2019. Two staff members did not complete the Recognizing and Responding to Suspicions of Child Maltreatment within five (5) years of the documentation on file. .1103(b) 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. The violation(s) documented must be corrected immediately. On or before October 31, 2023. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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 may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with 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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 92%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: You stated you dissolved the previous corporation Miss Charlies Child Development Center of ENC, LLC. You also stated you created a new corporation with a new tax i.d. number, Charlie’s Kids, LLC in the summer of 2022. I was unable to verify this corporation on the Secretary of State website. The Secretary of State website had a system error and could not process my request. I emailed and left a hard copy of the Application for A Child Care License with appendixes D and I. Please fill out these forms and email or mail them to me by October 24, 2023. Contact me if there are any changes to this corporation or the ownership of this facility, prior to making any changes. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: NEW STAFF FILES: One (1) new staff record was reviewed today. One staff member with the first day of employment as May 17, 2023, was missing documentation of orientation. Please remember 16 hours of orientation must be completed within the first 6 weeks of hire. I emailed you the orientation check list. This same staff member was also missing the following: CPR and First Aid documentation within 90 days of employment, documentation of Recognizing and Responding to Suspicions of Child Maltreatment must be completed within 90 days of employment, and there was no documentation of review of the operational policies and the personnel policies. Please remember to use the orientation check list and the staff file check list to help you understand when items are due and which ones need to be completed annually. FIRST AID AND CPR: All employed staff members had a Basic Life Skills card from American Heart Association. Basic Life Skills does not meet the requirements for Adult and Pediatric CPR and First Aid. I emailed you the list of approved CPR and First Aid organizations to help you schedule CPR and Fist Aid for your staff. EMERGENCY PREPAREDNESS AND RESPONSE (EPR) PLAN: One staff file with the first day of employment of April 10, 2023, did not have documentation of reviewing the emergency preparedness and response plan during orientation. Within the first two weeks of employment the EPR plan should be reviewed with all new staff and documented on the orientation documentation form. EMERGENCY MEDICAL CARE (EMC) PLAN: A new employee with a first day of employment date of April 10, 2023, did not have documentation of review of the center’s EMC plan available for review. The EMC should be reviewed during the first two weeks of employment and annually thereafter. ON-GOING TRAINING (RECOGNIZING AND RESPONDING TO SUSPICIONS OF CHILD MALTREATMENT: A staff member with the hire date of December 9, 2013, had documentation of completion of the Maltreatment training dated May 23, 2017. A staff member with the hire date of June 26, 2006, had documentation of completion of the Maltreatment training dated June 4, 2019. Two staff members did not complete the Recognizing and Responding to Suspicions of Child Maltreatment within five (5) years of the documentation on file. Your staff can to the NC Prevent Child Abuse and Neglect website to complete the training at https://preventchildabusenc.org/ . SAFE INDOOR AND OUTDOOR ENVIRONMENT: The outdoor environment had three blue metal chairs and two pink metal chairs with plastic seats that were eroding. The seats were rough and could cut the children if they sat on them. You also had on scooter that was missing a wheel. You immediately removed the items from the outdoor environment. This item was corrected during the visit. ANNUAL INSPECTIONS (FIRE INPSECTION) The last annual fire inspection was completed on December 21, 2021. You stated you have called and left messages requesting a fire inspection. Please continue to call and try and schedule a fire inspection. Once the fire inspection is completed, please submit the original approved report to me within one week of the inspection visit on the form provided by the Division of Child Development and Early Education. RMINDERS: CHILD CARE IMMUNIZATION REPORT 2023-2024: This year's Child Care Immunization Reports are due by midnight on Wednesday, November 1, 2023, and will not be accepted after that date. Failure to submit an annual child care immunization report per G.S. 130A-155 will be reported to the Local Health Director for your county. Submit a report even if no children are attending your child care center or your child care center has closed. This will ensure your center meets the reporting requirement and is not considered delinquent. If you have questions about the Child Care Immunization Report, please email Immunization.Reports@dhhs.nc.gov or call 919-707-5595. MyNCID The N.C. Department of Information Technology will soon begin migrating individual and business NCID accounts to a new system called MyNCID. This modern cloud-based service will enhance security and improve options for self-service. There is no action for you to take currently. Continue to use the NCID portal at https://ncid.nc.gov to register for an NCID account, make a profile change or request assistance such as account unlock. In the coming weeks, you may receive an email prompting you to log in to your migrated account and review your profile information. For more information about this effort, please visit https://it.nc.gov/support/ncid/ncid-citizen-identity-project. IMPROVEMENTS TO CRIMINAL BACKGROUND CHECK PORTAL ON THE WAY: Improvements are coming soon to the ABCMS Portal that DCDEE recently launched to manage child care criminal background checks. ABCMS will soon allow individuals to be associated with the child care program that employ s them. Directors/Administrators will be able to use their NCID business account to see the criminal background check result for each employee. FIRE INSPECTIONS: As a reminder the following child care rule is a requirement, and a violation will be written when a fire inspection is not submitted to your child care consultant within the time period stated below: 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. COHORT (1): Please be aware that your facility is in Cohort one (1) for resuming the NC Start Rated License. Your preparation year will be July 1, 2023, through June 30, 2024. Your reassessment year will be July 1, 2024, through June 30, 2025. To help your facility prepare for the environment rating scale, please review the North Carolina Rated License Assessment Project’s (NCRLAP) website: https://ncrlap.org/ for videos and written resources to help prepare you for the environment rating scale (ERS). We discussed making sure all teacher education information is updated in the DCDEE WORKS portal. You stated you were interested in completing the reassessment this year, once you have everyone’s information updated in DCDEE WORKS. RESOURCES: DCDEE WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, or training. We discussed making sure the four new employees you hired submit any education transcripts to the “WORKS” system, so their education can be evaluated. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please contact the WORKS department if you have questions on what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. EARLY CHILDHOOD EQUIVALENCY EXAM NOW ON DCDEE MOODLE: The North Carolina Early Childhood Equivalency Exam is a new pathway option comparable to a NC Early Childhood Credential. Applicants who achieve a score of 80% or higher on the NC Early Childhood Equivalency Exam earn the new North Carolina Early Childhood Equivalency Certificate. This certificate is equivalent to a North Carolina Early Childhood Credential and will qualify the individual to be a lead teacher in an early childhood classroom. To take the exam, go to DCDEE Moodle and select Early Childhood Professional Development/Child Care and Development Fund (CCDF)/North Carolina Early Childhood Equivalency Exam: https://www.dcdee.moodle.nc.gov/login/index.php NEW SANITATION RULES: DCDEE and the Department of Public Health have received feedback from child care programs that additional guidance would be helpful in implementing the child care sanitation rules that the Public Health Commission readopted effective July 1, 2023. Please know that no demerits will be taken for new requirements of these rules until January 2024. Until then, DPH and DCDEE will work together to make sure NC child care centers have the necessary training, technical assistance, and operational support needed to meet the new requirements. TRAINING MODULES AVAIALABLE IN DCDEE MOODLE: The Division of Child Development and Early Education (DCDEE) is excited to share information about the July 2023 child care rule changes. The Child Care Commission revised rules related to staff/child ratios for multi-age groups; cooperative arrangements; and enhanced space requirements. These rule changes may or may not impact your facility. The multi-age group staff/child ratio changes support a previous rule change submitted by Early Head Start and the new rule for defining cooperative arrangements provides clarification to a previous change in statute. Consultants will assist facilities impacted by the changes to the enhanced space requirements. A summary of the changes can be accessed here, but for specific details regarding these changes, please ensure you are using the updated July 1, 2023, rules, and enroll, if necessary, and view information in the DCDEE Moodle. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle, learn how to navigate Moodle. To access Moodle, you will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, register for an individual NCID at https://ncid.nc.gov/ncidsspr/. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. RESOURCES: • The most current provider documents, forms, checklist, and the new child care rules effective July 1, 2023, can be found on the Division of Child Development and Early’s website at https://ncchildcarencdhhs.gov . CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: MISS CHARLIE'S CHILD DEVELOPMENT CENTER III Facility ID: 54000286 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 10/17/2023 Number Present: 31 Completed Date: 10/17/2023 Age: From 1 To 5 Total Minutes: 275 Time In: 09:55 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during a routine unannounced visit. You, B. Teach-Lizzmore, administrator, was present available to assist with today’s visit Your program currently operates with a three-star license issued on July 28, 2017, earning four (4) points in the education component, two (2) points in the program standards component and one (1) quality point for having an administrator who has completed a business training course of at least 30 clock hours. The last annual compliance visit was conducted on March 7, 2023. The sanitation inspection was completed on August 29, 2023, with an “Approved” classification “17” demerits. The fire inspection was completed on December 21, 2021, and the center was approved for daytime and night-time care. The license was posted, and the restrictions were in compliance. Nine-teen (19) children from ages one (1) to twelve (5) were present during the visit. A walk-through of the facility was completed today. The indoor and outdoor environments were observed. I observed children in the indoor learning environment. Staff/child ratios were in compliance. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Teachers were interacting with the children in a nurturing and positive manner. The children were observed eating the following for lunch: meat ball, mashed potatoes, pineapple, slice of bread, and milk. The following were monitored: Supervision, Staff Child Ratio, First Aid, CPR, ITS SIDS, Special Training, CBC Qualification, Emergency Medical Care Plan, Storage of Hazardous Substances, Administration of Medication, Adequate/Approved Space, Permit Restrictions, and Program Records. One (1) new staff record was reviewed today. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last annual fire inspection was completed on December 21, 2021. 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. The outdoor environment had three blue metal chairs and two pink metal chairs with plastic seats that were eroding. The seats were rough and could cut the children if they sat on them. There was also a scooter that was missing a wheel. You immediately removed the items from the outdoor environment. 10A NCAC 09 .0601(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised .A new employee with a first day of employment date of May 17, 2023, did not have documentation of review of the center’s EMC plan available for review. 10A NCAC 09 .0802(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff member with the first day of employment as May 17, 2023, was missing documentation of orientation. .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. One staff member with the first day of employment as May 17, 2023, did not have documentation of completion of First Aid training within 90 days of employment. All existing staff had a Basic Life Skills card from American Heart Association. Basic Life Skills does not meet the requirements for Adult and Pediatric First Aid. .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 with the first day of employment as May 17, 2023, did not have documentation of completion of CPR training within 90 days of employment. All existing staff had a Basic Life Skills card from American Heart Association. Basic Life Skills does not meet the requirements for Adult and Pediatric CPR. .1102(d) 1230 Personnel policies were not discussed with each staff at employment and a copy was not available to all staff. One staff member with the first day of employment as May 17, 2023, was missing documentation of review of the personnel policies. 10A NCAC 09 .0514(e) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. One staff member with the first day of employment as May 17, 2023, was missing documentation of review of the personnel and operational policies. 10A NCAC 09 .0514(g) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff file with the first day of employment of May 17, 2023, did not have documentation of reviewing the emergency preparedness and response plan during orientation. .0607(f) 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 staff member with the first day of employment as May 17, 2023 did not have documentation of completing the Recognizing and Responding to Suspicions of Child Maltreatment training. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. A staff member with the hire date of December 9, 2013, had documentation of completion of the Maltreatment training dated May 23, 2017. A staff member with the hire date of June 26, 2006, had documentation of completion of the Maltreatment training dated June 4, 2019. Two staff members did not complete the Recognizing and Responding to Suspicions of Child Maltreatment within five (5) years of the documentation on file. .1103(b) 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. The violation(s) documented must be corrected immediately. On or before October 31, 2023. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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 may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with 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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 92%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: You stated you dissolved the previous corporation Miss Charlies Child Development Center of ENC, LLC. You also stated you created a new corporation with a new tax i.d. number, Charlie’s Kids, LLC in the summer of 2022. I was unable to verify this corporation on the Secretary of State website. The Secretary of State website had a system error and could not process my request. I emailed and left a hard copy of the Application for A Child Care License with appendixes D and I. Please fill out these forms and email or mail them to me by October 24, 2023. Contact me if there are any changes to this corporation or the ownership of this facility, prior to making any changes. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: NEW STAFF FILES: One (1) new staff record was reviewed today. One staff member with the first day of employment as May 17, 2023, was missing documentation of orientation. Please remember 16 hours of orientation must be completed within the first 6 weeks of hire. I emailed you the orientation check list. This same staff member was also missing the following: CPR and First Aid documentation within 90 days of employment, documentation of Recognizing and Responding to Suspicions of Child Maltreatment must be completed within 90 days of employment, and there was no documentation of review of the operational policies and the personnel policies. Please remember to use the orientation check list and the staff file check list to help you understand when items are due and which ones need to be completed annually. FIRST AID AND CPR: All employed staff members had a Basic Life Skills card from American Heart Association. Basic Life Skills does not meet the requirements for Adult and Pediatric CPR and First Aid. I emailed you the list of approved CPR and First Aid organizations to help you schedule CPR and Fist Aid for your staff. EMERGENCY PREPAREDNESS AND RESPONSE (EPR) PLAN: One staff file with the first day of employment of April 10, 2023, did not have documentation of reviewing the emergency preparedness and response plan during orientation. Within the first two weeks of employment the EPR plan should be reviewed with all new staff and documented on the orientation documentation form. EMERGENCY MEDICAL CARE (EMC) PLAN: A new employee with a first day of employment date of April 10, 2023, did not have documentation of review of the center’s EMC plan available for review. The EMC should be reviewed during the first two weeks of employment and annually thereafter. ON-GOING TRAINING (RECOGNIZING AND RESPONDING TO SUSPICIONS OF CHILD MALTREATMENT: A staff member with the hire date of December 9, 2013, had documentation of completion of the Maltreatment training dated May 23, 2017. A staff member with the hire date of June 26, 2006, had documentation of completion of the Maltreatment training dated June 4, 2019. Two staff members did not complete the Recognizing and Responding to Suspicions of Child Maltreatment within five (5) years of the documentation on file. Your staff can to the NC Prevent Child Abuse and Neglect website to complete the training at https://preventchildabusenc.org/ . SAFE INDOOR AND OUTDOOR ENVIRONMENT: The outdoor environment had three blue metal chairs and two pink metal chairs with plastic seats that were eroding. The seats were rough and could cut the children if they sat on them. You also had on scooter that was missing a wheel. You immediately removed the items from the outdoor environment. This item was corrected during the visit. ANNUAL INSPECTIONS (FIRE INPSECTION) The last annual fire inspection was completed on December 21, 2021. You stated you have called and left messages requesting a fire inspection. Please continue to call and try and schedule a fire inspection. Once the fire inspection is completed, please submit the original approved report to me within one week of the inspection visit on the form provided by the Division of Child Development and Early Education. RMINDERS: CHILD CARE IMMUNIZATION REPORT 2023-2024: This year's Child Care Immunization Reports are due by midnight on Wednesday, November 1, 2023, and will not be accepted after that date. Failure to submit an annual child care immunization report per G.S. 130A-155 will be reported to the Local Health Director for your county. Submit a report even if no children are attending your child care center or your child care center has closed. This will ensure your center meets the reporting requirement and is not considered delinquent. If you have questions about the Child Care Immunization Report, please email Immunization.Reports@dhhs.nc.gov or call 919-707-5595. MyNCID The N.C. Department of Information Technology will soon begin migrating individual and business NCID accounts to a new system called MyNCID. This modern cloud-based service will enhance security and improve options for self-service. There is no action for you to take currently. Continue to use the NCID portal at https://ncid.nc.gov to register for an NCID account, make a profile change or request assistance such as account unlock. In the coming weeks, you may receive an email prompting you to log in to your migrated account and review your profile information. For more information about this effort, please visit https://it.nc.gov/support/ncid/ncid-citizen-identity-project. IMPROVEMENTS TO CRIMINAL BACKGROUND CHECK PORTAL ON THE WAY: Improvements are coming soon to the ABCMS Portal that DCDEE recently launched to manage child care criminal background checks. ABCMS will soon allow individuals to be associated with the child care program that employ s them. Directors/Administrators will be able to use their NCID business account to see the criminal background check result for each employee. FIRE INSPECTIONS: As a reminder the following child care rule is a requirement, and a violation will be written when a fire inspection is not submitted to your child care consultant within the time period stated below: 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. COHORT (1): Please be aware that your facility is in Cohort one (1) for resuming the NC Start Rated License. Your preparation year will be July 1, 2023, through June 30, 2024. Your reassessment year will be July 1, 2024, through June 30, 2025. To help your facility prepare for the environment rating scale, please review the North Carolina Rated License Assessment Project’s (NCRLAP) website: https://ncrlap.org/ for videos and written resources to help prepare you for the environment rating scale (ERS). We discussed making sure all teacher education information is updated in the DCDEE WORKS portal. You stated you were interested in completing the reassessment this year, once you have everyone’s information updated in DCDEE WORKS. RESOURCES: DCDEE WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, or training. We discussed making sure the four new employees you hired submit any education transcripts to the “WORKS” system, so their education can be evaluated. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please contact the WORKS department if you have questions on what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. EARLY CHILDHOOD EQUIVALENCY EXAM NOW ON DCDEE MOODLE: The North Carolina Early Childhood Equivalency Exam is a new pathway option comparable to a NC Early Childhood Credential. Applicants who achieve a score of 80% or higher on the NC Early Childhood Equivalency Exam earn the new North Carolina Early Childhood Equivalency Certificate. This certificate is equivalent to a North Carolina Early Childhood Credential and will qualify the individual to be a lead teacher in an early childhood classroom. To take the exam, go to DCDEE Moodle and select Early Childhood Professional Development/Child Care and Development Fund (CCDF)/North Carolina Early Childhood Equivalency Exam: https://www.dcdee.moodle.nc.gov/login/index.php NEW SANITATION RULES: DCDEE and the Department of Public Health have received feedback from child care programs that additional guidance would be helpful in implementing the child care sanitation rules that the Public Health Commission readopted effective July 1, 2023. Please know that no demerits will be taken for new requirements of these rules until January 2024. Until then, DPH and DCDEE will work together to make sure NC child care centers have the necessary training, technical assistance, and operational support needed to meet the new requirements. TRAINING MODULES AVAIALABLE IN DCDEE MOODLE: The Division of Child Development and Early Education (DCDEE) is excited to share information about the July 2023 child care rule changes. The Child Care Commission revised rules related to staff/child ratios for multi-age groups; cooperative arrangements; and enhanced space requirements. These rule changes may or may not impact your facility. The multi-age group staff/child ratio changes support a previous rule change submitted by Early Head Start and the new rule for defining cooperative arrangements provides clarification to a previous change in statute. Consultants will assist facilities impacted by the changes to the enhanced space requirements. A summary of the changes can be accessed here, but for specific details regarding these changes, please ensure you are using the updated July 1, 2023, rules, and enroll, if necessary, and view information in the DCDEE Moodle. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle, learn how to navigate Moodle. To access Moodle, you will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, register for an individual NCID at https://ncid.nc.gov/ncidsspr/. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. RESOURCES: • The most current provider documents, forms, checklist, and the new child care rules effective July 1, 2023, can be found on the Division of Child Development and Early’s website at https://ncchildcarencdhhs.gov . CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0514 · Violation

Name of Operation: MISS CHARLIE'S CHILD DEVELOPMENT CENTER III Facility ID: 54000286 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 10/17/2023 Number Present: 31 Completed Date: 10/17/2023 Age: From 1 To 5 Total Minutes: 275 Time In: 09:55 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during a routine unannounced visit. You, B. Teach-Lizzmore, administrator, was present available to assist with today’s visit Your program currently operates with a three-star license issued on July 28, 2017, earning four (4) points in the education component, two (2) points in the program standards component and one (1) quality point for having an administrator who has completed a business training course of at least 30 clock hours. The last annual compliance visit was conducted on March 7, 2023. The sanitation inspection was completed on August 29, 2023, with an “Approved” classification “17” demerits. The fire inspection was completed on December 21, 2021, and the center was approved for daytime and night-time care. The license was posted, and the restrictions were in compliance. Nine-teen (19) children from ages one (1) to twelve (5) were present during the visit. A walk-through of the facility was completed today. The indoor and outdoor environments were observed. I observed children in the indoor learning environment. Staff/child ratios were in compliance. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Teachers were interacting with the children in a nurturing and positive manner. The children were observed eating the following for lunch: meat ball, mashed potatoes, pineapple, slice of bread, and milk. The following were monitored: Supervision, Staff Child Ratio, First Aid, CPR, ITS SIDS, Special Training, CBC Qualification, Emergency Medical Care Plan, Storage of Hazardous Substances, Administration of Medication, Adequate/Approved Space, Permit Restrictions, and Program Records. One (1) new staff record was reviewed today. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last annual fire inspection was completed on December 21, 2021. 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. The outdoor environment had three blue metal chairs and two pink metal chairs with plastic seats that were eroding. The seats were rough and could cut the children if they sat on them. There was also a scooter that was missing a wheel. You immediately removed the items from the outdoor environment. 10A NCAC 09 .0601(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised .A new employee with a first day of employment date of May 17, 2023, did not have documentation of review of the center’s EMC plan available for review. 10A NCAC 09 .0802(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff member with the first day of employment as May 17, 2023, was missing documentation of orientation. .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. One staff member with the first day of employment as May 17, 2023, did not have documentation of completion of First Aid training within 90 days of employment. All existing staff had a Basic Life Skills card from American Heart Association. Basic Life Skills does not meet the requirements for Adult and Pediatric First Aid. .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 with the first day of employment as May 17, 2023, did not have documentation of completion of CPR training within 90 days of employment. All existing staff had a Basic Life Skills card from American Heart Association. Basic Life Skills does not meet the requirements for Adult and Pediatric CPR. .1102(d) 1230 Personnel policies were not discussed with each staff at employment and a copy was not available to all staff. One staff member with the first day of employment as May 17, 2023, was missing documentation of review of the personnel policies. 10A NCAC 09 .0514(e) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. One staff member with the first day of employment as May 17, 2023, was missing documentation of review of the personnel and operational policies. 10A NCAC 09 .0514(g) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff file with the first day of employment of May 17, 2023, did not have documentation of reviewing the emergency preparedness and response plan during orientation. .0607(f) 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 staff member with the first day of employment as May 17, 2023 did not have documentation of completing the Recognizing and Responding to Suspicions of Child Maltreatment training. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. A staff member with the hire date of December 9, 2013, had documentation of completion of the Maltreatment training dated May 23, 2017. A staff member with the hire date of June 26, 2006, had documentation of completion of the Maltreatment training dated June 4, 2019. Two staff members did not complete the Recognizing and Responding to Suspicions of Child Maltreatment within five (5) years of the documentation on file. .1103(b) 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. The violation(s) documented must be corrected immediately. On or before October 31, 2023. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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 may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with 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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 92%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: You stated you dissolved the previous corporation Miss Charlies Child Development Center of ENC, LLC. You also stated you created a new corporation with a new tax i.d. number, Charlie’s Kids, LLC in the summer of 2022. I was unable to verify this corporation on the Secretary of State website. The Secretary of State website had a system error and could not process my request. I emailed and left a hard copy of the Application for A Child Care License with appendixes D and I. Please fill out these forms and email or mail them to me by October 24, 2023. Contact me if there are any changes to this corporation or the ownership of this facility, prior to making any changes. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: NEW STAFF FILES: One (1) new staff record was reviewed today. One staff member with the first day of employment as May 17, 2023, was missing documentation of orientation. Please remember 16 hours of orientation must be completed within the first 6 weeks of hire. I emailed you the orientation check list. This same staff member was also missing the following: CPR and First Aid documentation within 90 days of employment, documentation of Recognizing and Responding to Suspicions of Child Maltreatment must be completed within 90 days of employment, and there was no documentation of review of the operational policies and the personnel policies. Please remember to use the orientation check list and the staff file check list to help you understand when items are due and which ones need to be completed annually. FIRST AID AND CPR: All employed staff members had a Basic Life Skills card from American Heart Association. Basic Life Skills does not meet the requirements for Adult and Pediatric CPR and First Aid. I emailed you the list of approved CPR and First Aid organizations to help you schedule CPR and Fist Aid for your staff. EMERGENCY PREPAREDNESS AND RESPONSE (EPR) PLAN: One staff file with the first day of employment of April 10, 2023, did not have documentation of reviewing the emergency preparedness and response plan during orientation. Within the first two weeks of employment the EPR plan should be reviewed with all new staff and documented on the orientation documentation form. EMERGENCY MEDICAL CARE (EMC) PLAN: A new employee with a first day of employment date of April 10, 2023, did not have documentation of review of the center’s EMC plan available for review. The EMC should be reviewed during the first two weeks of employment and annually thereafter. ON-GOING TRAINING (RECOGNIZING AND RESPONDING TO SUSPICIONS OF CHILD MALTREATMENT: A staff member with the hire date of December 9, 2013, had documentation of completion of the Maltreatment training dated May 23, 2017. A staff member with the hire date of June 26, 2006, had documentation of completion of the Maltreatment training dated June 4, 2019. Two staff members did not complete the Recognizing and Responding to Suspicions of Child Maltreatment within five (5) years of the documentation on file. Your staff can to the NC Prevent Child Abuse and Neglect website to complete the training at https://preventchildabusenc.org/ . SAFE INDOOR AND OUTDOOR ENVIRONMENT: The outdoor environment had three blue metal chairs and two pink metal chairs with plastic seats that were eroding. The seats were rough and could cut the children if they sat on them. You also had on scooter that was missing a wheel. You immediately removed the items from the outdoor environment. This item was corrected during the visit. ANNUAL INSPECTIONS (FIRE INPSECTION) The last annual fire inspection was completed on December 21, 2021. You stated you have called and left messages requesting a fire inspection. Please continue to call and try and schedule a fire inspection. Once the fire inspection is completed, please submit the original approved report to me within one week of the inspection visit on the form provided by the Division of Child Development and Early Education. RMINDERS: CHILD CARE IMMUNIZATION REPORT 2023-2024: This year's Child Care Immunization Reports are due by midnight on Wednesday, November 1, 2023, and will not be accepted after that date. Failure to submit an annual child care immunization report per G.S. 130A-155 will be reported to the Local Health Director for your county. Submit a report even if no children are attending your child care center or your child care center has closed. This will ensure your center meets the reporting requirement and is not considered delinquent. If you have questions about the Child Care Immunization Report, please email Immunization.Reports@dhhs.nc.gov or call 919-707-5595. MyNCID The N.C. Department of Information Technology will soon begin migrating individual and business NCID accounts to a new system called MyNCID. This modern cloud-based service will enhance security and improve options for self-service. There is no action for you to take currently. Continue to use the NCID portal at https://ncid.nc.gov to register for an NCID account, make a profile change or request assistance such as account unlock. In the coming weeks, you may receive an email prompting you to log in to your migrated account and review your profile information. For more information about this effort, please visit https://it.nc.gov/support/ncid/ncid-citizen-identity-project. IMPROVEMENTS TO CRIMINAL BACKGROUND CHECK PORTAL ON THE WAY: Improvements are coming soon to the ABCMS Portal that DCDEE recently launched to manage child care criminal background checks. ABCMS will soon allow individuals to be associated with the child care program that employ s them. Directors/Administrators will be able to use their NCID business account to see the criminal background check result for each employee. FIRE INSPECTIONS: As a reminder the following child care rule is a requirement, and a violation will be written when a fire inspection is not submitted to your child care consultant within the time period stated below: 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. COHORT (1): Please be aware that your facility is in Cohort one (1) for resuming the NC Start Rated License. Your preparation year will be July 1, 2023, through June 30, 2024. Your reassessment year will be July 1, 2024, through June 30, 2025. To help your facility prepare for the environment rating scale, please review the North Carolina Rated License Assessment Project’s (NCRLAP) website: https://ncrlap.org/ for videos and written resources to help prepare you for the environment rating scale (ERS). We discussed making sure all teacher education information is updated in the DCDEE WORKS portal. You stated you were interested in completing the reassessment this year, once you have everyone’s information updated in DCDEE WORKS. RESOURCES: DCDEE WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, or training. We discussed making sure the four new employees you hired submit any education transcripts to the “WORKS” system, so their education can be evaluated. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please contact the WORKS department if you have questions on what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. EARLY CHILDHOOD EQUIVALENCY EXAM NOW ON DCDEE MOODLE: The North Carolina Early Childhood Equivalency Exam is a new pathway option comparable to a NC Early Childhood Credential. Applicants who achieve a score of 80% or higher on the NC Early Childhood Equivalency Exam earn the new North Carolina Early Childhood Equivalency Certificate. This certificate is equivalent to a North Carolina Early Childhood Credential and will qualify the individual to be a lead teacher in an early childhood classroom. To take the exam, go to DCDEE Moodle and select Early Childhood Professional Development/Child Care and Development Fund (CCDF)/North Carolina Early Childhood Equivalency Exam: https://www.dcdee.moodle.nc.gov/login/index.php NEW SANITATION RULES: DCDEE and the Department of Public Health have received feedback from child care programs that additional guidance would be helpful in implementing the child care sanitation rules that the Public Health Commission readopted effective July 1, 2023. Please know that no demerits will be taken for new requirements of these rules until January 2024. Until then, DPH and DCDEE will work together to make sure NC child care centers have the necessary training, technical assistance, and operational support needed to meet the new requirements. TRAINING MODULES AVAIALABLE IN DCDEE MOODLE: The Division of Child Development and Early Education (DCDEE) is excited to share information about the July 2023 child care rule changes. The Child Care Commission revised rules related to staff/child ratios for multi-age groups; cooperative arrangements; and enhanced space requirements. These rule changes may or may not impact your facility. The multi-age group staff/child ratio changes support a previous rule change submitted by Early Head Start and the new rule for defining cooperative arrangements provides clarification to a previous change in statute. Consultants will assist facilities impacted by the changes to the enhanced space requirements. A summary of the changes can be accessed here, but for specific details regarding these changes, please ensure you are using the updated July 1, 2023, rules, and enroll, if necessary, and view information in the DCDEE Moodle. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle, learn how to navigate Moodle. To access Moodle, you will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, register for an individual NCID at https://ncid.nc.gov/ncidsspr/. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. RESOURCES: • The most current provider documents, forms, checklist, and the new child care rules effective July 1, 2023, can be found on the Division of Child Development and Early’s website at https://ncchildcarencdhhs.gov . CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: MISS CHARLIE'S CHILD DEVELOPMENT CENTER III Facility ID: 54000286 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 10/17/2023 Number Present: 31 Completed Date: 10/17/2023 Age: From 1 To 5 Total Minutes: 275 Time In: 09:55 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during a routine unannounced visit. You, B. Teach-Lizzmore, administrator, was present available to assist with today’s visit Your program currently operates with a three-star license issued on July 28, 2017, earning four (4) points in the education component, two (2) points in the program standards component and one (1) quality point for having an administrator who has completed a business training course of at least 30 clock hours. The last annual compliance visit was conducted on March 7, 2023. The sanitation inspection was completed on August 29, 2023, with an “Approved” classification “17” demerits. The fire inspection was completed on December 21, 2021, and the center was approved for daytime and night-time care. The license was posted, and the restrictions were in compliance. Nine-teen (19) children from ages one (1) to twelve (5) were present during the visit. A walk-through of the facility was completed today. The indoor and outdoor environments were observed. I observed children in the indoor learning environment. Staff/child ratios were in compliance. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Teachers were interacting with the children in a nurturing and positive manner. The children were observed eating the following for lunch: meat ball, mashed potatoes, pineapple, slice of bread, and milk. The following were monitored: Supervision, Staff Child Ratio, First Aid, CPR, ITS SIDS, Special Training, CBC Qualification, Emergency Medical Care Plan, Storage of Hazardous Substances, Administration of Medication, Adequate/Approved Space, Permit Restrictions, and Program Records. One (1) new staff record was reviewed today. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last annual fire inspection was completed on December 21, 2021. 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. The outdoor environment had three blue metal chairs and two pink metal chairs with plastic seats that were eroding. The seats were rough and could cut the children if they sat on them. There was also a scooter that was missing a wheel. You immediately removed the items from the outdoor environment. 10A NCAC 09 .0601(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised .A new employee with a first day of employment date of May 17, 2023, did not have documentation of review of the center’s EMC plan available for review. 10A NCAC 09 .0802(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff member with the first day of employment as May 17, 2023, was missing documentation of orientation. .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. One staff member with the first day of employment as May 17, 2023, did not have documentation of completion of First Aid training within 90 days of employment. All existing staff had a Basic Life Skills card from American Heart Association. Basic Life Skills does not meet the requirements for Adult and Pediatric First Aid. .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 with the first day of employment as May 17, 2023, did not have documentation of completion of CPR training within 90 days of employment. All existing staff had a Basic Life Skills card from American Heart Association. Basic Life Skills does not meet the requirements for Adult and Pediatric CPR. .1102(d) 1230 Personnel policies were not discussed with each staff at employment and a copy was not available to all staff. One staff member with the first day of employment as May 17, 2023, was missing documentation of review of the personnel policies. 10A NCAC 09 .0514(e) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. One staff member with the first day of employment as May 17, 2023, was missing documentation of review of the personnel and operational policies. 10A NCAC 09 .0514(g) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff file with the first day of employment of May 17, 2023, did not have documentation of reviewing the emergency preparedness and response plan during orientation. .0607(f) 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 staff member with the first day of employment as May 17, 2023 did not have documentation of completing the Recognizing and Responding to Suspicions of Child Maltreatment training. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. A staff member with the hire date of December 9, 2013, had documentation of completion of the Maltreatment training dated May 23, 2017. A staff member with the hire date of June 26, 2006, had documentation of completion of the Maltreatment training dated June 4, 2019. Two staff members did not complete the Recognizing and Responding to Suspicions of Child Maltreatment within five (5) years of the documentation on file. .1103(b) 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. The violation(s) documented must be corrected immediately. On or before October 31, 2023. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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 may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with 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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 92%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: You stated you dissolved the previous corporation Miss Charlies Child Development Center of ENC, LLC. You also stated you created a new corporation with a new tax i.d. number, Charlie’s Kids, LLC in the summer of 2022. I was unable to verify this corporation on the Secretary of State website. The Secretary of State website had a system error and could not process my request. I emailed and left a hard copy of the Application for A Child Care License with appendixes D and I. Please fill out these forms and email or mail them to me by October 24, 2023. Contact me if there are any changes to this corporation or the ownership of this facility, prior to making any changes. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: NEW STAFF FILES: One (1) new staff record was reviewed today. One staff member with the first day of employment as May 17, 2023, was missing documentation of orientation. Please remember 16 hours of orientation must be completed within the first 6 weeks of hire. I emailed you the orientation check list. This same staff member was also missing the following: CPR and First Aid documentation within 90 days of employment, documentation of Recognizing and Responding to Suspicions of Child Maltreatment must be completed within 90 days of employment, and there was no documentation of review of the operational policies and the personnel policies. Please remember to use the orientation check list and the staff file check list to help you understand when items are due and which ones need to be completed annually. FIRST AID AND CPR: All employed staff members had a Basic Life Skills card from American Heart Association. Basic Life Skills does not meet the requirements for Adult and Pediatric CPR and First Aid. I emailed you the list of approved CPR and First Aid organizations to help you schedule CPR and Fist Aid for your staff. EMERGENCY PREPAREDNESS AND RESPONSE (EPR) PLAN: One staff file with the first day of employment of April 10, 2023, did not have documentation of reviewing the emergency preparedness and response plan during orientation. Within the first two weeks of employment the EPR plan should be reviewed with all new staff and documented on the orientation documentation form. EMERGENCY MEDICAL CARE (EMC) PLAN: A new employee with a first day of employment date of April 10, 2023, did not have documentation of review of the center’s EMC plan available for review. The EMC should be reviewed during the first two weeks of employment and annually thereafter. ON-GOING TRAINING (RECOGNIZING AND RESPONDING TO SUSPICIONS OF CHILD MALTREATMENT: A staff member with the hire date of December 9, 2013, had documentation of completion of the Maltreatment training dated May 23, 2017. A staff member with the hire date of June 26, 2006, had documentation of completion of the Maltreatment training dated June 4, 2019. Two staff members did not complete the Recognizing and Responding to Suspicions of Child Maltreatment within five (5) years of the documentation on file. Your staff can to the NC Prevent Child Abuse and Neglect website to complete the training at https://preventchildabusenc.org/ . SAFE INDOOR AND OUTDOOR ENVIRONMENT: The outdoor environment had three blue metal chairs and two pink metal chairs with plastic seats that were eroding. The seats were rough and could cut the children if they sat on them. You also had on scooter that was missing a wheel. You immediately removed the items from the outdoor environment. This item was corrected during the visit. ANNUAL INSPECTIONS (FIRE INPSECTION) The last annual fire inspection was completed on December 21, 2021. You stated you have called and left messages requesting a fire inspection. Please continue to call and try and schedule a fire inspection. Once the fire inspection is completed, please submit the original approved report to me within one week of the inspection visit on the form provided by the Division of Child Development and Early Education. RMINDERS: CHILD CARE IMMUNIZATION REPORT 2023-2024: This year's Child Care Immunization Reports are due by midnight on Wednesday, November 1, 2023, and will not be accepted after that date. Failure to submit an annual child care immunization report per G.S. 130A-155 will be reported to the Local Health Director for your county. Submit a report even if no children are attending your child care center or your child care center has closed. This will ensure your center meets the reporting requirement and is not considered delinquent. If you have questions about the Child Care Immunization Report, please email Immunization.Reports@dhhs.nc.gov or call 919-707-5595. MyNCID The N.C. Department of Information Technology will soon begin migrating individual and business NCID accounts to a new system called MyNCID. This modern cloud-based service will enhance security and improve options for self-service. There is no action for you to take currently. Continue to use the NCID portal at https://ncid.nc.gov to register for an NCID account, make a profile change or request assistance such as account unlock. In the coming weeks, you may receive an email prompting you to log in to your migrated account and review your profile information. For more information about this effort, please visit https://it.nc.gov/support/ncid/ncid-citizen-identity-project. IMPROVEMENTS TO CRIMINAL BACKGROUND CHECK PORTAL ON THE WAY: Improvements are coming soon to the ABCMS Portal that DCDEE recently launched to manage child care criminal background checks. ABCMS will soon allow individuals to be associated with the child care program that employ s them. Directors/Administrators will be able to use their NCID business account to see the criminal background check result for each employee. FIRE INSPECTIONS: As a reminder the following child care rule is a requirement, and a violation will be written when a fire inspection is not submitted to your child care consultant within the time period stated below: 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. COHORT (1): Please be aware that your facility is in Cohort one (1) for resuming the NC Start Rated License. Your preparation year will be July 1, 2023, through June 30, 2024. Your reassessment year will be July 1, 2024, through June 30, 2025. To help your facility prepare for the environment rating scale, please review the North Carolina Rated License Assessment Project’s (NCRLAP) website: https://ncrlap.org/ for videos and written resources to help prepare you for the environment rating scale (ERS). We discussed making sure all teacher education information is updated in the DCDEE WORKS portal. You stated you were interested in completing the reassessment this year, once you have everyone’s information updated in DCDEE WORKS. RESOURCES: DCDEE WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, or training. We discussed making sure the four new employees you hired submit any education transcripts to the “WORKS” system, so their education can be evaluated. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please contact the WORKS department if you have questions on what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. EARLY CHILDHOOD EQUIVALENCY EXAM NOW ON DCDEE MOODLE: The North Carolina Early Childhood Equivalency Exam is a new pathway option comparable to a NC Early Childhood Credential. Applicants who achieve a score of 80% or higher on the NC Early Childhood Equivalency Exam earn the new North Carolina Early Childhood Equivalency Certificate. This certificate is equivalent to a North Carolina Early Childhood Credential and will qualify the individual to be a lead teacher in an early childhood classroom. To take the exam, go to DCDEE Moodle and select Early Childhood Professional Development/Child Care and Development Fund (CCDF)/North Carolina Early Childhood Equivalency Exam: https://www.dcdee.moodle.nc.gov/login/index.php NEW SANITATION RULES: DCDEE and the Department of Public Health have received feedback from child care programs that additional guidance would be helpful in implementing the child care sanitation rules that the Public Health Commission readopted effective July 1, 2023. Please know that no demerits will be taken for new requirements of these rules until January 2024. Until then, DPH and DCDEE will work together to make sure NC child care centers have the necessary training, technical assistance, and operational support needed to meet the new requirements. TRAINING MODULES AVAIALABLE IN DCDEE MOODLE: The Division of Child Development and Early Education (DCDEE) is excited to share information about the July 2023 child care rule changes. The Child Care Commission revised rules related to staff/child ratios for multi-age groups; cooperative arrangements; and enhanced space requirements. These rule changes may or may not impact your facility. The multi-age group staff/child ratio changes support a previous rule change submitted by Early Head Start and the new rule for defining cooperative arrangements provides clarification to a previous change in statute. Consultants will assist facilities impacted by the changes to the enhanced space requirements. A summary of the changes can be accessed here, but for specific details regarding these changes, please ensure you are using the updated July 1, 2023, rules, and enroll, if necessary, and view information in the DCDEE Moodle. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle, learn how to navigate Moodle. To access Moodle, you will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, register for an individual NCID at https://ncid.nc.gov/ncidsspr/. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. RESOURCES: • The most current provider documents, forms, checklist, and the new child care rules effective July 1, 2023, can be found on the Division of Child Development and Early’s website at https://ncchildcarencdhhs.gov . CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: MISS CHARLIE'S CHILD DEVELOPMENT CENTER III Facility ID: 54000286 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 10/17/2023 Number Present: 31 Completed Date: 10/17/2023 Age: From 1 To 5 Total Minutes: 275 Time In: 09:55 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during a routine unannounced visit. You, B. Teach-Lizzmore, administrator, was present available to assist with today’s visit Your program currently operates with a three-star license issued on July 28, 2017, earning four (4) points in the education component, two (2) points in the program standards component and one (1) quality point for having an administrator who has completed a business training course of at least 30 clock hours. The last annual compliance visit was conducted on March 7, 2023. The sanitation inspection was completed on August 29, 2023, with an “Approved” classification “17” demerits. The fire inspection was completed on December 21, 2021, and the center was approved for daytime and night-time care. The license was posted, and the restrictions were in compliance. Nine-teen (19) children from ages one (1) to twelve (5) were present during the visit. A walk-through of the facility was completed today. The indoor and outdoor environments were observed. I observed children in the indoor learning environment. Staff/child ratios were in compliance. Children throughout the facility were participating in free play in activity areas, transitions, and personal care routines. Teachers were interacting with the children in a nurturing and positive manner. The children were observed eating the following for lunch: meat ball, mashed potatoes, pineapple, slice of bread, and milk. The following were monitored: Supervision, Staff Child Ratio, First Aid, CPR, ITS SIDS, Special Training, CBC Qualification, Emergency Medical Care Plan, Storage of Hazardous Substances, Administration of Medication, Adequate/Approved Space, Permit Restrictions, and Program Records. One (1) new staff record was reviewed today. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last annual fire inspection was completed on December 21, 2021. 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. The outdoor environment had three blue metal chairs and two pink metal chairs with plastic seats that were eroding. The seats were rough and could cut the children if they sat on them. There was also a scooter that was missing a wheel. You immediately removed the items from the outdoor environment. 10A NCAC 09 .0601(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised .A new employee with a first day of employment date of May 17, 2023, did not have documentation of review of the center’s EMC plan available for review. 10A NCAC 09 .0802(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff member with the first day of employment as May 17, 2023, was missing documentation of orientation. .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. One staff member with the first day of employment as May 17, 2023, did not have documentation of completion of First Aid training within 90 days of employment. All existing staff had a Basic Life Skills card from American Heart Association. Basic Life Skills does not meet the requirements for Adult and Pediatric First Aid. .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 with the first day of employment as May 17, 2023, did not have documentation of completion of CPR training within 90 days of employment. All existing staff had a Basic Life Skills card from American Heart Association. Basic Life Skills does not meet the requirements for Adult and Pediatric CPR. .1102(d) 1230 Personnel policies were not discussed with each staff at employment and a copy was not available to all staff. One staff member with the first day of employment as May 17, 2023, was missing documentation of review of the personnel policies. 10A NCAC 09 .0514(e) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. One staff member with the first day of employment as May 17, 2023, was missing documentation of review of the personnel and operational policies. 10A NCAC 09 .0514(g) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff file with the first day of employment of May 17, 2023, did not have documentation of reviewing the emergency preparedness and response plan during orientation. .0607(f) 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 staff member with the first day of employment as May 17, 2023 did not have documentation of completing the Recognizing and Responding to Suspicions of Child Maltreatment training. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. A staff member with the hire date of December 9, 2013, had documentation of completion of the Maltreatment training dated May 23, 2017. A staff member with the hire date of June 26, 2006, had documentation of completion of the Maltreatment training dated June 4, 2019. Two staff members did not complete the Recognizing and Responding to Suspicions of Child Maltreatment within five (5) years of the documentation on file. .1103(b) 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. The violation(s) documented must be corrected immediately. On or before October 31, 2023. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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 may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with 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 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 92%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: You stated you dissolved the previous corporation Miss Charlies Child Development Center of ENC, LLC. You also stated you created a new corporation with a new tax i.d. number, Charlie’s Kids, LLC in the summer of 2022. I was unable to verify this corporation on the Secretary of State website. The Secretary of State website had a system error and could not process my request. I emailed and left a hard copy of the Application for A Child Care License with appendixes D and I. Please fill out these forms and email or mail them to me by October 24, 2023. Contact me if there are any changes to this corporation or the ownership of this facility, prior to making any changes. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: NEW STAFF FILES: One (1) new staff record was reviewed today. One staff member with the first day of employment as May 17, 2023, was missing documentation of orientation. Please remember 16 hours of orientation must be completed within the first 6 weeks of hire. I emailed you the orientation check list. This same staff member was also missing the following: CPR and First Aid documentation within 90 days of employment, documentation of Recognizing and Responding to Suspicions of Child Maltreatment must be completed within 90 days of employment, and there was no documentation of review of the operational policies and the personnel policies. Please remember to use the orientation check list and the staff file check list to help you understand when items are due and which ones need to be completed annually. FIRST AID AND CPR: All employed staff members had a Basic Life Skills card from American Heart Association. Basic Life Skills does not meet the requirements for Adult and Pediatric CPR and First Aid. I emailed you the list of approved CPR and First Aid organizations to help you schedule CPR and Fist Aid for your staff. EMERGENCY PREPAREDNESS AND RESPONSE (EPR) PLAN: One staff file with the first day of employment of April 10, 2023, did not have documentation of reviewing the emergency preparedness and response plan during orientation. Within the first two weeks of employment the EPR plan should be reviewed with all new staff and documented on the orientation documentation form. EMERGENCY MEDICAL CARE (EMC) PLAN: A new employee with a first day of employment date of April 10, 2023, did not have documentation of review of the center’s EMC plan available for review. The EMC should be reviewed during the first two weeks of employment and annually thereafter. ON-GOING TRAINING (RECOGNIZING AND RESPONDING TO SUSPICIONS OF CHILD MALTREATMENT: A staff member with the hire date of December 9, 2013, had documentation of completion of the Maltreatment training dated May 23, 2017. A staff member with the hire date of June 26, 2006, had documentation of completion of the Maltreatment training dated June 4, 2019. Two staff members did not complete the Recognizing and Responding to Suspicions of Child Maltreatment within five (5) years of the documentation on file. Your staff can to the NC Prevent Child Abuse and Neglect website to complete the training at https://preventchildabusenc.org/ . SAFE INDOOR AND OUTDOOR ENVIRONMENT: The outdoor environment had three blue metal chairs and two pink metal chairs with plastic seats that were eroding. The seats were rough and could cut the children if they sat on them. You also had on scooter that was missing a wheel. You immediately removed the items from the outdoor environment. This item was corrected during the visit. ANNUAL INSPECTIONS (FIRE INPSECTION) The last annual fire inspection was completed on December 21, 2021. You stated you have called and left messages requesting a fire inspection. Please continue to call and try and schedule a fire inspection. Once the fire inspection is completed, please submit the original approved report to me within one week of the inspection visit on the form provided by the Division of Child Development and Early Education. RMINDERS: CHILD CARE IMMUNIZATION REPORT 2023-2024: This year's Child Care Immunization Reports are due by midnight on Wednesday, November 1, 2023, and will not be accepted after that date. Failure to submit an annual child care immunization report per G.S. 130A-155 will be reported to the Local Health Director for your county. Submit a report even if no children are attending your child care center or your child care center has closed. This will ensure your center meets the reporting requirement and is not considered delinquent. If you have questions about the Child Care Immunization Report, please email Immunization.Reports@dhhs.nc.gov or call 919-707-5595. MyNCID The N.C. Department of Information Technology will soon begin migrating individual and business NCID accounts to a new system called MyNCID. This modern cloud-based service will enhance security and improve options for self-service. There is no action for you to take currently. Continue to use the NCID portal at https://ncid.nc.gov to register for an NCID account, make a profile change or request assistance such as account unlock. In the coming weeks, you may receive an email prompting you to log in to your migrated account and review your profile information. For more information about this effort, please visit https://it.nc.gov/support/ncid/ncid-citizen-identity-project. IMPROVEMENTS TO CRIMINAL BACKGROUND CHECK PORTAL ON THE WAY: Improvements are coming soon to the ABCMS Portal that DCDEE recently launched to manage child care criminal background checks. ABCMS will soon allow individuals to be associated with the child care program that employ s them. Directors/Administrators will be able to use their NCID business account to see the criminal background check result for each employee. FIRE INSPECTIONS: As a reminder the following child care rule is a requirement, and a violation will be written when a fire inspection is not submitted to your child care consultant within the time period stated below: 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. COHORT (1): Please be aware that your facility is in Cohort one (1) for resuming the NC Start Rated License. Your preparation year will be July 1, 2023, through June 30, 2024. Your reassessment year will be July 1, 2024, through June 30, 2025. To help your facility prepare for the environment rating scale, please review the North Carolina Rated License Assessment Project’s (NCRLAP) website: https://ncrlap.org/ for videos and written resources to help prepare you for the environment rating scale (ERS). We discussed making sure all teacher education information is updated in the DCDEE WORKS portal. You stated you were interested in completing the reassessment this year, once you have everyone’s information updated in DCDEE WORKS. RESOURCES: DCDEE WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, or training. We discussed making sure the four new employees you hired submit any education transcripts to the “WORKS” system, so their education can be evaluated. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please contact the WORKS department if you have questions on what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. EARLY CHILDHOOD EQUIVALENCY EXAM NOW ON DCDEE MOODLE: The North Carolina Early Childhood Equivalency Exam is a new pathway option comparable to a NC Early Childhood Credential. Applicants who achieve a score of 80% or higher on the NC Early Childhood Equivalency Exam earn the new North Carolina Early Childhood Equivalency Certificate. This certificate is equivalent to a North Carolina Early Childhood Credential and will qualify the individual to be a lead teacher in an early childhood classroom. To take the exam, go to DCDEE Moodle and select Early Childhood Professional Development/Child Care and Development Fund (CCDF)/North Carolina Early Childhood Equivalency Exam: https://www.dcdee.moodle.nc.gov/login/index.php NEW SANITATION RULES: DCDEE and the Department of Public Health have received feedback from child care programs that additional guidance would be helpful in implementing the child care sanitation rules that the Public Health Commission readopted effective July 1, 2023. Please know that no demerits will be taken for new requirements of these rules until January 2024. Until then, DPH and DCDEE will work together to make sure NC child care centers have the necessary training, technical assistance, and operational support needed to meet the new requirements. TRAINING MODULES AVAIALABLE IN DCDEE MOODLE: The Division of Child Development and Early Education (DCDEE) is excited to share information about the July 2023 child care rule changes. The Child Care Commission revised rules related to staff/child ratios for multi-age groups; cooperative arrangements; and enhanced space requirements. These rule changes may or may not impact your facility. The multi-age group staff/child ratio changes support a previous rule change submitted by Early Head Start and the new rule for defining cooperative arrangements provides clarification to a previous change in statute. Consultants will assist facilities impacted by the changes to the enhanced space requirements. A summary of the changes can be accessed here, but for specific details regarding these changes, please ensure you are using the updated July 1, 2023, rules, and enroll, if necessary, and view information in the DCDEE Moodle. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle, learn how to navigate Moodle. To access Moodle, you will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, register for an individual NCID at https://ncid.nc.gov/ncidsspr/. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. RESOURCES: • The most current provider documents, forms, checklist, and the new child care rules effective July 1, 2023, can be found on the Division of Child Development and Early’s website at https://ncchildcarencdhhs.gov . CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times