The Sunshine House Early Learning Academy #245

G.S. 110-90 · Violation

Name of Operation: The Sunshine House Early Learning Academy #245 Facility ID: 14000437 Consultant: DINAH BROWN Operation Type: Center Case Number: Visit Date: 7/1/2026 Number Present: 68 Completed Date: 7/1/2026 Age: From 0 To 9 Total Minutes: 290 Time In: 10:30 AM Time Out: 03:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements. Mary Roesch, Administrator/Director, assisted with today’s visit. Your program currently operates with a five (5) star license issued February 3, 2025. The permit restrictions were in compliance including First Shift (daytime care only), meets enhanced ratios, meets enhanced space. The Secretary of State website was checked on June 30, 2026, and your business, The Sunshine House Inc. N.C., was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in routines, lunch, rest time, free play, and departure during the visit. Required Inspections: The last fire inspection was conducted on July 31, 2025. The last sanitation inspection was conducted on March 19, 2026. A “superior” classification was issued with eight (8) demerits noted on the grade card. The last playground inspection was conducted on June 30, 2026. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on April 21, 2024. Per the facility data on the Clean Classrooms for Carolina Kids website, your facility is exempt from lead-based paint and asbestos testing. Emergency Drills: The last fire drill documented was conducted on June 25, 2026. The last emergency drill documented was conducted on April 17, 2026. I reviewed the ABCMS Provider portal during the visit. Sixteen (16) staff members are listed as employees of your facility. I confirmed all current staff members are included in your facility portal. Files Reviewed: I will return within five (5) business days to review staff and children’s files. A checklist was used to note the requirements I monitored today. The following violations were observed/documented 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. In space #5, the infant 1 room, one child enrolled on January 12, 2026, had one bottle of milk labeled with a name but no date and one child enrolled on September 22, 2025, had three bottles of milk with no name or date listed. 15A NCAC 18A .2804(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One child enrolled on January 17, 2025, in space #10, the classroom for school aged children age five to twelve, had one Ventolin HFA (albuterol sulfate inhalation aerosol) 90 mcg on site in the classroom that expired in February 2026, and one Epinephrine Injection USP, 0.15mg (single-Dose Auto-Injectors) on site in the classroom that expired on November, 2025. .0803(12) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #4, the classroom for two and three year old children, one child enrolled on February 18, 2026, did not have a parent signature listed on the Medication Administration Permission form for one tube of Aquaphor. In space # 6, the classroom for one year old children, one child enrolled on August 22, 2024, did not have application instructions listed on the Medication Administration Permission form for Boudreaux Butt Paste Max Strength, one child enrolled on July 7, 2025, did not have the amount to apply listed on the Medication Administration Permission form for Desitin Maximum Strength Paste, and one child enrolled on April 24, 2025, had a Medication Administration Permission on file for Curad Peteroleum Jelly Skin Protectant, that expired on May 12, 2026. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violation(s) documented must be corrected immediately. On or before July 15, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. 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, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send your letter to dinah.brown@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 93%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: Infant Bottles: I suggested that staff check all bottles upon the child’s arrival to ensure each bottle is labeled and dated. If the bottles are not labeled or dated. I suggested that staff add the child’s name and date to the child’s bottle and remind the child’s parent to label the bottles daily. Human milk, formula, and other bottled beverages, including sippy cups, sent from the child's home must be fully prepared, dated and labeled for the appropriate child. Medication: I suggested that you monitor all medications at least monthly to ensure the medication has not expired and the authorization from the parent is on file and has not expired. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. I suggested you have a teacher assigned to each classroom to check medications and permission forms at least monthly to ensure no medication or permission forms are expired. I provided you with copies of the Permission to Administer Medication for Chronic Medical Conditions form and the Medication Administration Permission for Over-the-Counter Topical Medications and Fluoridated Toothpaste form during the visit. These forms can also be found on the Division’s website under the “Provider” tab. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. A new Permission to Administer Medication for Chronic Medical Conditions form must be completed by the child’s guardian at least every six (6) months. Standing permission to administer over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, may be given for up to twelve (12) months. Consultation: I encouraged you to visit the QRIS Modernization website to review information regarding the changes to the rated license process. Information on the three (3) pathway options, as well as links to upcoming webinars may be found on the DCDEE QRIS Modernization website: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Additionally, please ensure all staff members have a WORKS account, that all transcripts have been submitted, and all WORKS accounts are up to date. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. 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. DCDEE Website Link to the QRIS Modernization page: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Links for Resources Approved Curriculum: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/2/2023_Approved_Curriculum.pdf?ver=Hxr2QwCIRb8kdaccUr3ETA%3d%3d2023 NC Child Care Commission Approved Formative Assessments: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/2/2023_Approved_EC_Formative_Assessments.pdf?ver=TzSdkUdkhMNoa8W505qTEw%3d%3d DCDEE Provider Documents and Forms: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Caring for Children: https://childcareta.acf.hhs.gov/cfoc#:~:text=CFOC%20Home,Supervision%20of%20ChildrenI I provided you with a copy of the North Carolina Foundations for Early Learning and Development Book during the visit. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Dinah Brown, Child Care Consultant, (828)-231-2311, dinah.brown@dhhs.nc.gov or Tammy McGalliard, Licensing Supervisor, (828)872-0718, tammy.mcgalliard@dhhs.nc.gov if you have questions. Thank you for your time and assistance today. 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: The Sunshine House Early Learning Academy #245 Facility ID: 14000437 Consultant: DINAH BROWN Operation Type: Center Case Number: Visit Date: 4/21/2026 Number Present: 65 Completed Date: 4/21/2026 Age: From 0 To 11 Total Minutes: 310 Time In: 12:30 PM Time Out: 05:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Other Announced/Unannounced: Announced The purpose of today’s announced visit was to review staff files that were not monitored during the Routine Unannounced visit conducted on April 15, 2026. You, Mary Roesch, Administrator, assisted with the visit. Violations were observed and will be added to the April 15, 2026, Routine Unannounced visit summary. Files Reviewed: Eight (8) new staff files were reviewed during the visit. The following violations were observed/documented during the review of staff files: Violation Number Comment Rule 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One staff member employed on March 30, 2026, did not have a health questionnaire on file for review dated on or before the first day or work. .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 employed on March 30, 2026, did not have an Emergency Information form on file for review dated on or before the first day of work. .0701(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 employed on July 21, 2025, had a certificate of completion for First Aid training on file dated March 13, 2026. .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 employed on July 21, 2025, had a certificate of completion for CPR training on file dated March 13, 2026. .1102(d) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff member employed on April 10, 2026, had a Shaken Baby form on file for review dated April 21, 2026. .0608(d)(1-4) 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 employed on September 24, 2025, did not have a certification of completion for Recognizing and Responding to the Suspicions for Maltreatment training on file for review. .1102(g) The violation(s) documented must be corrected immediately. On or before May 5, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. 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, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send your letter to dinah.brown@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 94%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: Staff Health Questionnaire: I suggested you place all annual form updates in each staff member’s file immediately once they are completed to ensure no forms are misplaced. I also suggested you create a schedule to update all staff Health Questionnaire forms at least once per year to ensure they are all updated at least annually. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I provided you with a copy of the staff file checklist during the visit. Staff Emergency Information: I suggested you create a new employee packet to ensure all required documentation is completed and on file prior to the staff member’s first day of employment. I also suggested you create a schedule to update all staff Emergency Information forms at least once per year to ensure they are all updated at least annually. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. First Aid/CPR: I suggested you schedule CPR/First Aid Training for all new staff during their hiring process. For existing staff, I suggested you schedule classes two to four months prior to the current certifications’ expiration to ensure certification does not expire. I suggested you contact Paula Arrowood or Wendy Smith at Caldwell County Smart Start for a training calendar and to register for upcoming CPR/First Aid Training Courses. Shaken Baby: I suggested you create a new employee packet to ensure all required documentation is reviewed and on file for all staff members. I also suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. Suspicions of Maltreatment: I suggested you set calendar reminders to ensure all new staff complete this training within the first 90 days of employment. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. I provided you with a copy of the Health and Safety Training Record during the visit. This form can be found on the DCDEE website under the “Provider” tab. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. Consultation: Additionally, please ensure all staff members have a WORKS account, that all transcripts have been submitted, and all WORKS accounts are up to date. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. 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 in 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 (919) 814-8401 and someone will assist you. DCDEE Website Link to the QRIS Modernization page: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Links for Resources Approved Curriculum: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/2/2023_Approved_Curriculum.pdf?ver=Hxr2QwCIRb8kdaccUr3ETA%3d%3d2023 NC Child Care Commission Approved Formative Assessments: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/2/2023_Approved_EC_Formative_Assessments.pdf?ver=TzSdkUdkhMNoa8W505qTEw%3d%3d DCDEE Provider Documents and Forms: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Caring for Children: https://childcareta.acf.hhs.gov/cfoc#:~:text=CFOC%20Home,Supervision%20of%20ChildrenI Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, the handwritten visit summary was copied, reviewed, and a copy was left with you. Contact me at Dinah Brown, Child Care Consultant, (828)-231-2311, dinah.brown@dhhs.nc.gov or Tammy McGalliard, Licensing Supervisor, (828)872-0718, tammy.mcgalliard@dhhs.nc.gov if you have questions. Thank you for your time and assistance today. 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: The Sunshine House Early Learning Academy #245 Facility ID: 14000437 Consultant: DINAH BROWN Operation Type: Center Case Number: Visit Date: 4/15/2026 Number Present: 75 Completed Date: 4/15/2026 Age: From 0 To 9 Total Minutes: 420 Time In: 11:00 AM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Mary Roesch, Director, assisted me with today’s visit. Your program currently operates with a five (5) star license issued February 3, 2025. The permit restrictions were in compliance including First Shift (daytime care only), meets enhanced ratios, meets enhanced space. The Secretary of State website was checked on April 14, 2026, and your business, The Sunshine House, Inc-N.C., was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in routines, lunch, group time, free play, rest time, and departure during the visit. Required Inspections: The last fire inspection was conducted on July 7, 2025. The last sanitation inspection was conducted on March 19, 2026. A “superior” classification was issued with eight (8) demerits noted on the grade card. The most recent playground inspection was conducted on March 1, 2026. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on April 21, 2024. Per the facility data on the Clean Classrooms for Carolina Kids website, your facility is exempt from lead-based paint and asbestos testing. Emergency Drills: The most recent fire drill was conducted on March 3, 2026. The most recent emergency drill was conducted on November 18, 2025. I reviewed the ABCMS portal during the visit. Currently there are six staff listed that are employed at the facility. You stated that you are having difficulties accessing the system to add and remove staff but are continuing to work to get your facilities roster current and up to date. I will return within five (5) business days to review staff files on newly hired employees. The following violations were observed/documented during the visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #5, the classroom for one year old children, I observed an extra outlet box with two electrical outlets that were uncovered located on the wall over the countertop at the sink area. In space #6, the classroom for children age zero-twelve months of age, I observed an extra outlet box with three electrical outlets that were uncovered located on the wall over the countertop at the sink area. 10A NCAC 09 .0604(c) 871 Center staff did not comply with the safe sleep policy. In space #5, the classroom for children one year of age, one child enrolled on November 3, 2025, did not have a sleep position marked for a sleep check April 14, 2026, at 12:30pm. One child enrolled on September 22, 2025, did not have a sleep position marked for a sleep check on April 14, 2026, at 12:05pm and 12:20pm. One child enrolled on September 2, 2025, did not have a sleep position marked for a sleep check on April 14, 2026, at 2:55pm. One child enrolled on February 2, 2026, did not have a sleep position marked for a sleep check on April 14, 2026, at 8:25am, 8:40am, 8:55am, 9:10am and 9:25am. In space #6, the classroom for children zero to one year of age, one child enrolled on February 2, 2026, did not have a sleep position marked for a sleep check on April 10, 2026, at 11:25am and April 13, 2026, at 12:25pm. One child enrolled on March 2, 2026, did not have a sleep position marked for a sleep check n April 13, 2026, at 2:20pm and 2:32pm. One child enrolled on February 2, 2026, did not have a sleep position marked for a sleep check on April 13, 2026, at 1:30pm and on April 14, 2026, at 4:20pm and 4:35pm. 10A NCAC 09 .0606(a) 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. Currently there are six of thirteen staff listed under your facility's roster in the ABCMS portal. 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. Your last emergency drill was conducted on November 18, 2025. .0604(u);.0302(d)(8) The violation(s) documented must be corrected immediately. On or before April 29, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. 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, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send your letter to dinah.brown@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 94%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: Electrical Outlets: I suggested that you monitor all spaces throughout the day to ensure all electrical outlets not in use are covered with a safety plug. Instruct staff to check all electrical outlets at the beginning of the day. Sleep Checks: I recommended that staff review sleep checks daily to check that all documentation has been completed and is correct including the sleep position of the child being checked. Automated Background Check Management System (ABCMS): I discussed with you that you must notify the Division of all new child care providers who are hired or have moved into the child care facility within five business days by entering each staff member’s information into the Automated Background Check Management System (ABCMS) Provider Portal. Emergency Drill Log: I suggested that you make a note on a calendar or set a reminder on your computer to conduct emergency drills at least every three months. Shelter-in-place or lockdown drills are to be conducted within three months of the previous drill rather than once every quarter. Shelter-in-place or lockdown drills must be practiced within every three months. A shelter-in-place or lockdown drill must be completed by April 16, 2026. Consultation As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. 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 in 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 (919) 814-8401 and someone will assist you. Please ensure all staff members have a WORKS account, that all transcripts have been submitted, and all WORKS accounts are up to date. DCDEE Website Link to the QRIS Modernization page: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Links for Resources Approved Curriculum: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/2/2023_Approved_Curriculum.pdf?ver=Hxr2QwCIRb8kdaccUr3ETA%3d%3d2023 NC Child Care Commission Approved Formative Assessments: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/2/2023_Approved_EC_Formative_Assessments.pdf?ver=TzSdkUdkhMNoa8W505qTEw%3d%3d DCDEE Provider Documents and Forms: Link: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Dinah Brown, Child Care Consultant, (828)-231-2311, dinah.brown@dhhs.nc.gov or Tammy McGalliard, Licensing Supervisor, (828)-872-0718, tammy.mcgalliard@dhhs.nc.gov if you have questions. Thank you for your time and assistance today. 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 .0606 · Violation

Name of Operation: The Sunshine House Early Learning Academy #245 Facility ID: 14000437 Consultant: DINAH BROWN Operation Type: Center Case Number: Visit Date: 4/15/2026 Number Present: 75 Completed Date: 4/15/2026 Age: From 0 To 9 Total Minutes: 420 Time In: 11:00 AM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Mary Roesch, Director, assisted me with today’s visit. Your program currently operates with a five (5) star license issued February 3, 2025. The permit restrictions were in compliance including First Shift (daytime care only), meets enhanced ratios, meets enhanced space. The Secretary of State website was checked on April 14, 2026, and your business, The Sunshine House, Inc-N.C., was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in routines, lunch, group time, free play, rest time, and departure during the visit. Required Inspections: The last fire inspection was conducted on July 7, 2025. The last sanitation inspection was conducted on March 19, 2026. A “superior” classification was issued with eight (8) demerits noted on the grade card. The most recent playground inspection was conducted on March 1, 2026. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on April 21, 2024. Per the facility data on the Clean Classrooms for Carolina Kids website, your facility is exempt from lead-based paint and asbestos testing. Emergency Drills: The most recent fire drill was conducted on March 3, 2026. The most recent emergency drill was conducted on November 18, 2025. I reviewed the ABCMS portal during the visit. Currently there are six staff listed that are employed at the facility. You stated that you are having difficulties accessing the system to add and remove staff but are continuing to work to get your facilities roster current and up to date. I will return within five (5) business days to review staff files on newly hired employees. The following violations were observed/documented during the visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #5, the classroom for one year old children, I observed an extra outlet box with two electrical outlets that were uncovered located on the wall over the countertop at the sink area. In space #6, the classroom for children age zero-twelve months of age, I observed an extra outlet box with three electrical outlets that were uncovered located on the wall over the countertop at the sink area. 10A NCAC 09 .0604(c) 871 Center staff did not comply with the safe sleep policy. In space #5, the classroom for children one year of age, one child enrolled on November 3, 2025, did not have a sleep position marked for a sleep check April 14, 2026, at 12:30pm. One child enrolled on September 22, 2025, did not have a sleep position marked for a sleep check on April 14, 2026, at 12:05pm and 12:20pm. One child enrolled on September 2, 2025, did not have a sleep position marked for a sleep check on April 14, 2026, at 2:55pm. One child enrolled on February 2, 2026, did not have a sleep position marked for a sleep check on April 14, 2026, at 8:25am, 8:40am, 8:55am, 9:10am and 9:25am. In space #6, the classroom for children zero to one year of age, one child enrolled on February 2, 2026, did not have a sleep position marked for a sleep check on April 10, 2026, at 11:25am and April 13, 2026, at 12:25pm. One child enrolled on March 2, 2026, did not have a sleep position marked for a sleep check n April 13, 2026, at 2:20pm and 2:32pm. One child enrolled on February 2, 2026, did not have a sleep position marked for a sleep check on April 13, 2026, at 1:30pm and on April 14, 2026, at 4:20pm and 4:35pm. 10A NCAC 09 .0606(a) 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. Currently there are six of thirteen staff listed under your facility's roster in the ABCMS portal. 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. Your last emergency drill was conducted on November 18, 2025. .0604(u);.0302(d)(8) The violation(s) documented must be corrected immediately. On or before April 29, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. 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, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send your letter to dinah.brown@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 94%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: Electrical Outlets: I suggested that you monitor all spaces throughout the day to ensure all electrical outlets not in use are covered with a safety plug. Instruct staff to check all electrical outlets at the beginning of the day. Sleep Checks: I recommended that staff review sleep checks daily to check that all documentation has been completed and is correct including the sleep position of the child being checked. Automated Background Check Management System (ABCMS): I discussed with you that you must notify the Division of all new child care providers who are hired or have moved into the child care facility within five business days by entering each staff member’s information into the Automated Background Check Management System (ABCMS) Provider Portal. Emergency Drill Log: I suggested that you make a note on a calendar or set a reminder on your computer to conduct emergency drills at least every three months. Shelter-in-place or lockdown drills are to be conducted within three months of the previous drill rather than once every quarter. Shelter-in-place or lockdown drills must be practiced within every three months. A shelter-in-place or lockdown drill must be completed by April 16, 2026. Consultation As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. 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 in 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 (919) 814-8401 and someone will assist you. Please ensure all staff members have a WORKS account, that all transcripts have been submitted, and all WORKS accounts are up to date. DCDEE Website Link to the QRIS Modernization page: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Links for Resources Approved Curriculum: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/2/2023_Approved_Curriculum.pdf?ver=Hxr2QwCIRb8kdaccUr3ETA%3d%3d2023 NC Child Care Commission Approved Formative Assessments: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/2/2023_Approved_EC_Formative_Assessments.pdf?ver=TzSdkUdkhMNoa8W505qTEw%3d%3d DCDEE Provider Documents and Forms: Link: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Dinah Brown, Child Care Consultant, (828)-231-2311, dinah.brown@dhhs.nc.gov or Tammy McGalliard, Licensing Supervisor, (828)-872-0718, tammy.mcgalliard@dhhs.nc.gov if you have questions. Thank you for your time and assistance today. 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: The Sunshine House Early Learning Academy #245 Facility ID: 14000437 Consultant: DINAH BROWN Operation Type: Center Case Number: Visit Date: 4/15/2026 Number Present: 75 Completed Date: 4/15/2026 Age: From 0 To 9 Total Minutes: 420 Time In: 11:00 AM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Mary Roesch, Director, assisted me with today’s visit. Your program currently operates with a five (5) star license issued February 3, 2025. The permit restrictions were in compliance including First Shift (daytime care only), meets enhanced ratios, meets enhanced space. The Secretary of State website was checked on April 14, 2026, and your business, The Sunshine House, Inc-N.C., was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in routines, lunch, group time, free play, rest time, and departure during the visit. Required Inspections: The last fire inspection was conducted on July 7, 2025. The last sanitation inspection was conducted on March 19, 2026. A “superior” classification was issued with eight (8) demerits noted on the grade card. The most recent playground inspection was conducted on March 1, 2026. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on April 21, 2024. Per the facility data on the Clean Classrooms for Carolina Kids website, your facility is exempt from lead-based paint and asbestos testing. Emergency Drills: The most recent fire drill was conducted on March 3, 2026. The most recent emergency drill was conducted on November 18, 2025. I reviewed the ABCMS portal during the visit. Currently there are six staff listed that are employed at the facility. You stated that you are having difficulties accessing the system to add and remove staff but are continuing to work to get your facilities roster current and up to date. I will return within five (5) business days to review staff files on newly hired employees. The following violations were observed/documented during the visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #5, the classroom for one year old children, I observed an extra outlet box with two electrical outlets that were uncovered located on the wall over the countertop at the sink area. In space #6, the classroom for children age zero-twelve months of age, I observed an extra outlet box with three electrical outlets that were uncovered located on the wall over the countertop at the sink area. 10A NCAC 09 .0604(c) 871 Center staff did not comply with the safe sleep policy. In space #5, the classroom for children one year of age, one child enrolled on November 3, 2025, did not have a sleep position marked for a sleep check April 14, 2026, at 12:30pm. One child enrolled on September 22, 2025, did not have a sleep position marked for a sleep check on April 14, 2026, at 12:05pm and 12:20pm. One child enrolled on September 2, 2025, did not have a sleep position marked for a sleep check on April 14, 2026, at 2:55pm. One child enrolled on February 2, 2026, did not have a sleep position marked for a sleep check on April 14, 2026, at 8:25am, 8:40am, 8:55am, 9:10am and 9:25am. In space #6, the classroom for children zero to one year of age, one child enrolled on February 2, 2026, did not have a sleep position marked for a sleep check on April 10, 2026, at 11:25am and April 13, 2026, at 12:25pm. One child enrolled on March 2, 2026, did not have a sleep position marked for a sleep check n April 13, 2026, at 2:20pm and 2:32pm. One child enrolled on February 2, 2026, did not have a sleep position marked for a sleep check on April 13, 2026, at 1:30pm and on April 14, 2026, at 4:20pm and 4:35pm. 10A NCAC 09 .0606(a) 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. Currently there are six of thirteen staff listed under your facility's roster in the ABCMS portal. 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. Your last emergency drill was conducted on November 18, 2025. .0604(u);.0302(d)(8) The violation(s) documented must be corrected immediately. On or before April 29, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. 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, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send your letter to dinah.brown@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 94%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: Electrical Outlets: I suggested that you monitor all spaces throughout the day to ensure all electrical outlets not in use are covered with a safety plug. Instruct staff to check all electrical outlets at the beginning of the day. Sleep Checks: I recommended that staff review sleep checks daily to check that all documentation has been completed and is correct including the sleep position of the child being checked. Automated Background Check Management System (ABCMS): I discussed with you that you must notify the Division of all new child care providers who are hired or have moved into the child care facility within five business days by entering each staff member’s information into the Automated Background Check Management System (ABCMS) Provider Portal. Emergency Drill Log: I suggested that you make a note on a calendar or set a reminder on your computer to conduct emergency drills at least every three months. Shelter-in-place or lockdown drills are to be conducted within three months of the previous drill rather than once every quarter. Shelter-in-place or lockdown drills must be practiced within every three months. A shelter-in-place or lockdown drill must be completed by April 16, 2026. Consultation As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. 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 in 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 (919) 814-8401 and someone will assist you. Please ensure all staff members have a WORKS account, that all transcripts have been submitted, and all WORKS accounts are up to date. DCDEE Website Link to the QRIS Modernization page: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Links for Resources Approved Curriculum: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/2/2023_Approved_Curriculum.pdf?ver=Hxr2QwCIRb8kdaccUr3ETA%3d%3d2023 NC Child Care Commission Approved Formative Assessments: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/2/2023_Approved_EC_Formative_Assessments.pdf?ver=TzSdkUdkhMNoa8W505qTEw%3d%3d DCDEE Provider Documents and Forms: Link: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Dinah Brown, Child Care Consultant, (828)-231-2311, dinah.brown@dhhs.nc.gov or Tammy McGalliard, Licensing Supervisor, (828)-872-0718, tammy.mcgalliard@dhhs.nc.gov if you have questions. Thank you for your time and assistance today. 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: The Sunshine House Early Learning Academy #245 Facility ID: 14000437 Consultant: DINAH BROWN Operation Type: Center Case Number: Visit Date: 7/7/2025 Number Present: 30 Completed Date: 7/7/2025 Age: From 0 To 9 Total Minutes: 540 Time In: 09:30 AM Time Out: 06:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements You, Susan Turnmire, Director, assisted with today’s visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five (5) star license issued February 3, 2025. The permit restrictions were in compliance including First Shift (daytime care only), meets enhanced ratios, meets enhanced space. The Secretary of State website was checked on July 7, 2025, and your business, The Sunshine House Early Learning Academy #245, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment. Children throughout the facility were participating in routines, free play, lunch, nap, and departure during the visit. The last sanitation inspection was conducted on December 4, 2025. A “superior” classification was issued with four (4) demerits noted on the grade card. The last fire inspection was conducted on July 1, 2025. The last fire drill documented was conducted on July 3, 2025. The last emergency drill documented was conducted on May 30, 2025. The last playground inspection was conducted on April 21, 2025, prior to day’s visit and today, July 7, 2025. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on May 25, 2024. Per the facility data on the Clean Classrooms for Carolina Kids website, your facility is exempt from lead-based paint and asbestos testing. You provided me with a copy of your most recent fire inspection during today’s visit. I reviewed the ABCMS Provider portal during the visit. Currently your program is not listed and there are no staff listed on your roster. I will return within five (5) business days to review staff and children’s files. The following violations were observed/documented 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. In space #5 two bottles of formula were not labeled with a date for an infant enrolled on August 19, 2024. 15A NCAC 18A .2804(d) 543 Frozen human milk, stored beyond 7 days was not stored in a freezer compartment of a full-size refrigerator with a separate door to the freezer, chest, or deep freezer. Frozen human milk was stored in a freezer for more than 3 months and/or was not labeled with date received and date thawed for use. In space #5 I observed two packs of frozen breast milk that were not labeled with a date for a child enrolled on May 5, 2025. 15A NCAC 18A .2804(d)&(e) 847 Parent's medication authorization did not include required information. In space #7 a child enrolled on June 16, 2025, had a Medication Administration Permission Form for Over-The-Counter Topical Medications and Fluoridated Toothpaste form for Aquaphor Healing Ointment that did not have the amount to be administered, expiration date, and when to apply the topical ointment listed on the form. 10A NCAC 09 .0803(4)(6-9) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The most recent playground inspection prior to today's visit was conducted on April 21, 2025. .0605(q) 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 review, your program was not listed and did not have a current roster in the Automated Background Check Management System (ABCMS). G.S. 110-90.2 & .2703(r) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #10 a child enrolled on June 2, 2025, did not have a Medication Administration Permission Form for Equate Lotion Sunscreen SPF 50 on file for review. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violation(s) documented must be corrected immediately. On or before July 21, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. 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, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send your letter to dinah.brown@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 94%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: Medication: I suggested that administrative staff, or a designated staff member, provide parents or guardians a copy of the Medication Administration Permission Form for Over-The-Counter Topical Medications and Fluoridated Toothpaste upon enrollment and as needed. I also suggested that administrative staff or a designated staff member review all medication permission forms to ensure all required information is obtained prior to accepting the medication from the child’s parent or guardian. Nutrition: I suggested that you remind parents of children enrolled in the room for infants that they must place labels with the child’s name and the date the bottle or sippy cup was prepared on each bottle or sippy cup prior to bringing them to the facility. I also suggested you review this information with staff members assigned to the room for infants to ensure all bottles and sippy cups are labeled correctly prior to being brought to the classroom. If the bottles or sippy cups are not labeled or dated, I suggested that staff add the child’s name and date to the child’s bottle or sippy cup and remind the child’s parent or guardian to label all bottles or sippy cups daily. I also suggested that you remind staff, parents, and guardians of children enrolled in the infant classroom that frozen breast must be discarded or returned to the parents or guardians after seven days. Playgrounds: I suggested that each staff member or a designated staff member monitor classrooms and playgrounds each morning to remove debris, trash and any broken items before children arrive or access the playground. I suggested that you create a daily safety checklist for staff to utilize each day to ensure a safe environment. I also suggested that you plan to conduct the playground inspections on the same day the fire drills are conducted to ensure a month does not get skipped. After completion of the inspection, I suggested that you immediately complete the documentation of the check on the checklist and place the inspection checklist in your playground inspection notebook to ensure it is on file and available for review at all times. Automated Background Check Management System (ABCMS): I discussed with you that you must notify the Division of all new child care providers who are hired or have moved into the child care facility within five business days by entering each staff member’s information into the Automated Background Check Management System (ABCMS) Provider Portal. I reviewed with you the ABCMS Provider Portal Access Guide document and provided you with a copy of the document during the visit. Consultation: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. 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 in 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 (919) 814-8401 and someone will assist you. Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. I provided you with a copy of the North Carolina Foundations for Early Learning and Development Book during the visit. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-231-2311. Dinah Brown PO Box 6373 Hickory, NC 28601 Dinah.brown@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: The Sunshine House Early Learning Academy #245 Facility ID: 14000437 Consultant: DINAH BROWN Operation Type: Center Case Number: Visit Date: 7/7/2025 Number Present: 30 Completed Date: 7/7/2025 Age: From 0 To 9 Total Minutes: 540 Time In: 09:30 AM Time Out: 06:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements You, Susan Turnmire, Director, assisted with today’s visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five (5) star license issued February 3, 2025. The permit restrictions were in compliance including First Shift (daytime care only), meets enhanced ratios, meets enhanced space. The Secretary of State website was checked on July 7, 2025, and your business, The Sunshine House Early Learning Academy #245, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment. Children throughout the facility were participating in routines, free play, lunch, nap, and departure during the visit. The last sanitation inspection was conducted on December 4, 2025. A “superior” classification was issued with four (4) demerits noted on the grade card. The last fire inspection was conducted on July 1, 2025. The last fire drill documented was conducted on July 3, 2025. The last emergency drill documented was conducted on May 30, 2025. The last playground inspection was conducted on April 21, 2025, prior to day’s visit and today, July 7, 2025. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on May 25, 2024. Per the facility data on the Clean Classrooms for Carolina Kids website, your facility is exempt from lead-based paint and asbestos testing. You provided me with a copy of your most recent fire inspection during today’s visit. I reviewed the ABCMS Provider portal during the visit. Currently your program is not listed and there are no staff listed on your roster. I will return within five (5) business days to review staff and children’s files. The following violations were observed/documented 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. In space #5 two bottles of formula were not labeled with a date for an infant enrolled on August 19, 2024. 15A NCAC 18A .2804(d) 543 Frozen human milk, stored beyond 7 days was not stored in a freezer compartment of a full-size refrigerator with a separate door to the freezer, chest, or deep freezer. Frozen human milk was stored in a freezer for more than 3 months and/or was not labeled with date received and date thawed for use. In space #5 I observed two packs of frozen breast milk that were not labeled with a date for a child enrolled on May 5, 2025. 15A NCAC 18A .2804(d)&(e) 847 Parent's medication authorization did not include required information. In space #7 a child enrolled on June 16, 2025, had a Medication Administration Permission Form for Over-The-Counter Topical Medications and Fluoridated Toothpaste form for Aquaphor Healing Ointment that did not have the amount to be administered, expiration date, and when to apply the topical ointment listed on the form. 10A NCAC 09 .0803(4)(6-9) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The most recent playground inspection prior to today's visit was conducted on April 21, 2025. .0605(q) 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 review, your program was not listed and did not have a current roster in the Automated Background Check Management System (ABCMS). G.S. 110-90.2 & .2703(r) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #10 a child enrolled on June 2, 2025, did not have a Medication Administration Permission Form for Equate Lotion Sunscreen SPF 50 on file for review. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violation(s) documented must be corrected immediately. On or before July 21, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. 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, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send your letter to dinah.brown@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 94%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: Medication: I suggested that administrative staff, or a designated staff member, provide parents or guardians a copy of the Medication Administration Permission Form for Over-The-Counter Topical Medications and Fluoridated Toothpaste upon enrollment and as needed. I also suggested that administrative staff or a designated staff member review all medication permission forms to ensure all required information is obtained prior to accepting the medication from the child’s parent or guardian. Nutrition: I suggested that you remind parents of children enrolled in the room for infants that they must place labels with the child’s name and the date the bottle or sippy cup was prepared on each bottle or sippy cup prior to bringing them to the facility. I also suggested you review this information with staff members assigned to the room for infants to ensure all bottles and sippy cups are labeled correctly prior to being brought to the classroom. If the bottles or sippy cups are not labeled or dated, I suggested that staff add the child’s name and date to the child’s bottle or sippy cup and remind the child’s parent or guardian to label all bottles or sippy cups daily. I also suggested that you remind staff, parents, and guardians of children enrolled in the infant classroom that frozen breast must be discarded or returned to the parents or guardians after seven days. Playgrounds: I suggested that each staff member or a designated staff member monitor classrooms and playgrounds each morning to remove debris, trash and any broken items before children arrive or access the playground. I suggested that you create a daily safety checklist for staff to utilize each day to ensure a safe environment. I also suggested that you plan to conduct the playground inspections on the same day the fire drills are conducted to ensure a month does not get skipped. After completion of the inspection, I suggested that you immediately complete the documentation of the check on the checklist and place the inspection checklist in your playground inspection notebook to ensure it is on file and available for review at all times. Automated Background Check Management System (ABCMS): I discussed with you that you must notify the Division of all new child care providers who are hired or have moved into the child care facility within five business days by entering each staff member’s information into the Automated Background Check Management System (ABCMS) Provider Portal. I reviewed with you the ABCMS Provider Portal Access Guide document and provided you with a copy of the document during the visit. Consultation: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. 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 in 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 (919) 814-8401 and someone will assist you. Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. I provided you with a copy of the North Carolina Foundations for Early Learning and Development Book during the visit. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-231-2311. Dinah Brown PO Box 6373 Hickory, NC 28601 Dinah.brown@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 .2201 · Violation

Name of Operation: The Sunshine House Early Learning Academy #245 Facility ID: 14000437 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 11/14/2024 Number Present: 36 Completed Date: 11/14/2024 Age: From 0 To 4 Total Minutes: 285 Time In: 10:20 AM Time Out: 03:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the second temporary time period visit. You, Ashley Byrd, Administrator, assisted me with the visit until 2:10 pm. Patricia Gragg, Assistant Director, completed the visit with me. I reviewed the violation with you prior to your departure. The Secretary of State website was checked on November 14, 2024, and the business The Sunshine House Inc, -NC., is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Currently this center operates with a temporary license issued on August 2, 2024, with the following restrictions: Daytime care only. During this second Temporary Time Period visit, the classrooms were monitored as well as the materials, equipment, playground #1, and required posted items for meeting all minimum licensing requirements. Playground #2 and #3, were not monitored today due to weather conditions and active precipitation. Playground #2 and #3 will be monitored during the third temporary time period visit. The last monthly fire drill was completed on October 30, 2024, at 9:46 am. The last monthly playground inspection was completed on October 31, 2024. A sample of four children’s files were reviewed. Four new staff files were reviewed. A menu was posted and dated for breakfast, lunch, and afternoon snack. All food listed met the nutritional requirements. The daily schedule was posted. We reviewed and discussed Program Standard points, Staff Education points and Quality point options. Another review of these points will be conducted during your third Temporary Time Period Visit. I discussed with you that programs with less than a three-star license will not be eligible to receive subsidy funding. All staff must establish a DCDEE WORKS account and have their education evaluations completed by Workforce by December 20, 2024. Documentation from Workforce on the results of the education evaluation must be on file for review for each staff member. The following violation was observed today. Violation Number Comment Rule 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One (1) 4 oz. tube of Banana Boat Kids Max Protect and Play Sunscreen, labeled with a child's name was stored in the locked medication drawer in space #2. The sunscreen did not have authorization to administer; however, the sunscreen had a "Special Item Permission" form dated August 12, 2024. The Special Item Permission form did not document the name of the sunscreen or the instructions on how to administer the sunscreen. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance was provided on the following: • I suggested that you conduct monthly medication checks in each classroom to ensure that the medications stored in the classroom have the correct authorization form with the required information accompanying the medication. I suggested that you have several copies of blank medication authorization forms available in each classroom for the parents to complete when over the counter medications are needed. The authorization for sunscreen must include the following information: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Consultation was provided on the following. • Staff will need to create a DCDEE WORKS account and submit official transcripts so their education can be evaluated. Please assist staff with creating and submitting their education to the Workforce Unit in the Raleigh office. On the DCDEE website choose the Provider tab, DCDEE WORKS, and review the DCDEE WORKS Training Simulator Step-by-Step Instructions. Let me know if you have any questions or problems getting this task completed. Reminders: Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Your temporary license will end after February 2, 2025. Stay updated with changes and new rule updates by visiting the DCDEE website at: https://ncchildcare.ncdhhs.gov. Health and Safety Training must be completed within one year of employment for new staff and every five years for staff that have already completed the training. Emergency Preparedness and Response Plan: You completed the EPR Plan on August 22, 2024. This plan must be updated annually and reviewed with staff as changes occur and at least annually. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by November 28, 2024. Please include in that letter each violation number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at jennifer.roberts@dhhs.nc.gov: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time and assistance today. You can reach me at 828-782-0945, jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at tammy.mcgalliard@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: The Sunshine House Early Learning Academy #245 Facility ID: 14000437 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 11/14/2024 Number Present: 36 Completed Date: 11/14/2024 Age: From 0 To 4 Total Minutes: 285 Time In: 10:20 AM Time Out: 03:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the second temporary time period visit. You, Ashley Byrd, Administrator, assisted me with the visit until 2:10 pm. Patricia Gragg, Assistant Director, completed the visit with me. I reviewed the violation with you prior to your departure. The Secretary of State website was checked on November 14, 2024, and the business The Sunshine House Inc, -NC., is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Currently this center operates with a temporary license issued on August 2, 2024, with the following restrictions: Daytime care only. During this second Temporary Time Period visit, the classrooms were monitored as well as the materials, equipment, playground #1, and required posted items for meeting all minimum licensing requirements. Playground #2 and #3, were not monitored today due to weather conditions and active precipitation. Playground #2 and #3 will be monitored during the third temporary time period visit. The last monthly fire drill was completed on October 30, 2024, at 9:46 am. The last monthly playground inspection was completed on October 31, 2024. A sample of four children’s files were reviewed. Four new staff files were reviewed. A menu was posted and dated for breakfast, lunch, and afternoon snack. All food listed met the nutritional requirements. The daily schedule was posted. We reviewed and discussed Program Standard points, Staff Education points and Quality point options. Another review of these points will be conducted during your third Temporary Time Period Visit. I discussed with you that programs with less than a three-star license will not be eligible to receive subsidy funding. All staff must establish a DCDEE WORKS account and have their education evaluations completed by Workforce by December 20, 2024. Documentation from Workforce on the results of the education evaluation must be on file for review for each staff member. The following violation was observed today. Violation Number Comment Rule 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One (1) 4 oz. tube of Banana Boat Kids Max Protect and Play Sunscreen, labeled with a child's name was stored in the locked medication drawer in space #2. The sunscreen did not have authorization to administer; however, the sunscreen had a "Special Item Permission" form dated August 12, 2024. The Special Item Permission form did not document the name of the sunscreen or the instructions on how to administer the sunscreen. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance was provided on the following: • I suggested that you conduct monthly medication checks in each classroom to ensure that the medications stored in the classroom have the correct authorization form with the required information accompanying the medication. I suggested that you have several copies of blank medication authorization forms available in each classroom for the parents to complete when over the counter medications are needed. The authorization for sunscreen must include the following information: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Consultation was provided on the following. • Staff will need to create a DCDEE WORKS account and submit official transcripts so their education can be evaluated. Please assist staff with creating and submitting their education to the Workforce Unit in the Raleigh office. On the DCDEE website choose the Provider tab, DCDEE WORKS, and review the DCDEE WORKS Training Simulator Step-by-Step Instructions. Let me know if you have any questions or problems getting this task completed. Reminders: Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Your temporary license will end after February 2, 2025. Stay updated with changes and new rule updates by visiting the DCDEE website at: https://ncchildcare.ncdhhs.gov. Health and Safety Training must be completed within one year of employment for new staff and every five years for staff that have already completed the training. Emergency Preparedness and Response Plan: You completed the EPR Plan on August 22, 2024. This plan must be updated annually and reviewed with staff as changes occur and at least annually. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by November 28, 2024. Please include in that letter each violation number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at jennifer.roberts@dhhs.nc.gov: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time and assistance today. You can reach me at 828-782-0945, jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at tammy.mcgalliard@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 .0606 · Violation

Name of Operation: The Sunshine House Early Learning Academy #245 Facility ID: 14000437 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 9/11/2024 Number Present: 32 Completed Date: 9/11/2024 Age: From 0 To 4 Total Minutes: 489 Time In: 09:56 AM Time Out: 06:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the first temporary time period visit. You, Ashley Byrd, administrator, assisted me with the visit. The Secretary of State website was checked on September 11, 2024, and the business The Sunshine House Inc, -NC., is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Currently this center operates with a temporary license issued on August 2, 2024, with the following restrictions: Daytime care only. During this first Temporary Time Period visit, the classrooms were monitored as well as the playground, materials, equipment and required posted items for meeting all minimum licensing requirements. The last monthly fire drill was completed on September 4, 2024, at 8:05am. The last playground inspection was completed on August 21, 2024. You completed the Emergency Preparedness and Response Plan on August 22, 2024. A Shelter-In-Place Drill was conducted on August 30, 2024. A sample of five children’s files were reviewed. Fifteen staff files were reviewed. A menu was posted that met all the requirements. The daily schedule was posted. Times were not documented on the schedule. You said that you are going to apply for the rated license and request to have the Environment Rating Scale Assessment completed. As we discussed, the Environment Rating Scale Assessment could possibly help you in achieving at least a three-star child care license. We discussed and I gave you a copy of the Application for Assessment for a Two Component Star Rated License and the Rated License Assessment Request form today to complete and return to me. To allow time for the assessment to be requested, completed, score received and reviewed, and the rated license packet to be completed, I must receive your request to have the Environment Rating Scale assessment completed no later than September 18, 2024. We reviewed and discussed Program Standard points, Staff Education points and Quality point options. Another review of these points will be conducted at your next Temporary Time Period Visit. I discussed with you that programs with less than a three-star license will not be eligible to receive subsidy funding. All staff must establish a DCDEE WORKS account and have their education evaluations completed by Workforce by November 20, 2024. Documentation from Workforce on the results of the education evaluation must be on file for review for each staff member. The following violations were observed today. Violation Number Comment Rule 423 For children under three years of age, the schedule did not include regular daily events such as arrival and departure, free choice times, outside time and/or teacher- directed activities. The schedule posted in space #5 and space #6, did not list the times the activities would occur. .0508( f) 427 Children three years old or older were in care and the schedule did not include times and/or activities that were developmentally appropriate for the children in care. The schedule posted in space #10 where school age children are enrolled, did not list the times the activities would occur. The schedule listed "arrival and open snack, outside play (30 minutes), homework support (30 minutes), group meeting (15-20 minutes), outside play (30 minutes), literacy circle (15 minutes), inquiry and exploration time (60 minutes), departure. GS 110-91(12); .0508(d)(2) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. The incident report on file for one child with an enrollment date of August 12, 2024, did not document where the child received medical treatment, time the parent was notified and by whom. .0802 (e) 871 Center staff did not comply with the safe sleep policy. The visual sleep charts for one (1) infant, five months of age in space #5, documented the infant was initially placed on their tummy for sleeping at 9:15am on September 5, 2024, on their side at 9:50am on September 6, 2024, on their side at 9:45am on September 9, 2024, on their tummy at 2:10pm on September 9, 2024, on their tummy at 9:40am on September 10, 2024, and on their tummy at 10am on September 11, 2024. The visual sleep charts for one (1) infant, ten months of age in space #5, was initially placed on they tummy at 12:15pm on August 28, 2024. The visual sleep chart for one (1) infant, ten months of age in space #5, documented a visual sleep check at 12:40pm on September 5, 2024, and the next visual check was documented again at 1pm. The visual sleep chart for one (1) infant, ten months of age in space #5, documented a visual sleep check at 2pm on September 9, 2024, and the next visual check was documented again at 2:25pm. The visual sleep chart for one (1) infant, four months of age in space #6, documented an initial sleep time of 8:35am on August 21, 2024, and the next time documented on the visual sleep chart was 9:08am and a comment that noted the infant woke up. The visual sleep chart for the same infant on September 5, 2024, documented the visual sleep checks at 9:25am, 9:40am, 10am and 10:02am with a comment that noted the infant woke up. The visual sleep chart for one (1) infant, four months of age in space #4, the position was not documented on August 28, 2024, at 1:11pm. 10A NCAC 09 .0606(a) Technical assistance was provided on the following: Incident Reports We discussed the required information that must be documented on an incident report. Per child care rule .0802(e), the following information must be completed on the incident report form: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. I suggested that you use the Incident Report Form on DCDEE’s website to ensure that all requirements are met to meet this rule. We discussed the corporate form you are required to use, and I suggested that you update the current form to meet the requirements in the rule. Sleep Checks We discussed that infants must be initially placed on their back for sleeping and then assume an alternate position once they are able to rollover. I suggested that staff document the position as back when the infant is placed in the crib for sleeping. The time must be documented and visual sleep checks conducted at least every fifteen (15) minutes. I suggested that you review .0606(a) with staff assigned to care for infants and conduct reviews of visual sleep charts to ensure they are completed accurately. Schedules Daily schedules must have blocks of time for each activity. We discussed adding times to the schedule that is posted in the room for school age children and in the rooms for infants. Blocks of time can be added to the current schedule. I suggested that you review the sample schedule that is posted on DCDEE’s website as a guide. Consultation was provided on the following. • Staff will need to create a DCDEE WORKS account and submit official transcripts so their education can be evaluated. Please assist staff with creating and submitting their education to the Workforce Unit in the Raleigh office. On the DCDEE website choose the Provider tab, DCDEE WORKS, and review the DCDEE WORKS Training Simulator Step-by-Step Instructions. Let me know if you have any questions or problems getting this task completed. • You stated that you use the Daily Classroom Name to Face Recognition Report for the arrival and departure times of children. Parents also log their child in and out on the application at the entrance of the facility. The following is general information for you to review to prepare for the Environment Rating Scale Assessment. ITERS-R and ECERS-R A variety of different types of blocks such as wooden unit blocks, soft unit blocks, cardboard blocks, and homemade blocks with enough blocks in each set for at least three children to build a structure should be provided. The block center should be large enough for three children to build a substantial structure without interfering with one each other’s play. Art projects should allow individual expression by children. Copied, cookie cutter type art projects do not offer children an opportunity for individual expression. Allow children to choose the art media of their choice and provide a variety of materials. The following are suggestions for art materials: markers, chalk, colored pencils, paper, crayons, dry erase markers, finger paint, tape, glue, stickers, small pieces of paper, play dough, clay, hole punchers, stencils, stamps, and scissors. Children under three years age should not have access to materials that would be considered choking hazards such as foam items, small crayons, small pieces of chalk, plastic bags, items easily torn apart or that would fit in a choking tube. You can use these materials under direct teacher supervision working one on one with the child during the art activity. Display in the classroom should be primarily children’s work and not teacher or store-bought display. Children’s art should be posted on their eye level. Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Items such as puzzles and games that are missing pieces should be removed from the classroom and replaced. The classroom should have at least two books per child that are age appropriate for the children in the group. I suggested that books that portray violence be removed. A variety of books that portray real animal pictures, families, disabilities, and different cultures should be added to each classroom. Remove any books that are worn, torn or missing pages. I suggested that you have or purchase hats; boys dress shirts, ties, jerseys and dress coats from a consignment shop, yard sale or dollar store to enhance the dramatic play center. Other items that enhance dramatic play are telephone books, cooking aprons, restaurant menus, calculators, cash registers, cookbooks, and baby doll accessories. Add pictures, books, puzzles, block play people, baby dolls, music, play food and dress-up clothes that represent different cultures. Add pictures, puzzles and block play people that represent people of all ages and disabilities. Review your daily schedule and free play allotted times. Free play times need to be listed separate from all other activities such as hand washing, preparing to go home etc. All centers/materials should be accessible to children during free play. Water must be available to children throughout the day. Always have a pitcher of water and cups for children available. Tables must be cleaned with soapy water then wiped dry. Then spray table with the sanitizing solution and let it sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying the sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. All children must have their diapers or pull ups checked or changed at least every two hours and when soiled. Use a timer or follow a daily individual diaper changing schedule to keep you within the two-hour timeframe. Children must wash their hands upon arrival, before and after eating, before and after sand and water play, after toileting, after outdoor play, after handling messy art materials such as paint, glue, and playdough and after touching nose, mouth, floor, trashcan, and anything else that re-contaminates the hands. Staff should follow proper handwashing procedures and wash hands as required. Remove mouthed items from play immediately and sanitize before allowing other children to play with item. You must interact with children in relation to their play with materials. At least two instances must be observed. Math/number - One instance must be observed during routine care as well as during free play of using math/number. SACERS-U Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Display children’s artwork in the classrooms. Include 2-D and 3-D art and craft projects to complete on the activity plan and display. Staff members should sit with children during meals and when possible, during snacks. Handwashing is required when: After children use the toilet or after assisting individual children with toileting routines. Immediately before meal or snack preparation and eating as well as after eating. (Remember to avoid recontamination of hands that can occur when unclean surfaces such as floors or toys are touched before eating.) Upon arrival and after outdoor play After messy activities (e.g., sand play, play dough). Before/after group water play After dealing with bodily fluids (e.g., wiping noses, coughing into hands, bandaging a scraped knee), even if gloves are used. Child sized tables and chairs must be correctly sized for at least 75% of children to receive credit. Gross motor equipment must be sturdy, age appropriate and stimulate many skills such as climbing, balancing, hanging by arms, sliding, riding tricycles and bicycles. You must have a variety of portable materials in good repair accessible to play individual and group gross motor games that stimulate many skills. Active play must occur indoors when they cannot not go outdoors due to precipitating weather. Make sure to always follow the weather watch chart to determine if weather is permitting for outdoor activities. Dramatic Play - Staff must extend dramatic play by offering suggestions, finding appropriate space, and assisting development of dramatic play roles. Language and reading activities - Children should be encouraged to use reading/writing in practical situations such as reading instructions for games, write letters to friends, and retrieve information online. Math and reasoning - Staff must encourage children to practice math/reasoning skills in daily activities such as recording scores for games, younger children set table with correct number of plates/napkins, measure and cut craft material accurately. Science and nature activities - Some science/nature books must be used to extend children’s information. Such as a book open on table near collection of pinecones and acorns, book about insect specimens and staff use the books to answer children’s questions about materials. Greeting and departing - Staff must acknowledge and personally greet children during arrival and departure. Staff and child communication - Staff and children’s conversations must be frequent. Language should be generally used by staff to exchange information with children and for social interaction. Most of the language observed during the assessment should be personal conversation and talking about topics of mutual interest rather than all directive language. Children should be asked why, how, what if questions that require longer and more complex answers. Children must be free to decide not to participate in any activity they choose. For example, if the teacher does a group time activity, the teacher cannot require all children to participate. Children should be given alternate activities. Tables must be cleaned with soapy water then wiped dry. Then spray with sanitizing solution and let sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. Schedule - At least one fine motor/language activity must be scheduled daily. Staff need to read with children each day. This would be a free choice activity for children to choose to listen to the book. Since you want to have the Environment Rating Scale completed, I recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. I also recommended that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. Reminders: Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Your temporary license will end after February 2, 2025. Stay updated with changes and new rule updates by visiting the DCDEE website at: https://ncchildcare.ncdhhs.gov. Health and Safety Training must be completed within one year of employment for new staff and every five years for staff that have already completed the training. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by September 25, 2024. Please include in that letter each violation number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at jennifer.roberts@dhhs.nc.gov: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time and assistance today. You can reach me at 828-782-0945, jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at tammy.mcgalliard@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 .2201 · Violation

Name of Operation: The Sunshine House Early Learning Academy #245 Facility ID: 14000437 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 9/11/2024 Number Present: 32 Completed Date: 9/11/2024 Age: From 0 To 4 Total Minutes: 489 Time In: 09:56 AM Time Out: 06:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the first temporary time period visit. You, Ashley Byrd, administrator, assisted me with the visit. The Secretary of State website was checked on September 11, 2024, and the business The Sunshine House Inc, -NC., is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Currently this center operates with a temporary license issued on August 2, 2024, with the following restrictions: Daytime care only. During this first Temporary Time Period visit, the classrooms were monitored as well as the playground, materials, equipment and required posted items for meeting all minimum licensing requirements. The last monthly fire drill was completed on September 4, 2024, at 8:05am. The last playground inspection was completed on August 21, 2024. You completed the Emergency Preparedness and Response Plan on August 22, 2024. A Shelter-In-Place Drill was conducted on August 30, 2024. A sample of five children’s files were reviewed. Fifteen staff files were reviewed. A menu was posted that met all the requirements. The daily schedule was posted. Times were not documented on the schedule. You said that you are going to apply for the rated license and request to have the Environment Rating Scale Assessment completed. As we discussed, the Environment Rating Scale Assessment could possibly help you in achieving at least a three-star child care license. We discussed and I gave you a copy of the Application for Assessment for a Two Component Star Rated License and the Rated License Assessment Request form today to complete and return to me. To allow time for the assessment to be requested, completed, score received and reviewed, and the rated license packet to be completed, I must receive your request to have the Environment Rating Scale assessment completed no later than September 18, 2024. We reviewed and discussed Program Standard points, Staff Education points and Quality point options. Another review of these points will be conducted at your next Temporary Time Period Visit. I discussed with you that programs with less than a three-star license will not be eligible to receive subsidy funding. All staff must establish a DCDEE WORKS account and have their education evaluations completed by Workforce by November 20, 2024. Documentation from Workforce on the results of the education evaluation must be on file for review for each staff member. The following violations were observed today. Violation Number Comment Rule 423 For children under three years of age, the schedule did not include regular daily events such as arrival and departure, free choice times, outside time and/or teacher- directed activities. The schedule posted in space #5 and space #6, did not list the times the activities would occur. .0508( f) 427 Children three years old or older were in care and the schedule did not include times and/or activities that were developmentally appropriate for the children in care. The schedule posted in space #10 where school age children are enrolled, did not list the times the activities would occur. The schedule listed "arrival and open snack, outside play (30 minutes), homework support (30 minutes), group meeting (15-20 minutes), outside play (30 minutes), literacy circle (15 minutes), inquiry and exploration time (60 minutes), departure. GS 110-91(12); .0508(d)(2) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. The incident report on file for one child with an enrollment date of August 12, 2024, did not document where the child received medical treatment, time the parent was notified and by whom. .0802 (e) 871 Center staff did not comply with the safe sleep policy. The visual sleep charts for one (1) infant, five months of age in space #5, documented the infant was initially placed on their tummy for sleeping at 9:15am on September 5, 2024, on their side at 9:50am on September 6, 2024, on their side at 9:45am on September 9, 2024, on their tummy at 2:10pm on September 9, 2024, on their tummy at 9:40am on September 10, 2024, and on their tummy at 10am on September 11, 2024. The visual sleep charts for one (1) infant, ten months of age in space #5, was initially placed on they tummy at 12:15pm on August 28, 2024. The visual sleep chart for one (1) infant, ten months of age in space #5, documented a visual sleep check at 12:40pm on September 5, 2024, and the next visual check was documented again at 1pm. The visual sleep chart for one (1) infant, ten months of age in space #5, documented a visual sleep check at 2pm on September 9, 2024, and the next visual check was documented again at 2:25pm. The visual sleep chart for one (1) infant, four months of age in space #6, documented an initial sleep time of 8:35am on August 21, 2024, and the next time documented on the visual sleep chart was 9:08am and a comment that noted the infant woke up. The visual sleep chart for the same infant on September 5, 2024, documented the visual sleep checks at 9:25am, 9:40am, 10am and 10:02am with a comment that noted the infant woke up. The visual sleep chart for one (1) infant, four months of age in space #4, the position was not documented on August 28, 2024, at 1:11pm. 10A NCAC 09 .0606(a) Technical assistance was provided on the following: Incident Reports We discussed the required information that must be documented on an incident report. Per child care rule .0802(e), the following information must be completed on the incident report form: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. I suggested that you use the Incident Report Form on DCDEE’s website to ensure that all requirements are met to meet this rule. We discussed the corporate form you are required to use, and I suggested that you update the current form to meet the requirements in the rule. Sleep Checks We discussed that infants must be initially placed on their back for sleeping and then assume an alternate position once they are able to rollover. I suggested that staff document the position as back when the infant is placed in the crib for sleeping. The time must be documented and visual sleep checks conducted at least every fifteen (15) minutes. I suggested that you review .0606(a) with staff assigned to care for infants and conduct reviews of visual sleep charts to ensure they are completed accurately. Schedules Daily schedules must have blocks of time for each activity. We discussed adding times to the schedule that is posted in the room for school age children and in the rooms for infants. Blocks of time can be added to the current schedule. I suggested that you review the sample schedule that is posted on DCDEE’s website as a guide. Consultation was provided on the following. • Staff will need to create a DCDEE WORKS account and submit official transcripts so their education can be evaluated. Please assist staff with creating and submitting their education to the Workforce Unit in the Raleigh office. On the DCDEE website choose the Provider tab, DCDEE WORKS, and review the DCDEE WORKS Training Simulator Step-by-Step Instructions. Let me know if you have any questions or problems getting this task completed. • You stated that you use the Daily Classroom Name to Face Recognition Report for the arrival and departure times of children. Parents also log their child in and out on the application at the entrance of the facility. The following is general information for you to review to prepare for the Environment Rating Scale Assessment. ITERS-R and ECERS-R A variety of different types of blocks such as wooden unit blocks, soft unit blocks, cardboard blocks, and homemade blocks with enough blocks in each set for at least three children to build a structure should be provided. The block center should be large enough for three children to build a substantial structure without interfering with one each other’s play. Art projects should allow individual expression by children. Copied, cookie cutter type art projects do not offer children an opportunity for individual expression. Allow children to choose the art media of their choice and provide a variety of materials. The following are suggestions for art materials: markers, chalk, colored pencils, paper, crayons, dry erase markers, finger paint, tape, glue, stickers, small pieces of paper, play dough, clay, hole punchers, stencils, stamps, and scissors. Children under three years age should not have access to materials that would be considered choking hazards such as foam items, small crayons, small pieces of chalk, plastic bags, items easily torn apart or that would fit in a choking tube. You can use these materials under direct teacher supervision working one on one with the child during the art activity. Display in the classroom should be primarily children’s work and not teacher or store-bought display. Children’s art should be posted on their eye level. Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Items such as puzzles and games that are missing pieces should be removed from the classroom and replaced. The classroom should have at least two books per child that are age appropriate for the children in the group. I suggested that books that portray violence be removed. A variety of books that portray real animal pictures, families, disabilities, and different cultures should be added to each classroom. Remove any books that are worn, torn or missing pages. I suggested that you have or purchase hats; boys dress shirts, ties, jerseys and dress coats from a consignment shop, yard sale or dollar store to enhance the dramatic play center. Other items that enhance dramatic play are telephone books, cooking aprons, restaurant menus, calculators, cash registers, cookbooks, and baby doll accessories. Add pictures, books, puzzles, block play people, baby dolls, music, play food and dress-up clothes that represent different cultures. Add pictures, puzzles and block play people that represent people of all ages and disabilities. Review your daily schedule and free play allotted times. Free play times need to be listed separate from all other activities such as hand washing, preparing to go home etc. All centers/materials should be accessible to children during free play. Water must be available to children throughout the day. Always have a pitcher of water and cups for children available. Tables must be cleaned with soapy water then wiped dry. Then spray table with the sanitizing solution and let it sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying the sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. All children must have their diapers or pull ups checked or changed at least every two hours and when soiled. Use a timer or follow a daily individual diaper changing schedule to keep you within the two-hour timeframe. Children must wash their hands upon arrival, before and after eating, before and after sand and water play, after toileting, after outdoor play, after handling messy art materials such as paint, glue, and playdough and after touching nose, mouth, floor, trashcan, and anything else that re-contaminates the hands. Staff should follow proper handwashing procedures and wash hands as required. Remove mouthed items from play immediately and sanitize before allowing other children to play with item. You must interact with children in relation to their play with materials. At least two instances must be observed. Math/number - One instance must be observed during routine care as well as during free play of using math/number. SACERS-U Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Display children’s artwork in the classrooms. Include 2-D and 3-D art and craft projects to complete on the activity plan and display. Staff members should sit with children during meals and when possible, during snacks. Handwashing is required when: After children use the toilet or after assisting individual children with toileting routines. Immediately before meal or snack preparation and eating as well as after eating. (Remember to avoid recontamination of hands that can occur when unclean surfaces such as floors or toys are touched before eating.) Upon arrival and after outdoor play After messy activities (e.g., sand play, play dough). Before/after group water play After dealing with bodily fluids (e.g., wiping noses, coughing into hands, bandaging a scraped knee), even if gloves are used. Child sized tables and chairs must be correctly sized for at least 75% of children to receive credit. Gross motor equipment must be sturdy, age appropriate and stimulate many skills such as climbing, balancing, hanging by arms, sliding, riding tricycles and bicycles. You must have a variety of portable materials in good repair accessible to play individual and group gross motor games that stimulate many skills. Active play must occur indoors when they cannot not go outdoors due to precipitating weather. Make sure to always follow the weather watch chart to determine if weather is permitting for outdoor activities. Dramatic Play - Staff must extend dramatic play by offering suggestions, finding appropriate space, and assisting development of dramatic play roles. Language and reading activities - Children should be encouraged to use reading/writing in practical situations such as reading instructions for games, write letters to friends, and retrieve information online. Math and reasoning - Staff must encourage children to practice math/reasoning skills in daily activities such as recording scores for games, younger children set table with correct number of plates/napkins, measure and cut craft material accurately. Science and nature activities - Some science/nature books must be used to extend children’s information. Such as a book open on table near collection of pinecones and acorns, book about insect specimens and staff use the books to answer children’s questions about materials. Greeting and departing - Staff must acknowledge and personally greet children during arrival and departure. Staff and child communication - Staff and children’s conversations must be frequent. Language should be generally used by staff to exchange information with children and for social interaction. Most of the language observed during the assessment should be personal conversation and talking about topics of mutual interest rather than all directive language. Children should be asked why, how, what if questions that require longer and more complex answers. Children must be free to decide not to participate in any activity they choose. For example, if the teacher does a group time activity, the teacher cannot require all children to participate. Children should be given alternate activities. Tables must be cleaned with soapy water then wiped dry. Then spray with sanitizing solution and let sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. Schedule - At least one fine motor/language activity must be scheduled daily. Staff need to read with children each day. This would be a free choice activity for children to choose to listen to the book. Since you want to have the Environment Rating Scale completed, I recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. I also recommended that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. Reminders: Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Your temporary license will end after February 2, 2025. Stay updated with changes and new rule updates by visiting the DCDEE website at: https://ncchildcare.ncdhhs.gov. Health and Safety Training must be completed within one year of employment for new staff and every five years for staff that have already completed the training. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by September 25, 2024. Please include in that letter each violation number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at jennifer.roberts@dhhs.nc.gov: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time and assistance today. You can reach me at 828-782-0945, jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at tammy.mcgalliard@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: The Sunshine House Early Learning Academy #245 Facility ID: 14000437 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 9/11/2024 Number Present: 32 Completed Date: 9/11/2024 Age: From 0 To 4 Total Minutes: 489 Time In: 09:56 AM Time Out: 06:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the first temporary time period visit. You, Ashley Byrd, administrator, assisted me with the visit. The Secretary of State website was checked on September 11, 2024, and the business The Sunshine House Inc, -NC., is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Currently this center operates with a temporary license issued on August 2, 2024, with the following restrictions: Daytime care only. During this first Temporary Time Period visit, the classrooms were monitored as well as the playground, materials, equipment and required posted items for meeting all minimum licensing requirements. The last monthly fire drill was completed on September 4, 2024, at 8:05am. The last playground inspection was completed on August 21, 2024. You completed the Emergency Preparedness and Response Plan on August 22, 2024. A Shelter-In-Place Drill was conducted on August 30, 2024. A sample of five children’s files were reviewed. Fifteen staff files were reviewed. A menu was posted that met all the requirements. The daily schedule was posted. Times were not documented on the schedule. You said that you are going to apply for the rated license and request to have the Environment Rating Scale Assessment completed. As we discussed, the Environment Rating Scale Assessment could possibly help you in achieving at least a three-star child care license. We discussed and I gave you a copy of the Application for Assessment for a Two Component Star Rated License and the Rated License Assessment Request form today to complete and return to me. To allow time for the assessment to be requested, completed, score received and reviewed, and the rated license packet to be completed, I must receive your request to have the Environment Rating Scale assessment completed no later than September 18, 2024. We reviewed and discussed Program Standard points, Staff Education points and Quality point options. Another review of these points will be conducted at your next Temporary Time Period Visit. I discussed with you that programs with less than a three-star license will not be eligible to receive subsidy funding. All staff must establish a DCDEE WORKS account and have their education evaluations completed by Workforce by November 20, 2024. Documentation from Workforce on the results of the education evaluation must be on file for review for each staff member. The following violations were observed today. Violation Number Comment Rule 423 For children under three years of age, the schedule did not include regular daily events such as arrival and departure, free choice times, outside time and/or teacher- directed activities. The schedule posted in space #5 and space #6, did not list the times the activities would occur. .0508( f) 427 Children three years old or older were in care and the schedule did not include times and/or activities that were developmentally appropriate for the children in care. The schedule posted in space #10 where school age children are enrolled, did not list the times the activities would occur. The schedule listed "arrival and open snack, outside play (30 minutes), homework support (30 minutes), group meeting (15-20 minutes), outside play (30 minutes), literacy circle (15 minutes), inquiry and exploration time (60 minutes), departure. GS 110-91(12); .0508(d)(2) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. The incident report on file for one child with an enrollment date of August 12, 2024, did not document where the child received medical treatment, time the parent was notified and by whom. .0802 (e) 871 Center staff did not comply with the safe sleep policy. The visual sleep charts for one (1) infant, five months of age in space #5, documented the infant was initially placed on their tummy for sleeping at 9:15am on September 5, 2024, on their side at 9:50am on September 6, 2024, on their side at 9:45am on September 9, 2024, on their tummy at 2:10pm on September 9, 2024, on their tummy at 9:40am on September 10, 2024, and on their tummy at 10am on September 11, 2024. The visual sleep charts for one (1) infant, ten months of age in space #5, was initially placed on they tummy at 12:15pm on August 28, 2024. The visual sleep chart for one (1) infant, ten months of age in space #5, documented a visual sleep check at 12:40pm on September 5, 2024, and the next visual check was documented again at 1pm. The visual sleep chart for one (1) infant, ten months of age in space #5, documented a visual sleep check at 2pm on September 9, 2024, and the next visual check was documented again at 2:25pm. The visual sleep chart for one (1) infant, four months of age in space #6, documented an initial sleep time of 8:35am on August 21, 2024, and the next time documented on the visual sleep chart was 9:08am and a comment that noted the infant woke up. The visual sleep chart for the same infant on September 5, 2024, documented the visual sleep checks at 9:25am, 9:40am, 10am and 10:02am with a comment that noted the infant woke up. The visual sleep chart for one (1) infant, four months of age in space #4, the position was not documented on August 28, 2024, at 1:11pm. 10A NCAC 09 .0606(a) Technical assistance was provided on the following: Incident Reports We discussed the required information that must be documented on an incident report. Per child care rule .0802(e), the following information must be completed on the incident report form: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. I suggested that you use the Incident Report Form on DCDEE’s website to ensure that all requirements are met to meet this rule. We discussed the corporate form you are required to use, and I suggested that you update the current form to meet the requirements in the rule. Sleep Checks We discussed that infants must be initially placed on their back for sleeping and then assume an alternate position once they are able to rollover. I suggested that staff document the position as back when the infant is placed in the crib for sleeping. The time must be documented and visual sleep checks conducted at least every fifteen (15) minutes. I suggested that you review .0606(a) with staff assigned to care for infants and conduct reviews of visual sleep charts to ensure they are completed accurately. Schedules Daily schedules must have blocks of time for each activity. We discussed adding times to the schedule that is posted in the room for school age children and in the rooms for infants. Blocks of time can be added to the current schedule. I suggested that you review the sample schedule that is posted on DCDEE’s website as a guide. Consultation was provided on the following. • Staff will need to create a DCDEE WORKS account and submit official transcripts so their education can be evaluated. Please assist staff with creating and submitting their education to the Workforce Unit in the Raleigh office. On the DCDEE website choose the Provider tab, DCDEE WORKS, and review the DCDEE WORKS Training Simulator Step-by-Step Instructions. Let me know if you have any questions or problems getting this task completed. • You stated that you use the Daily Classroom Name to Face Recognition Report for the arrival and departure times of children. Parents also log their child in and out on the application at the entrance of the facility. The following is general information for you to review to prepare for the Environment Rating Scale Assessment. ITERS-R and ECERS-R A variety of different types of blocks such as wooden unit blocks, soft unit blocks, cardboard blocks, and homemade blocks with enough blocks in each set for at least three children to build a structure should be provided. The block center should be large enough for three children to build a substantial structure without interfering with one each other’s play. Art projects should allow individual expression by children. Copied, cookie cutter type art projects do not offer children an opportunity for individual expression. Allow children to choose the art media of their choice and provide a variety of materials. The following are suggestions for art materials: markers, chalk, colored pencils, paper, crayons, dry erase markers, finger paint, tape, glue, stickers, small pieces of paper, play dough, clay, hole punchers, stencils, stamps, and scissors. Children under three years age should not have access to materials that would be considered choking hazards such as foam items, small crayons, small pieces of chalk, plastic bags, items easily torn apart or that would fit in a choking tube. You can use these materials under direct teacher supervision working one on one with the child during the art activity. Display in the classroom should be primarily children’s work and not teacher or store-bought display. Children’s art should be posted on their eye level. Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Items such as puzzles and games that are missing pieces should be removed from the classroom and replaced. The classroom should have at least two books per child that are age appropriate for the children in the group. I suggested that books that portray violence be removed. A variety of books that portray real animal pictures, families, disabilities, and different cultures should be added to each classroom. Remove any books that are worn, torn or missing pages. I suggested that you have or purchase hats; boys dress shirts, ties, jerseys and dress coats from a consignment shop, yard sale or dollar store to enhance the dramatic play center. Other items that enhance dramatic play are telephone books, cooking aprons, restaurant menus, calculators, cash registers, cookbooks, and baby doll accessories. Add pictures, books, puzzles, block play people, baby dolls, music, play food and dress-up clothes that represent different cultures. Add pictures, puzzles and block play people that represent people of all ages and disabilities. Review your daily schedule and free play allotted times. Free play times need to be listed separate from all other activities such as hand washing, preparing to go home etc. All centers/materials should be accessible to children during free play. Water must be available to children throughout the day. Always have a pitcher of water and cups for children available. Tables must be cleaned with soapy water then wiped dry. Then spray table with the sanitizing solution and let it sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying the sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. All children must have their diapers or pull ups checked or changed at least every two hours and when soiled. Use a timer or follow a daily individual diaper changing schedule to keep you within the two-hour timeframe. Children must wash their hands upon arrival, before and after eating, before and after sand and water play, after toileting, after outdoor play, after handling messy art materials such as paint, glue, and playdough and after touching nose, mouth, floor, trashcan, and anything else that re-contaminates the hands. Staff should follow proper handwashing procedures and wash hands as required. Remove mouthed items from play immediately and sanitize before allowing other children to play with item. You must interact with children in relation to their play with materials. At least two instances must be observed. Math/number - One instance must be observed during routine care as well as during free play of using math/number. SACERS-U Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Display children’s artwork in the classrooms. Include 2-D and 3-D art and craft projects to complete on the activity plan and display. Staff members should sit with children during meals and when possible, during snacks. Handwashing is required when: After children use the toilet or after assisting individual children with toileting routines. Immediately before meal or snack preparation and eating as well as after eating. (Remember to avoid recontamination of hands that can occur when unclean surfaces such as floors or toys are touched before eating.) Upon arrival and after outdoor play After messy activities (e.g., sand play, play dough). Before/after group water play After dealing with bodily fluids (e.g., wiping noses, coughing into hands, bandaging a scraped knee), even if gloves are used. Child sized tables and chairs must be correctly sized for at least 75% of children to receive credit. Gross motor equipment must be sturdy, age appropriate and stimulate many skills such as climbing, balancing, hanging by arms, sliding, riding tricycles and bicycles. You must have a variety of portable materials in good repair accessible to play individual and group gross motor games that stimulate many skills. Active play must occur indoors when they cannot not go outdoors due to precipitating weather. Make sure to always follow the weather watch chart to determine if weather is permitting for outdoor activities. Dramatic Play - Staff must extend dramatic play by offering suggestions, finding appropriate space, and assisting development of dramatic play roles. Language and reading activities - Children should be encouraged to use reading/writing in practical situations such as reading instructions for games, write letters to friends, and retrieve information online. Math and reasoning - Staff must encourage children to practice math/reasoning skills in daily activities such as recording scores for games, younger children set table with correct number of plates/napkins, measure and cut craft material accurately. Science and nature activities - Some science/nature books must be used to extend children’s information. Such as a book open on table near collection of pinecones and acorns, book about insect specimens and staff use the books to answer children’s questions about materials. Greeting and departing - Staff must acknowledge and personally greet children during arrival and departure. Staff and child communication - Staff and children’s conversations must be frequent. Language should be generally used by staff to exchange information with children and for social interaction. Most of the language observed during the assessment should be personal conversation and talking about topics of mutual interest rather than all directive language. Children should be asked why, how, what if questions that require longer and more complex answers. Children must be free to decide not to participate in any activity they choose. For example, if the teacher does a group time activity, the teacher cannot require all children to participate. Children should be given alternate activities. Tables must be cleaned with soapy water then wiped dry. Then spray with sanitizing solution and let sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. Schedule - At least one fine motor/language activity must be scheduled daily. Staff need to read with children each day. This would be a free choice activity for children to choose to listen to the book. Since you want to have the Environment Rating Scale completed, I recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. I also recommended that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. Reminders: Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Your temporary license will end after February 2, 2025. Stay updated with changes and new rule updates by visiting the DCDEE website at: https://ncchildcare.ncdhhs.gov. Health and Safety Training must be completed within one year of employment for new staff and every five years for staff that have already completed the training. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by September 25, 2024. Please include in that letter each violation number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at jennifer.roberts@dhhs.nc.gov: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time and assistance today. You can reach me at 828-782-0945, jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at tammy.mcgalliard@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: The Sunshine House Early Learning Academy #245 Facility ID: 14000437 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 9/11/2024 Number Present: 32 Completed Date: 9/11/2024 Age: From 0 To 4 Total Minutes: 489 Time In: 09:56 AM Time Out: 06:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the first temporary time period visit. You, Ashley Byrd, administrator, assisted me with the visit. The Secretary of State website was checked on September 11, 2024, and the business The Sunshine House Inc, -NC., is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Currently this center operates with a temporary license issued on August 2, 2024, with the following restrictions: Daytime care only. During this first Temporary Time Period visit, the classrooms were monitored as well as the playground, materials, equipment and required posted items for meeting all minimum licensing requirements. The last monthly fire drill was completed on September 4, 2024, at 8:05am. The last playground inspection was completed on August 21, 2024. You completed the Emergency Preparedness and Response Plan on August 22, 2024. A Shelter-In-Place Drill was conducted on August 30, 2024. A sample of five children’s files were reviewed. Fifteen staff files were reviewed. A menu was posted that met all the requirements. The daily schedule was posted. Times were not documented on the schedule. You said that you are going to apply for the rated license and request to have the Environment Rating Scale Assessment completed. As we discussed, the Environment Rating Scale Assessment could possibly help you in achieving at least a three-star child care license. We discussed and I gave you a copy of the Application for Assessment for a Two Component Star Rated License and the Rated License Assessment Request form today to complete and return to me. To allow time for the assessment to be requested, completed, score received and reviewed, and the rated license packet to be completed, I must receive your request to have the Environment Rating Scale assessment completed no later than September 18, 2024. We reviewed and discussed Program Standard points, Staff Education points and Quality point options. Another review of these points will be conducted at your next Temporary Time Period Visit. I discussed with you that programs with less than a three-star license will not be eligible to receive subsidy funding. All staff must establish a DCDEE WORKS account and have their education evaluations completed by Workforce by November 20, 2024. Documentation from Workforce on the results of the education evaluation must be on file for review for each staff member. The following violations were observed today. Violation Number Comment Rule 423 For children under three years of age, the schedule did not include regular daily events such as arrival and departure, free choice times, outside time and/or teacher- directed activities. The schedule posted in space #5 and space #6, did not list the times the activities would occur. .0508( f) 427 Children three years old or older were in care and the schedule did not include times and/or activities that were developmentally appropriate for the children in care. The schedule posted in space #10 where school age children are enrolled, did not list the times the activities would occur. The schedule listed "arrival and open snack, outside play (30 minutes), homework support (30 minutes), group meeting (15-20 minutes), outside play (30 minutes), literacy circle (15 minutes), inquiry and exploration time (60 minutes), departure. GS 110-91(12); .0508(d)(2) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. The incident report on file for one child with an enrollment date of August 12, 2024, did not document where the child received medical treatment, time the parent was notified and by whom. .0802 (e) 871 Center staff did not comply with the safe sleep policy. The visual sleep charts for one (1) infant, five months of age in space #5, documented the infant was initially placed on their tummy for sleeping at 9:15am on September 5, 2024, on their side at 9:50am on September 6, 2024, on their side at 9:45am on September 9, 2024, on their tummy at 2:10pm on September 9, 2024, on their tummy at 9:40am on September 10, 2024, and on their tummy at 10am on September 11, 2024. The visual sleep charts for one (1) infant, ten months of age in space #5, was initially placed on they tummy at 12:15pm on August 28, 2024. The visual sleep chart for one (1) infant, ten months of age in space #5, documented a visual sleep check at 12:40pm on September 5, 2024, and the next visual check was documented again at 1pm. The visual sleep chart for one (1) infant, ten months of age in space #5, documented a visual sleep check at 2pm on September 9, 2024, and the next visual check was documented again at 2:25pm. The visual sleep chart for one (1) infant, four months of age in space #6, documented an initial sleep time of 8:35am on August 21, 2024, and the next time documented on the visual sleep chart was 9:08am and a comment that noted the infant woke up. The visual sleep chart for the same infant on September 5, 2024, documented the visual sleep checks at 9:25am, 9:40am, 10am and 10:02am with a comment that noted the infant woke up. The visual sleep chart for one (1) infant, four months of age in space #4, the position was not documented on August 28, 2024, at 1:11pm. 10A NCAC 09 .0606(a) Technical assistance was provided on the following: Incident Reports We discussed the required information that must be documented on an incident report. Per child care rule .0802(e), the following information must be completed on the incident report form: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. I suggested that you use the Incident Report Form on DCDEE’s website to ensure that all requirements are met to meet this rule. We discussed the corporate form you are required to use, and I suggested that you update the current form to meet the requirements in the rule. Sleep Checks We discussed that infants must be initially placed on their back for sleeping and then assume an alternate position once they are able to rollover. I suggested that staff document the position as back when the infant is placed in the crib for sleeping. The time must be documented and visual sleep checks conducted at least every fifteen (15) minutes. I suggested that you review .0606(a) with staff assigned to care for infants and conduct reviews of visual sleep charts to ensure they are completed accurately. Schedules Daily schedules must have blocks of time for each activity. We discussed adding times to the schedule that is posted in the room for school age children and in the rooms for infants. Blocks of time can be added to the current schedule. I suggested that you review the sample schedule that is posted on DCDEE’s website as a guide. Consultation was provided on the following. • Staff will need to create a DCDEE WORKS account and submit official transcripts so their education can be evaluated. Please assist staff with creating and submitting their education to the Workforce Unit in the Raleigh office. On the DCDEE website choose the Provider tab, DCDEE WORKS, and review the DCDEE WORKS Training Simulator Step-by-Step Instructions. Let me know if you have any questions or problems getting this task completed. • You stated that you use the Daily Classroom Name to Face Recognition Report for the arrival and departure times of children. Parents also log their child in and out on the application at the entrance of the facility. The following is general information for you to review to prepare for the Environment Rating Scale Assessment. ITERS-R and ECERS-R A variety of different types of blocks such as wooden unit blocks, soft unit blocks, cardboard blocks, and homemade blocks with enough blocks in each set for at least three children to build a structure should be provided. The block center should be large enough for three children to build a substantial structure without interfering with one each other’s play. Art projects should allow individual expression by children. Copied, cookie cutter type art projects do not offer children an opportunity for individual expression. Allow children to choose the art media of their choice and provide a variety of materials. The following are suggestions for art materials: markers, chalk, colored pencils, paper, crayons, dry erase markers, finger paint, tape, glue, stickers, small pieces of paper, play dough, clay, hole punchers, stencils, stamps, and scissors. Children under three years age should not have access to materials that would be considered choking hazards such as foam items, small crayons, small pieces of chalk, plastic bags, items easily torn apart or that would fit in a choking tube. You can use these materials under direct teacher supervision working one on one with the child during the art activity. Display in the classroom should be primarily children’s work and not teacher or store-bought display. Children’s art should be posted on their eye level. Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Items such as puzzles and games that are missing pieces should be removed from the classroom and replaced. The classroom should have at least two books per child that are age appropriate for the children in the group. I suggested that books that portray violence be removed. A variety of books that portray real animal pictures, families, disabilities, and different cultures should be added to each classroom. Remove any books that are worn, torn or missing pages. I suggested that you have or purchase hats; boys dress shirts, ties, jerseys and dress coats from a consignment shop, yard sale or dollar store to enhance the dramatic play center. Other items that enhance dramatic play are telephone books, cooking aprons, restaurant menus, calculators, cash registers, cookbooks, and baby doll accessories. Add pictures, books, puzzles, block play people, baby dolls, music, play food and dress-up clothes that represent different cultures. Add pictures, puzzles and block play people that represent people of all ages and disabilities. Review your daily schedule and free play allotted times. Free play times need to be listed separate from all other activities such as hand washing, preparing to go home etc. All centers/materials should be accessible to children during free play. Water must be available to children throughout the day. Always have a pitcher of water and cups for children available. Tables must be cleaned with soapy water then wiped dry. Then spray table with the sanitizing solution and let it sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying the sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. All children must have their diapers or pull ups checked or changed at least every two hours and when soiled. Use a timer or follow a daily individual diaper changing schedule to keep you within the two-hour timeframe. Children must wash their hands upon arrival, before and after eating, before and after sand and water play, after toileting, after outdoor play, after handling messy art materials such as paint, glue, and playdough and after touching nose, mouth, floor, trashcan, and anything else that re-contaminates the hands. Staff should follow proper handwashing procedures and wash hands as required. Remove mouthed items from play immediately and sanitize before allowing other children to play with item. You must interact with children in relation to their play with materials. At least two instances must be observed. Math/number - One instance must be observed during routine care as well as during free play of using math/number. SACERS-U Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Display children’s artwork in the classrooms. Include 2-D and 3-D art and craft projects to complete on the activity plan and display. Staff members should sit with children during meals and when possible, during snacks. Handwashing is required when: After children use the toilet or after assisting individual children with toileting routines. Immediately before meal or snack preparation and eating as well as after eating. (Remember to avoid recontamination of hands that can occur when unclean surfaces such as floors or toys are touched before eating.) Upon arrival and after outdoor play After messy activities (e.g., sand play, play dough). Before/after group water play After dealing with bodily fluids (e.g., wiping noses, coughing into hands, bandaging a scraped knee), even if gloves are used. Child sized tables and chairs must be correctly sized for at least 75% of children to receive credit. Gross motor equipment must be sturdy, age appropriate and stimulate many skills such as climbing, balancing, hanging by arms, sliding, riding tricycles and bicycles. You must have a variety of portable materials in good repair accessible to play individual and group gross motor games that stimulate many skills. Active play must occur indoors when they cannot not go outdoors due to precipitating weather. Make sure to always follow the weather watch chart to determine if weather is permitting for outdoor activities. Dramatic Play - Staff must extend dramatic play by offering suggestions, finding appropriate space, and assisting development of dramatic play roles. Language and reading activities - Children should be encouraged to use reading/writing in practical situations such as reading instructions for games, write letters to friends, and retrieve information online. Math and reasoning - Staff must encourage children to practice math/reasoning skills in daily activities such as recording scores for games, younger children set table with correct number of plates/napkins, measure and cut craft material accurately. Science and nature activities - Some science/nature books must be used to extend children’s information. Such as a book open on table near collection of pinecones and acorns, book about insect specimens and staff use the books to answer children’s questions about materials. Greeting and departing - Staff must acknowledge and personally greet children during arrival and departure. Staff and child communication - Staff and children’s conversations must be frequent. Language should be generally used by staff to exchange information with children and for social interaction. Most of the language observed during the assessment should be personal conversation and talking about topics of mutual interest rather than all directive language. Children should be asked why, how, what if questions that require longer and more complex answers. Children must be free to decide not to participate in any activity they choose. For example, if the teacher does a group time activity, the teacher cannot require all children to participate. Children should be given alternate activities. Tables must be cleaned with soapy water then wiped dry. Then spray with sanitizing solution and let sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. Schedule - At least one fine motor/language activity must be scheduled daily. Staff need to read with children each day. This would be a free choice activity for children to choose to listen to the book. Since you want to have the Environment Rating Scale completed, I recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. I also recommended that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. Reminders: Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Your temporary license will end after February 2, 2025. Stay updated with changes and new rule updates by visiting the DCDEE website at: https://ncchildcare.ncdhhs.gov. Health and Safety Training must be completed within one year of employment for new staff and every five years for staff that have already completed the training. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by September 25, 2024. Please include in that letter each violation number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at jennifer.roberts@dhhs.nc.gov: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time and assistance today. You can reach me at 828-782-0945, jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at tammy.mcgalliard@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