Touched BY AN Angel Open Arms Child Care Center

10A NCAC 09 .0902 · Violation

Name of Operation: TOUCHED BY AN ANGEL OPEN ARMS CHILD CARE CENTER Facility ID: 92003384 Consultant: ELIZABETH LESTER Operation Type: Center Case Number: Visit Date: 11/20/2025 Number Present: 28 Completed Date: 11/20/2025 Age: From 0 To 4 Total Minutes: 171 Time In: 09:39 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance license visit. I was greeted by a staff member, Tiffany and she completed the walk-through. Mrs. Pope was here briefly until Mrs. Toniya arrived. There was a total of 28 children present. The children were observed engaging in circle time, coloring, and interacting with staff. The infants were enjoying floor time and playing with toys and one infant was asleep in their assigned crib. LICENSE STATUS Currently this center operates with a four star license issued 02/04/2020. INSPECTIONS I reviewed all required inspections including fire drills, emergency drills, sanitation, fire and outdoor inspections. Inspections were found to be in compliance. MONITORING During today’s visit, a full assessment was conducted, monitoring all space occupied by the children, including the outdoor play environment. All spaces were monitored for supervision, staff/child ratios, materials, equipment and required postings. I reviewed new staff files, reviewed required trainings, qualification letter and a selection children’s files. A checklist was used to note the requirements I monitored today. ANNUAL TRAINING The annual training year for this facility is January 1st-Decemeber 31st The following violations were documented: one violation was corrected during today’s visit. Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) One child did not have their feeding plan posted. 10A NCAC 09 .0902(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. The caregiver did not complete sleep checks for the dates of November 14th-19th. .0606(g) 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. Once I received your scores I will contact you. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member did not renew their training before it expired. .1102(d) Please mail or email your letter of compliance by December 4, 2025. The letter must address the violation and describe how the violations were corrected. Please send this with the following and use the addresses below: -Facility name -Facility ID number -Each item number Elizabeth Lester PO BOX 40685 Raleigh, NC 27629 Elizabeth.lester@dhhs.nc.gov COMPLIANCE HISTORY According to NC General Statute all Child Care programs must maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Any violations documented during visits to your program may have an impact on the total compliance history score and cause your score to drop below the mandated level. **Prior to today’s visit, the compliance history score for the center was 97%. Any violations cited during today's visit may affect this percentage. TECHNICAL ASSISTANCE **Safe sleep checks were not completed for the days of November 14th-19th. Staff must check and documented that infants are being checked every 15 minutes as they sleep. **Please make sure Ms. T. H. completes CPR and first aid. Her certificate expired 11/17/2025. **All infant feeding plans must be posted until the child is 15 months or older. >> RATED LICENSE You have recently gone through scales and the last one was completed yesterday. Once I receive your scores, I will contact you to conduct your ERS visit. You have chosen Pathway 1-program assessment. In the meantime, please complete the self-study, CQI and family engagement standards that I sent in an email. CONTACT INFORMATION Should you have any questions, please contact me by phone at 919-805-6933 or email at Elizabeth.lester@dhhs.nc.gov. You can also contact my supervisor Michele Remington, Licensing Supervisor at Office: 919-819-9355 or via email at michele.remington@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

GS110-91 · Violation

Name of Operation: TOUCHED BY AN ANGEL OPEN ARMS CHILD CARE CENTER Facility ID: 92003384 Consultant: ELIZABETH LESTER Operation Type: Center Case Number: Visit Date: 11/26/2024 Number Present: 31 Completed Date: 11/26/2024 Age: From 0 To 4 Total Minutes: 180 Time In: 10:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance license visit. I was greeted by the director Toniya Richardson and she assisted me with the visit. There was a total of 31 children present. The children were observed playing with materials, reading a book about fall (autumn), engaging in circle, and interacting with staff. The infants were enjoying tummy time and playing with toys. LICENSE STATUS Currently this center operates with a four star license issued 02/04/2020. INSPECTIONS I reviewed all required inspections including fire drills, emergency drills, sanitation, fire and outdoor inspections. Inspections were found to be in compliance. MONITORING During today’s visit, a full assessment was conducted, monitoring all space occupied by the children, including the outdoor play environment. All spaces were monitored for supervision, staff/child ratios, materials, equipment and required postings. I reviewed staff files and a selection children’s files. A checklist was used to note the requirements I monitored today. ANNUAL TRAINING The annual training year for this facility is January 1st-Decemeber 31st The following violations were documented: one violation was corrected during today’s visit. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. One child's bottles were not labeled with the child's name or date. 15A NCAC 18A .2804(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child's file was missing the medical health assessment. GS110-91(1) Please mail or email your letter of compliance by December 10, 2024. The letter must address the violation and describe how the violations were corrected. Please send this with the following and use the addresses below: -Facility name -Facility ID number -Each item number Elizabeth Lester PO BOX 40685 Raleigh, NC 27629 Elizabeth.lester@dhhs.nc.gov COMPLIANCE HISTORY According to NC General Statute all Child Care programs must maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Any violations documented during visits to your program may have an impact on the total compliance history score and cause your score to drop below the mandated level. **Prior to today’s visit, the compliance history score for the center was 98%. Any violations cited during today's visit may affect this percentage. TECHNICAL ASSISTANCE **During the children’s file review, one child was missing their medical health assessment. You stated that you might have it and you will continue to look for it. Once you have it please send me your letter of compliance. **During the walk-through od the school age classroom I discovered the wall surrounding the computer area had a hole in the dry wall and dry wall dust was present on the floor. You stated that the classroom was getting repaired and painted over the long weekend. I recommended that you not use the classroom until the repairs can be made. The center is closing at 2pm Wednesday 11/27/2024 and you do not expect many school age children, and you can put them in your older preschool room. **There were three (3) bottlers that were not labeled with the child’s name OR date. This was corrected during the visit. Please be sure to check the bottles for name and date. >> RATED LICENSE Hold harmless has been extended until the new QRIS (STAR rating) rules are implemented (SB 425). Providers in Cohort 1 are not required to continue their with a rated license assessment unless you want to, and providers in Cohort 2 do not need to start their preparation year assessment unless you want to. Prep year scales and assessment year scales are optional and up to your discretion at this time. Please continue to work on preparing and ensuring staff education is current in WORKS. Message from NCRLAP https://ncrlap.org/ 2024: “NC continues to use the Revised editions of each scale for official assessments. The Revised editions have spiral bindings on the side and not the top, so make sure to have the correct version when thinking about your next assessment. Beginning on February 1, 2025 the Third editions of the ECERS, ITERS, and FCCERS will be used for official assessments; these scales all have a spiral binding on the top. More information about these versions will be posted in the fall of 2024 to help programs get to know the new measures and think about future assessments”. ABCMS PORTAL Provider Access to ABCMS is Live! North Carolina Child Care Providers can obtain access to the Provider Access to ABCMS after completing the Moodle training and completing the form afterward. Once providers are logged in, you can access codes to allow your staff and applicants to create a connecting application to link themselves to your facility. I gave Ms. Richardson a printout of instructions to complete the training and power form. CONTACT INFORMATION Should you have any questions, please contact me by phone at 919-805-6933 or email at Elizabeth.lester@dhhs.nc.gov. . You can also contact my supervisor Michele Remington, Licensing Supervisor at Office: 919-819-9355 or via email at michele.remington@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: TOUCHED BY AN ANGEL OPEN ARMS CHILD CARE CENTER Facility ID: 92003384 Consultant: AMBER TELFAIR Operation Type: Center Case Number: 0924-342A Visit Date: 9/26/2024 Number Present: 34 Completed Date: 9/26/2024 Age: From 0 To 5 Total Minutes: 205 Time In: 09:25 AM Time Out: 12:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Tonyia Richardson, administrator, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Richardson, Iasia Pope, administrator/owner, and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. On September 18, 2024, staff served children a snack that was not recorded on the menu prior to being served. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. On September 18, 2024, staff served a fourteen-month-old child a food the child was documented to be allergic to, resulting in an allergic reaction. 10A NCAC 09 .0601(a) You may contact me Amber Telfair, Investigations Consultant, (919) 830-7551, amber.telfair@dhhs.nc.gov or Sheronda Harris, Central Investigations Supervisor, Sheronda.harris@dhhs.nc.gov. Thank you for your time. 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 .0901 · Violation

Name of Operation: TOUCHED BY AN ANGEL OPEN ARMS CHILD CARE CENTER Facility ID: 92003384 Consultant: AMBER TELFAIR Operation Type: Center Case Number: 0924-342A Visit Date: 9/26/2024 Number Present: 34 Completed Date: 9/26/2024 Age: From 0 To 5 Total Minutes: 205 Time In: 09:25 AM Time Out: 12:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Tonyia Richardson, administrator, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Richardson, Iasia Pope, administrator/owner, and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. On September 18, 2024, staff served children a snack that was not recorded on the menu prior to being served. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. On September 18, 2024, staff served a fourteen-month-old child a food the child was documented to be allergic to, resulting in an allergic reaction. 10A NCAC 09 .0601(a) You may contact me Amber Telfair, Investigations Consultant, (919) 830-7551, amber.telfair@dhhs.nc.gov or Sheronda Harris, Central Investigations Supervisor, Sheronda.harris@dhhs.nc.gov. Thank you for your time. 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: TOUCHED BY AN ANGEL OPEN ARMS CHILD CARE CENTER Facility ID: 92003384 Consultant: PAMELIA CARMON Operation Type: Center Case Number: 0224-385A Visit Date: 3/1/2024 Number Present: 30 Completed Date: 3/1/2024 Age: From 0 To 4 Total Minutes: 60 Time In: 11:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Tonia Richardson, Center Director accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Richardson, Iasia Pope, Director/Owner and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On February 23, 2024, a staff member spoke to an eight-year-old child in an inappropriate manner. The same staff member took the child by the hand, pulled the child from a seated to a standing position. The staff member placed their hand on the child’s back to hurry the child out of the classroom. G.S. 110-91(10) You may contact me Pamelia Carmon, Investigations Consultant at 919-280-2252, or pamelia.carmon@dhhs.nc.gov or Sheronda Harris, Investigations Supervisor at Sheronda.harris@dhhs.nc.gov. Thank you for your time. 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: TOUCHED BY AN ANGEL OPEN ARMS CHILD CARE CENTER Facility ID: 92003384 Consultant: MICHELLE EZZELL Operation Type: Center Case Number: Visit Date: 1/18/2024 Number Present: 40 Completed Date: 1/18/2024 Age: From 0 To 11 Total Minutes: 60 Time In: 10:30 AM Time Out: 11:30 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 conduct a routine unannounced visit. I was greeted at the door by Mr. Tre, Lead Teacher. While we waited for Ms. Toniya Richardson, the Director, to arrive, I monitored files and began my walk-thru of the five open classrooms. The facility currently operates with a 4-star license that is due for a reassessment in COHORT 2. The planning year starts 7-1-24 and the license will be reassessed by 6-30-26. I conducted an assessment monitoring for safety issues, supervision, capacity, discipline, posted documents, permit restrictions, program records and staff records were spot checked. One new staff has been hired since my last visit and her file was monitored. The preschool children were observed playing in centers and preparing for lunch. ***Verification of Records & Training*** *The last fire drill was on 1-8-24 and the last lockdown drill was on 1-8-24. *The EPR was updated on 11-10-22. Remember to update this before 11-10-23. *The last sanitation inspection was on 8-9-23 and the last fire inspection was on 12-20-23. The EPR was last updated on 3-16-23. Technical Assistance was offered on how to correct the violations cited and how to maintain compliance. To maintain compliance with NC laws and rules regarding childcare operation, the following violations must be corrected immediately. Email a signed and dated corrective action letter BY 2-1-24 to michelle.ezzell@dhhs.nc.gov Violation Number Comment Rule 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Documentation was not on file for December's playground inspection. .0605(q) 1301 Center did not maintain a record of daily attendance. Attendance records for each classroom was not accessible during the visit. GS 110-91(9) *We discussed that playground inspections must be completed monthly and recorded on DCDEE’s outdoor inspection log. *Attendance records must be accessible and current in each classroom. The center is enrolled in a food program; I suggested using the same attendance sheets, so work is not duplicated. Upon entering the center, parents are required to complete the arrival and departure sheets located at the front desk. Contact me with questions: Michelle Ezzell, DCDEE Consultant 919-819-9304 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: TOUCHED BY AN ANGEL OPEN ARMS CHILD CARE CENTER Facility ID: 92003384 Consultant: MICHELLE EZZELL Operation Type: Center Case Number: Visit Date: 12/6/2023 Number Present: 33 Completed Date: 12/6/2023 Age: From 0 To 4 Total Minutes: 215 Time In: 12:20 PM Time Out: 03:55 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 compliance during your annual compliance visit. Your last annual compliance was on 12-13-22. The center currently operates with a 4-star license, operating at 25 sq. ft. inside, & ratios at 2818 (b). My visit started out with Mrs. I-Asia Pope, Owner until Ms. Toniya Richardson, Director, arrived. A checklist was used to note the requirements I monitored. Ms. Richardson accompanied me during my walk-through of the center; the children were observed taking a nap and getting ready for a snack. VERIFICATION OF RECORDS: *Last fire inspection=12-1-22 (We discussed that fire inspections cannot be past 365 days and once completed, it must be sent to me within 5 business days. *Sanitation inspection=8-9-23 (remember to scan all sanitation inspections to me, this includes approved, superior, disapproved and provision's). *The last playground inspection was completed on 11-1-23 by Toniya. Toniya completed playground safety training on 6-23-12. *The last fire drill was on 11-8-23, the last shelter-in-place was on 10-20-23. *EPR training was completed by Toniya R., Director on 3-30-16 and Owner, I-Asia on 4-1-17. The EPR plan was last updated on 3-16-23. *I reviewed the NC Secretary of State’s website and observed the owner of the facility (Touched by an Angel Daycare Center LLC) listed as current-active. *Two transportation vehicles are used to transport children. A 2017 Ford T-350 Van and a 2016 Ford minibus. To maintain compliance with NC laws and rules regarding childcare operation, the following violations must be corrected immediately. Please email me a signed and dated corrective action letter with your ID # and facility name BY 12-20-23 along with copies of staff’s training certificates. Remember to explain how the violation has been corrected. If you have any questions about today’s violations, contact me or my supervisor at michele.remington@dhhs.nc.gov 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 facilities last fire inspection was on 12-1-22. A new inspection must be completed and a copy submitted to me. 10A NCAC 09 .0304(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The mulch on both playground must be at least 6 inches deep. Today, it was 5 inches deep. .0605(j) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. Three heat and AC units did not have locks on the gates; one had a deteriorating bungie cord wrapped around the gate because the latch was missing. .0604 (m) 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. Cleaning chemicals and equipment were in a unlocked plastic storage building located on the playground. .2820(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One staff member did not complete an annual health questionnaire. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One staff member did not complete an annual emergency information form. .0701(a) 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. Recognizing and Responding to Suspicions of Child Care Maltreatment training was not completed within 5 years for four staff members. .1103(b) *****TECHNICAL ASSISTANCE/REMINDERS: ******* *We discussed the following rules/laws to assist you in maintaining compliance with applicable childcare requirements: *Annual Fire Inspections must be completed at least every 365 days. I suggest contacting the local fire inspector at least 30 days prior to remind him/her of your upcoming inspection. Scan a copy of this inspection to me within 5 days of completion. *Staff trainings such as “Administration of Medication” training are part of the Health and Safety Trainings and must be completed within one year of hire and every 5 years thereafter. *“Recognizing and Responding to Suspicions of Child Maltreatment” are part of the Health and Safety trainings and are required within the 1st 90 days of hire and every 5 years thereafter. Submit proof of the training certificates for the following staff: AP, TK, AH, TH and IT. *Health Questionnaires and Emergency Information forms must be updated annually. I suggest having a staff meeting to conduct annual required trainings and ask staff to update the required paperwork. *Heat and AC units cannot be accessible to children and must be blocked off. The locks were missing on all three of the gates and one gate was being held closed by a worn bungie cord. *Mulch/Surfacing=The outdoor areas must have at least 6 inches of mulch around the climbing structures and fall zones. We discussed fluffing the mulch with a tiller on a regular basis to keep it from getting packed down and adding one inch of mulch to maintain compliance. *The large plastic storage building located on one of the playgrounds had mop buckets, trash cans and cleaning supplies in it; we discussed adding an approved lock on the door. *Approved locks are lock and key, magnetic locks, combination locks or key code locks. *One playground has thin rubber/foam floor that’s deteriorating and cracking around the borders of the playground structure. We discussed removing this or replacing this since all equipment must be in good repair. ****Remember to continue to update your Emergency Preparedness and Response (EPR) Plan every year and print out the cover page showing the current date. Also, print the pages you made changes to. Failure to log onto the website may result in losing your entire EPR plan. For NCID questions call 919-814-6326 or 919-754-6000. ****RATED LICENSE INFORMAION: **** *Your license falls under COHORT #2; your planning year is between 7-1-24 and 6-30-25 and must be renewed by 6-30-26. Although, it can be reassessed anytime, upon your request prior to these dates. Today, Ms. Richardson stated she has been submitting staff’s education to the workforce/works department. ****Early Educator Certificate (EEC) **** The EEC certificate is optional for staff. Although, it may increase staff’s education points and may help keep or increase the number of STARS the facility has. I highly recommend you contact the NC Institute for Child Development Professionals website at http://ncicdp.org/certification-licensure/certification or by contacting the EEC office at 919-942-7442 or info@nceec.org Michelle Ezzell, Childcare Licensing Consultant 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